Stigma, discrimination, and substance use among an urban sample men who have sex with men in Massachusetts

Enacted Sexual Minority Stigma, Psychological Distress, and Sexual and Drug Risk Behaviors Among Urban Men Who Have Sex with Men (MSM)

“…In this analysis among Black MSM from a longitudinal cohort study in one mid-Atlantic city, experiences of enacted sexual minority stigma because of sexual orientation were pervasive with more than one fifth of the group reporting one or more experiences of enacted sexual minority stigma including experiences of verbal harassment, physical violence, and discrimination. The current findings were similar to findings among an urban cohort of MSM in 2014 which found that 18% of men reported verbal abuse, and 4% reported physical assault [28], and much higher than a study where 4% reported experiences of external homophobic discrimination among a largely white MSM study in the U.S. recruited from Facebook [29].…”

Factores asociados a la discriminación en hombres que tienen relaciones sexuales con hombres, Bogotá, Medellín, Cali - Colombia, 2019

“…Estudios en países como España 48,49 , Estados Unidos 33 , Colombia 51,52 sugieren que la discriminación es un factor de riesgo importante para los problemas relacionados con el consumo de sustancias psicoactivas, especialmente con el alcohol y la marihuana 50 , al igual que lo señala el presente estudio, que aunque es problemático identificar la causa o el efecto, si hace un llamado a las acciones educativas para la reducción del consumo de sustancias psicoactivas, lo cual notoriamente disminuiría la discriminación. Sin embargo, por tratarse de un estudio transversal no es posible identificar cuales otros factores son potenciadores de este comportamiento, o se puede entender que a mayor discriminación tienden a consumir más sustancias psicoactivas debido a esa discriminación sufrida, o el agente generador de discriminación no es la orientación sexual sino el consumo de marihuana, esta es una pregunta que debe ser resuelta en una futura investigación 53 .…”

Ending the HIV Epidemic for Persons Left Behind in the Advances of HIV: Intervention Studies Addressing the HIV Continuum of Care

“…Yet, HIV-related stigma remains omnipresent and often induces social marginalization, lack of support, discrimination, and violence, which compound the many other cited factors impeding receipt of HIV prevention and treatment services (Algarin et al, 2019; Fields et al, 2022). Furthermore, HIV-related stigma notably manifests in multiple layering of stigmatized identities (Lekas et al, 2011); that is, when a PWH embodies an additional characteristic that is typically marginalized by society (e.g., MSM of color, a person who uses drugs, or a person who has been formerly incarcerated), there are resultant key populations left behind when it comes to the receipt of appropriate care (Arrington-Sanders et al, 2020; Batchelder et al, 2020; Fields et al, 2022). Patients may also internalize these stigmatizing experiences and be vulnerable to demoralization.…”

“…These provider concerns are also seen in the prescribing of life-saving HCV DAAs and more recently with PrEP (Castel et al, 2015; Edelman et al, 2017). As such, there is a continued need for stigma-reduction interventions and campaigns that raise awareness and address the various degrees of societal stigma experienced by those most vulnerable, particularly PWH with intersecting and devalued social identities (Arrington-Sanders et al, 2020; Batchelder et al, 2020). To inform these needed interventions at the provider level, we are currently examining provider stigma through our national survey study—“ Healthcare Provider Stigma Related to Patients with Substance Use Disorders and its Impact on Treatment and Clinical Management ” (CTN 0104)—of the primary care and emergency medicine workforces.…”