Influences of Economic, Social and Cultural Marginalization on the Association Between Alcohol Use and Sexual Risk Among Formerly Incarcerated Latino Men.

Journal Article (Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • Muñoz-Laboy, M; Martínez, O; Guilamo-Ramos, V; Draine, J; Garg, KE; Levine, E; Ripkin, A

Published Date

  • October 2017

Published In

Volume / Issue

  • 19 / 5

Start / End Page

  • 1073 - 1087

PubMed ID

  • 28197862

Pubmed Central ID

  • PMC5557709

Electronic International Standard Serial Number (EISSN)

  • 1557-1920

International Standard Serial Number (ISSN)

  • 1557-1912

Digital Object Identifier (DOI)

  • 10.1007/s10903-017-0554-z

Language

  • eng