Neighborhood social cohesion, religious participation and sexual risk behaviors among cisgender black sexual minority men in the southern United States
Autor: | Yusuf Ransome, Yazan A. Al-Ajlouni, De Marc A. Hickson, Justin Knox, Ichiro Kawachi, Dustin T. Duncan, Hayden D. Mountcastle, Skyler D. Jackson, Su Hyun Park, Caleb H. Miles, Charles C. Branas |
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Rok vydání: | 2021 |
Předmět: |
Adult
Male Health (social science) Adolescent Sexual Behavior Population HIV Infections Context (language use) Article Religiosity Sexual and Gender Minorities Young Adult 03 medical and health sciences Risk-Taking 0302 clinical medicine History and Philosophy of Science Humans 030212 general & internal medicine Cooperative Behavior Homosexuality Male education Aged Reproductive health education.field_of_study business.industry 030503 health policy & services Attendance Middle Aged Moderation United States Black or African American Sexual minority Sexual Partners Religious organization 0305 other medical science business Psychology Demography |
Zdroj: | Soc Sci Med |
ISSN: | 0277-9536 |
Popis: | Background Few studies have examined associations between neighborhood social cohesion and sexual risk behaviors among gay, bisexual, and other sexual minority men (SMM), and none have among Black SMM in the southern U.S. The purpose of the current study is to examine associations between neighborhood social cohesion and sexual risk behaviors among Black SMM in the southern U.S., a population heavily impacted by HIV. We also examined whether these relationships are modified by religious participation for Black SMM in the southern U.S. Methods Data was obtained from the MARI Study, a sample of Black SMM ages 18–66 years, recruited from the Jackson, MS and Atlanta, GA metropolitan areas (n = 354). Neighborhood social cohesion was assessed with a validated 5-item scale. We conducted multivariable regression analyses to examine the association between neighborhood social cohesion with each of the sexual risk behaviors (e.g., condomless sex and drug use before or during sex), controlling for key confounders. We then performed moderation analysis by religious participation (religious attendance and private religiosity). Results Compared to Black SMM with higher perceived neighborhood social cohesion, Black SMM with lower neighborhood social cohesion had increased odds of alcohol use before or during sex (aPR = 1.56; 95% CI = 1.16–2.11) and condomless anal sex with casual partners (aPR = 1.55; 1.03–2.32). However, the magnitude of these associations varied by religious attendance and private religiosity. Black SMM with low religious service attendance had higher risk of alcohol use in the context of sex when perceived neighborhood social cohesion was low; those with high private religiosity had elevated alcohol use in the context of sex when perceived neighborhood social cohesion was low. Discussion Interventions that target connectedness among neighborhood members through community education or mobilization efforts, including the involvement of religious organizations, should be considered for HIV prevention focused on alcohol and condomless sex among Black SMM. |
Databáze: | OpenAIRE |
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