Intersectional Internalized Stigma Among Black Gay and Bisexual Men: A Longitudinal Analysis Spanning HIV/sexually Transmitted Infection Diagnosis

Overview

Journal J Health Psychol

Publisher Sage Publications

Specialty Psychology

Date 2019 Jan 3

PMID 30599761

Citations 31

Authors

Valerie A Earnshaw

Natalie M Reed

Ryan J Watson

Jessica L Maksut

Aerielle M Allen

Lisa A Eaton

Affiliations

Soon will be listed here.

Abstract

Internalized stigma undermines health among people diagnosed with HIV and other sexually transmitted infections (STI), yet limited research has examined how internalized stigma develops. Black gay and bisexual men ( = 151) reported their race and sexual orientation internalized stigma once before HIV/STI diagnosis and their HIV/STI internalized stigma monthly for 1 year after HIV/STI diagnosis. Multilevel analyses demonstrated that race and sexual orientation internalized stigma before diagnosis were associated with greater HIV/STI internalized stigma after diagnosis. More research is needed to understand how internalized stigma develops, including within the context of other identities and broader environmental characteristics to inform intervention efforts.

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References

Newton D, McCabe M . Sexually transmitted infections: impact on individuals and their relationships. J Health Psychol. 2008; 13(7):864-9. DOI: 10.1177/1359105308095058. View

Balaji A, Oster A, Viall A, Heffelfinger J, Mena L, Toledo C . Role flexing: how community, religion, and family shape the experiences of young black men who have sex with men. AIDS Patient Care STDS. 2012; 26(12):730-7. PMC: 5098329. DOI: 10.1089/apc.2012.0177. View

Takada S, Weiser S, Kumbakumba E, Muzoora C, Martin J, Hunt P . The dynamic relationship between social support and HIV-related stigma in rural Uganda. Ann Behav Med. 2014; 48(1):26-37. PMC: 4104218. DOI: 10.1007/s12160-013-9576-5. View

Earnshaw V, Reisner S, Menino D, Poteat V, Bogart L, Barnes T . Stigma-Based Bullying Interventions: A Systematic Review. Dev Rev. 2018; 48:178-200. PMC: 6135094. DOI: 10.1016/j.dr.2018.02.001. View

Rosenthal L . Incorporating intersectionality into psychology: An opportunity to promote social justice and equity. Am Psychol. 2016; 71(6):474-85. DOI: 10.1037/a0040323. View

Earnshaw V, Smith L, Chaudoir S, Amico K, Copenhaver M . HIV stigma mechanisms and well-being among PLWH: a test of the HIV stigma framework. AIDS Behav. 2013; 17(5):1785-95. PMC: 3664141. DOI: 10.1007/s10461-013-0437-9. View

Earnshaw V, Bogart L, Dovidio J, Williams D . Stigma and racial/ethnic HIV disparities: moving toward resilience. Am Psychol. 2013; 68(4):225-36. PMC: 3740715. DOI: 10.1037/a0032705. View

Pachankis J, Hatzenbuehler M, Rendina H, Safren S, Parsons J . LGB-affirmative cognitive-behavioral therapy for young adult gay and bisexual men: A randomized controlled trial of a transdiagnostic minority stress approach. J Consult Clin Psychol. 2015; 83(5):875-89. PMC: 4573250. DOI: 10.1037/ccp0000037. View

Workowski K, Bolan G . Sexually transmitted diseases treatment guidelines, 2015. MMWR Recomm Rep. 2015; 64(RR-03):1-137. PMC: 5885289. View

10.

Lichtenstein B . Stigma as a barrier to treatment of sexually transmitted infection in the American deep south: issues of race, gender and poverty. Soc Sci Med. 2003; 57(12):2435-45. DOI: 10.1016/j.socscimed.2003.08.002. View

11.

Tsai A, Bangsberg D, Bwana M, Haberer J, Frongillo E, Muzoora C . How does antiretroviral treatment attenuate the stigma of HIV? Evidence from a cohort study in rural Uganda. AIDS Behav. 2013; 17(8):2725-31. PMC: 3773278. DOI: 10.1007/s10461-013-0503-3. View

12.

Livingston J, Boyd J . Correlates and consequences of internalized stigma for people living with mental illness: a systematic review and meta-analysis. Soc Sci Med. 2010; 71(12):2150-61. DOI: 10.1016/j.socscimed.2010.09.030. View

13.

Mak W, Poon C, Pun L, Cheung S . Meta-analysis of stigma and mental health. Soc Sci Med. 2007; 65(2):245-61. DOI: 10.1016/j.socscimed.2007.03.015. View

14.

Pantelic M, Shenderovich Y, Cluver L, Boyes M . Predictors of internalised HIV-related stigma: a systematic review of studies in sub-Saharan Africa. Health Psychol Rev. 2015; 9(4):469-90. DOI: 10.1080/17437199.2014.996243. View

15.

Logie C, Lacombe-Duncan A, Wang Y, Kaida A, de Pokomandy A, Loutfy M . Pathways From HIV-Related Stigma to Antiretroviral Therapy Measures in the HIV Care Cascade for Women Living With HIV in Canada. J Acquir Immune Defic Syndr. 2017; 77(2):144-153. PMC: 5770113. DOI: 10.1097/QAI.0000000000001589. View

16.

Earnshaw V, Chaudoir S . From conceptualizing to measuring HIV stigma: a review of HIV stigma mechanism measures. AIDS Behav. 2009; 13(6):1160-77. PMC: 4511707. DOI: 10.1007/s10461-009-9593-3. View

17.

Andresen E, Malmgren J, Carter W, Patrick D . Screening for depression in well older adults: evaluation of a short form of the CES-D (Center for Epidemiologic Studies Depression Scale). Am J Prev Med. 1994; 10(2):77-84. View

18.

Williams D . Racism and mental health: the African American experience. Ethn Health. 2000; 5(3-4):243-68. DOI: 10.1080/713667453. View

19.

van Brakel W . Measuring health-related stigma--a literature review. Psychol Health Med. 2006; 11(3):307-34. DOI: 10.1080/13548500600595160. View

20.

Hood J, Friedman A . Unveiling the hidden epidemic: a review of stigma associated with sexually transmissible infections. Sex Health. 2011; 8(2):159-70. DOI: 10.1071/SH10070. View