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Strong empirical evidence indicates the main risk factors associated with HIV infection among MSM are unprotected anal intercourse, multiple sexual partners, and drug and alcohol use Koblin et al. Drug and alcohol use, in particular, are associated with exchanging sex for money or drugs and lower condom use Gorbach et al.

We are especially interested in daily routines the activities that individuals engage in regularly and paths the temporal and spatial context within which their activities dating asian women in Arkansas as they constitute socio-behavioral patterns that are predictable and regular Zisberg et al. Routines may also reflect and reinforce the frequenting of certain risk environments, such as bars, that have specific social norms that elevate risk, such as acceptability of substance use and multiple sexual partners.

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There is a distinct need for investigations of AA MSM room dating place in Carolina within socio-spatial contexts to enable researchers to clarify the causal factors for disparities and to de more effective intervention programs. Baltimore is one of the most sexually transmitted disease burdened cities in the US with high rates of Syphilis, Gonorrhea, and Chlamydia Centers for Disease Control and PreventionCenters for Disease Control and Prevention There is ificant racial residential segregation, such that the Northern section of the city is majority White and the Western and Eastern sections are predominantly African American Jacobson Higher rates of poverty, crime and drug use correspond with the Western and Eastern sections of the city.

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In the center of the city is a mixed residential and commercial neighborhood where the majority of gay bars, clubs and restaurants are located. The racial composition of this neighborhood is predominantly White, however, the one African American owned gay club is also located in this neighborhood.

Within this neighborhood is also a public area known for male sex exchange activities. To the West of phone dating Midland TX neighborhood is a public park that is well-known for sexual hook-ups among MSM.

Interested participants were screened by trained research staff or the lead author via the phone or in person at a community-based research clinic. Data collection occurred between Free hookups Norfolk and March The lead author conducted all in-depth interviews in a private office in a research clinic located in a mixed residential and commercial neighborhood.

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As the lead author was not of the same race or gender of the participants, she introduced herself as a community-based researcher who has been conducting research in Baltimore focused on HIV prevention for the past 12 years, and was asking for date an Colorado girl expertise and opinions about how to develop programs that were relevant to their lives.

Participants were told that the purpose of the study was to learn about places in Baltimore that are important to them and their perspectives about HIV prevention.

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After providing written informed consent, the in-depth interview lasted between 60—90 minutes. All interviews were audio-recorded with participant consent. To begin the interview, participants were asked to report their age, employment and relationship status e. They meet for sex in Roanoke asked to describe their typical day, including activities, location of activities, and individuals with whom they interact.

As the participant described these, the interviewer drew a map, depicting his movement throughout the city.

Participants were asked to verify these routes as they were drawn. They were also asked to describe people in their social network, specifically, their social support network, sexual partners, people they used drugs with, and AA MSM peers.

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If men described HIV risk behaviors, they were probed to elaborate on the regularity of these behaviors. We did not ask the participants to choose a sexual identity category e. Immediately after each interview, a detailed narrative synopsis was written by the lead author, summarizing the profile of each study participant in terms geek speed dating Tennessee his daily routine, daily path, social network and HIV risk.

Pseudonyms and initials of individuals were substituted to protect the identity of places and social network members. Recordings of the interviews were reviewed, transcribed and coded by the lead author.

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Based on a consensus approach, after discussions and review of codes and emerging themes by co-authors, revision and further comparative free Macon women fucking of themes by the lead author, both within and between cases, resulted in the findings discussed below.

Twenty in-depth interviews were completed. On average, participants were 34 years old ranged from 21—50 years. Profiles of participants are presented in Table 1. Half of the sample was unemployed.

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Nine men were employed in full or part-time jobs and one participant was enrolled as a full-time student in college. Regular and planned paths and routines were described by men who were employed or in school, while less routinized paths were characterized by men who were unemployed or addicted to drugs or alcohol.

Addiction was defined as daily use of alcohol or any substance such as marijuana legal age to date a in Newport RI crack cocaine.

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Men who were employed or enrolled as students in college described regular and planned routines throughout the day. One participant explained:. I wake up in my houseI smoke a cigarette and have a cup of coffee and sometimes but not all of the time I check my blood sugar, I take my medicine. I leave home go to work and then usually come home and go to bed. Depending on how hungry we are I may stop on the way home and pick up something to eat. Last night I came home, had something to drink and ate a candy bar hookup in Garden Grove CA work and everyone was in and ready for bed.

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We have our friends over. Sometimes, gay bars were places of territorial ificance. One participant said:.

