title: Influences of Economic, Social and Cultural Marginalization on the Association Between Alcohol Use and Sexual Risk Among Formerly Incarcerated Latino Men.
abstract: Formerly incarcerated Latino men (FILM) have been significantly impacted by the HIV/AIDS and alcohol abuse epidemics in the United States. In this analysis, we examine the role of social, economic and cultural marginalization in the likelihood of alcohol-related sexual risk taking behavior among FILM. We recruited a non-random sample of FILM, ages 18-49 (n = 259). We performed logistic regression modeling to test four hypotheses examining the direct and moderating effects of socio-cultural factors. Drinking before sex was strongly associated with high likelihood of condomless intercourse (adjusted odds ratio, AOR = 2.93; 95% CI 1.74, 4.94). Low acculturation and social marginalization factors were significant moderators of the association between high-risk alcohol use and sexual risk behavior among FILM. Our data suggest that risk reduction initiatives geared towards reducing alcohol-related sexual risk taking among FILM should target FILM with low levels of acculturation, and those with high levels loneliness, anxiety, and/or depression.
authors.affiliation: School of Social Work, College of Public Health, Temple University, 1301 Cecil B. Moore Ave., Ritter Annex, 5th floor, Philadelphia, PA, 191221, USA. miguel.munoz-laboy@temple.edu.
authors.forename: Miguel
authors.initials: M
authors.lastname: Muñoz-Laboy
authors.affiliation: School of Social Work, College of Public Health, Temple University, 1301 Cecil B. Moore Ave., Ritter Annex, 5th floor, Philadelphia, PA, 191221, USA.
authors.forename: Omar
authors.initials: O
authors.lastname: Martínez
authors.affiliation: Center for Drug Use and HIV Research (CDUHR, NYU College of Nursing), Center for Latino Adolescent and Family Health, Silver School of Social Work, New York University, 1 Washington Square North, New York, NY, 10003, USA.
authors.forename: Vincent
authors.initials: V
authors.lastname: Guilamo-Ramos
authors.affiliation: School of Social Work, College of Public Health, Temple University, 1301 Cecil B. Moore Ave., Ritter Annex, 5th floor, Philadelphia, PA, 191221, USA.
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Draine
authors.affiliation: School of Social Work, College of Public Health, Temple University, 1301 Cecil B. Moore Ave., Ritter Annex, 5th floor, Philadelphia, PA, 191221, USA.
authors.forename: Karin Eyrich
authors.initials: KE
authors.lastname: Garg
authors.affiliation: College of Liberal Arts, Temple University, Philadelphia, PA, USA.
authors.forename: Ethan
authors.initials: E
authors.lastname: Levine
authors.affiliation: School of Social Work, College of Public Health, Temple University, 1301 Cecil B. Moore Ave., Ritter Annex, 5th floor, Philadelphia, PA, 191221, USA.
authors.forename: Alexandra
authors.initials: A
authors.lastname: Ripkin
mesh_terms: D000069:Acculturation; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000428:Alcohol Drinking / Q000208:ethnology*; D000437:Alcoholism / Q000208:ethnology; D017280:Condoms / Q000706:statistics & numerical data; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D016015:Logistic Models; D008132:Loneliness; D008297:Male; D057228:Masculinity; D008603:Mental Health / Q000208:ethnology; D008875:Middle Aged; D009519:New York City / Q000453:epidemiology; D011329:Prisoners / Q000706:statistics & numerical data*; D012307:Risk Factors; D012309:Risk-Taking; D012725:Sexual Behavior / Q000208:ethnology*; D012959:Socioeconomic Factors; D014481:United States / Q000453:epidemiology; D055815:Young Adult
keywords: Acculturation; Alcohol use; Formerly incarcerated Latino men; Latinos; Men; Sexual risk behavior