A Comparison of MSM Stigma, HIV Stigma and Depression in HIV-Positive Latino and African American Men who have Sex with Men (MSM)

Wohl, Amy Rock; Galván, Frank H.; Carlos, Juli-Ann; Myers, Héctor F.; Garland, Wendy; Witt, Mallory D.; Cadden, Joseph; Operskalski, Eva; Jordan, Wilbert; George, Sheba

doi:10.1007/s10461-012-0385-9

Cited by 103 publications

(73 citation statements)

References 32 publications

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“…Voluntary HIV testing and use of HIV prevention services often involve the disclosure of stigmatized sexual behavior, such as having same-sex, anonymous, or multiple sexual partners [114–116], which can also impede BMSM from using these services [58, 110]. If BMSM are HIV-positive or perceived to be HIV-positive, they may also experience stigma due to HIV status [101, 117–121], sometimes leading to a fear of diagnosis and further hindering the use of prevention services [58]. Additionally, Blacks are more disapproving of homosexuality than Whites, even after controlling for religious and educational differences, which promotes internalized homophobia and may inhibit BMSM from adopting HIV testing behaviors [122–124].…”

Section: Resultsmentioning

confidence: 99%

Understanding Structural Barriers to Accessing HIV Testing and Prevention Services Among Black Men Who Have Sex with Men (BMSM) in the United States

et al. 2014

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Structural-level factors have contributed to the substantial disproportionate rates of HIV among Black men who have sex with men (BMSM) in the United States. Despite insufficient HIV testing patterns, however, there is a void in research investigating the relationship between structural factors and access to HIV testing and prevention services among BMSM. Building on previous scholarly work and incorporating a dynamic social systems conceptual framework, we conducted a comprehensive review of the literature on structural barriers to HIV testing and prevention services among BMSM across four domains: healthcare, stigma and discrimination, incarceration, and poverty. We found that BMSM experience inadequate access to culturally competent services, stigma and discrimination that impede access to services, a deficiency of services in correctional institutions, and limited services in areas where BMSM live. Structural interventions that eliminate barriers to HIV testing and prevention services and provide BMSM with core skills to navigate complex systems are needed.

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Section: Resultsmentioning

confidence: 99%

Understanding Structural Barriers to Accessing HIV Testing and Prevention Services Among Black Men Who Have Sex with Men (BMSM) in the United States

et al. 2014

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“…Stigma and depression have been shown to be associated in a variety of settings (Simbayi et al 2007; Thi et al 2008; Wu et al 2008; Li et al 2009; Kingori et al 2012; Wohl et al 2012; Logie et al 2013). Since the current study was cross-sectional, we could not assess the temporality of the relationship between depression and sex work-related stigma.…”

Section: Discussionmentioning

confidence: 99%

Stigma related to sex work among men who engage in transactional sex with men in Ho Chi Minh City, Vietnam

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et al. 2014

Int J Public Health

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“…MSM studies that recruit based on self-reported current or recent sex with men, may exclude men who report current sexual relationships with females, but do not self-report a lifetime history of sex with men. Therefore, these studies fail to capture the contextual history associated with men who may be classified as MSM, but in fact may fit under the classification of MSMW (Wilton et al, 2009; Wohl et al, 2012). …”

Section: Introductionmentioning

confidence: 99%

Psychosocial Vulnerability and HIV-Related Sexual Risk Among Men who have Sex with Men and Women in the United States

et al. 2014

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In the U.S., HIV is concentrated among men who have sex with men (MSM), some of whom have had female partners (MSMW). MSMW are disproportionately impacted by psychosocial vulnerabilities, like depression and substance use that increase sexually transmitted infection (STI) and HIV risk. Research on psychosocial vulnerability and HIV-related sexual risk among MSMW is warranted to reduce infection transmission among MSM and to prevent bridging to female partners. We analyzed data from Wave IV (2007)(2008) of the National Longitudinal Study of Adolescent Health to assess psychosocial vulnerability and HIV risk-taking among MSMW. Using lifetime and past year sexual activity, we classified men as ever having sex with: women only (MSW), men only (MSMO) or MSMW, with further refined categorization of MSMW with male only partners in the past 12 months, only female partners in the past 12 months, and both male and female partners in the past 12 months (N = 6,945). We compared psychosocial vulnerability characteristics and HIV-related risk behaviors among the five categories of men. MSMW were more likely to report depression, suicidality, substance use, and incarceration than MSW and MSMO. Compared to MSW, MSMW with current female partners had greater odds of unprotected sex, exchange sex, and STI. MSMW with male partners in the past year had greater odds of multiple or concurrent partners in the past year. HIV risk and psychosocial vulnerability factors are elevated among MSMW, a priority population for HIV risk reduction. HIV risk reduction interventions should address this and heterogeneity of sexual partnerships among MSMW.

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A Comparison of MSM Stigma, HIV Stigma and Depression in HIV-Positive Latino and African American Men who have Sex with Men (MSM)

Cited by 103 publications

References 32 publications

Understanding Structural Barriers to Accessing HIV Testing and Prevention Services Among Black Men Who Have Sex with Men (BMSM) in the United States

Understanding Structural Barriers to Accessing HIV Testing and Prevention Services Among Black Men Who Have Sex with Men (BMSM) in the United States

Stigma related to sex work among men who engage in transactional sex with men in Ho Chi Minh City, Vietnam

Psychosocial Vulnerability and HIV-Related Sexual Risk Among Men who have Sex with Men and Women in the United States

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