Community and Drug Use among Gay Men: The Role of Neighborhoods and Networks

Community and Drug Use among Gay Men: The Role of Neighborhoods and Networks
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DOI:
10.1177/0022146510395026
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发表时间:
2011-03-01
影响因子:
5
通讯作者:
Parsons, Jeffrey T.
Parsons, Jeffrey T.
中科院分区:
医学2区
文献类型:
--
作者:
Carpiano, Richard M.;Kelly, Brian C.;Parsons, Jeffrey T.

文献摘要

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同性恋社区是男同性恋者社交的重要场所,然而很少有研究调查他们对男同性恋者健康的贡献——无论是直接的还是通过居民的社交网络间接的。从社区和网络的理论角度出发,我们对来自纽约市740名城市男同性恋者的样本中关于同性恋社区和社会网络因素是否与近期非法药物使用模式相关的假设进行了测试。研究发现,居住在同性恋社区、人际网络主要由其他男同性恋者组成、与男同性恋者交往频繁的人吸毒的几率更高。网络因素并没有调节同性恋社区与吸毒之间的联系。这些发现强调需要通过考虑社区和网络结构来更好地了解男同性恋者面临的健康风险。
Gay neighborhoods serve as vital places for gay men's socializing, yet few studies have examined their contributions to gay men's health-either directly or indirectly via residents' social networks. Drawing from theoretical perspectives on community and networks, we test hypotheses concerning whether gay neighborhoods and social network factors are associated with patterns of recent illicit drug use among a sample of 740 urban gay men from New York City. Higher odds of drug use were observed among individuals who resided in gay neighborhoods, had networks composed predominantly of other gay men, and had increased socialization with gay men. Network factors did not mediate associations between gay neighborhoods and drug use. These findings highlight the need to better contextualize the health risks faced by gay men by accounting for both neighborhood and network structures.