Social Stigma and HIV/AIDS in Black MSM.

HIV/AIDS;Sexualities;Intersectionality;Public Health;Health Sciences;Health Behavior & Health Education

Haile, Fetsum-Rahwa G.Williams, David R. ;

University of Michigan

关键词: HIV/AIDS;    Sexualities;    Intersectionality;    Public Health;    Health Sciences;    Health Behavior & Health Education;   

Others  :  https://deepblue.lib.umich.edu/bitstream/handle/2027.42/64692/rhaile_1.pdf?sequence=1&isAllowed=y

瑞士|英语

来源: The Illinois Digital Environment for Access to Learning and Scholarship

【 摘 要 】

In this multi-method, interdisciplinary dissertation I contribute to the growing literature on HIV/AIDS in Black men who have sex with men (MSM) through accomplishing the following. In my first dissertation paper, I use insights from the broader literature on stigma and intersectionality to qualitatively and constructively examine the growing applied public health literature on stigma and HIV risk in Black MSM.A key argument which emerges from this analysis is that while existing applied approaches to sexual and racial forms of stigma undoubtedly provide a firm foundation upon which to further develop our understanding of social stigma and HIV risk and vulnerability, they tend to adopt both an additive and de-politicized approach. Building on this critique of racial/sexual theorizing within the applied public health literature on stigma and HIV risk in Black sexual minority men, in my second dissertation paper I use the Urban Men’s Health Study to quantitatively provide baseline levels of and to test black - white racial differences in racial stigma within and feelings of affiliation with the gay community.Finding high levels of perceived racial stigma within the gay community as well as racial differences in feelings of affiliation with the community, I argue that these fundamental differences in Black MSM’s subjective experiences of gay spaces may account for the current failure of the existing applied public health literature to identify a clear link between stigma and HIV risk and vulnerability in this population.Given that preliminary quantitative results are deeply inconsistent with a race-neutral model to understanding the role of stigma in Black/ black MSM’s lives, in my third dissertation paper I qualitatively explore -emic constructions of the primary forms of stigma articulated by Black MSM through analysis of the illnessnarratives of ten older Black gay and bisexual long-term survivors of HIV/AIDS, finding that both interpersonal and state-related experiences of stigma are central, as well as that these men engage several creative strategies to resist and manage the consequences of social stigma.