Association of Discrimination-Related Trauma With Sexual Risk Among HIV-Positive African American Men Who Have Sex With Men

Dados Bibliográficos

ID11037389
AutoresErrol L Fields (0000-0002-3784-4659, Errol L. Fields is with the Divisions of Adolescent Medicine and General Pediatrics, Department of Medicine, Boston Children’s Hospital, Boston, MA. Laura M. Bogart, David J. Klein, and Mark A. Schuster are with the Division of General Pediatrics, Department of Medicine, Boston Children’s Hospital and the Department of Pediatrics, Harvard Medical School, Boston, MA. Frank H. Galvan is with the Department of Research and Evaluation, Bienestar Human Services, Inc, Los Angeles, CA. Glenn J. Wagner is with...), Laura M Bogart (0000-0003-3182-5542, Errol L. Fields is with the Divisions of Adolescent Medicine and General Pediatrics, Department of Medicine, Boston Children’s Hospital, Boston, MA. Laura M. Bogart, David J. Klein, and Mark A. Schuster are with the Division of General Pediatrics, Department of Medicine, Boston Children’s Hospital and the Department of Pediatrics, Harvard Medical School, Boston, MA. Frank H. Galvan is with the Department of Research and Evaluation, Bienestar Human Services, Inc, Los Angeles, CA. Glenn J. Wagner is with...), Frank H Galván (0000-0003-2963-9644, Errol L. Fields is with the Divisions of Adolescent Medicine and General Pediatrics, Department of Medicine, Boston Children’s Hospital, Boston, MA. Laura M. Bogart, David J. Klein, and Mark A. Schuster are with the Division of General Pediatrics, Department of Medicine, Boston Children’s Hospital and the Department of Pediatrics, Harvard Medical School, Boston, MA. Frank H. Galvan is with the Department of Research and Evaluation, Bienestar Human Services, Inc, Los Angeles, CA. Glenn J. Wagner is with...), Glenn J Wagner (0000-0001-9081-3299, Errol L. Fields is with the Divisions of Adolescent Medicine and General Pediatrics, Department of Medicine, Boston Children’s Hospital, Boston, MA. Laura M. Bogart, David J. Klein, and Mark A. Schuster are with the Division of General Pediatrics, Department of Medicine, Boston Children’s Hospital and the Department of Pediatrics, Harvard Medical School, Boston, MA. Frank H. Galvan is with the Department of Research and Evaluation, Bienestar Human Services, Inc, Los Angeles, CA. Glenn J. Wagner is with...), David J Klein (0000-0001-5022-5839, Errol L. Fields is with the Divisions of Adolescent Medicine and General Pediatrics, Department of Medicine, Boston Children’s Hospital, Boston, MA. Laura M. Bogart, David J. Klein, and Mark A. Schuster are with the Division of General Pediatrics, Department of Medicine, Boston Children’s Hospital and the Department of Pediatrics, Harvard Medical School, Boston, MA. Frank H. Galvan is with the Department of Research and Evaluation, Bienestar Human Services, Inc, Los Angeles, CA. Glenn J. Wagner is with...), Mark A Schuster (0000-0001-5725-8705, Errol L. Fields is with the Divisions of Adolescent Medicine and General Pediatrics, Department of Medicine, Boston Children’s Hospital, Boston, MA. Laura M. Bogart, David J. Klein, and Mark A. Schuster are with the Division of General Pediatrics, Department of Medicine, Boston Children’s Hospital and the Department of Pediatrics, Harvard Medical School, Boston, MA. Frank H. Galvan is with the Department of Research and Evaluation, Bienestar Human Services, Inc, Los Angeles, CA. Glenn J. Wagner is with...)
Ano2013
Volume103
Fascículo5
Páginas875-880
Data de publicação2013-05-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoAmerican Journal of Public Health (JOURNAL)
Identificadores do periódicoISSN: 0090-0036 • E-ISSN: 1541-0048
EditoraAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2012.300951
PMID23488499
PMCIDPMC3625518
OpenAlexW2129119133
IdiomaEN
Citações recebidas27
Referências citadas61

Objectives. We investigated whether 1 form of traumatic stress, discrimination-related trauma (e.g., physical assault because of race), was associated with unprotected anal intercourse, especially when compared with non–discrimination-related trauma, among African American men who have sex with men. Methods. A convenience sample of 131 HIV-positive African American men who have sex with men receiving antiretroviral treatment completed audio computer-assisted self-interviews that covered unprotected anal intercourse, interpersonal trauma, and whether trauma was because of discrimination on the basis of race/ethnicity, HIV serostatus, or sexual orientation. Results. Sixty percent reported at least 1 interpersonal trauma; they attributed at least 1 trauma to being gay (47%), African American (17%), or HIV positive (9%). In a multivariate regression, experiencing discrimination-related trauma was significantly associated with unprotected anal intercourse (adjusted odds ratio [AOR] = 2.4; 95% confidence interval [CI] = 1.0, 5.7; P = .04), whereas experiencing non–discrimination-related trauma was not (AOR = 1.3; 95% CI = 0.6, 3.1; P = .53). Conclusions. HIV-positive African American men who have sex with men experience high levels of discrimination-related trauma, a stressor associated with greater risk taking. HIV prevention interventions should consider the potential damaging effects of discrimination in the context of trauma

Confidence interval · Context (archaeology) · Human immunodeficiency virus (HIV) · Odds ratio · Psychiatry · Serostatus · Sexual orientation · Viral load · Adolescent Sexual and Reproductive Health · Clinical Psychology · Demography · HIV/AIDS Research and Interventions · Immunology · Internal Medicine · LGBTQ Health, Identity, and Policy · Medicine · Psychology · Social Psychology