Abstract
Objective
Evaluate associations between racialized and homophobia-based police harassment (RHBPH) and healthcare distrust and utilization among Black Sexual Minority Men (BSMM).
Methods
We utilized data from a longitudinal cohort study from HIV Prevention Trials Network (HPTN) 061 with baseline, six and 12 month follow-up assessments. Using multivariable analysis, we evaluated associations between RHBPH and healthcare distrust and utilization reported at the 6 and 12 month visits.
Results
Of 1553 BSMM present at baseline, 1160 were available at six-month follow-up. In multivariable analysis, increasing frequency of RHBPH was associated with increasing levels of distrust in healthcare providers (aOR 1.31, 95% CI: 1.00, 1.74) and missing 50% or more of healthcare visits at six-month follow-up (aOR 1.93, 95% CI: 1.09, 3.43).
Conclusions
Recent experiences of RHBPH are associated with reduced trust in and access to healthcare among BSMM, with more frequent RHBPH associated with greater vulnerability.
Funder
National Institute on Drug Abuse
Centers for Disease Control and Prevention
Division of Intramural Research, National Institute of Allergy and Infectious Diseases
Harvard University Center for AIDS Research
Columbia University CTU
ARRA
CTU Columbia University
National Center for Research Resources
National Center for Chronic Disease Prevention and Health Promotion
Publisher
Public Library of Science (PLoS)
Reference59 articles.
1. Suicide and suicide risk in lesbian, gay, bisexual, and transgender populations: Review and recommendations;AP Haas;Journal of Homosexuality,2010
2. Adolescent sexual orientation and suicide risk: Evidence from a national study;ST Russell;American Journal of Public Health,2001
3. A call for action on overdose among LGBTQ people;E Moazen-Zadeh;North America. The Lancet Psychiatry,2019
4. Estimating national rates of HIV infection among MSM, persons who inject drugs, and heterosexuals in the United States;N Crepaz;AIDS,2019
5. Depressive distress among homosexually active African American men and women;SD Cochran;The American Journal of Psychiatry,1994