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

Nieblas, Rochelle; Hughes, Lindsey Gloe; Andrews, Rachael; Relf, Michael V.

doi:10.1016/j.jana.2015.04.007

Cited by 13 publications

(6 citation statements)

References 22 publications

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“…In fact, seeking to address racial homophily without mitigating the structural forces that have historically shaped these networks (e.g. racism, segregation) will be insufficient [45,46]. Additionally, focusing on racial homophily as a risk factor for HIV risks pathologizing love and connection among communities of color [47].…”

Section: Discussionmentioning

confidence: 99%

The Role of Networks in Racial Disparities in HIV Incidence Among Men Who Have Sex with Men in the United States

et al. 2020

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Network factors have been proposed as potential drivers of racial disparities in HIV among Black and Latino men who have sex with men (MSM). This review aimed to synthesize the extant literature on networks and racial disparities in HIV among MSM and identify potential directions for future research. We searched databases for peer-reviewed articles published between January 1, 2008 and July 1, 2018. Articles were included if the sample was comprised primarily of racial/ethnic minority MSM and measured one or more network characteristics. (n = 25). HIV prevalence in networks, social support, and structural barriers were linked to disparities in HIV for Black MSM. Future research should focus on intervention development around social support and other strategies for risk reduction within networks. Given the contribution of structural factors to racial/ethnic HIV disparities, network-level interventions should be paired with policies that improve access to housing, jobs, and education for MSM. Keywords Racial disparities • Networks • Systematic review • HIV/AIDS • Men who have sex with men Resumen Los factores de redes han sido propuestos como posibles elementos contribuyentes a las disparidades raciales en el VIH entre hombres Afro-Americanos y Latinos que tienen sexo con hombres (HSH). Esta revisión sintetiza la literatura existente sobre redes y disparidades raciales en el VIH entre HSH e identifica posibles direcciones para investigaciones en el futuro. Revisamos estudios publicados entre el 1 de enero del 2008 y el 1 de julio, 2018. Los estudios se incluyeron si la muestra estuvo compuesta principalmente por HSH de minorías raciales/étnicas y si midieron una o más características de la red (n = 25). La prevalencia del VIH en redes, el apoyo social, y las barreras estructurales estaban vinculadas a los disparidades en el VIH entre Afro-Americanos y Latinos HSH. Investigaciones en el futuro deberían centrarse en el desarrollo de intervenciones relacionadas con el apoyo social y otras estrategias para la reducción de riesgo dentro de redes. Dada la importancia de factores estructurales, las intervenciones de red deben estar emparejadas con políticas que mejoren el acceso a la vivienda, el empleo, y la educación para los HSH de minorías raciales/étnicas.

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Section: Discussionmentioning

confidence: 99%

The Role of Networks in Racial Disparities in HIV Incidence Among Men Who Have Sex with Men in the United States

et al. 2020

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“…Also, it is plausible that very act of 'asking an insertive partner' about condom use is one that requires a great deal of comfort relative to being out, and thus a minimal level of internalized homophobia. That this 'asking' may be sacrificed under the assumption of a trade off could therefore be more likely for young Black MSM compared to young White MSM if the often stated hypothesis about Black MSM having greater levels of internalized homophobia [25][26][27][28][29] is true. Whether this dynamic occurred among the YMSM in our study cannot be determined; qualitative studies are needed to investigate this possibility.…”

Section: Discussionmentioning

confidence: 99%

Is the experience of hunger associated with risk of engaging in condomless anal sex among minority young men who have sex with men?

2020

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Although emerging evidence suggests that hunger may be a risk factor for engaging in risk behaviors that lead to HIV acquisition, this has rarely been explored for young minority men who have sex with men (YMSM). This study explored a range of sexual risk behaviors for associations with a measure of hunger, assessed among 448 YMSM residing in Los Angeles, CA. Forty-five percent experienced hunger (past 12 months). Hunger was significantly associated with engaging in any condomless anal receptive sex (CARS) (adjusted odds ratio = 1.74; 95% confidence interval = 1.01–3.01; P = .049). Further, hunger was also significantly associated with a greater percentage of CARS (Beta = .12; t = 2.18; P = .03). Parallel effects were not observed relative to condomless anal insertive sex. Findings suggest that the experience of hunger among young minority MSM is generally not associated with a milieu of sexual risk. One important exception is that hunger may lead to having CARS. This suggests a potential ‘trade off’ for receptive partners experiencing hunger and partially supports the idea that at hunger may predispose minority YMSM to partner demands not to use condoms.

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“…For example, in the SDH category stigma or discrimination, articles overwhelmingly focused on stigma (particularly testing or treatment of stigma associated with HIV/AIDS or STDs), with limited focus on discrimination, homophobia, racism, or xenophobia, all of which can increase stigma and disease transmission. 396,397 Although the focus on disease-related stigma is important, it is an incomplete representation of the factors that permit and drive health disparities in these diseases.…”

Section: Discussionmentioning

confidence: 99%

Incorporation of Social Determinants of Health in the Peer-Reviewed Literature: A Systematic Review of Articles Authored by the National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention

2018

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

Cited by 13 publications

References 22 publications

The Role of Networks in Racial Disparities in HIV Incidence Among Men Who Have Sex with Men in the United States

The Role of Networks in Racial Disparities in HIV Incidence Among Men Who Have Sex with Men in the United States

Is the experience of hunger associated with risk of engaging in condomless anal sex among minority young men who have sex with men?

Incorporation of Social Determinants of Health in the Peer-Reviewed Literature: A Systematic Review of Articles Authored by the National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention

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