142nd APHA Annual Meeting and Exposition

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Where do Gay, Bisexual and Other MSM in NYC Live, Socialize and Have Sex? A Spatial Analysis of Neighborhoods by Race/Ethnicity

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014

James Egan, MPH, MPhil , Behavioral and Community Health Sciences, University of Pittsburgh, Pittsburgh, PA
Victoria A. Frye, MPH, DrPH , Laboratory of Social and Behavioral SciencesProgram, New York Blood Center, New York, NY
Emily Greene, MPH, MPhil , Laboratory of Social and Behavioral Sciences, New York Blood Center, New York, NY
Andrew Rundle, PhD , Mailman School of Public Health, Department of Epidemiology, Columbia University, New York, NY
James Quinn, MS , Institute for Social and Economic Research and Policy, Columbia University, New York
Vijay Nandi, MS , Statistical and Data Management Core, New York Blood Center, New York, NY
Beryl Koblin, PhD , Laboratory of Infectious Disease Prevention, New York Blood Center, New York, NY
Background: Where gay, bisexual and other MSM live, socialize and have sex in New York City (NYC) and whether this varies by race/ethnicity is unknown.  A baseline understanding is required to meet the health and social needs of diverse, urban-dwelling MSM.

Methods: In NYCM2M, participants identified their residential, social, most often sex and most recent sex neighborhoods from 347 neighborhoods.  Latitude and longitude coordinates of the closest intersection were recorded and randomly jittered within 2010 census tracts.  Spatial distributions by race/ethnicity and autocorrelations were assessed in ArcGIS.

Results:  MSM were spatially concentrated (Moran's I = 0.56; p<.001).  African American MSM were concentrated in fewer and different residential neighborhoods (Moran's I = 0.164; p<.001), as compared with white MSM (Moran's I = 0.216; p<.001).  Most African American MSM lived in Brooklyn (42%) and the Bronx (21%); more white MSM lived in Manhattan (54%; p<.001).  Only 3 neighborhoods (Bushwick, Chelsea and Bed-Stuy) appeared twice in the top 5 home neighborhoods for white, Black and Latino MSM.  Three neighborhoods (Chelsea, Clinton and the West Village) were the top 3 social neighborhoods across race/ethnicity.  The top 5 neighborhoods where MSM had sex most often didn’t overlap for white and Black MSM; one top 5 overlapped for Latino and Black MSM (Bed-Stuy) and for Latino and white MSM (Chelsea).  17% and 30% reported total and no neighborhood congruence, which varied by race/ethnicity (p<.01).

Conclusions: MSM of various races and ethnicities socialize in the same spaces of NYC, but live and have sex in different neighborhoods.

Learning Areas:

Diversity and culture
Epidemiology
Social and behavioral sciences

Learning Objectives:
Analyze the spatial distribution of gay, bisexual and other MSM in neighborhoods across New York City (NYC). Evaluate impact of spatial concentration and neighborhood characteristics on the health and well-being of MSM. Discuss the role of race/ethnicity and residential race- and class-based segregation in health outcomes among MSM of color in NYC.

Keyword(s): Lesbian, Gay, Bisexual and Transgender (LGBT), HIV/AIDS

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am an HIV prevention scientist who has conducted numerous qualitative research studies to inform the development of several HIV prevention interventions for African Americans in New York City. I possess an MPH in epidemiology and a DrPH in sociomedical sciences. I am the Head of the Laboratory of Social and Behavioral Sciences at the New York Blood Center and a clinical faculty member at the Mailman School of Public Health of Columbia University.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.