1. Social Vulnerability and Access to Health Care and Social Services among Latino MSM in New York City Chukwuemeka Anyamele MD, MPH 1 ; Omar Martinez, JD, MPH, MS 2 ; Curtis Dolezal, PhD 1 ; Ethan C. Levine, MA 2 ; Theo Sandfort, PhD 1 1 HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, New York City, NY 2 School of Social Work, Temple’s College of Public Health, Philadelphia, PA RESULTS CONCLUSIONS INTRODUCTION METHODS HIV CENTER for Clinical and Behavioral Studies Literature shows that immigrant Latinos, particularly men who have sex with men (MSM), are more likely to forgo routine health care and more frequently rely on urgent care. Several factors are associated with non utilization of health care and social services among MSM, including: depression; lack of health insurance; sexual stigma; discrimination; low socio economic status; and being less educated. However, little is known regarding the factors associated with health care and social services seeking behaviors among Latino MSM and in particular, predominantly Spanish-speaking Latino MSM. The Affordable Care Act (ACA) has impacted both healthcare access and healthcare utilization for ethnic LGBT minorities. The overall increase in rates of insurance coverage has subsequently led to a reduction of the mortality rate as well as an improvement in the health status of previously uninsured people. However, much work remains to be done. In order to continue improving care access and social service utilization for MSM, it is necessary to investigate the unique barriers faced by this population. This study responds to this need by exploring associations of utilization of medical care and social services among Latino MSM. ACKNOWLEDGMENTS This research was supported by a center grant from the National Institute of Mental Health to the HIV Center for Clinical and Behavioral Studies at NY State Psychiatric Institute and Columbia University (P30-MH43520; Principal Investigator: Robert H. Remien, Ph.D.). Drs. Anyamele and Martinez were supported by a training grant from the National Institute of Mental Health (T32 MH19139, Behavioral Sciences Research in HIV Infection; Principal Investigator: Theo Sandfort, Ph.D. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIMH or the NIH. We employed a cross-sectional study design that began enrollment in January 2014 and ended in March 2014. Participants were invited to complete a phone or in-person questionnaire. A total of 174 participants completed the questionnaire. Dependent variables were analyzed using stepwise (backward) regression models. Men who reported problems accessing medical care were more likely to be employed or insured; report having been discriminated against; and screen positive for clinically significant depressive symptoms. Men who reported problems accessing social services had lower educational status; were less likely to speak English; and were more likely to have a male partner, report being discriminated against; screen positive for depressive symptoms; and report low quality of health. This study represents an initial step in documenting the predictors of health and social services seeking behaviors among Latino MSM. Some such predictors may be seen as indicators of social vulnerability (e.g. language barriers, discrimination); others ran counter to our expectations (e.g. employment, having a male partner). Our findings can inform structural interventions to improve care access and social service utilization in this population. Chukwuemeka Anyamele, MD, MPH. canyamele@gmail.com PREDICTORS OF PROBLEMS WITH A DOCTOR VariableOR95% CIWaldp Employed2.501.22-5.166.19.013 Insured0.260.12-0.5612.18<. 001 Discrimination1.611.20-2.1510.16.001 Depression1.061.02-1.116.87.009 PREDICTORS OF PROBLEMS WITH SOCIAL SERVICES Spanish3.831.51-9.718.02.005 Have a male partner0.360.14-0.894.84.028 Education1.401.04-1.884.87.027 Discrimination1.491.07-2.075.56.018 Depression1.121.05-1.1912.47<. 001 Rate health0.590.42-0.848.55.003 OR= Odds Ratio, CI= Confidence Interval