Individual, psychosocial, and social correlates of unprotected anal intercourse in a new generation of young men who have sex with men in New York City

Perry N. Halkitis, Farzana Kapadia, Daniel E. Siconolfi, Robert W. Moeller, Rafael Perez Figueroa, Staci C. Barton, Jaclyn Blachman-Forshay

Research output: Contribution to journalArticle

Abstract

Objectives: We examined associations of individual, psychosocial, and social factors with unprotected anal intercourse (UAI) among young men who have sex with men in New York City. Methods: Using baseline assessment data from 592 young men who have sex with men participating in an ongoing prospective cohort study, we conducted multivariable logistic regression analyses to examine the associations between covariates and likelihood of recently engaging in UAI with same-sex partners. Results: Nineteen percent reported recent UAI with a same-sex partner. In multivariable models, being in a current relationship with another man (adjusted odds ratio [AOR] = 4.87), an arrest history (AOR = 2.01), greater residential instability (AOR = 1.75), and unstable housing or homelessness (AOR = 3.10) was associated with recent UAI. Although high levels of gay community affinity and low internalized homophobia were associated with engaging in UAI in bivariate analyses, these associations did not persist in multivariable analyses. Conclusions: Associations of psychosocial and socially produced conditions with UAI amonganew generation ofyoung men who have sex with men warrant that HIV prevention programs and policies address structural factors that predispose sexual risk behaviors.

Original languageEnglish (US)
Pages (from-to)889-895
Number of pages7
JournalAmerican Journal of Public Health
Volume103
Issue number5
DOIs
StatePublished - May 2013

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Odds Ratio
Homophobia
Homeless Persons
Risk-Taking
Sexual Behavior
Cohort Studies
Logistic Models
History
Regression Analysis
HIV
Prospective Studies
Psychology

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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Individual, psychosocial, and social correlates of unprotected anal intercourse in a new generation of young men who have sex with men in New York City. / Halkitis, Perry N.; Kapadia, Farzana; Siconolfi, Daniel E.; Moeller, Robert W.; Figueroa, Rafael Perez; Barton, Staci C.; Blachman-Forshay, Jaclyn.

In: American Journal of Public Health, Vol. 103, No. 5, 05.2013, p. 889-895.

Research output: Contribution to journalArticle

Halkitis, Perry N. ; Kapadia, Farzana ; Siconolfi, Daniel E. ; Moeller, Robert W. ; Figueroa, Rafael Perez ; Barton, Staci C. ; Blachman-Forshay, Jaclyn. / Individual, psychosocial, and social correlates of unprotected anal intercourse in a new generation of young men who have sex with men in New York City. In: American Journal of Public Health. 2013 ; Vol. 103, No. 5. pp. 889-895.
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