Recent Sexual Risk and Health Care Access among Latino Men in the US: Acculturation and Health Disparities

Tuesday, March 11, 2008: 10:45 AM
International Ballroom South
Jami S. Leichliter, PhD , Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA
Frederick R. Bloom, PhD , Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA
Scott D. Rhodes, PhD , School of Medicine, Wake Forest University, Winston-Salem, NC

Latinos in the US are disproportionately affected by STIs. Little research has examined the sexual risks of Latinos on a national level.

To compare Latino and white men in recent sexual risk and health care access using interview language as a measure of acculturation.

Data from the National Survey of Family Growth (NSFG) Cycle 6 (2002) were analyzed using SUDAAN. Interview language and ethnicity were used to form three comparison groups of men (ages 15-44 years): Spanish-speaking Latino, English-speaking Latino, and white (English-speaking).

Of the 3601 men, 10% were Spanish-speaking Latino, 21% were English-speaking Latino, and 69% were English-speaking White. 18% of White, 22% of Spanish-speaking Latino, and 29% of English-speaking Latino men had multiple female sex partners in the past year (p < .0001). In separate logistic regression models that included age, education level, marital/cohabitation status, and poverty level, English- and Spanish-speaking Latino men (AOR=1.6 and 2.1) were more likely to report multiple partners in the past year, Spanish-speaking Latinos (AOR = 0.4) were less likely to report having sex while “high”, and English-speaking Latinos (AOR = 2.0) were more likely to report giving money or drugs for sex than white men. In adjusted models, Latinos (AOR =0.5 and 0.8) were less likely to have a usual place to go when sick, and Spanish-speaking Latinos (AOR=3.2) were more likely to lack health insurance in the past year. Condom use will also be discussed.

In general, Latino men are at more risk for STIs and have less access to health care than white men.

STI prevention interventions that focus on the unique needs of Latinos and Latino immigrants are needed.