Abstract
AbstractUrban Black men who have sex with men (MSM) bear a disproportionate burden of HIV and syphilis in the U.S. Experiences of enacted sexual minority stigma and psychological distress among these men may be associated with HIV/STI sexual and drug risk behaviors. The objective was to determine the associations between enacted sexual minority stigma, psychological distress, and sexual and drug risk behaviors. In an urban prospective cohort study, survey measures assessed past 3-month exposure to enacted sexual minority stigma, psychological distress, and sexual and drug risk behaviors. Multivariable logistic regression models were utilized for hypothesis testing. The Black MSM (N = 140) reported the following: 22.1% experiences of enacted sexual minority stigma, 39% high levels of psychological distress, 48.6% > 1 sex partner, 8.6% transactional sex, and 6% injection drug use (IDU). In models adjusted for age and education, enacted sexual minority stigma significantly increased the odds of reporting > 1 sex partner, transactional sex, and IDU. Adjusting additionally for homelessness, the association between enacted sexual minority stigma and transactional sex remained significant. Adding psychological distress to this model showed a significant association between psychological distress and transactional sex, while the association was no longer significant for transactional sex. These findings highlight some of the complex psycho-social relationships that may be associated with sexual and drug risk behaviors among Black MSM placing them at increased risk for HIV and syphilis.
Funder
centers for disease control and prevention
Publisher
Springer Science and Business Media LLC
Subject
Infectious Diseases,Public Health, Environmental and Occupational Health,Social Psychology
Reference34 articles.
1. Centers for Disease Control and Prevention. HIV surveillance report; 2019, vol. 32. http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html. 2021. accessed June 3, 2021.
2. Centers for Disease Control and Prevention. Sexually transmitted disease surveillance 2018. US Department of Health and Human Services. 2019.
3. Kidd S, Torrone E, Su J, Weinstock H. Reported primary and secondary syphilis cases in the United States: implications for HIV infection. Sex Transm Dis. 2018;45(9):S42.
4. Yang C, Zaller N, Clyde C, Tobin K, Latkin C. Association between recent criminal justice involvement and transactional sex among African American men who have sex with men in Baltimore. J Urban Health. 2020;97(5):635–41.
5. Berg RC, Weatherburn P, Marcus U, Schmidt AJ. Links between transactional sex and HIV/STI-risk and substance use among a large sample of European men who have sex with men. BMC Infect Dis. 2019;19(1):1–9.
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献