Sources of Resilience As Mediators of the Effect of Minority Stress on Stimulant Use and Sexual Risk Behavior Among Young Black Men Who Have Sex with Men

Overview

Journal AIDS Behav

Specialty Infectious Diseases

Date 2019 Jul 6

PMID 31273490

Citations 24

Authors

Erik D Storholm

Wenjing Huang

Daniel E Siconolfi

Lance M Pollack

Adam W Carrico

Wilson Vincent

Gregory M Rebchook

David M Huebner

Glenn J Wagner

Susan M Kegeles

Affiliations

Soon will be listed here.

Abstract

The greatest proportion of new HIV infections among men who have sex with men (MSM) is occurring among young Black MSM (YBMSM) ages 13-24. Consequently, research is needed to understand the psychosocial pathways that influence HIV risk and resilience in YBMSM. Minority Stress Theory proposes that the stigma, prejudice, and discrimination facing sexual and racial minorities are chronic stressors that lead to increased engagement in risk behaviors. The present study examined whether minority stress is associated with stimulant use and sexual risk behaviors by depleting psychosocial resilience. We recruited 1817 YBMSM, ages 18-29, from multiple venues in two major cities in Texas for participation in a brief survey. Results from structural equation modeling indicated that decreased resilience partially mediated the association of minority stress with sexual risk behavior. Resilience was also negatively associated with stimulant use. Interventions focused on cultivating psychosocial resilience could mitigate the deleterious consequences of minority stress and reduce stimulant use in YBMSM.

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