Nova Southeastern University, Coral Gables, FL 33134, USA.
Am J Mens Health. 2013 Mar;7(2):110-8. doi: 10.1177/1557988312458793. Epub 2012 Sep 4.
Using a sample of 482 ethnically diverse current substance using men who have sex with men who reported recent unprotected anal intercourse, this study compared health risk behaviors-substance use and sexual HIV risk-and one health protective factor-prosocial activities-between men who live in a gay neighborhood and those who do not. Data are drawn from comprehensive health and social risk assessments administered in South Florida. In a multivariate logistic regression model, methamphetamine use, high rates of receptive unprotected anal intercourse, and lower levels of prosocial engagement were found to be risk factors associated with gay neighborhood residence. Compared with living elsewhere, gay neighborhood residence appeared to be protective against cocaine use and substance dependence. Implications of the findings for prevention interventions are discussed, as is the need for further research regarding decisions about neighborhood residence and how neighborhood risk and protective factors emerge and are sustained.
本研究使用了一个由 482 名具有不同种族背景、最近有过无保护肛交行为的男男性行为者组成的样本，比较了生活在同性恋社区和不生活在同性恋社区的男男性行为者之间的健康风险行为（药物使用和性传播 HIV 风险）和一个健康保护因素（亲社会活动）。数据来自于在南佛罗里达州进行的综合健康和社会风险评估。在多变量逻辑回归模型中，发现使用冰毒、接受无保护肛交的比率高、亲社会参与程度低是与同性恋社区居住相关的风险因素。与居住在其他地方相比，同性恋社区居住似乎可以预防可卡因使用和药物依赖。讨论了这些发现对预防干预的意义，以及需要进一步研究关于社区居住的决定，以及社区风险和保护因素是如何出现和持续的。
