Immigrant sexual minority Latino men-who may or may not self-identify as gay-constitute a minority within a minority. Often labeled "hidden" and "hard-to-reach," and marginalized along multiple dimensions, it is a subgroup about whom little is known. Informed by a social ecological framework, we sought to describe key social variables for 190 such men in rural North Carolina and to test associations with three sexual outcomes: consistent condom use, number of sex partners, and sexual compulsivity. Participants reported limited English-language use, predominantly Latino close friends, middle levels of social support despite numerous social ties, and frequent experiences of discrimination. There were unique sets of correlates for each sexual outcome. Findings may inform health promotion interventions and guide future research. © Taylor & Francis Group, LLC.

Hispanic Social determinants gay HIV rural

sexual behavior minority group human epidemiology middle aged North Carolina rural population statistics and numerical data social support ethnology Hispanic Americans Homosexuality, Male male homosexuality interview United States Young Adult Humans migrant psychology Hispanic Adolescent Minority Groups Interviews as Topic male Emigrants and Immigrants adult social behavior