Intersectional Discrimination and PrEP uSe Among Young Black Sexual Minority Individuals: The Importance of Black LGBTQ Communities and Social Support.

Publisher: Springer Science + Business Media Country of Publication: United States NLM ID: 9712133 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-3254 (Electronic) Linking ISSN: 10907165 NLM ISO Abbreviation: AIDS Behav Subsets: MEDLINE

Publication: 2005- : New York, NY : Springer Science + Business Media
Original Publication: New York, NY : Plenum Press, 1997-

HIV Infections*/epidemiology ; HIV Infections*/prevention & control ; Sexual and Gender Minorities* ; Transsexualism* ; Pre-Exposure Prophylaxis*/methods; Male ; Humans ; Female ; Homosexuality, Male ; Social Stigma ; Social Support

Intersectional stigma and discrimination have increasingly been recognized as impediments to the health and well-being of young Black sexual minority men (YBSMM) and transgender women (TW). However, little research has examined the relationship between intersectional discrimination and HIV pre-exposure prophylaxis (PrEP) outcomes. This study with 283 YBSMM and TW examines the relationship between intersectional discrimination and current PrEP use and likelihood of future PrEP use. Path models were used to test associations between intersectional discrimination, resilience and social support, and PrEP use and intentions. Individuals with higher levels of anticipated discrimination were less likely to be current PrEP users (OR = 0.59, p = .013), and higher levels of daily discrimination were associated with increased likelihood of using PrEP in the future (B = 0.48 (0.16), p = .002). Greater discrimination was associated with higher levels of resilience, social support, and connection to the Black LGBTQ community. Social support mediated the effect of day-to-day discrimination on likelihood of future PrEP use. Additionally, there was a significant and negative indirect effect of PrEP social concerns on current PrEP use via Black LGBTQ community connectedness. The results of this study highlight the complexity of the relationships between discrimination, resilience, and health outcomes.
(© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)

Centers for Disease Control and Prevention. HIV Surveillance Report, 2018 (Updated). Vol 31.; 2020. doi: https://doi.org/10.1017/CBO9781107415324.004 .
Kaiser Family Foundation. Black Americans and HIV/AIDS. Published 2020. https://www.kff.org/hivaids/fact-sheet/black-americans-and-hivaids-the-basics/ .
Guilamo-Ramos V, Thimm-Kaiser M, Benzekri A, Futterman D. Youth at risk of HIV: the overlooked US HIV prevention crisis. The Lancet HIV. 2019;6(5). doi: https://doi.org/10.1016/S2352-3018(19)30037-2 .
Becasen JS, Denard CL, Mullins MM, Higa DH, Sipe TA. Estimating the prevalence of HIV and sexual behaviors among the US transgender population: A systematic review and meta-analysis, 2006–2017. Am J Public Health. 2019;109(1). doi: https://doi.org/10.2105/AJPH.2018.304727 .
Sullivan PS, Smith DK, Mera-Giler R, et al. The impact of pre-exposure prophylaxis with TDF/FTC on HIV diagnoses, 2012–2016, United States. In: 22nd International AIDS Conference.; 2018.
Kanny D, Jeffries W, Chapin-Bardales J, et al. Racial/Ethnic Disparities in HIV Preexposure Prophylaxis Among Men Who Have Sex with Men – 23 Urban Areas, 2017. MMWR Morb Mortal Wkly Rep. 2019;68:801–806. https://www.cdc.gov/mmwr/volumes/68/wr/mm6837a2.htm?s_cid=mm 6837a2_e&deliveryName=USCDC_921-DM9093&deliveryName=USCDC_1046-DM10139.
