title: Immigrant sexual minority Latino men in rural North Carolina: an exploration of social context, social behaviors, and sexual outcomes.
abstract: Immigrant sexual minority Latino men-who may or may not self-identify as gay-constitute a minority within a minority. Often labeled "hidden" and "hard-to-reach," and marginalized along multiple dimensions, it is a subgroup about whom little is known. Informed by a social ecological framework, we sought to describe key social variables for 190 such men in rural North Carolina and to test associations with three sexual outcomes: consistent condom use, number of sex partners, and sexual compulsivity. Participants reported limited English-language use, predominantly Latino close friends, middle levels of social support despite numerous social ties, and frequent experiences of discrimination. There were unique sets of correlates for each sexual outcome. Findings may inform health promotion interventions and guide future research.
authors.affiliation: a Alcohol Research Group , Public Health Institute , Emeryville , California , USA.
authors.forename: Paul A
authors.initials: PA
authors.lastname: Gilbert
authors.forename: Scott D
authors.initials: SD
authors.lastname: Rhodes
mesh_terms: D000293:Adolescent; D000328:Adult; D054242:Emigrants and Immigrants / Q000523:psychology / Q000706:statistics & numerical data*; D006630:Hispanic or Latino / Q000523:psychology / Q000706:statistics & numerical data*; D018451:Homosexuality, Male / Q000208:ethnology* / Q000523:psychology / Q000706:statistics & numerical data; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D008913:Minority Groups / Q000523:psychology / Q000706:statistics & numerical data; D009657:North Carolina / Q000453:epidemiology; D012424:Rural Population / Q000706:statistics & numerical data*; D012725:Sexual Behavior / Q000208:ethnology / Q000523:psychology / Q000706:statistics & numerical data*; D012919:Social Behavior; D012944:Social Support; D055815:Young Adult
keywords: HIV; Hispanic; gay; rural; social determinants