Last data update: May 13, 2024. (Total: 46773 publications since 2009)
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Query Trace: Millett GG[original query] |
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Social discrimination and resiliency are not associated with differences in prevalent HIV infection in black and white men who have sex with men
Peterson JL , Bakeman R , Sullivan P , Millett GG , Rosenberg E , Salazar L , Di Clemente RJ , Cooper H , Kelley CF , Mulligan MJ , Frew P , Rio CD . J Acquir Immune Defic Syndr 2014 66 (5) 538-43 OBJECTIVES: To examine associations of homophobia, racism, and resiliency with differences in prevalent HIV infection in black and white MSM. METHODS: The Involve[ment]t study is a cohort of black and white MSM aged 18-39 years in Atlanta, GA designed to evaluate individual, dyadic, and community level factors that might explain racial disparities in HIV prevalence. Participants were recruited irrespective of HIV serostatus from community-based venues and from Internet ads and were tested for HIV. We assessed respondents' demographics, whether they had engage in unprotected anal intercourse (UAI) within the past 6 months, and attitudes about perceived homophobia, perceived racism, and personal resiliency. RESULTS: Compared to white MSM, black MSM were less likely to report UAI in the past 6 months (OR = 0.59, CI = 0.44-0.80), more likely to be HIV-positive (OR = 5.05, CI = 3.52-7.25) and, among-those HIV-positive-more likely to report not being aware of their HIV infection (OR = 2.58, CI = 1.18-5.65). Greater perceived racism was associated with UAI in the black sample (partial odds ratio [pOR] = 1.48, CI = 1.10-1.99). Overall, perceived homophobia, perceived racism, and resilience were not associated with prevalent HIV infection in sample. Greater resilience was associated with less perceived homophobia in both black and white samples (Spearman r = -.27, p < .001, for both). CONCLUSION: Future studies of social discrimination at the institutional and network level, than at the individual level, may explain differences in HIV infection in black and white MSM. |
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