caa a22 4500 606231463 CHVBK 20210128101220.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s10508-015-0481-9 doi (NATIONALLICENCE)springer-10.1007/s10508-015-0481-9 Sexual Health and Socioeconomic-Related Factors Among HIV-Positive Men Who Have Sex with Men in Puerto Rico [Elektronische Daten] [Carlos Rodríguez-Díaz, Gerardo Jovet-Toledo, Edgardo Ortiz-Sánchez, Edda Rodríguez-Santiago, Ricardo Vargas-Molina] Most of the research among HIV-positive populations has been approached from behavioral risk models. This is particularly true for those otherwise socially vulnerable groups like men who have sex with men (MSM). As a response to this pattern, we examined data from an ongoing health promotion research being conducted in Puerto Rico (PR). The study is limited to HIV-positive MSM and consists of the participation in a survey interview that includes domains used to assess indicators of socio-economic-related factors (age, educational level, employment, religion, and partnership status) and sexual health (sexual satisfaction, condom use, and sexual health knowledge(SHK)). Participants reported a relatively high level (75%) of sexual satisfaction and inconsistent condom use (50.9% reported always using a condom). A deficient (61%) SHK was also reported. In multivariate analyses, a higher educational level was associated with higher sexual satisfaction (aβ=3.223; 95% CI 0.291-6.156) and higher levels of SHK (aβ=1.328; 95% CI 0.358-2.297), while unemployment was associated with less condom use (aOR 0.314; 95% CI 0.122-0.810). Not having a primary sexual partner was associated with less sexual satisfaction (aβ=−3.871; 95% CI −7.534-0.208) and more condom use (aOR 4.292; 95% CI 1.310-14.068). Findings support the notion that men of a disadvantaged socioeconomic position may have a poorer sexual health status; with a lower level of education and unemployment leading this disparity. Findings also evidence that partnership status may have a role in the sexual health of HIV-positive MSM. To our knowledge, this is the first comprehensive analysis of sexual health and socioeconomic indicators among Hispanic/Latino HIV-positive MSM in PR and in the Caribbean. Findings provide valuable information to address the sexual health needs of an underserved population. Springer Science+Business Media New York, 2015 Sexual health nationallicence Puerto Rico nationallicence Men who have sex with men nationallicence HIV nationallicence Latino nationallicence Hispanic nationallicence Caribbean nationallicence Sexual orientation nationallicence Rodríguez-Díaz Carlos School of Public Health, University of Puerto Rico-Medical Sciences Campus, PO Box 365067, 00936-5067, San Juan, PR, USA aut Jovet-Toledo Gerardo School of Public Health, University of Puerto Rico-Medical Sciences Campus, PO Box 365067, 00936-5067, San Juan, PR, USA aut Ortiz-Sánchez Edgardo School of Public Health, University of Puerto Rico-Medical Sciences Campus, PO Box 365067, 00936-5067, San Juan, PR, USA aut Rodríguez-Santiago Edda School of Public Health, University of Puerto Rico-Medical Sciences Campus, PO Box 365067, 00936-5067, San Juan, PR, USA aut Vargas-Molina Ricardo School of Public Health, University of Puerto Rico-Medical Sciences Campus, PO Box 365067, 00936-5067, San Juan, PR, USA aut Archives of Sexual Behavior Springer US; http://www.springer-ny.com 44/7(2015-10-01), 1949-1958 0004-0002 44:7<1949 2015 44 10508 https://doi.org/10.1007/s10508-015-0481-9 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10508-015-0481-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Rodríguez-Díaz Carlos School of Public Health, University of Puerto Rico-Medical Sciences Campus, PO Box 365067, 00936-5067, San Juan, PR, USA aut NATIONALLICENCE 700 1- Jovet-Toledo Gerardo School of Public Health, University of Puerto Rico-Medical Sciences Campus, PO Box 365067, 00936-5067, San Juan, PR, USA aut NATIONALLICENCE 700 1- Ortiz-Sánchez Edgardo School of Public Health, University of Puerto Rico-Medical Sciences Campus, PO Box 365067, 00936-5067, San Juan, PR, USA aut NATIONALLICENCE 700 1- Rodríguez-Santiago Edda School of Public Health, University of Puerto Rico-Medical Sciences Campus, PO Box 365067, 00936-5067, San Juan, PR, USA aut NATIONALLICENCE 700 1- Vargas-Molina Ricardo School of Public Health, University of Puerto Rico-Medical Sciences Campus, PO Box 365067, 00936-5067, San Juan, PR, USA aut NATIONALLICENCE 773 0- Archives of Sexual Behavior Springer US; http://www.springer-ny.com 44/7(2015-10-01), 1949-1958 0004-0002 44:7<1949 2015 44 10508