Intersectional Experienced Stigma and Psychosocial Syndemic Conditions in a Sample of Black Men Who Have Sex with Men Engaged in Sex Work (BMSM-SW) from Six US Cities

Bibliographic Data

ID10210292
AuthorsCristian J Chandler (0000-0003-1770-4357, Department of Medicine, Division of Infectious Diseases, Vanderbilt University Medical Center, corresponding author), Brian Adams (0000-0003-0419-4378, University of Pittsburgh), Brian J Adams (University of Pittsburgh), Lisa A Eaton (University of Connecticut), Étienne Meunier (0000-0002-2810-8633, Columbia University), Eli Iola Gurgel Andrade (0000-0002-0206-2462, University of Pittsburgh), Elí Andrade (0000-0002-5777-7107, University of Pittsburgh), Leigh A Bukowski (0000-0001-7889-3062, University of Pittsburgh), Ronald D Stall (University of Pittsburgh), M Reuel Friedman (0000-0001-6191-9799, University of Pittsburgh)
Year2022
Volume59
Issue7
Pages920-930
Publication date2022-05-17
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueThe Journal of Sex Research (JOURNAL)
Journal identifiersISSN: 0022-4499 • E-ISSN: 1559-8519
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/00224499.2022.2072799
PMID35580257
OpenAlexW4280495015
LanguageEN
Citations received7
References cited51

Black men who have sex with men (BMSM) in the United States experience a disproportionate burden of violence, substance use, physical and mental health conditions relative to other racial groups. BMSM who engage in sex work (BMSM-SW) experience a high burden of psychosocial conditions, sexually transmitted infections, including HIV, and intersectional stigma. This analysis characterizes remuneration and client typologies for BMSM-SW, documents intersectional stigma experienced by BMSM-SW relative to other BMSM, and explores the impact of experienced intersectional stigma on the relationship between sex work engagement and psychosocial syndemic conditions (violence, polydrug use, and depression symptoms). Results show that a majority of BMSM-SW in the sample had female clients and that sex workers were more likely than other BMSM to hire another sex worker. BMSM-SW were more likely than other BMSM to report stigma attributed to race; sexuality; HIV status; socioeconomic status; and "other" attributes, and were more likely to report experiencing stigma across all settings assessed (schools; healthcare; employment; housing; police/courts; and in public/community). Intersectional stigma mediated the relationship between sex work engagement and psychosocial syndemic conditions, accounting for 49% (95% CI: 47.6-50.0%) of the relationship. Interventions for BMSM-SW should include resilience-building components to counteract the effects of intersectional stigma

Family medicine · Human immunodeficiency virus (HIV · Men who have sex with men · Psychiatry · Psychological intervention · Psychosocial · Stigma (botany · Syndemic · Syphilis · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology · Sex work and related issues · Social Psychology

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