The relationship between life stressors and drug and sexual behaviors among a population-based sample of young Black men who have sex with men in Chicago.
AIDS Care
; 29(5): 545-551, 2017 05.
Article
em En
| MEDLINE
| ID: mdl-27590043
ABSTRACT
Younger Black men who have sex with men (YBMSM) have the highest rates of HIV incidence in the U.S. and are also exposed to high life stressors (e.g., unemployment, incarceration, and exposure to communality). This study assessed whether life stressors were related to drug use and sexual risk behaviors among a representative sample of YBMSM. The South Side of Chicago and selected adjacent suburbs represents the most populous contiguous Black community in the U.S. Over 10% of the estimated YBMSM population in this geographic region were sampled. Major findings indicated that higher life stress was significantly associated with greater odds of transactional sex (aOR = 2.19; 95% CI 1.09-4.39), substance use with sex with male and transgender partners (aOR = 1.62; 95% CI 1.09-2.39), marijuana (aOR = 2.65; 95% CI 1.43-4.90), crack/cocaine (aOR = 3.21; 95% CI 1.16-8.88), and prescription opioid use (aOR = 3.12; 95% CI 1.37-7.13). HIV approaches which focus on environmental stressors and employ a stress and coping framework may support the reduction of drug and sexual risk behaviors among YBMSM. Cognitive and social support approaches might be especially useful in this regard.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Comportamento Sexual
/
Estresse Psicológico
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Negro ou Afro-Americano
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Abuso de Maconha
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Homossexualidade Masculina
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Transtornos Relacionados ao Uso de Cocaína
/
Transtornos Relacionados ao Uso de Opioides
Tipo de estudo:
Etiology_studies
Limite:
Adolescent
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Adult
/
Humans
/
Male
País/Região como assunto:
America do norte
Idioma:
En
Revista:
AIDS Care
Assunto da revista:
SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS)
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Estados Unidos