Neighborhood-level correlates of consistent condom use among men who have sex with men: A multi-level analysis

Victoria Frye, Beryl Koblin, John Chin, John Beard, Shannon Blaney, Perry Halkitis, David Vlahov, Sandro Galea

Research output: Contribution to journalArticlepeer-review

Abstract

There is growing evidence that the neighborhood environment influences sexual behavior and related outcomes, but little work has focused specifically on men who have sex with men (MSM). Using interview data from a probability sample of 385 young MSM living in New York City, recruited at public venues in 1999 and 2000 as part of the Young Men's Survey-New York City, and data on neighborhood characteristics obtained from the U.S. Census 2000, we conducted multi-level analyses of the associations between neighborhood-level characteristics and consistent condom use during anal intercourse, while controlling for individual-level sociodemographic and other factors. After adjusting for individual-level factors, neighborhood-level gay presence remained significantly and positively associated with consistent condom use during anal intercourse. This finding suggests that neighborhoods with a significant gay presence may have norms that act to discourage high risk sexual activity.

Original languageEnglish (US)
Pages (from-to)974-985
Number of pages12
JournalAIDS and Behavior
Volume14
Issue number4
DOIs
StatePublished - Aug 2010

Keywords

  • Condom use
  • MSM
  • Multi-level analysis
  • Neighborhood environment
  • Sexual HIV risk behavior
  • Urban neighborhood

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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