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21.01.2017 | Original Paper | Ausgabe 3/2018

AIDS and Behavior 3/2018

Patterns of Social Affiliations and Healthcare Engagement Among Young, Black, Men Who Have Sex With Men

AIDS and Behavior > Ausgabe 3/2018
Rachel L. Behler, Benjamin T. Cornwell, John A. Schneider
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Electronic supplementary material

The online version of this article (doi:10.​1007/​s10461-016-1668-3) contains supplementary material, which is available to authorized users.


Little work has examined how individuals’ social affiliations—the venues in which they meet friends and engage in informal social interaction—influence their engagement with public health services. We investigate how links to these local places shape access to information and exposure to health-seeking behavior. Using longitudinal data from a respondent-driven sample of 618 young black men who have sex with men (YBMSM) in Chicago, we identify different sets of social venues that connect YBMSM. We then examine how YBMSM’s connections within this network influence their receipt of HIV prevention and treatment services and knowledge of pre-exposure prophylaxis (PrEP). Our results show that YBMSM’s positions within Chicago’s venue network shape the types of health-related services they access, net of demographic, structural, and community covariates. Men with affiliations that are linked to the city’s gay enclave are most likely to know about PrEP, while men with affiliations that are predominately in the black community demonstrate improved HIV treatment outcomes. Outreach engaging MSM beyond venues in gay enclaves is needed.

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Supplementary material 1 (DOCX 77 kb)
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