Language:

Individual and Network Factors Associated With Racial Disparities in HIV Among Young Men Who Have Sex With Men: Results From the RADAR Cohort Study

Journal of acquired immune deficiency syndromes (1999), 2019-01, Vol.80 (1), p.24-30 [Peer Reviewed Journal]

Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved. ;Copyright Lippincott Williams & Wilkins Ovid Technologies Jan 1, 2019 ;ISSN: 1525-4135 ;EISSN: 1944-7884 ;DOI: 10.1097/QAI.0000000000001886 ;PMID: 30365451

Full text available

Citations Cited by

Actions
1. Add to My Research
2. Remove from My Research
3. E-mail
4. Print
5. Permalink
6. Citation
7. EasyBib
8. EndNote
9. RefWorks
10. Delicious
11. Export RIS
12. Export BibTeX

Title:
Individual and Network Factors Associated With Racial Disparities in HIV Among Young Men Who Have Sex With Men: Results From the RADAR Cohort Study
Author: Mustanski, Brian ; Morgan, Ethan ; DʼAquila, Richard ; Birkett, Michelle ; Janulis, Patrick ; Newcomb, Michael E
Subjects: Abuse ; Adolescent ; Adult ; African Americans - statistics & numerical data ; Alcohol use ; Alcoholic beverages ; Cannabis ; Chicago - epidemiology ; Children ; Cohort analysis ; Data collection ; Drug abuse ; Drug use ; Health risks ; Health Status Disparities ; HIV ; HIV Infections - epidemiology ; HIV Infections - prevention & control ; Homosexuality, Male - psychology ; Homosexuality, Male - statistics & numerical data ; Human immunodeficiency virus ; Humans ; Longitudinal Studies ; Male ; Mental depression ; Prophylaxis ; Race Factors ; Radar ; Rectum ; Risk analysis ; Risk factors ; Risk taking ; Sexual assault ; Sexual behavior ; Sexual Partners - psychology ; Sexually transmitted diseases ; Social Networking ; Social organization ; STD ; Trauma ; Unsafe Sex - psychology ; Unsafe Sex - statistics & numerical data ; Victimization ; Young Adult
Is Part Of: Journal of acquired immune deficiency syndromes (1999), 2019-01, Vol.80 (1), p.24-30
Description: BACKGROUND:Individual sexual risk behaviors have failed to explain the observed racial disparity in HIV acquisition. To increase understanding of potential drivers in disparities, we assessed differences across individual, network, and social determinants. METHODS:Data come from RADAR (N = 1015), a longitudinal cohort study of multilevel HIV-risk factors among young men who have sex with men (YMSM) aged 16–29 years in Chicago, IL. Data collection includes biological specimens; network data, including detailed information about social, sexual, and drug-use networks; and psychosocial characteristics of YMSM. RESULTS:Compared to white YMSM (24.8%) and Hispanic YMSM (30.0%), black YMSM (33.9%) had a higher prevalence of both HIV (32%; P < 0.001) and rectal sexually transmitted infections (26.5%; P = 0.011) with no observed differences in pre-exposure prophylaxis use. Black YMSM reported lower rates of sexual risk behaviors and more lifetime HIV tests (P < 0.001) compared with all other YMSM; however, they were also significantly less likely to achieve viral suppression (P = 0.01). Black YMSM reported the highest rate of cannabis use (P = 0.03) as well as greater levels of stigma (P < 0.001), victimization (P = 0.04), trauma (P < 0.001), and childhood sexual abuse (P < 0.001). White YMSM reported higher rates of depression (P < 0.001) and alcohol use (P < 0.001). In network analyses, significant differences existed across network characteristics with black YMSM having the lowest transitivity (P = 0.002), the highest density (P < 0.001), and the highest homophily (P < 0.001). CONCLUSIONS:Black YMSM do not report higher rates of HIV-risk behaviors, but social and network determinants are aligned toward increased HIV risk. These results suggest that network interventions and those addressing social determinants may help reduce disparities.
Language: English
Identifier: ISSN: 1525-4135
EISSN: 1944-7884
DOI: 10.1097/QAI.0000000000001886
PMID: 30365451
Source: MEDLINE
Open Access: Freely Accessible Journals by multiple vendors

Back to results list


INSPIRE LIBRARY - TON DUC THANG UNIVERSITY	(84-028) 37 755 057	Feedback
19 Nguyen Huu Tho St. Dist.7, HCM	thuvien@tdtu.edu.vn	Feedback

Individual and Network Factors Associated With Racial Disparities in HIV Among Young Men Who Have Sex With Men: Results From the RADAR Cohort Study

Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved. ;Copyright Lippincott Williams & Wilkins Ovid Technologies Jan 1, 2019 ;ISSN: 1525-4135 ;EISSN: 1944-7884 ;DOI: 10.1097/QAI.0000000000001886 ;PMID: 30365451

Searching Remote Databases, Please Wait