Krakower DS, Mimiaga MJ, Rosenberger JG, et al. Limited Awareness and Low Immediate Uptake of Pre-Exposure Prophylaxis among Men Who Have Sex with Men Using an Internet Social Networking Site. PLoS ONE. 2012;7(3):e33119. doi: https://doi.org/10.1371/journal.pone.0033119 [doi]. (PMID: 10.1371/journal.pone.0033119224704383314648)
Zablotska IB, Prestage G, de Wit J, Grulich AE, Mao L, Holt M. The informal use of antiretrovirals for preexposure prophylaxis of HIV infection among gay men in Australia. J Acquir Immune Defic Syndr. 2013;62(3):334–8. doi: https://doi.org/10.1097/QAI.0b013e31827e854a [doi]. (PMID: 10.1097/QAI.0b013e31827e854a23187947)
Kirby T, Thornber-Dunwell M. Uptake of PrEP for HIV slow among MSM. Lancet. 2014;383(9915):399–400. (PMID: 10.1016/S0140-6736(14)60137-924494225)
Huang YLA, Zhu W, Smith DK, Harris N, Hoover KW. HIV preexposure prophylaxis, by race and ethnicity — United States, 2014–2016. Morbidity and Mortality Weekly Report. Published online 2018. doi: https://doi.org/10.15585/MMWR.MM6741A3 .
Coy KC, Hazen RJ, Kirkham HS, Delpino A, Siegler AJ. Persistence on HIV preexposure prophylaxis medication over a 2-year period among a national sample of 7148 PrEP users, United States, 2015 to 2017. J Int AIDS Soc. 2019;22(2). doi: https://doi.org/10.1002/jia2.25252 .
Poteat T, Wirtz A, Malik M, et al. A Gap between Willingness and Uptake: Findings from Mixed Methods Research on HIV Prevention among Black and Latina Transgender Women. J Acquir Immune Defic Syndr. 2019;82(2). doi: https://doi.org/10.1097/QAI.0000000000002112 .
Bauermeister JA, Meanley S, Pingel E, Soler JH, Harper GW. PrEP awareness and perceived barriers among single young men who have sex with men. Curr HIV Res. 2013;11(7):520–7. doi:CHRE-EPUB-58855 [pii]. (PMID: 10.2174/1570162X12666140129100411244763554152728)
Goedel WC, King MRF, Lurie MN, Nunn AS, Chan PA, Marshall BDL. Effect of racial inequities in pre-exposure prophylaxis use on racial disparities in HIV incidence among men who have sex with men: A modeling study. J Acquir Immune Defic Syndr. 2018;79(3):323–9. doi: https://doi.org/10.1097/QAI.0000000000001817 . (PMID: 10.1097/QAI.0000000000001817300443036342014)
Kuhns LM, Hotton AL, Schneider J, Garofalo R, Fujimoto K. Use of Pre-exposure Prophylaxis (PrEP) in Young Men Who Have Sex with Men is Associated with Race, Sexual Risk Behavior and Peer Network Size. AIDS Behav. 2017;21(5):1376–82. doi: https://doi.org/10.1007/s10461-017-1739-0 . (PMID: 10.1007/s10461-017-1739-0282381195415079)
Mustanski B, Ryan DT, Hayford C, Phillips IIG, Newcomb ME, Smith JD. Geographic and individual associations with PrEP stigma: Results from the RADAR cohort of diverse young men who have sex with men and transgender women. AIDS Behav. 2018;22(9):3044–56. doi: https://doi.org/10.1007/210461-018-2159-5 . (PMID: 10.1007/210461-018-2159-5297899856076868)
Arnold T, Brinkley-Rubinstein L, Chan PA, et al. Social, structural, behavioral and clinical factors influencing retention in Pre-Exposure Prophylaxis (PrEP) care in Mississippi. PLoS ONE. Published online 2017. doi: https://doi.org/10.1371/journal.pone.0172354 .
Rolle CP, Rosenberg ES, Siegler AJ, et al. Challenges in Translating PrEP Interest into Uptake in an Observational Study of Young Black MSM. J Acquir Immune Defic Syndr. 76.; 2017. doi: https://doi.org/10.1097/QAI.0000000000001497 .
