Influences of Economic, Social and Cultural Marginalization on the Association Between Alcohol Use and Sexual Risk Among Formerly Incarcerated Latino Men

Miguel Muñoz-Laboy, Omar Martínez, Vincent Guilamo-Ramos, Jeffrey Draine, Karin Eyrich Garg, Ethan Levine, Alexandra Ripkin

Research output: Contribution to journalArticle

Abstract

Formerly incarcerated Latino men (FILM) have been significantly impacted by the HIV/AIDS and alcohol abuse epidemics in the United States. In this analysis, we examine the role of social, economic and cultural marginalization in the likelihood of alcohol-related sexual risk taking behavior among FILM. We recruited a non-random sample of FILM, ages 18–49 (n = 259). We performed logistic regression modeling to test four hypotheses examining the direct and moderating effects of socio-cultural factors. Drinking before sex was strongly associated with high likelihood of condomless intercourse (adjusted odds ratio, AOR = 2.93; 95% CI 1.74, 4.94). Low acculturation and social marginalization factors were significant moderators of the association between high-risk alcohol use and sexual risk behavior among FILM. Our data suggest that risk reduction initiatives geared towards reducing alcohol-related sexual risk taking among FILM should target FILM with low levels of acculturation, and those with high levels loneliness, anxiety, and/or depression.

Original languageEnglish (US)
Pages (from-to)1073-1087
Number of pages15
JournalJournal of Immigrant and Minority Health
Volume19
Issue number5
DOIs
StatePublished - Oct 1 2017

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Keywords

  • Acculturation
  • Alcohol use
  • Formerly incarcerated Latino men
  • Latinos
  • Men
  • Sexual risk behavior

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

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