Social oppression, psychological vulnerability, and unprotected intercourse among young Black men who have sex with men.

Huebner, David M.; Kegeles, Susan M.; Rebchook, Greg; Peterson, John L.; Neilands, Torsten B.; Johnson, Wayne D.; Eke, Agatha

doi:10.1037/hea0000031

Cited by 45 publications

(39 citation statements)

References 68 publications

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“…Participants were recruited using a modified venue-based time-location sampling protocol modeled after that used for the National HIV Behavioral Surveillance Survey [37], and adapted based on pilot work that established its feasibility in recruiting young Black MSM in these specific communities [38, 39]. Venues included bars, dance clubs, retail establishments, restaurants and cafés, adult bookstores, bath-houses, high-traffic street locations, parks, and other locations of social or religious organizations.…”

Section: Methodsmentioning

confidence: 99%

The Role of the Primary Romantic Relationship in HIV Care Engagement Outcomes Among Young HIV-Positive Black Men Who Have Sex with Men

et al. 2016

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The primary romantic relationship plays a fundamental role in health maintenance, but little is known about its role in HIV care engagement among young Black men who have sex with men (MSM) living with HIV. We examined how HIV care engagement outcomes (i.e., having a primary healthcare provider, receiving HIV treatment, taking antiretroviral medication, and medication adherence) vary by partnership status (single vs. concordant-positive vs. discordant) in a sample of young Black MSM living with HIV. Results showed mixed findings. Partnership status was significantly associated with HIV care engagement, even after adjusting for individual, social, and structural factors. While partnered men were consistently more likely than their single counterparts to have a regular healthcare provider, to receive recent treatment, and to have ever taken antiretroviral medication, they were less likely to report currently receiving antiretroviral therapy. Moreover, men with a discordant partner reported better adherence compared to men with a concordant or no partner. The association between partnership status and HIV care engagement outcomes was not consistent across the stages of the HIV Care Continuum, highlighting the complexity in how and why young Black men living with HIV engage in HIV healthcare. Given the social context of HIV disease management, more research is needed to explicate underlying mechanisms involved in HIV care and treatment that differ by relational factors for young Black MSM living with HIV.

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Section: Methodsmentioning

confidence: 99%

The Role of the Primary Romantic Relationship in HIV Care Engagement Outcomes Among Young HIV-Positive Black Men Who Have Sex with Men

et al. 2016

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“…The experience of social marginalization, along with how other demographic, socioeconomic, and sociocultural factors relate to increased HIV rates in the MSM population, is poorly understood (Huebner et al, 2013;Mizuno et al, 2012). Through a review of the literature, we have identified three factors that should be addressed to reduce HIV transmission in this population: masculinity, racial norms, and homophobia.…”

Section: Evidence-based Interventionsmentioning

confidence: 95%

“…Homophobia is linked to unprotected receptive anal intercourse as a result of MSM experiencing depression, decreased social support, and internalized homophobia; it is directly associated with having sex in difficult situations (Huebner et al, 2013). The mechanisms that link homophobia to these outcomes have yet to be elucidated; however, it has been suggested that these situations are key to understanding how homophobia and other forms of social discrimination can result in risky sexual behavior (Huebner et al, 2013).…”

Section: How Is Homophobia Linked To Hiv Transmission?mentioning

confidence: 98%

“…The mechanisms that link homophobia to these outcomes have yet to be elucidated; however, it has been suggested that these situations are key to understanding how homophobia and other forms of social discrimination can result in risky sexual behavior (Huebner et al, 2013).…”

Section: How Is Homophobia Linked To Hiv Transmission?mentioning

confidence: 99%

“…The MSM community experiences various types of homophobia, including homophobia directed at MSM from society at large (societal homophobia), homophobia manifested within the individual (internalized homophobia), and homophobia in the health care system by health care providers (CDC, 2011;Huebner et al, 2013).…”

Section: How Is Homophobia Linked To Hiv Transmission?mentioning

confidence: 99%

See 2 more Smart Citations

Reframing and Understanding the HIV Epidemic in MSM: Masculinity, Racism, and Homophobia

Nieblas

Hughes

Andrews

et al. 2015

Journal of the Association of Nurses in AIDS Care

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The Predominant Relationship Between Sexual Environment Characteristics and HIV-Serodiscordant Condomless Anal Sex Among HIV-Positive Men Who Have Sex with Men (MSM)

et al. 2015

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In some studies, situational factors have been shown to be stronger predictors of condomless sex than individual risk factors. Cross-sectional relationships between condomless anal sex (CAS) with HIV-serodiscordant partners and risk factors across ecological levels (individual, sexual environment) were examined using a sample (N = 60) of HIV-positive men who have sex with men (MSM) who reported multiple recent episodes of CAS. Negative binomial regressions were used to evaluate the association of contextual risk factors (e.g., substance use during sex, transactional sex, public sex, sex at a sex party) with recent condomless sex, controlling for demographics and mental health. Results demonstrated that sexual environment factors, particularly sex under the influence of drugs or alcohol (B = .019, p < .05), transactional sex (B = .035, p < .01), and public sex (B = .039, p < .01) explained a large proportion of the variance in CAS. Only sex at a sex party was not related to CAS (p = .39). For each additional sexual environment in which men engaged, their rates of CAS increased (B = .39, p < .01). Secondary prevention interventions that are tailored to the proximal sexual environment could be maximally effective, particularly if they address substance use and other challenging sexual situations.

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Social oppression, psychological vulnerability, and unprotected intercourse among young Black men who have sex with men.

Cited by 45 publications

References 68 publications

The Role of the Primary Romantic Relationship in HIV Care Engagement Outcomes Among Young HIV-Positive Black Men Who Have Sex with Men

The Role of the Primary Romantic Relationship in HIV Care Engagement Outcomes Among Young HIV-Positive Black Men Who Have Sex with Men

Reframing and Understanding the HIV Epidemic in MSM: Masculinity, Racism, and Homophobia

The Predominant Relationship Between Sexual Environment Characteristics and HIV-Serodiscordant Condomless Anal Sex Among HIV-Positive Men Who Have Sex with Men (MSM)

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