Pinto RM, Berringer KR, Melendez R, Mmeje O. Improving PrEP Implementation Through Multilevel Interventions: A Synthesis of the Literature. AIDS and Behavior Published online. 2018. doi: https://doi.org/10.1007/s10461-018-2184-4 . (PMID: 10.1007/s10461-018-2184-4)
Calabrese SK, Earnshaw VA, Underhill K, Hansen NB, Dovidio JF. The impact of patient race on clinical decisions related to prescribing HIV pre-exposure prophylaxis (PrEP): Assumptions about sexual risk compensation and implications for access. AIDS Behav. 2014;18(2):226–40. (PMID: 10.1007/s10461-013-0675-x243665723983275)
Quinn K, Dickson-Gomez J, Zarwell M, Pearson B, Lewis M. “A gay man and a doctor are just like, a recipe for destruction”: How racism and homonegativity in healthcare settings influence PrEP uptake among young Black MSM. AIDS Behav. 2019;23(7):1951–63. doi: https://doi.org/10.1007/s10461-018-2375-z . (PMID: 10.1007/s10461-018-2375-z305650926571052)
Bradley E, Forsberg K, Betts JE, et al. Factors Affecting Pre-Exposure Prophylaxis Implementation for Women in the United States: A Systematic Review. J Women’s Health. 2019;28(9). doi: https://doi.org/10.1089/jwh.2018.7353 .
He Y, Dangerfield DT, Fields EL, et al. Health care access, health care utilisation and sexual orientation disclosure among Black sexual minority men in the Deep South. Sex Health. 2020;17(5). doi: https://doi.org/10.1071/SH20051 .
Oldenburg CE, Perez-Brumer AG, Hatzenbuehler ML, et al. State-level structural sexual stigma and HIV prevention in a national online sample of HIV-uninfected MSM in the United States. AIDS. 2015;29(7):837–45. doi: https://doi.org/10.1097/QAD.0000000000000622 [doi]. (PMID: 10.1097/QAD.000000000000062225730508)
Rodriguez K, Kelvin EA, Grov C, Meyers K, Nash D, Wyka K. Exploration of the Complex Relationships Among Multilevel Predictors of PrEP Use Among Men Who Have Sex with Men in the United States. AIDS and Behavior Published online. 2020. doi: https://doi.org/10.1007/s10461-020-03039-1 . (PMID: 10.1007/s10461-020-03039-1)
Crenshaw KW. Demarginalizing the intersection of race and sex: a black feminist critique of antidiscrimination doctrine, feminist theory, and antiracist politics. Univ Chic Legal Forum. 1989;139:139–67.
Collins PH. Moving beyond gender: intersecionality and scientific knowledge. In: Feree MM, Lorber J, Hess BB, editors. Revisioning Gender. AltaMira Press; 2000. pp. 261–84.
Bowleg L. When black + lesbian + woman ≠ black lesbian woman: the methodological challenges of qualitative and quantitative intersectionality research. Sex Roles. 2008;59:312–25. (PMID: 10.1007/s11199-008-9400-z)
Collins PH. Black Feminist Thought: Knowledge, Consciousness, and the Politics of Empowerment. Unwin Hyman; 1990.
Crenshaw K. Mapping the margins: Intersectionality, identity politics, and violence against women of color. Stanford Law Rev. Published online 1991:1241–1299.
Berger MT. Workable Sisterhood: The Political Journey of Stigmatized Women with HIV/AIDS. Princeton University Press; 2004.
Biello KB, Hughto JMW. Measuring intersectional stigma among racially and ethnically diverse transgender women: Challenges and opportunities. Am J Public Health. 2021;111(3). doi: https://doi.org/10.2105/AJPH.2020.306141 .
English D, Carter JA, Forbes N, et al. Intersectional Discrimination, Positive Feelings, and Health Indicators Among Black Sexual Minority Men. Health Psychol. 2020;39(3):220–9. doi: https://doi.org/10.1037/hea0000837 . (PMID: 10.1037/hea0000837319447997007316)
Bogart LM, Wagner GJ, Galvan FH, Landrine H, Klein DJ, Sticklor LA. Perceived discrimination and mental health symptoms among black men with HIV. Cult Divers Ethnic Minor Psychol. 2011;17(3):295–302. doi: https://doi.org/10.1037/a0024056 . (PMID: 10.1037/a0024056)
English D, Rendina HJ, Parsons JT. The effects of intersecting stigma: A longitudinal examination of minority stress, mental health, and substance use Among Black, Latino, and Multiracial Gay and Bisexual Men. Psychol Violence. 2018;8(6):669. doi: https://doi.org/10.1037/vio0000218 . (PMID: 10.1037/vio0000218308817296415673)
Harper GW. A journey towards liberation: Confronting heterosexism and the oppression of lesbian, gay, bisexual and transgendered people. In: Community Psychology: In Pursuit of Liberation and Well-Being.; 2010:382–404.
