Sexuality Research and Social Policy

, Volume 10, Issue 3, pp 193–199

Addressing Health Disparities Among Men: Demographic, Behavioral, and Clinical Characteristics of Men Who Have Sex with Men in Puerto Rico

  • Vivian Colón-López
  • Marievelisse Soto-Salgado
  • Carlos E. Rodríguez-Díaz
  • Erick L. Suárez
  • Cynthia M. Pérez
Article

DOI: 10.1007/s13178-013-0130-9

Cite this article as:
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

Abstract

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.

Keywords

Men who have sex with men MSM Population based Sexual practices Puerto Rico Caribbean 

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Vivian Colón-López
    • 1
    • 2
  • Marievelisse Soto-Salgado
    • 3
    • 4
  • Carlos E. Rodríguez-Díaz
    • 4
  • Erick L. Suárez
    • 5
  • Cynthia M. Pérez
    • 5
  1. 1.Cancer Control and Population Sciences ProgramUniversity of Puerto Rico Comprehensive Cancer CenterSan JuanUSA
  2. 2.Department of Health Services AdministrationGraduate School of Public HealthSan JuanUSA
  3. 3.UPR/MDACC Partnership in Excellence in Cancer Research Program, School of Medicine, Medical Sciences CampusUniversity of Puerto RicoSan JuanUSA
  4. 4.Department of Social Sciences, Graduate School of Public Health, Medical Sciences CampusUniversity of Puerto RicoSan JuanUSA
  5. 5.Department of Biostatistics and EpidemiologyGraduate School of Public Health, Medical Sciences Campus, University of Puerto RicoSan JuanUSA

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