Addressing Health Disparities Among Men: Demographic, Behavioral, and Clinical Characteristics of Men Who Have Sex with Men in Puerto Rico
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- Colón-López, V., Soto-Salgado, M., Rodríguez-Díaz, C.E. et al. Sex Res Soc Policy (2013) 10: 193. doi:10.1007/s13178-013-0130-9
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The objective of this study was to compare sociodemographic, behavioral, and clinical characteristics associated with human immunodeficiency virus (HIV) among men who have sex with men (MSM) and men who have sex with women (MSW) in Puerto Rico. Data from a population-based cross-sectional study in PR (2005–2008) were analyzed. Descriptive statistics were used to describe the study sample, and bivariate analyses were performed to identify differences of sociodemographic, behavioral, and clinical characteristics between MSM and MSW. Exact logistic regression models adjusting for age were constructed for each risk behavior associated to MSM in bivariate analysis. Of the 674 men interviewed, 6.1 % (n = 41) reported ever having sex with men. Age-adjusted logistic regression models indicated that MSM were significantly more likely than MSW to have first sexual intercourse before the age of 15 (Prevalence Odds Ratio (POR) = 2.6; 95 % CI = 1.3, 5.3) and have at least 10 lifetime sex partners (POR = 2.8; 95 % CI = 1.4, 5.9). In addition, MSM were significantly more likely to report lifetime use of marijuana (POR = 2.7; 95 % CI = 1.3, 5.8), cocaine (POR = 2.5; 95 % CI = 1.2, 5.0), amphetamines (POR = 3.8; 95 % CI = 1.4, 9.2), and sedatives or tranquilizers (POR = 3.3; 95 % CI = 1.4, 7.2). In addition, MSM were 13 times more likely to be HIV seropositive as compared to MSW (POR = 13.3; 95 % CI = 1.7, 102.0). In this population-based sample of men living in Puerto Rico, self-reported same-sex behavior is strongly associated with HIV and other behavioral factors associated with HIV. Future targeted research is still necessary for the development of intervention programs among MSM in Puerto Rico.