“It's Almost Like a Crab-in-a-Barrel Situation”: Stigma, Social Support, and Engagement in Care Among Black Men Living With HIV

Quinn, Katherine; Dickson‐Gómez, Julia; Broaddus, Michelle; Kelly, Jeffrey A.

doi:10.1521/aeap.2018.30.2.120

Cited by 27 publications

(27 citation statements)

References 68 publications

(80 reference statements)

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“…These and other stigmas can become internalized and—together with medical mistrust—combine and interact to create apprehension about HIV testing, HIV care engagement, and treatment adherence. 9 Stigma is likely to exert deleterious effects on HIV medical outcomes through both direct and mediated pathways. In its direct effects, stigma leads some people to avoid actions that might identify them as gay or to avoid HIV testing or medication-taking that could disclose their sexual orientation or HIV status.…”

Section: Reducing Hiv Disparities Among Black Msm Will Require Intervmentioning

confidence: 99%

“…Fortunately, social support and resilience can mitigate against many of these stigmas and concerns, and social and behavioral interventions can increase care-related social supports and capacity for resilience. 12,13 Social network-, peer- and community-, family-, and church-based interventions have the potential to help racial minority MSM navigate stigma arising from homonegativity 9 and will be essential in our efforts to eliminate the HIV epidemic among racial and ethnic minority MSM.…”

Section: Reducing Hiv Disparities Among Black Msm Will Require Intervmentioning

confidence: 99%

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Ten Things We Need to Do to Achieve the Goals of the End the HIV Epidemic Plan for America

Kelly

2019

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Problem: DHHS announced a plan for Ending the HIV Epidemic (EtHE) by reducing new HIV infections in the United States by 75 percent within five years and 90 percent within ten years through early diagnosis of all individuals with HIV, immediate treatment to achieve viral suppression, protection of high-risk but uninfected individuals including with pre-exposure prophylaxis (PrEP), and quickly responding to emerging HIV clusters. Approach: Ten steps are outlined that will help the field achieve EtHE Plan goals. Findings: Steps needed to reach EtHE goals are: (1) better reaching, understanding, and meeting the HIV prevention and care needs of Black men who have sex with men (MSM); (2) deployment of interventions that address social, cultural, behavioral, and structural determinants of HIV disparities; (3) improving uptake in biomedical HIV prevention strategies in mid-sized cities across the country’s center; (4) addressing with long-term commitment the urgent HIV prevention needs in the US Southeast; (5) encouraging more frequent and regular HIV testing; (6) developing better strategies to not only encourage initiation but also the long-term and sustained use of PrEP by persons at high risk for contracting HIV infection; (7) improving the comfort and capacity of primary care providers to prescribe PrEP; (8) increasing HIV medical care retention and care re-engagement, especially among persons with competing life stressors; (9) developing sustainable implementation efforts; and (10) addressing policies that can facilitate or impede success in eliminating the HIV epidemic in the United States. Conclusion: EtHE goals are achievable but will require concerted, sustained effort. Summary We are at a point of unprecedented opportunity to end the HIV epidemic in the United States, and the EtHE plan provides sharpness in focus, resources, and levels of coordination needed to achieve high impact in reducing HIV incidence. The analogy is often made that PrEP for high-risk uninfected persons—and ART treatment to produce viral suppression among all persons living with HIV infection—are our most powerful new tools for ending the epidemic. They are. However, having tools does not equate with knowing how best to use them. How we implement new biobehavioral HIV prevention modalities to optimize scale-up and how we tailor them to meet the needs of communities that remain at greatest risk is the field’s most critical current challenge. Behavioral and social science is essential for guiding successful HIV prevention implementation, maximizing the coverage of new prevention modalities, and achieving high impact in ending HIV transmissions in the United States.

