HIV risk behaviors of Latin American and Caribbean men who have sex with men in Miami, Florida, USA

Akın, Mete; Fernández, M. Isabel; Bowen, G. Stephen; Warren, Jacob C.

doi:10.1590/s1020-49892008000500006

Cited by 33 publications

(33 citation statements)

References 27 publications

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“…Of those who reported UAI in past 30 days, 67% had engaged in UAI with a primary partner, whereas 44% had engaged in UAI with a nonprimary partner (Diaz, Stall, Hoff, Daigle, & Coates, 1996). A third study reported that factors associated with UAI among Hispanic MSM included a diagnosis of HIV infection, drug abuse, a greater number of sexual partners, psychosocial distress, and higher levels of acculturation (Akin, Fernandez, Bowen, & Warren, 2008).…”

Section: Condom Usagementioning

confidence: 99%

How Do the Sexual Behaviors of Foreign-Born Hispanic Men Who Have Sex With Men Differ by Relationship Status?

Santis

2011

Am J Mens Health

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High-risk sexual behaviors may result in acquisition of sexually transmitted infections including HIV. Hispanic men who have sex with men (MSM) experience a disproportionate incidence of these infections. Various risk factors, cultural aspects, and relationship factors may influence the sexual behaviors of this subgroup of MSM. The purpose of this study was to describe the sexual behaviors of a sample of foreign-born Hispanic MSM and to compare these sexual behaviors in terms of condom usage, risky sexual behaviors, avoidance of body fluids, and sexual negotiation when stratified by relationship status. Using a cross-sectional, descriptive research design, a convenience sample of 135 foreign-born Hispanic MSM, the majority of whom were Cubans, was recruited and surveyed from the South Florida area. The majority of participants reported engaging in the high-risk sexual behaviors of sex without condoms, substance abuse before or during sex, anal sex, contact with body fluids, and did not negotiate safer sex behaviors. Differences in sexual behaviors when compared by relationship status were found only in terms of certain risky sexual behaviors but not in terms of condom usage, contact with body fluids, or sexual negotiation. Despite participation in a number of highrisk activities and finding few differences among those men in relationships and those not in primary relationships, factors that promote or inhibit participation in high-risk sexual behaviors among Hispanic MSM in various types of relationships need further exploration.

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Section: Condom Usagementioning

confidence: 99%

How Do the Sexual Behaviors of Foreign-Born Hispanic Men Who Have Sex With Men Differ by Relationship Status?

Santis

2011

Am J Mens Health

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“…Two particular SRB have been strongly associated with HIV in the general population: multiple sexual partners (12) and inadequate condom use (1). Such SRB have, however, rarely been analyzed together (13) despite recommendations to consider them combined in HIV control (14).…”

Section: Introductionmentioning

confidence: 99%

The relationship between knowledge of HIV, self-perceived vulnerability and sexual risk behavior among community clinic workers in Chile

Cabieses¹,

Ferrer²,

Villarroel³

et al. 2010

Rev. salud pública

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Objective Testing the hypothesis of an association between knowledge and sexual risk behaviour (SRB) amongst community-clinic workers in Chile, explained by the confounding effect of self-perceived vulnerability to HIV. Methods A cross-sectional survey was analyzed; it was nested within a quasiexperimental study of 720 community-clinic workers in Santiago. The SRB score combined the number of sexual partners and condom use (coded as "high"/"low" SRB). Knowledge of HIV (a 25-item index) was coded as "inadequate"/"adequate" knowledge. Self-perceived vulnerability to HIV was categorised as being "high"/ "moderate"/"low". Control variables included socio-demographics, religiousness and educational level. Percentages/averages, Chi-square tests and logistic regression (OR-estimations) were used for descriptive, association and confounding analysis. Results Respondents were 78.2 % female, 46.8 % married and 67.6 % Catholic. Mean age was 38.9 (10.5 SD) and 69 % had university/diploma level. Self-perceived HIV vulnerability was "low" in 71.5 % cases. A negative association between knowledge and SRB was found (OR=0.55;CI=0.35-0.86), but self-perceived vulnerability did not have a confounding effect on this relationship. This relationship also persisted after being adjusted for multiple control variables (e.g. age, sex, type of primary centre, educational level, and religiousness). Conclusions Some community-clinic workers had inaccurate knowledge of HIV, which was associated with SRB. Self-perceived vulnerability did not have a confounding effect; however, future studies should further analyze occupational risk of HIV as a possible driving factor in health workers´ perception of their risk.Rev. salud pública. 12 (5): [777][778][779][780][781][782][783][784][785][786][787][788][789] 2010

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“…Although urban structure is cited as important, the differences in attitudes and sexuality-grounded roles amongst MSM even between two westernised nations must also be considered as a crucial aspect of intervention planning. Akin et al (2008) found that the sexual behaviour of Latino/Hispanic MSM in Florida was conducive to high rates of HIV transmission including psychological distress, recreational drug use, and issues around cultural and political integration. Although these factors are by no means exclusive to Latino/Hispanic MSM, or the behaviourally bisexual population, the disproportionately high HIV incidence amongst African American MSM, another minority population grouping, is not positively attributed to sexual behaviour (Malebranche 2003), thereby counteracting the popular belief that a health promotion intervention can target BME MSM as a singular group.…”

Section: The State Of Playmentioning

confidence: 99%

“…The different behavioural attitudes and risk awareness highlighted across studies such as the Akin (2008) Latino/Hispanic and Malebranche (2003) African American papers are not reflected in the HIV testing literature review. Virtually all groups analysed consistently report a lack of knowledge around testing procedures, fear of an HIV positive test result and a misperception of personal risk as the key barriers to HIV testing.…”

Section: The State Of Playmentioning

confidence: 99%

The State of Play in HIV Health Promotion for Black and Minority Ethnic Men Who Have Sex with Men

Ellis¹,

Njaka²

2010

The International Journal of Diversity in Organizations, Commun

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HIV risk behaviors of Latin American and Caribbean men who have sex with men in Miami, Florida, USA

Abstract: Many MSM born in LAC countries engage in HIV-related risk behaviors in the AIDS epicenter of Miami-Dade County, Florida. Culturally appropriate interventions should address these risk behaviors in this underserved population.

Cited by 33 publications

References 27 publications

How Do the Sexual Behaviors of Foreign-Born Hispanic Men Who Have Sex With Men Differ by Relationship Status?

How Do the Sexual Behaviors of Foreign-Born Hispanic Men Who Have Sex With Men Differ by Relationship Status?

The relationship between knowledge of HIV, self-perceived vulnerability and sexual risk behavior among community clinic workers in Chile

The State of Play in HIV Health Promotion for Black and Minority Ethnic Men Who Have Sex with Men

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