title: How do the sexual behaviors of foreign-born Hispanic men who have sex with men differ by relationship status?
abstract: High-risk sexual behaviors may result in acquisition of sexually transmitted infections including HIV. Hispanic men who have sex with men (MSM) experience a disproportionate incidence of these infections. Various risk factors, cultural aspects, and relationship factors may influence the sexual behaviors of this subgroup of MSM. The purpose of this study was to describe the sexual behaviors of a sample of foreign-born Hispanic MSM and to compare these sexual behaviors in terms of condom usage, risky sexual behaviors, avoidance of body fluids, and sexual negotiation when stratified by relationship status. Using a cross-sectional, descriptive research design, a convenience sample of 135 foreign-born Hispanic MSM, the majority of whom were Cubans, was recruited and surveyed from the South Florida area. The majority of participants reported engaging in the high-risk sexual behaviors of sex without condoms, substance abuse before or during sex, anal sex, contact with body fluids, and did not negotiate safer sex behaviors. Differences in sexual behaviors when compared by relationship status were found only in terms of certain risky sexual behaviors but not in terms of condom usage, contact with body fluids, or sexual negotiation. Despite participation in a number of high-risk activities and finding few differences among those men in relationships and those not in primary relationships, factors that promote or inhibit participation in high-risk sexual behaviors among Hispanic MSM in various types of relationships need further exploration.
authors.affiliation: University of Miami, Coral Gables, FL 33146, USA. jdesantis@miami.edu
authors.forename: Joseph
authors.initials: J
authors.lastname: De Santis
mesh_terms: D000328:Adult; D017280:Condoms / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D005431:Florida; D006630:Hispanic or Latino / Q000523:psychology / Q000706:statistics & numerical data*; D018451:Homosexuality, Male / Q000208:ethnology* / Q000523:psychology; D006801:Humans; D008297:Male; D054526:Men's Health / Q000208:ethnology*; D008875:Middle Aged; D012309:Risk-Taking; D012725:Sexual Behavior / Q000208:ethnology; D012747:Sexual Partners / Q000523:psychology*; D012749:Sexually Transmitted Diseases / Q000208:ethnology; D019966:Substance-Related Disorders / Q000208:ethnology; D011795:Surveys and Questionnaires; D047568:Unsafe Sex / Q000208:ethnology*; D055815:Young Adult