THE ROLE OF PEER SUPPORT ON CONDOM USE AMONG BLACK AND LATINO MSM IN THREE URBAN AREAS

This article examines the sociodemographic/behavioral variables associated with low peer support of condom use and the relation between low peer support of condom use and unprotected anal sex for Black and Latino MSM in cities heavily impacted by the HIV/AIDS epidemic. Our findings indicate that perceived low peer support of condom use is associated with increased odds of recent unprotected anal intercourse (UAI) among Black and Latino MSM, regardless of male partner type. Although many participants reported having high peer support of condom use, this analysis highlights a considerable subgroup of Black and Latino MSM, 21% and 30%, respectively, who report low peer support of condoms. Given the prevalence of low peer support of condom use and its association with UAI in these highly impacted MSM populations, we recommend future intervention work that draws upon Black and Latino MSM's peer and social network members to reduce HIV risk behaviors.

本文研究了在受艾滋病毒/艾滋病疫情严重影响的城市中，与安全套使用的同伴支持度低相关的社会人口统计学/行为变量，以及安全套使用的同伴支持度低与黑人和拉丁裔男男性行为者无保护肛交之间的关系。我们的研究结果表明，无论男性伴侣类型如何，在黑人和拉丁裔男男性行为者中，感知到的安全套使用的同伴支持度低与近期无保护肛交（UAI）的几率增加有关。尽管许多参与者报告说有较高的安全套使用的同伴支持度，但这项分析强调了黑人和拉丁裔男男性行为者中有相当大的亚群体，分别为21%和30%，他们报告说同伴对安全套的支持度低。鉴于在这些受严重影响的男男性行为者群体中安全套使用的同伴支持度低的普遍存在及其与无保护肛交的关联，我们建议未来的干预工作应利用黑人和拉丁裔男男性行为者的同伴和社交网络成员来减少艾滋病毒风险行为。