title: Ties that bind: community attachment and the experience of discrimination among Black men who have sex with men.
abstract: In the USA, the impact of psychological distress may be greater for Black men who have sex with men given that they may experience both racial discrimination in society at large and discrimination due to sexual orientation within Black communities. Attachments to community members may play a role in addressing psychological distress for members of this vulnerable population. This analysis is based on 312 Black men who have sex with men recruited for a behavioural intervention trial in New York City. Analyses were conducted using bivariate and multivariable logistic regression to examine the relationship of discrimination and community attachment to psychological distress. Most participants (63%) reported exposure to both discrimination due to race and sexual orientation. However, a majority of participants (89%) also reported racial and/or sexual orientation community attachment. Psychological distress was significant and negatively associated with older age (40 years and above), being a high school graduate and having racial and/or sexual orientation community attachments. Psychological distress was significantly and positively associated with being HIV-positive and experiencing both racial and sexual orientation discrimination. Similar results were found in the multivariable model. Susceptibility to disparate psychological distress outcomes must be understood in relation to social membership, including its particular norms, structures and ecological milieu.
authors: a School of Social Work, Morgan State University , Baltimore , USA.
authors: Laurens
authors: L
authors: Van Sluytman
authors: Pilgrim
authors: P
authors: Spikes
authors: Vijay
authors: V
authors: Nandi
authors: Hong
authors: H
authors: Van Tieu
authors: Victoria
authors: V
authors: Frye
authors: Jocelyn
authors: J
authors: Patterson
authors: Beryl
authors: B
authors: Koblin
mesh_terms: D000328:Adult; D044383:Black People / Q000523:psychology*; D018451:Homosexuality, Male / Q000208:ethnology* / Q000523:psychology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009519:New York City; D063505:Racism / Q000523:psychology*; D012938:Social Perception; D012959:Socioeconomic Factors; D047568:Unsafe Sex / Q000523:psychology; D014505:Urban Population / Q000706:statistics & numerical data*; D055815:Young Adult; D001741:Black or African American
keywords: Black; USA; discrimination; health consequences; men who have sex with men; social support
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