@article {5299, title = {A Multilevel Analysis of Neighborhood Socioeconomic Disadvantage and Transactional Sex with Casual Partners Among Young Men Who Have Sex with Men Living in Metro Detroit.}, journal = {Behavioral medicine (Washington, D.C.)}, volume = {42}, year = {2016}, month = {2016 Jul-Sep}, pages = {197-204}, abstract = {The role of structural factors when evaluating the vulnerability of human immunodeficiency virus/sexually transmitted infection (HIV/STI) risks among young gay, bisexual, and other men who have sex with men is an important area of focus for HIV prevention. Using cross-sectional data from young men living in Metro Detroit (N = 319; aged 18-29~years; 50\% black, 25\% white, 15\% Latino, 9\% other race/ethnicity; 9\% HIV-positive), we examined whether transactional sex with casual partners was associated with neighborhood-level socioeconomic disadvantage and individual-level factors (race/ethnicity and sexual identity, socioeconomic status, HIV/STI diagnoses, and substance use). Youth living in greater socioeconomic disadvantage reported more transactional sex (b = 0.11; SE = 0.04; p <= 0.01). This relationship was mitigated once individual-level correlates were entered into the model. Multilevel efforts to counteract socioeconomic deficits through community and individual level strategies may alleviate youth{\textquoteright}s exposure to transactional sex and reduce their vulnerability to HIV/STI risks.}, issn = {0896-4289}, doi = {10.1080/08964289.2015.1110560}, author = {Bauermeister, Jos{\'e} and Eaton, Lisa and Stephenson, Rob} }