Racial and sexual identities as potential buffers to risky sexual behavior for Black gay and bisexual emerging adult men.

Walker, Ja’Nina J.; Longmire-Avital, Buffie; Golub, Sarit A.

doi:10.1037/hea0000187

Cited by 23 publications

(18 citation statements)

References 37 publications

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“…Prior research has also demonstrated that positive views of gay identity can be protective among gay youth and are often associated with favorable health outcomes despite concomitant stresses. 34,35 In addition to these assets, social support satisfaction emerged as a significant predictor in our model and is a well-described resilience resource in adolescence and young adulthood. 16 This has also been shown in studies focused on sexual and ethnic minority youth and their communities.…”

Section: Discussionmentioning

confidence: 97%

Cognitive and Behavioral Resilience Among Young Gay and Bisexual Men Living with HIV

et al. 2017

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Purpose: HIV/AIDS disproportionately affects young gay, bisexual, and other men who have sex with men (Y-GBMSM). Resilience remains understudied among Y-GBMSM living with HIV, but represents a potentially important framework for improving HIV-related outcomes in this population. We sought to explore cognitive and behavioral dimensions of resilience and their correlates among Y-GBMSM to gain insights to inform future interventions. Methods: Our study sample consisted of 200 Y-GBMSM living with HIV enrolled in a multisite study of the Adolescent Medicine Trials Network for HIV/AIDS Interventions (ATN). Participants completed a one-time, self-administered structured questionnaire, including validated scales capturing a range of cognitive, behavioral, demographic, and psychosocial data. Utilizing these data, we examined cognitive and behavioral dimensions of resilience and their potential psychosocial correlates using linear regression modeling.Results: Multiple regression analyses demonstrated that education, stigma, social support, ethnic identity, internalized homonegativity, and behavioral resilience were statistically significant predictors of cognitive resilience (P < 0.001, R 2 = 0.678). Social support satisfaction and cognitive resilience were significant predictors of behavioral resilience (P < 0.001, R 2 = 0.141). Conclusions: Our findings point to potential strategies for incorporating resilience-promoting features into future interventions to support Y-GBMSM living with HIV. Specifically, strengths-based interventions in this population should seek to enhance social support, promote positive identity development, and encourage education. Future research can also seek to utilize and refine our measures of resilience among youth.

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Section: Discussionmentioning

confidence: 97%

Cognitive and Behavioral Resilience Among Young Gay and Bisexual Men Living with HIV

et al. 2017

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“…These factors can sometimes buffer the negative effect of existing within multiple marginalized identities. For example, prior work suggests that for some YBGBM a positive societal view of Black men was associated with decreased sexual risk behavior [89]. …”

Section: Cultural Norms/expectationsmentioning

confidence: 99%

“…Prior work suggests for some young Black gay and bisexual men high racial centrality and racial public regard (beliefs about how society views Black people) was associated with decreased sexual risk behavior including condomless anal intercourse [89]. …”

Section: Figurementioning

confidence: 99%

The Intersection of Sociocultural Factors and Health-Related Behavior in Lesbian, Gay, Bisexual, and Transgender Youth

Fields

Morgan

Sanders

2016

Pediatric Clinics of North America

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Intersectionality is a theoretical framework that suggests that multiple social identities – e.g. race, ethnicity, gender, and sexual orientation – intersect at the individual or micro level of experience and reflects larger social-structural inequities experienced on the macro level. This article uses an intersectionality framework to describe how multiple stigmatized social identities can create unique challenges for Young Black gay and bisexual men (YBGBM) as an example. YBGBM exist at the intersection of multiple stigmatized identities compared to their majority peers. There is limited health-focused research on the intersecting identities of YBGBM. Using the lens of intersectionality to understand challenges to health-related behaviors and threats to health and well-being for YBGBM may reveal key opportunities for prevention and intervention for YBGBM and other gay and bisexual men from other ethnic groups. In this article, we examine the key intersecting identities (race, sexual identity, socioeconomic status, and cultural expectations (such as gender norms/masculinity, religious morality), that exist in YBGBM and how those factors may predispose young men to adverse health outcomes and health inequality.

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“…In addition to what has been previously mentioned, from a societal perspective, we must acknowledge how the pervasive distal scourge of racism relates to HIV prevention, with medical and public health systems working on eradicating discrimination within medical spaces and acknowledging the impact of racism on health inequities among YBMSM [117]. Highlighting the intersection of racial and sexual identities is paramount as we know that embracing both is key to wellness among YBMSM [118]. Initiatives should also emphasize the roles that gender norms and religious doctrines/beliefs play in the overall health and lived experiences of YBMSM [92,119] [27,120] [121,122].…”

Section: Focus On Distal Determinants Of Healthmentioning

confidence: 95%

Mind the Gap: HIV Prevention Among Young Black Men Who Have Sex with Men

2020

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Purpose of Review Young Black men who have sex with men (YBMSM) suffer profound health inequities in new HIV diagnoses and clinical outcomes. While the evolution of HIV prevention options has become increasingly biomedical, inequities in access and uptake of these modalities persist. Recent Findings Studies suggest that while YBMSM display interest and acceptability of varied HIV prevention options, uptake lags due to the lingering effects of intersectional oppression from racism and sexual prejudice, HIV stigma, institutional and provider bias, and unresolved health policy barriers. Promising avenues to address these barriers have yet to be fully explored. Summary We have the tools to effectively prevent HIV transmission and acquisition among YBMSM, but we have not yet effectively implemented these tools for this priority population. To end the epidemic, we must tailor and adapt HIV prevention strategies to meet the unique intersecting needs, identities, and social contexts of YBMSM. Keywords Young Black MSM. Sexual minority youth. HIV prevention. Adolescent and young adult. Sexual minority men. LGBTQ health This article is part of the Topical Collection on The Science of Prevention

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Racial and sexual identities as potential buffers to risky sexual behavior for Black gay and bisexual emerging adult men.

Abstract: Researchers and interventionist should consider the ways in which racial centrality may be a critical tool in our efforts to decrease the HIV epidemic among young Black gay and bisexual men in America.

Cited by 23 publications

References 37 publications

Cognitive and Behavioral Resilience Among Young Gay and Bisexual Men Living with HIV

Cognitive and Behavioral Resilience Among Young Gay and Bisexual Men Living with HIV

The Intersection of Sociocultural Factors and Health-Related Behavior in Lesbian, Gay, Bisexual, and Transgender Youth

Mind the Gap: HIV Prevention Among Young Black Men Who Have Sex with Men

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