LaRon E. Nelson|Leo Wilton|Rahim Moineddin|Nanhua Zhang|Arjumand Siddiqi|Ting Sa|Nina T. Harawa|Rotrease Regan|Typhanye V. Dyer|Christopher Chauncey Watson|Beryl A. Koblin|Carlos del R??o|Susan Buchbinder|Darrell P. Wheeler|Kenneth H. Mayer
Economic, Legal, and Social Hardships Associated with HIV Risk among Black Men who have Sex with Men in Six US Cities
University of Rochester|Binghamton University|University of Toronto|Cincinnati Children's Hospital Medical Center|Public Health Ontario|University of Toronto|Cincinnati Children's Hospital Medical Center|Charles R. Drew University of Medicine and Science|University of California, Los Angeles|University of Maryland, College Park|George Washington University|New York Blood Center|Emory University|San Francisco Department of Public Health|University at Albany, State University of New York|Fenway Health
assessed whether economic legal social hardships associated human immunodeficiency virus hiv risk among sample black men sex men msm whether associations moderated city residence study analyzed baseline followup data hiv prevention trials network 061 n 1553 binary logistic regression assessed associations hardships hiv risk indicators multivariate regressions used test city residence moderating effect hardships hiv risks adjusted analyses showed black msm recent job loss likely engage condomless insertive anal intercourse adjusted odds ratios aor 137 95 ci 101187 recent financial crisis likely two male sexual partners past 6 months aor 165 95 ci 118229 black msm recent convictions likely sexually transmitted infection 6 months aor 397 95 ci 158994 unstably housed likely sexually transmitted infection 12 months aor 171 95ci 102 286 city residence hardship interaction effects hiv risks hardships important factors influence hiv risk black msm integrating strategies address structural factors influence hiv risk may enhance hiv prevention interventions implementation efforts