Sexually transmitted infection diagnoses among Hispanic immigrant and migrant men who have sex with men in the United States.
Hispanic immigrant/migrant men who have sex with men (MSM) should be at higher risk for sexually transmitted infections/human immunodeficiency virus (STIs/HIV) given individual-level factors associated with the migration process that have been theorised to increase susceptibility to STIs/HIV among migrant populations. However, relatively little is known if these individual level factors are actually associated with the STI prevalence among this population. During 2005-2007, 2576 men and women foreign-born Hispanics were surveyed at three community-based organisations offering services to immigrant/migrant communities in the US. We analysed demographic characteristics, sexual risk behaviours, migration patterns, and factors associated with STI diagnoses (syphilis, chlamydia, and gonorrhoea) in the past 12 months among Hispanic immigrant/migrant MSM. Of 1482 Hispanic immigrant/migrant men surveyed who reported having sex in the past 12 months, 353 (24%) reported sex with a man, and of these, 302 answered questions regarding whether or not they had been diagnosed with a bacterial STI in the past year. Of these 302 men, 25% reported being married; 42% self-identified as being heterosexual and 20% as bisexual. Twenty-nine (9.6%) men reported that they had received an STI diagnosis in the past year. In the multivariate logistic regression model, men who reported receiving money or goods for sex had increased odds of a self-reported STI diagnosis. The prevalence of bacterial STIs among Hispanic immigrant/migrant MSM is lower than the prevalence of bacterial STIs among other MSM in the United States. Nevertheless, receiving money or goods for sex was significantly associated with a self-reported STI diagnosis among Hispanic immigrant/migrant MSM. It is important to understand factors contributing to participation in exchange sex among this population. HIV/STI prevention interventions tailored to non-gay identifying MSM are important for Hispanic immigrant/migrant MSM.
['Valverde|Eduardo E|EE|', 'DiNenno|Elizabeth A|EA|', 'Schulden|Jeffrey D|JD|', 'Oster|Alexandra|A|', 'Painter|Thomas|T|']
D000293:Adolescent D000328:Adult D006069:Gonorrhea D015658:HIV Infections D006630:Hispanic or Latino D018451:Homosexuality, Male D006801:Humans D016015:Logistic Models D008297:Male D008403:Mass Screening D008875:Middle Aged D015999:Multivariate Analysis D012309:Risk-Taking D012725:Sexual Behavior D012747:Sexual Partners D012749:Sexually Transmitted Diseases D012959:Socioeconomic Factors D011795:Surveys and Questionnaires D013587:Syphilis D014171:Transients and Migrants D014481:United States D055815:Young Adult
sexually transmitted infection Hispanic immigrant men MSM Bacterial disease high-risk behaviour