Miller RL. Legacy denied: African American gay men, AIDS and the Black Church. National Association of Social Workers. Published online 2007.
Elopre L, McDavid C, Brown A, Shurbaji S, Mugavero MJ, Turan JM. Perceptions of HIV Pre-Exposure Prophylaxis among Young, Black Men Who Have Sex with Men. AIDS Patient Care STDs. 2018;32(12). doi: https://doi.org/10.1089/apc.2018.0121 .
Quinn K, Bowleg L, Dickson-Gomez J. “The fear of being Black plus the fear of being gay”: The effects of intersectional stigma on PrEP use among young Black gay, bisexual, and other men who have sex with men. Soc Sci Med. 2019;Jul(232):86–93. doi: https://doi.org/10.1016/j.socscimed.2019.04.042 . (PMID: 10.1016/j.socscimed.2019.04.042)
Choi KH, Han CS, Paul J, Ayala G. Strategies for managing racism and homophobia among U.S. ethnic and racial minority men who have sex with men. AIDS Educ Prevention: Official Publication Int Soc AIDS Educ. 2011;23(2):145–58. doi: https://doi.org/10.1521/aeap.2011.23.2.145 [doi]. (PMID: 10.1521/aeap.2011.23.2.145)
Han C, Ayala G, Paul JP, Boylan R, Gregorich SE, Choi KH. Stress and coping with racism and their role in sexual risk for HIV among African American, Asian/Pacific Islander, and Latino men who have sex with Men. Arch Sex Behav. 2015;44(2):411–20. (PMID: 10.1007/s10508-014-0331-125060122)
Bogart LM, Dale SK, Christian J, et al. Coping with discrimination among HIV-positive Black men who have sex with men. Cult Health Sex. 2017;19(7):723–37. (PMID: 10.1080/13691058.2016.125849227885963)
Luthar SS, Cicchetti D, Becker B. The construct of resilience: A critical evaluation and guidelines for future work. Child Dev. 2000;71(3):543–62. (PMID: 10.1111/1467-8624.00164109539231885202)
Fergus S, Zimmerman MA. ADOLESCENT RESILIENCE: A Framework for Understanding Healthy Development in the Face of Risk. Annu Rev Public Health. 2005;26(1):399–419. doi: https://doi.org/10.1146/annurev.publhealth.26.021304.144357 . (PMID: 10.1146/annurev.publhealth.26.021304.14435715760295)
Buttram ME. The social environmental elements of resilience among vulnerable African American/Black men who have sex with men. J Hum Behav Social Environ. 2015;25(8):923–33. (PMID: 10.1080/10911359.2015.1040908)
Logie CH, Williams CC, Wang Y, et al. Adapting stigma mechanism frameworks to explore complex pathways between intersectional stigma and HIV-related health outcomes among women living with HIV in Canada. Soc Sci Med. 2019;Jul(232):129–38. doi: https://doi.org/10.1016/j.socscimed.2019.04.044 . (PMID: 10.1016/j.socscimed.2019.04.044)
Cook PF, Schmiege SJ, Bradley-Springer L, Starr W, Carrington JM. Motivation as a Mechanism for Daily Experiences’ Effects on HIV Medication Adherence. J Assoc Nurses AIDS Care. 2018;29(3):383–93. doi: https://doi.org/10.1016/j.jana.2017.09.003 . (PMID: 10.1016/j.jana.2017.09.00328967490)
Earnshaw VA, Lang SM, Lippitt M, Jin H, Chaudoir SR. HIV stigma and physical health symptoms: Do social support, adaptive coping, and/or identity centrality act as resilience resources? AIDS Behav. 2015;19(1):41–9. (PMID: 10.1007/s10461-014-0758-3247152264378835)
McConnell EA, Janulis P, Phillips G, Truong R, Birkett M. Multiple minority stress and LGBT community resilience among sexual minority men. Psychol Sex Orientat Gend Divers. 2018;5(1):1–12. doi: https://doi.org/10.1037/sgd0000265 . (PMID: 10.1037/sgd0000265295462285846479)
Meanley S, Connochie D, Choi SK, Bonett S, Flores DD, Bauermeister JA. Assessing the Role of Gay Community Attachment, Stigma, and PrEP Stereotypes on Young Men Who Have Sex with Men’s PrEP Uptake. AIDS Behav. 2021;25:1761–76. doi: https://doi.org/10.1007/s10461-020-03106-7 . (PMID: 10.1007/s10461-020-03106-733211207)
Hatzenbuehler ML. How does sexual minority stigma “get under the skin”? A psychological mediation framework. Psychol Bull. 2009;135(5):707. (PMID: 10.1037/a0016441197023792789474)
Wang Y, Lao CK, Wang Q, Zhou G. The Impact of Sexual Minority Stigma on Depression: the Roles of Resilience and Family Support. Sexuality Res Social Policy. 2022;19(2). doi: https://doi.org/10.1007/s13178-021-00558-x .
