Correlates of Sexual Risk for HIV Among US-Born and Foreign-Born Latino Men Who Have Sex with Men (MSM): An Analysis from the Brothers y Hermanos Study
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Little research has been conducted to examine whether correlates of sexual risk vary by nativity among Latino men who have sex with men (MSM). We used cross sectional data collected from 870 Latino MSM recruited with respondent-driven sampling techniques. For each sub-sample (US-born and foreign-born), we assessed the association between each of the potential correlates (substance use, acculturation, social support, and social discrimination) and sexual risk behavior. Illicit drug use was associated with increased odds of sexual risk behavior in both US-born (OR = 2.17, 95 % CI 1.17–4.03) and foreign-born (OR = 1.86, 1.14–3.05) subgroups. Multivariate correlates specific to foreign-born men included binge drinking (OR = 1.91, 1.17–3.14), 15 years or longer spent in the US (OR = 1.79, 1.06–3.03) and exposure to social discrimination (OR = 2.02, 1.03–3.99). Given the diversity of Latino MSM, information from research that identifies both common and different HIV risk factors across subgroups of Latino MSM may help better tailor HIV prevention programs.
KeywordsLatino MSM Nativity Correlates Sexual risk behavior
This study was funded through a cooperative agreement from the U.S. Centers for Disease Control and Prevention. The authors thank the entire Brothers y Hermanos research team, the study participants without whom this research would not have been possible, and the collaborating community-based partners and community advisory boards who contributed to the design and implementation of the study.
- 1.Centers for Disease Control and Prevention. 2012. Diagnoses of HIV Infection and AIDS in the United States and Dependent Areas, 2010. HIV Surveillance Report, Volume 22. Accessed on July 5, 2013 at http://www.cdc.gov/hiv/surveillance/resources/reports/2010report/index.htm.
- 2.Herbst JH, Stallworth JM, Mejia R, Bauermeister JA, Villarruel AM. HIV/AIDS in Hispanic and Latino Communities. In: Hall BJ, Hall JC, Cockerell CJ, editors. The AIDS epidemic: Treatment and epidemiology in the 21st century. Shelton: PMPH-USA; 2011. p. 679–708.Google Scholar
- 3.US Census Bureau. 2008. Hispanics in the United States. Access on July 5, 2013 at http://www.census.gov/population/hispanic/files/hispanic2006/Internet_Hispanic_in_US_2006.pdf.
- 4.US Census Bureau. 2011. The foreign born from Latin America and Caribbean: 2010. Accessed on July 5, 2013 at http://www.census.gov/prod/2011pubs/acsbr10-15.pdf.
- 18.Rhodes SD, Hergenrather KC, Aronson RE, Bloom FR, Felizzola J, Wolfson M, Vissman AT, Alonzo J, Allen AB, Montano J, McGuire J. Latino Men who have sex with men and HIV in the rural south-eastern USA: findings from ethnographic in-depth interviews. Cult Health Sex. 2010;12:797–812.PubMedCentralPubMedCrossRefGoogle Scholar
- 29.Tieu H-V, Xu G, Bonner S, Spikes P, Egan JE, Goodman K, Stewart K, Koblin BA. Sexual partner characteristics, serodiscordant/serostatus unknown unprotected anal intercourse and disclosure among human immunodeficiency virus-infected and uninfected black men who have sex with men in New York City. Sex Transm Dis. 2011;38:1–7.CrossRefGoogle Scholar
- 34.Centers for Disease Control and Prevention. HIV Prevention Research Synthesis Project. (2012) Accessed on July 5, 2013 at http://www.cdc.gov/hiv/topics/research/prs/index.htm.
- 35.White House Office of National AIDS Policy. National HIV/AIDS strategy for the United States. July 2010. Washington DC: The White House. Accessed on July 5, 2013 at www.whitehouse.gov/administration/eop/onap/nhas.