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We claim as our own and have a sense of pride that we [gay people] have this place. In other instances, gay bars were places participants avoided because of undesirable activities taking place there, such as drug use or sexual activities.

Introduction

One participant described the risk at gay bars this way:. AA MSM finding sex in Massachusetts varied in this study depending on socio-spatial contexts.

This is not to say that co-workers or fellow students did not know i Muskegon looking for a woman to date the participant had sex with men, but acts of disclosure were not mentioned as a part of activities along the path. Time-space paths were not risk-free, however. HIV risk was evident in places where participants participated in activities that were described as unhealthy, and where alcohol and interactions with unfamiliar people were dominant.

Lack of employment was a factor that was associated with less structured picking up girls in Arizona regular, paths and routines. The unemployed AA MSM in this sample described boredom, which dictated their desire to seek an activity or companionship. HIV risk was encountered along these paths. One routine of a 31 year old unemployed male exemplifies how HIV risk and disclosure was embedded within his path:.

For company — because I am bored. The [business district] is my one spot — its relaxing, its alot of people, different types of people, black, white, Mexican and I like the nationality of the different people — when I go there I usually meet someone so its like a hot spot for me and I am able to meet more people there.

We walk around and talk and try to get to know each other. Same sex behavior disclosure among Ann Arbor MI dating services upscale participants ranged from full disclosure including kin to no explicit disclosure. Paths of men who did not disclose MSM behavior were structured to avoid disclosure to family, friends and female sex partners. These men avoided places based on their desire to evade associations with MSM behavior.

A participant explained:. I like to keep things separate, separate and easy.

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I am more personal with my business [sex with men]; no one in my family knows. The daily time-space paths of men who were addicted to drugs or alcohol were dictated by their need to generate income to support their addiction, and to find places of escape and acceptance. In terms of the central role of addiction, an older participant stated:. I wake up and try to find some money for drugs and end up with other people looking for drugs or money. Risk was contingent upon these paths, which included spending time in places such as areas known free interracial dating San Antonio Texas TX sex exchange and drug markets i.

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In effect, these paths facilitated HIV risk. That I know. I hang on the corner or walk around the perimeter. Cars roll up and check polish dating agency Maryland out and if they try to deal with you they pull over. Interviewer: All of this risk is contained in this one little perimeter that it sounds like you keep pretty separate from the rest of your life? Paradoxically, while this sex exchange space was associated with HIV risk, two participants described it as a place where they felt safe and accepted:.

For meeting Laredo TX men men sex exchange spaces were both supportive and risky because sex exchange was normatively acceptable by individuals frequenting these places. Most of the men in this group openly disclosed their same sex behavior to their entire social network and described paths based on obtaining drugs and spending time in places known for male sex exchange without concern.

However, they constructed their paths to evade people because of their shame related to their drug addiction. One participant stated. Also, there was the possibility of bias in reporting behaviors, paths and routines during the interview.

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Men may have felt uncomfortable describing sexual behaviors for example with co-workers to the lead author and withheld information about places where sexual behavior occurred. However, even with these limitations, this study contributes to public health research and theorizing of socio-spatial dynamics by drawing upon complementary disciplines and theories to advance understanding of HIV risk in a population that date night ideas Buffalo disproportionately affected.

Findings revealed that 1 paths and routines were differentiated by employment and addiction, and 2 HIV risk was situated within social and spatial processes that included dimensions of MSM disclosure and substance use. Employment is typically viewed by public health researchers as a variable to control for in statistical models predicting risk or outcomes.

from this study revealed a socio-spatial function of employment, that of imposing structure and form to time-space paths and routines, such that HIV risk was avoided or risk environments were excluded. These findings suggest developing programs that teach men to create regular speed dating Mobile 20 and routines as a strategy to minimize HIV risk opportunities and risk environments.

Social geographies of african american men who have sex with men (msm): a qualitative exploration of the social, spatial and temporal context of hiv risk in baltimore, maryland

These skills could complement current behavioral approaches focused on proper condom use skills and HIV testing Tobin et Ocala FL lady dating events. The lack of structured time and activities was related, for many of the unemployed AA MSM, with boredom, leading them to a search for companionship and interesting places which often coincided with HIV risk.

Consequently, these findings highlight the degree of time that these specific AA MSM have available to attend programs and their desire for engaging activities. One possibility is for programs to include meaningful planned activities, such as engaging in volunteer roles at community-based agencies German, Latkinthat might otherwise be spent in a risky setting. For example, men could assist AIDS service organizations with making risk reduction kits e.