Rural-Urban Differences in HIV Sexual Risk Behaviors and HIV Service Utilization Among Adolescent Sexual Minority Males in the United States.
Arch Sex Behav
; 53(7): 2765-2775, 2024 Jul.
Article
in En
| MEDLINE
| ID: mdl-38528296
ABSTRACT
In the United States, HIV prevalence is increasing in rural areas, specifically among rural adolescent sexual minority males (ASMM). However, it is unclear what HIV sexual risk behaviors rural ASMM engage in and what HIV preventative services they utilize. This study aimed to (1) document the lifetime HIV sexual risk behaviors and service utilization of rural ASMM and (2) compare rural-urban differences in the prevalence of HIV sexual risk behaviors and service utilization. We analyzed data collected from 1615 ASMM who participated in a baseline survey for an online HIV prevention program from April 2018 to June 2020. We compared the prevalence of lifetime HIV sexual risk behaviors and HIV healthcare utilization among rural and urban participants via descriptive statistics, chi-square tests, linear and logistic regressions, and zero-inflated Poisson regressions. These analyses indicated that rural ASMM were more likely than urban ASMM to engage in condomless sex when they had anal sex. Rural ASMM could benefit from offline and online evidence-based HIV prevention interventions, especially interventions that increase condom use.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Risk-Taking
/
Rural Population
/
Sexual Behavior
/
Urban Population
/
HIV Infections
/
Sexual and Gender Minorities
Limits:
Adolescent
/
Adult
/
Humans
/
Male
Country/Region as subject:
America do norte
Language:
En
Journal:
Arch Sex Behav
/
Arch. sex. behav
/
Archives of sexual behavior
Year:
2024
Document type:
Article
Affiliation country:
Estados Unidos
Country of publication:
Estados Unidos