Kalomo EN. Associations between HIV-related stigma, self-esteem, social support, and depressive symptoms in Namibia. Aging and Mental Health. 2018;22(12). doi: https://doi.org/10.1080/13607863.2017.1387763 .
Chakrapani V, Vijin PP, Logie CH, et al. Understanding How Sexual and Gender Minority Stigmas Influence Depression among Trans Women and Men Who Have Sex with Men in India. LGBT Health. 2017;4(3). doi: https://doi.org/10.1089/lgbt.2016.0082 .
Handlovsky I, Bungay V, Oliffe J, Johnson J. Developing Resilience: Gay Men’s Response to Systemic Discrimination. Am J Men’s Health. 2018;12(5). doi: https://doi.org/10.1177/1557988318768607 .
Bowleg L, Huang J, Brooks K, Black A, Burkholder G. Triple jeopardy and beyond: Multiple minority stress and resilience among Black lesbians. J Lesbian Stud. 2003;7(4):87–108. (PMID: 10.1300/J155v07n04_0624831386)
Greene B. Ethnic-Minority Lesbians and Gay Men: Mental Health and Treatment Issues. J Consult Clin Psychol. 1994;62(2). doi: https://doi.org/10.1037//0022-006x.62.2.243 .
Logie CH, Wang Y, Marcus NL, et al. Pathways from sexual stigma to inconsistent condom use and condom breakage and slippage among MSM in Jamaica. J Acquir Immune Defic Syndr. 2018;78(5):513–21. doi: https://doi.org/10.1097/QAI.0000000000001712 . (PMID: 10.1097/QAI.000000000000171229697593)
Storholm ED, Huang W, Siconolfi DE, et al. Sources of Resilience as Mediators of the Effect of Minority Stress on Stimulant Use and Sexual Risk Behavior Among Young Black Men who have Sex with Men. AIDS Behav. 2019;23(12). doi: https://doi.org/10.1007/s10461-019-02572-y .
Ohio Department of Health. Summary of HIV Infection Among Blacks/African-Americans in Ohio.; 2019.
Wisconsin Department of Health Services Division of Public Health HIV Program. HIV in Wisconsin: Wisconsin HIV Surveillance Annual Report, 2018.; 2019.
Mena L, Crosby RA, Geter A. A novel measure of poverty and its association with elevated sexual risk behavior among young Black MSM. Int J STD AIDS. 2017;28(6). doi: https://doi.org/10.1177/0956462416659420 .
Kessler RC, Andrews G, Colpe LJ, et al. Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med. 2002;32(6). doi: https://doi.org/10.1017/S0033291702006074 .
