Adjusting for potential confounders, men exposed to both homophobia and racism were more likely than men exposed to neither form of discrimination to report unprotected receptive anal intercourse with a casual sex partner (AOR = 1.92, 95% CI, 1.18-3.24) and binge drinking (AOR = 1.42, 95% CI, 1.02-1.98). Our findings suggest the presence of a syndemic of adverse social experiences and call for more intervention research to address both homophobia and racism experienced among Latino MSM in the United States.
So how does homophobia and racism make them have unprotected sex or engage in binge drinking?
How about they're just being more irresponsible than average?
But if that were the case, then they wouldn't be able to justify "more intervention research to address both homophobia and racism".