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This study examines the relationship between homonegativity, racism, and poverty on HIV risk related behaviour with an internet-based sample of 226 Latino gay and bisexual men. Participants had a median level of education at “graduate school level or higher” and a median monthly income in the $1600–$2400 range. Income and education in this sample are higher than participants in most other studies of Latino gay and bisexual men, providing information about HIV risk in a previously understudied segment of the population. Three negative binomial regressions were employed to predict unprotected receptive anal intercourse, unprotected insertive anal intercourse and unprotected sex under the influence of drugs in the past 30 days, with education, Latino acculturation, income, experiences of racism, and homonegativity as predictors. Greater experiences of homonegativity, fewer experiences of racism, lower income, and higher Latino acculturation predicted unprotected receptive anal intercourse. Only lower Latino acculturation predicted unprotected insertive anal intercourse. Greater experiences of homonegativity, higher income, and higher Latino acculturation predicted unprotected sex under the influence of drugs. This suggests that experiences of homonegativity have a detrimental impact on health behaviours. Future research should aim to further understand the relationship between experiencing homonegativity and engaging in risky sexual behaviour.

This article updates previous content analyses that identified a relative paucity of U.S.-based psychological research on lesbian, gay, bisexual, and transgender (LGBT) people of color by extending the period covered to 2018. In addition to documenting how many such studies occurred and when, it considers the research questions asked, funding sources, impact, and journal outlets. This richer description of this research area allowed us to describe historically not only when LGBT people of color in the United States were studied but why they were studied, which journals published this work, and which published studies were most influential. We found that the literature starts in 1988 for LGB people of color and in 2009 for transgender people of color and that a significant shift occurred in 2009, with the majority of the articles being published in the last 10 years. Findings suggest that U.S. federal funding and support for LGBT research as well as divisions of the American Psychological Association focused on minoritized identities and their journals played a role in the recent increase. Half of the studies investigated psychological symptoms, and more than a third of studied experiences and psychological processes related to holding multiple minority statuses, many of which focused on potentially deleterious aspects of these identities. These findings indicate that this literature has a significant focus on pathology. Underrepresented groups included cisgender and transgender women; transgender men; older individuals; Asian Americans, Native Hawaiians, and Pacific Islanders; American Indians and Alaska Natives; and multiracial individuals. Public Significance StatementWe found that the body of research with lesbian, gay, bisexual, and transgender people of color in the United States has grown substantially in the past 10 years and that this increase is related to shifts in U.S. research funding and the journals of divisions of the American Psychological Association focused on marginalized groups.

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This study examined demographic characteristics, sexual risk behaviors, sexual beliefs, and substance use patterns in HIV-positive, methamphetamine-using men who have sex with both men and women (MSMW) (n = 50) as compared to men who have sex with men only (MSM) (n = 150). Separate logistic regressions were conducted to predict group membership. In the final model, of 12 variables, eight were independently associated with group membership. Factors independently associated with MSMW were acquiring HIV through injection drug use, being an injection drug user, using hallucinogens, using crack, being less likely to have sex at a bathhouse, being less likely to be the receptive partner when high on methamphetamine, having greater intentions to use condoms for oral sex, and having more negative attitudes about HIV disclosure. These results suggest that, among HIV-positive methamphetamine users, MSMW differ significantly from MSM in terms of their HIV risk behaviors. Studies of gay men and HIV often also include bisexual men, grouping them all together as MSM, which may obscure important differences between MSMW and MSM. It is important that future studies consider MSM and MSMW separately in order to expand our knowledge about differential HIV prevention needs for both groups. This study showed that there were important differences in primary and secondary prevention needs of MSM and MSMW. These findings have implications for both primary and secondary HIV prevention among these high-risk populations.