Different immigrant generations may encounter distinct sexual opportunities with implications for HIV transmission. Yet, few studies have examined how immigrant generational status is associated with sexual risk behaviors among men who have sex with men (MSM). We explored relationships between immigrant generational status, social support, and sexual risk behaviors among English-speaking MSM using data from surveys conducted in Seattle, Washington, in 2014 (n = 323). We compared the sexual risk behaviors and social support of first-generation, second-generation, and third- and higher-generation MSM, and examined whether immigrant generational status and social support were associated with sexual risk behaviors using logistic regression models. Second-generation MSM reported lower friend social support than first- or third- and higher-generation MSM (p < .05). However, immigrant generational status was not associated with sexual risk behavior outcomes, even after accounting for social support. Results suggest that differences in immigration processes such as acculturation may be more predictive of risk behaviors than generational status alone.

中文翻译：

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在华盛顿州西雅图市与男性发生性关系的男性，其社会支持和性风险行为的移民世代差异

不同世代的移民可能会遇到不同的性机会，从而影响艾滋病毒的传播。然而，很少有研究检查与男性发生性关系的男性中男性的性危险行为与移民世代状态之间的关系。我们使用2014年在华盛顿州西雅图市（n = 323）进行的调查得出的数据，探讨了英语MSM中移民世代身份，社会支持和性风险行为之间的关系。我们比较了第一代，第二代以及第三代和更高代MSM的性风险行为和社会支持，并使用逻辑回归模型检查了移民的世代状态和社会支持是否与性风险行为相关。第二代MSM的朋友社交支持程度低于第一代或第三代和更高版本的MSM（p <.05）。但是，即使考虑到社会支持，移民的世代身份也与性风险行为的结果无关。结果表明，与单独的世代状态相比，移民过程中的差异（例如适应）可能更能预测风险行为。