A Dynamic-Ecological Model of Identity Formation and Conflict among Bisexually-Behaving African-American Men

Wilson, Patrick A.

doi:10.1007/s10508-008-9362-9

Cited by 35 publications

(24 citation statements)

References 88 publications

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“…33 Future research is needed to better understand the sociocultural contexts in which racial and sexual identities are reconciled among black men. [32][33][34] The finding of our secondary analysis-that arrest history was associated with insertive, but not receptive UAI-is consistent with a previous study with a small group of black MSM in North Carolina, which also found that criminal justice involvement was associated with subsequent unprotected insertive, but not receptive, anal intercourse. 35 The reason for this role-specific association is not clear, but the consistency of this finding in two studies suggests it may merit further investigation.…”

Section: Discussionsupporting

confidence: 89%

History of Arrest and Associated Factors among Men Who Have Sex with Men

et al. 2011

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Incarceration has been proposed to be a driving factor in the disproportionate impact of HIV in African-American communities. However, few data have been reported on disparities in criminal justice involvement by race among men who have sex with men (MSM). To describe history of arrest and associated factors among, we used data from CDC's National HIV Behavioral Surveillance system. Respondents were recruited by time-space sampling in venues frequented by MSM in 15 US cities from 2003 to 2005. Data on recent arrest (in the 12 months before the interview), risk behaviors, and demographic information were collected by face-to-face interview for MSM who did not report being HIV-positive. Six hundred seventy-nine (6.8%) of 10,030 respondents reported recent arrest. Compared with white MSM, black MSM were more likely to report recent arrest history (odds ratio (OR), 1.6; 95% confidence interval (CI), 1.3-2.1). Men who were less gay-identified (bisexual [OR, 1.5; 95% CI, 1.1-1.9] or heterosexual [OR, 2.0; 95% CI, 1.2-3.5]) were more likely to report recent arrest than homosexually identified men. In addition, men who reported arrest history were more likely to have used non-injection (OR, 3.0; 95% CI, 2.4-3.6) and injection (OR, 4.7; 95%, 3.3-6.7) drugs, exchanged sex (OR, 2.7; 95% CI, 2.1-3.4), and had a female partner (OR, 1.5; 95% CI, 1.2-2.0) in the 12 months before interview. Recent arrest was associated with insertive unprotected anal intercourse in the 12 months before interview (OR, 1.4; 95% CI, 1.2-1.7). Racial differences in arrest seen in the general US population are also present among MSM, and history of arrest was associated with high-risk sex. Future research and interventions should focus on clarifying the relationship between criminal justice involvement and sexual risk among MSM, particularly black MSM.

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Section: Discussionsupporting

confidence: 89%

History of Arrest and Associated Factors among Men Who Have Sex with Men

et al. 2011

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“…BMSM contend with multiple stigmatized identities and/or behaviors, which may simultaneously intersect while also be perceived to be in conflict with each other (Bowleg et al, 2013; Wilson, 2008). The complexities of the stigma that BMSM experience must be understood within a framework that highlights how layered stigma operates.…”

Section: Discussionmentioning

confidence: 99%

Contributions of Qualitative Research in Informing HIV/AIDS Interventions Targeting Black MSM in the United States

Wilson

Valera

Martos

et al. 2015

The Journal of Sex Research

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This article presents a systematic review of qualitative studies focusing on the Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS) among Black men who have sex with men (BMSM) in the United States. We reviewed studies that were published between 1980-2014. Qualitative methods employed in the studies reviewed include: in-depth interviews, focus groups, participant observation, and ethnography. We searched the following databases: PubMed, PsychINFO, JSTOR, ERIC, Sociological Abstracts, and Google Scholar for relevant articles using the following broad terms: “Black men” and/or “BMSM,” and “qualitative” and/or “ethnography.” Seventy studies were included in this review. The key themes observed across studies were: (1) heterogeneity, (2) layered stigma and intersectionality, (3) risk behaviors, (4) mental health, (5) resilience, and (6) community engagement. The review suggests that sexual behavior and HIV-status disclosure, sexual risk-taking, substance use, and psychological well-being were contextually situated. Interventions occurring at multiple levels and within multiple contexts are needed to reduce stigma within the Black community. Similarly, structural interventions targeting religious groups, schools, and health care systems are needed to improve the health outcomes among BMSM. Community engagement and using community-based participatory research methods may facilitate the development and implementation of culturally appropriate HIV/AIDS interventions targeting BMSM.

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“…61 MSM of color, who are most at risk for contracting HIV, also experience the interactive effects of racism and homophobia. 62 Diaz, Ayala, and Bein's study on 912 Latino gay men living in three US cities showed high rates of racial discrimination in the gay community; furthermore, experiencing race-based sexual objectification and racial discomfort in gay venues was related to sexual risk behavior. 58 No studies have further documented the synergistic ways in which discrimination based on race and sexual identity/behavior affect health among MSM of color, although available research shows that racism and homophobia are independently correlated with HIV risk among Latino MSM.…”

Section: Racism and The Historical Underpinnings Of The Syndemic Affementioning

confidence: 97%

Using Syndemic Theory to Understand Vulnerability to HIV Infection among Black and Latino Men in New York City

et al. 2014

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HIV is a public health crisis that disproportionately affects Black and Latino men. To understand this crisis, syndemic theory, which takes into account multiple interrelated epidemics, should be used. A syndemic is "two or more afflictions, interacting synergistically, contributing to excess burden of disease in a population." Vulnerability to HIV among Black and Latino men is increased as structural, social, and biological factors interact in the context of social marginalization. In New York City, Black and Latino men experience a syndemic of HIV/AIDS, substance abuse, trauma, incarceration, and poverty; however, current research has yet to fully identify the mechanisms of resilience that may reduce the negative impact of a syndemic or explore the potential adaptive functions of individual-level risk behaviors. To understand HIV risk as part of a syndemic and address HIV prevention in Black and Latino men, we propose the following: (1) the use of complex systems analysis, ethnography, and other mixed-methods approaches to observe changes in relations among social conditions and disease; (2) multidisciplinary and inter-institution collaboration; and (3) involvement of public health practitioners and researchers from diverse and underrepresented backgrounds.

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A Dynamic-Ecological Model of Identity Formation and Conflict among Bisexually-Behaving African-American Men

Cited by 35 publications

References 88 publications

History of Arrest and Associated Factors among Men Who Have Sex with Men

History of Arrest and Associated Factors among Men Who Have Sex with Men

Contributions of Qualitative Research in Informing HIV/AIDS Interventions Targeting Black MSM in the United States

Using Syndemic Theory to Understand Vulnerability to HIV Infection among Black and Latino Men in New York City

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