Gamarel KE, Golub SA. Intimacy motivations and pre-exposure prophylaxis (PrEP) adoption intentions among HIV-negative men who have sex with men (MSM) in romantic relationships. Ann Behav Med. 2014;49(2):177–86. (PMID: 10.1007/s12160-014-9646-3)
Scheim AI, Bauer GR. The Intersectional Discrimination Index: Development and validation of measures of self-reported enacted and anticipated discrimination for intercategorical analysis. Soc Sci Med. 2019;226:225–35. doi: https://doi.org/10.1016/j.socscimed.2018.12.016 . (PMID: 10.1016/j.socscimed.2018.12.01630674436)
Jeffries 4th WL. Marks G, Lauby J, Murrill CS, Millett GA. Homophobia is Associated with Sexual Behavior that Increases Risk of Acquiring and Transmitting HIV Infection Among Black Men Who Have Sex with Men. AIDS Behav. 2013;17(4):1442–53. doi: https://doi.org/10.1007/s10461-012-0189-y . (PMID: 10.1007/s10461-012-0189-y)
Balsam KF, Molina Y, Beadnell B, Simoni J, Walters K. Measuring multiple minority stress: the LGBT People of Color Microaggressions Scale. Cult Divers Ethnic Minor Psychol. 2011;17(2):163. (PMID: 10.1037/a0023244)
Eaton LA, Driffin DD, Bauermeister J, Smith H, Conway-Washington C. Minimal Awareness and Stalled Uptake of Pre-Exposure Prophylaxis (PrEP) Among at Risk, HIV-Negative, Black Men Who Have Sex with Men. AIDS Patient Care STDs. 2015;29(8). doi: https://doi.org/10.1089/apc.2014.0303 .
Walsh JL. Applying the Information–Motivation–Behavioral Skills Model to Understand PrEP Intentions and Use Among Men Who Have Sex with Men. AIDS and Behavior Published online. 2019. doi: https://doi.org/10.1007/s10461-018-2371-3 . (PMID: 10.1007/s10461-018-2371-3)
Connor KM, Davidson JRT. Development of a new Resilience scale: The Connor-Davidson Resilience scale (CD-RISC). Depress Anxiety. 2003;18(2):76–82. doi: https://doi.org/10.1002/da.10113 . (PMID: 10.1002/da.1011312964174)
Canty-Mitchell J, Zimet GD. Psychometric properties of the Multidimensional Scale of Perceived Social Support in urban adolescents. Am J Community Psychol. 2000;28(3):391–400. (PMID: 10.1023/A:100510952245710945123)
Frost DM, Meyer IH. Measuring community connectedness among diverse sexual minority populations. J Sex Res. 2012;49(1):36–49. doi: https://doi.org/10.1080/00224499.2011.565427 . (PMID: 10.1080/00224499.2011.56542721512945)
Muthen LK, Muthen BO. Mplus User’s Guide. 7th ed.: Muthen & Muthen; 2015.
Bentler PM, Mooijaart A. Choice of Structural Model via Parsimony: A Rationale Based on Precision. Psychol Bull. 1989;106(2). doi: https://doi.org/10.1037/0033-2909.106.2.315 .
Tofighi D, MacKinnon DP. Monte Carlo Confidence Intervals for Complex Functions of Indirect Effects. Struct Equ Model. 2016;23(2). doi: https://doi.org/10.1080/10705511.2015.1057284 .
Earnshaw VA, Reed NM, Watson RJ, Maksut JL, Allen AM, Eaton LA. Intersectional internalized stigma among Black gay and bisexual men: A longitudinal analysis spanning HIV/sexually transmitted infection diagnosis. J Health Psychol. 2021;26(3):465–76. doi: https://doi.org/10.1177/1359105318820101 . (PMID: 10.1177/135910531882010130599761)
Remedios JD, Snyder SH. Intersectional Oppression: Multiple Stigmatized Identities and Perceptions of Invisibility, Discrimination, and Stereotyping. J Soc Issues. 2018;74(2):265–81. doi: https://doi.org/10.1111/josi.12268 . (PMID: 10.1111/josi.12268)
Whitfield DL. Does internalized racism matter in HIV risk? Correlates of biomedical HIV prevention interventions among Black men who have sex with men in the United States. AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV. 2020;32(9):1116–24. doi: https://doi.org/10.1080/09540121.2020.1753007 . (PMID: 10.1080/09540121.2020.1753007)
Eaton LA, Matthews DD, Driffin DD, Bukowski L, Wilson PA, Stall RD. A Multi-US City Assessment of Awareness and Uptake of Pre-exposure Prophylaxis (PrEP) for HIV Prevention Among Black Men and Transgender Women Who Have Sex with Men. Prev Sci Published online. 2017. doi: https://doi.org/10.1007/s11121-017-0756-6 . (PMID: 10.1007/s11121-017-0756-6)
Meanley S, Chandler C, Jaiswal J, et al. Are sexual minority stressors associated with young men who have sex with men’s (YMSM) level of engagement in PrEP? Behav Med. 2020;May 13:1–11. doi: https://doi.org/10.1080/08964289.2020.1731675 . (PMID: 10.1080/08964289.2020.1731675)
Hotton AL, Keene L, Corbin DE, Schneider J, Voisin DR. The relationship between Black and gay community involvement and HIV-related risk behaviors among Black men who have sex with men. Journal of Gay and Lesbian Social Services. Published online 2018. doi: https://doi.org/10.1080/10538720.2017.1408518 .
