"We Live in Different Chicagos": Racial/Ethnic Differences in the Neighborhood Affiliations of Young Men Who Have Sex with Men as Drivers of HIV Risk.

Racial disparities in HIV are well-documented and pervasive, particularly impacting Black young men who have sex with men (YMSM), and are not explained by differences in individual risk behaviors. The Network-Individual-Resource (NIR) Model of HIV Transmission and Prevention (Johnson et al. in AIDS...

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Publicado en:AIDS & Behavior Vol. 29; no. 9; pp. 2764 - 2783
Autores principales: McConnell, Elizabeth A., Birkett, Michelle
Formato: pictorial research tables/charts Journal Article
Publicado: Springer Nature Sep2025
Acceso en línea:Ver este registro en EBSCOhost
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        atl: "We Live in Different Chicagos": Racial/Ethnic Differences in the Neighborhood Affiliations of Young Men Who Have Sex with Men as Drivers of HIV Risk.
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          McConnell, Elizabeth A.
          Birkett, Michelle
        affil: https://ror.org/04f812k67 Department of Psychology, Palo Alto University, Palo Alto, CA, USA
      sug:
        subj:
          African Americans Psychosocial Factors
          White Persons Psychosocial Factors
          Hispanic Americans Psychosocial Factors
          Men Who Have Sex With Men Psychosocial Factors
          HIV Infections Risk Factors
          Risk Assessment
          Race Factors
          Neighborhood Characteristics
          Social Factors
          Social Networks
          Human
          Illinois
          Funding Source
          Multimethod Studies
          Interviews
          Grounded Theory
          Social Segregation
          Stigma
          Theoretical Sample
          Adolescence
          Adult
          Male
          Adolescent: 13-18 years
          Adult: 19-44 years
          Male
      ab: Racial disparities in HIV are well-documented and pervasive, particularly impacting Black young men who have sex with men (YMSM), and are not explained by differences in individual risk behaviors. The Network-Individual-Resource (NIR) Model of HIV Transmission and Prevention (Johnson et al. in AIDS Behav 14:S204–S221, 2010) suggests that focusing on the broader network-level environments of YMSM holds strong promise for identifying social-contextual factors that may drive these racial disparities. Empirically, numerous studies have demonstrated links between neighborhood-level factors and HIV risk among YMSM (Bauermeister et al. in J Sex Res 54:446–464, 2017). This mixed-methods study aimed to characterize racial differences in the broader contexts (i.e., neighborhood affiliations) within which YMSM meet their sex partners, which may in turn shape HIV risk. Using an innovative explanatory sequential design, multilevel network and geospatial data from an existing longitudinal cohort of YMSM in Chicago were visualized (Phase 1) and subsequently used to guide interviews with a subsample of participants in the broader parent study (Phase 2). Grounded theory was used to analyze interview data, leading to the identification of several salient differences in Black, White, and Latino YMSM's neighborhood-level affiliations, including racial segregation and resource inequality, White spatial insularity, profound Black-White segregation, and Black and Latino neighborhood bridging. From a network perspective, these racial differences in neighborhood-level affiliations have strong potential to help explain the disproportionate burden of HIV among Black YMSM. Findings highlight the importance of attending to the social context within which individual risk behaviors take place and underscore the importance of broader structural change to address racial disparities in HIV.
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    language: English
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