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Watts KJ, Bentley KJ. Perceptions of gay black men on the social construction of masculinity and its role in mental health. JOURNAL OF GAY & LESBIAN MENTAL HEALTH 2021. [DOI: 10.1080/19359705.2021.1949422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Keith J. Watts
- School of Social Work, Virginia Commonwealth University, Richmond, Virginia, USA
| | - Kia J. Bentley
- School of Social Work, Virginia Commonwealth University, Richmond, Virginia, USA
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Turpin R, Khan M, Scheidell J, Feelemyer J, Hucks-Ortiz C, Abrams J, Cleland C, Mayer K, Dyer T. Estimating the Roles of Racism and Homophobia in HIV Testing Among Black Sexual Minority Men and Transgender Women With a History of Incarceration in the HPTN 061 Cohort. AIDS EDUCATION AND PREVENTION : OFFICIAL PUBLICATION OF THE INTERNATIONAL SOCIETY FOR AIDS EDUCATION 2021; 33:143-157. [PMID: 33821677 PMCID: PMC10576191 DOI: 10.1521/aeap.2021.33.2.143] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Black sexual minority men (BSMM) and Black transgender women (BTW) have disproportionately high HIV prevalence, making HIV testing critical for treatment and prevention. Racism and homophobia may be barriers to testing among BSMM/BTW, particularly in the context of previous incarceration. We analyzed a subsample (n = 655) of HIV-negative, previously incarcerated BSMM/BTW in the HIV Prevention Trials Network 061 study, generating prevalence ratios and interaction terms testing associations between experienced racism and homophobia with past-year HIV testing. Both racism (aPR = 0.83, 95% CI [0.70, 0.98]) and homophobia (aPR: 0.68, 95% CI [0.48, 0.98]) were associated with lower testing, although their interaction was associated with unexpectedly higher testing (Interaction aPR = 1.77, 95% CI [1.25, 2.49]). Among BSMM/BTW with a history of incarceration, racism and homophobia are barriers to HIV testing. Positive interactions between racism and homophobia could be explained by numerous factors (e.g., resilience, coping) and warrants further study.
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Affiliation(s)
- Rodman Turpin
- Rodman Turpin and Typhanye Dyer are affiliated with the University of Maryland, College Park, School of Public Health, Department of Epidemiology and Biostatistics, College Park, Maryland
| | - Maria Khan
- Rodman Turpin and Typhanye Dyer are affiliated with the University of Maryland, College Park, School of Public Health, Department of Epidemiology and Biostatistics, College Park, Maryland
| | - Joy Scheidell
- Rodman Turpin and Typhanye Dyer are affiliated with the University of Maryland, College Park, School of Public Health, Department of Epidemiology and Biostatistics, College Park, Maryland
| | - Jonathan Feelemyer
- Rodman Turpin and Typhanye Dyer are affiliated with the University of Maryland, College Park, School of Public Health, Department of Epidemiology and Biostatistics, College Park, Maryland
| | - Christopher Hucks-Ortiz
- Rodman Turpin and Typhanye Dyer are affiliated with the University of Maryland, College Park, School of Public Health, Department of Epidemiology and Biostatistics, College Park, Maryland
| | - Jasmyn Abrams
- Rodman Turpin and Typhanye Dyer are affiliated with the University of Maryland, College Park, School of Public Health, Department of Epidemiology and Biostatistics, College Park, Maryland
| | - Charles Cleland
- Rodman Turpin and Typhanye Dyer are affiliated with the University of Maryland, College Park, School of Public Health, Department of Epidemiology and Biostatistics, College Park, Maryland
| | - Kenneth Mayer
- Rodman Turpin and Typhanye Dyer are affiliated with the University of Maryland, College Park, School of Public Health, Department of Epidemiology and Biostatistics, College Park, Maryland
| | - Typhanye Dyer
- Rodman Turpin and Typhanye Dyer are affiliated with the University of Maryland, College Park, School of Public Health, Department of Epidemiology and Biostatistics, College Park, Maryland
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