Carpiano RM, Kelly BC, Easterbrook A, Parsons JT. Community and drug use among gay men: The role of neighborhoods and networks. J Health Soc Behav. 2011;52(1). doi: https://doi.org/10.1177/0022146510395026 .
Petruzzella A, Feinstein BA, Davila J, Lavner JA. Moderators of the Association Between Community Connectedness and Internalizing Symptoms Among Gay Men. Arch Sex Behav. 2019;48(5). doi: https://doi.org/10.1007/s10508-018-1355-8 .
Quinn K, Dickson-Gomez J, Broaddus M, Kelly JA. “It’s almost like a crab-in-a-barrel situation”: Stigma, social support, and engagement in care among black men living with HIV. AIDS Educ Prev. 2018;30(2):120–36. doi: https://doi.org/10.1521/aeap.2018.30.2.120 . (PMID: 10.1521/aeap.2018.30.2.120296887705921935)
Zarwell M, John SA, Westmoreland D, et al. PrEP Uptake and Discontinuation Among a U.S. National Sample of Transgender Men and Women. AIDS Behav. 2021;25(4):1063–71. doi: https://doi.org/10.1007/s10461-020-03064-0 . (PMID: 10.1007/s10461-020-03064-033057893)
Hammack PL, Meyer IH, Krueger EA, Lightfoot M, Frost DM. HIV testing and pre-exposure prophylaxis (PrEP) use, familiarity, and attitudes among gay and bisexual men in the United States: A national probability sample of three birth cohorts. PLoS ONE. 2018;13(9). doi: https://doi.org/10.1371/journal.pone.0202806 .
Friedman MR, Bukowski L, Eaton LA, et al. Psychosocial Health Disparities Among Black Bisexual Men in the U.S.: Effects of Sexuality Nondisclosure and Gay Community Support. Archives of Sexual Behavior. 2019;48(1):213–224. doi: https://doi.org/10.1007/s10508-018-1162-2 .
Turan JM, Elafros MA, Logie CH, et al. Challenges and opportunities in examining and addressing intersectional stigma and health. BMC Med. 2019;17(1). doi: https://doi.org/10.1186/s12916-018-1246-9 .
Chatterjee P, Werner RM. Gender Disparity in Citations in High-Impact Journal Articles. JAMA Netw Open. 2021;4(7). doi: https://doi.org/10.1001/jamanetworkopen.2021.14509 .
Bertolero MA, Dworkin JD, David SU, et al. Racial and ethnic imbalance in neuroscience reference lists and intersections with gender. bioRxiv. Published online 2020.
Dworkin JD, Linn KA, Teich EG, Zurn P, Shinohara RT, Bassett DS. The extent and drivers of gender imbalance in neuroscience reference lists. Nat Neurosci. 2020;23(8). doi: https://doi.org/10.1038/s41593-020-0658-y .

K01 MH112412 United States MH NIMH NIH HHS; K01 MH118939 United States MH NIMH NIH HHS; K01-MH118939 United States MH NIMH NIH HHS

Keywords: HIV; Homophobia; Intersectional discrimination; Men who have sex with men; Pre-exposure prophylaxis; Racism; Stigma

Date Created: 20220705 Date Completed: 20230123 Latest Revision: 20230811

20240829

PMC9255535

10.1007/s10461-022-03763-w

35788926