Risk and Protective Factors Associated With Gay Neighborhood Residence

Risk and Protective Factors Associated With Gay Neighborhood Residence
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DOI:
10.1177/1557988312458793
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发表时间:
2013-03-01
影响因子:
2.3
通讯作者:
Kurtz, Steven P.
Kurtz, Steven P.
中科院分区:
医学4区
文献类型:
--
作者:
Buttram, Mance E.;Kurtz, Steven P.

文献摘要

被引文献

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使用482个种族多样的当前物质使用的男性谁与男性发生性关系谁报告最近无保护的肛交的样本,这项研究比较了健康风险行为-物质使用和性艾滋病毒的风险-和一个健康保护因素-亲社会活动-之间的男性谁住在同性恋社区和那些不。数据来自南佛罗里达的综合健康和社会风险评估。在多变量逻辑回归模型中,发现甲基苯丙胺的使用、高接受率的无保护肛交以及较低的亲社会参与水平是与同性恋社区居住相关的风险因素。与住在其他地方相比,同性恋社区的居住似乎对可卡因的使用和物质依赖有保护作用。预防干预措施的研究结果的影响进行了讨论,是需要进一步研究有关邻里居住的决定,以及如何邻里风险和保护因素的出现和持续。
Using a sample of 482 ethnically diverse current substance using men who have sex with men who reported recent unprotected anal intercourse, this study compared health risk behaviors-substance use and sexual HIV risk-and one health protective factor-prosocial activities-between men who live in a gay neighborhood and those who do not. Data are drawn from comprehensive health and social risk assessments administered in South Florida. In a multivariate logistic regression model, methamphetamine use, high rates of receptive unprotected anal intercourse, and lower levels of prosocial engagement were found to be risk factors associated with gay neighborhood residence. Compared with living elsewhere, gay neighborhood residence appeared to be protective against cocaine use and substance dependence. Implications of the findings for prevention interventions are discussed, as is the need for further research regarding decisions about neighborhood residence and how neighborhood risk and protective factors emerge and are sustained.