title: Minority stress and sexual problems among African-American gay and bisexual men.
abstract: Minority stress, such as racism and gay bashing, may be associated with sexual problems, but this notion has not been examined in the literature. African-American gay/bisexual men face a unique challenge in managing a double minority status, putting them at high risk for stress and sexual problems. This investigation examined ten predictors of sexual problems among 174 African-American gay/bisexual men. Covarying for age, a forward multiple regression analysis showed that the measures of self-esteem, male gender role stress, HIV prevention self-efficacy, and lifetime experiences with racial discrimination significantly added to the prediction of sexual problems. Gay bashing, psychiatric symptoms, low life satisfaction, and low social support were significantly correlated with sexual problems, but did not add to the prediction of sexual problems in the regression analysis. Mediation analyses showed that stress predicted psychiatric symptoms, which then predicted sexual problems. Sexual problems were not significantly related to HIV status, racial/ethnic identity, or gay identity. The findings from this study showed a relationship between experiences with racial and sexual discrimination and sexual problems while also providing support for mediation to illustrate how stress might cause sexual problems. Addressing minority stress in therapy may help minimize and treat sexual difficulties among minority gay/bisexual men.
authors.affiliation: Program in Human Sexuality, Department of Family Medicine and Community Health, University of Minnesota, 1300 S 2nd St., Ste. 180, Minneapolis, MN 55454, USA. bzamboni@umphysicians.umn.edu
authors.forename: Brian D
authors.initials: BD
authors.lastname: Zamboni
authors.forename: Isiaah
authors.initials: I
authors.lastname: Crawford
mesh_terms: D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D001727:Bisexuality / Q000706:statistics & numerical data*; D007172:Erectile Dysfunction / Q000208:ethnology*; D018451:Homosexuality, Male / Q000208:ethnology* / Q000706:statistics & numerical data; D006801:Humans; D007087:Illinois / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D011287:Prejudice; D012044:Regression Analysis; D020377:Self Efficacy; D012938:Social Perception; D013240:Stereotyping; D013315:Stress, Psychological / Q000208:ethnology*; D011795:Surveys and Questionnaires; D014768:Virginia / Q000453:epidemiology