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Section: Reducing Hiv Disparities Among Black Msm Will Require Intervmentioning

confidence: 99%

Section: Reducing Hiv Disparities Among Black Msm Will Require Intervmentioning

confidence: 99%

Ten Things We Need to Do to Achieve the Goals of the End the HIV Epidemic Plan for America

Kelly

2019

JAIDS Journal of Acquired Immune Deficiency Syndromes

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“…Slight increases across three dimensions of social support (i.e., Appraisal, Belonging, and Tangible) for the intervention participants were found, though these changes were not statistically significant. Previous studies on Black men and social support have focused primarily on Black men who have sex with men (Hermanstyne et al, 2019;Quinn et al, 2018). A few studies have focused on straight/heterosexual Black men (see Hack et al, 2017 for exceptions) and those without chronic illness (i.e., Rogers et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

An Online Behavioral Health Intervention Promoting Mental Health, Manhood, and Social Support for Young Black Men: The YBMen Project

et al. 2020

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Conventional definitions of mental health, manhood, and social support create barriers to accessing behavioral health care for Black men ages 18 to 30. Targeted behavioral health interventions sensitive to culture, social norms, and gender that circumvent these barriers are desperately needed to improve access and integrated care for this group. This article reports mixed methods findings from the 2017 iteration of the Young Black Men, Masculinities, and Mental Health (YBMen) project, a social media–based, psychoeducational program that promotes mental health, progressive definitions of manhood, and sustainable social support for Black men. Young Black men ( n = 350) across two universities in the Midwest completed baseline surveys on their mental health, definitions of manhood, and social support. Forty of the men participated in the YBMen intervention and at postintervention reported experiencing fewer depressive symptoms on the Patient Health Questionnaire (PHQ-9, Z = −2.05, p < .01) and the Gotland Male Depression Scale (GMDS; Z = −1.76, p < .05). There were also changes on the Conformity to Masculine Norms Inventory (CMNI) for Self-Reliance ( Z = −0.34, p = .26) and Heterosexual Self-Presentation ( Z = −0.18, p = .59), though these changes were not statistically significant. A qualitative review of postintervention interviews revealed participants’ appreciation of the YBMen project and its influence on their mental health, manhood, and social support. Programmatic efforts that support the behavioral health, positive development, and social relationships of Black men translate into positive families, communities, and experiences as they live, learn, love, and work over the life course.

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“…She associated social undermining, incivility, conflict, and interpersonal competition with the crab mentality. Quinn et al (2018) tried to explain the care and social support experiences of black men living with HIV using the crab mentality. Miller (2019) used the google blog search engine in his research and searched with several keywords related to the crab mentality.…”

Section: Discussionmentioning

confidence: 99%

The “Crabs in a Bucket” Mentality in Healthcare Personnel: A Phenomenological Study

Aydin

Oğuzhan

2019

Hitit Üniversitesi Sosyal Bilimler Enstitüsü Dergisi

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The crab mentality is expressed as a kind of selfish and narrow-minded way of thinking. The study aimed to determine whether crab mentality affects dissatisfaction, absenteeism, and motivation. The study was carried out with emergency service personnel of a public hospital in Samsun, Turkey between 21.01.2019 and 16.03.2019. It is the essence of the method that individuals tell their experiences about a phenomenon or concept. This method was preferred since an experienced event was investigated. Data were collected through detailed interviews with people who had experienced the relevant phenomenon. According to participants, egocentrism, jealousy, and inequity were determined to be the antecedents of this behavior. The existence of thought in organizations can affect a peaceful working environment, teamwork, and productivity. It can also significantly increase the stress of the employees at work.

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“It's Almost Like a Crab-in-a-Barrel Situation”: Stigma, Social Support, and Engagement in Care Among Black Men Living With HIV

Cited by 27 publications

References 68 publications

Ten Things We Need to Do to Achieve the Goals of the End the HIV Epidemic Plan for America

Ten Things We Need to Do to Achieve the Goals of the End the HIV Epidemic Plan for America

An Online Behavioral Health Intervention Promoting Mental Health, Manhood, and Social Support for Young Black Men: The YBMen Project

The “Crabs in a Bucket” Mentality in Healthcare Personnel: A Phenomenological Study

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