Résumé
MSM bear a disproportionate burden of the HIV epidemic. Enacted stigma (overt negative actions) against sexual minorities may play an important role in increasing HIV risk among this population. Using data from the 2011 National HIV Behavioral Surveillance system, MSM cycle, we examined the independent associations between three measures of enacted stigma (verbal harassment, discrimination, physical assault) and engagement in each of four HIV-related risk behaviors as outcomes: condomless anal intercourse (CAI) at last sex with a male partner of HIV discordant or unknown status and, in the past 12 months, CAI with a male partner, ≥4 male sex partners, and exchange sex. Of 9819 MSM, 32% experienced verbal harassment in the past 12 months, 23% experienced discrimination, and 8% experienced physical assault. Discordant CAI at last sex with a male partner was associated with previous discrimination and physical assault. Past 12 month CAI with a male partner, ≥4 male sex partners, and exchange sex were each associated with verbal harassment, discrimination, and physical assault. These findings indicate that a sizable proportion of MSM report occurrences of past 12 month enacted stigma and suggest that these experiences may be associated with HIV-related risk behavior. Addressing stigma towards sexual minorities must involve an integrated, multi-faceted approach, including interventions at the individual, community, and societal level.
| Langue d'origine | English |
|---|---|
| Pages (de-à) | 227-237 |
| Nombre de pages | 11 |
| Journal | AIDS and Behavior |
| Volume | 21 |
| Numéro de publication | 1 |
| DOI | |
| Statut de publication | Published - janv. 1 2017 |
Financement
The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. This research was supported in part by an appointment to the Research Participation Program at the Centers for Disease Control and Prevention administered by the Oak Ridge Institute for Science and Education through an interagency agreement between the U.S. Department of Energy and CDC.
| Bailleurs de fonds | Numéro du bailleur de fonds |
|---|---|
| U.S. Department of Energy | |
| National Institute of Mental Health | P30MH043520 |
| Centers for Disease Control and Prevention | |
| Oak Ridge Institute for Science and Education |
ASJC Scopus Subject Areas
- Social Psychology
- Public Health, Environmental and Occupational Health
- Infectious Diseases
ODD de l’ONU
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