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Immigrant Sexual Minority Latino Men in Rural North Carolina: An Exploration of Social Context, Social Behaviors, and Sexual Outcomes
Journal article   Open access

Immigrant Sexual Minority Latino Men in Rural North Carolina: An Exploration of Social Context, Social Behaviors, and Sexual Outcomes

Paul A Gilbert and Scott D Rhodes
Journal of homosexuality, Vol.61(8), pp.1131-1151
08/03/2014
DOI: 10.1080/00918369.2014.872507
PMCID: PMC4043853
PMID: 24344629
url
http://doi.org/10.1080/00918369.2014.872507View
Open Access

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.
social determinants HIV Hispanic gay rural

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