AIDS and Behavior

, Volume 14, Issue 4, pp 974–985

Neighborhood-Level Correlates of Consistent Condom Use among Men Who have Sex with Men: A Multi-Level Analysis

  • Victoria Frye
  • Beryl Koblin
  • John Chin
  • John Beard
  • Shannon Blaney
  • Perry Halkitis
  • David Vlahov
  • Sandro Galea
Original Paper

Abstract

There is growing evidence that the neighborhood environment influences sexual behavior and related outcomes, but little work has focused specifically on men who have sex with men (MSM). Using interview data from a probability sample of 385 young MSM living in New York City, recruited at public venues in 1999 and 2000 as part of the Young Men’s Survey-New York City, and data on neighborhood characteristics obtained from the U.S. Census 2000, we conducted multi-level analyses of the associations between neighborhood-level characteristics and consistent condom use during anal intercourse, while controlling for individual-level sociodemographic and other factors. After adjusting for individual-level factors, neighborhood-level gay presence remained significantly and positively associated with consistent condom use during anal intercourse. This finding suggests that neighborhoods with a significant gay presence may have norms that act to discourage high risk sexual activity.

Keywords

Sexual HIV risk behavior MSM Urban neighborhood Multi-level analysis Condom use Neighborhood environment 

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Victoria Frye
    • 1
  • Beryl Koblin
    • 2
  • John Chin
    • 3
  • John Beard
    • 4
  • Shannon Blaney
    • 4
  • Perry Halkitis
    • 5
  • David Vlahov
    • 4
  • Sandro Galea
    • 6
  1. 1.Urban Public Health ProgramHunter College, City University of New YorkNew YorkUSA
  2. 2.Laboratory of Infectious Disease PreventionNew York Blood CenterNew YorkUSA
  3. 3.Hunter CollegeCity University of New YorkNew YorkUSA
  4. 4.Center for Urban Epidemiologic StudiesNew York Academy of MedicineNew YorkUSA
  5. 5.Steinhardt School of Culture, Education and Human DevelopmentNew York UniversityNew YorkUSA
  6. 6.Department of EpidemiologyUniversity of MichiganAnn ArborUSA

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