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Erschienen in: Journal of Community Health 3/2016

22.12.2015 | Original Paper

Discrimination and Hate Crimes in the Context of Neighborhood Poverty and Stressors Among HIV-Positive African-American Men Who Have Sex with Men

verfasst von: Sannisha K. Dale, Laura M. Bogart, Frank H. Galvan, Glenn J. Wagner, David W. Pantalone, David J. Klein

Erschienen in: Journal of Community Health | Ausgabe 3/2016

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Abstract

In a sample of HIV-positive African-American men who have sex with men (MSM), we examined neighborhood factors that may contextualize perceived discrimination from three intersecting stigmatized characteristics: race, HIV status, and sexual orientation. HIV-positive African-American MSM (N = 162, mean age = 44, SD = 8) provided information on neighborhood-related stressors and discrimination experiences related to being Black, HIV-positive, or perceived as gay. Residential ZIP codes and US Census data were used to determine neighborhood poverty rates. Regressions, controlling for socio-demographics, indicated that (1) higher neighborhood poverty was significantly related to more frequent experiences with hate crimes (Gay-related: b = 1.15, SE = .43, p < .008); and (2) higher neighborhood-related stressors were significantly related to more frequent discrimination (Black-related: b = .91, SE = .28, p = .001; gay-related: b = .71, SE = .29, p = .01; and HIV-related: b = .65, SE = .28, p = .02) and hate crimes (Gay-related: b = .48, SE = .13, p = .001; and Black-related: b = .28, SE = .14, p = .04). For HIV-positive African-American MSM, higher neighborhood poverty and related stressors are associated with experiencing more discrimination and hate crimes. Interventions for this group should promote individual- and neighborhood-level socioeconomic empowerment and stigma reduction.
Literatur
4.
Zurück zum Zitat Bogart, L. M., Wagner, G. J., Galvan, F. H., & Klein, D. J. (2010). Longitudinal relationships between antiretroviral treatment adherence and discrimination due to HIV-serostatus, race, and sexual orientation among African-American men with HIV. Annals of Behavioral Medicine, 40(2), 184–190. doi:10.1007/s12160-010-9200-x.CrossRefPubMedPubMedCentral Bogart, L. M., Wagner, G. J., Galvan, F. H., & Klein, D. J. (2010). Longitudinal relationships between antiretroviral treatment adherence and discrimination due to HIV-serostatus, race, and sexual orientation among African-American men with HIV. Annals of Behavioral Medicine, 40(2), 184–190. doi:10.​1007/​s12160-010-9200-x.CrossRefPubMedPubMedCentral
5.
Zurück zum Zitat Mayer, K. H., Wang, L., Koblin, B., Mannheimer, S., Magnus, M., Del Rio, C., & HPTN Protocol Team. (2014). Concomitant socioeconomic, behavioral, and biological factors associated with the disproportionate HIV infection burden among black men who have sex with men in 6 US cities. PLoS One, 9(1), e87298. doi:10.1371/journal.pone.0087298.CrossRefPubMedPubMedCentral Mayer, K. H., Wang, L., Koblin, B., Mannheimer, S., Magnus, M., Del Rio, C., & HPTN Protocol Team. (2014). Concomitant socioeconomic, behavioral, and biological factors associated with the disproportionate HIV infection burden among black men who have sex with men in 6 US cities. PLoS One, 9(1), e87298. doi:10.​1371/​journal.​pone.​0087298.CrossRefPubMedPubMedCentral
7.
Zurück zum Zitat Crenshaw, K. W. (1989). Demarginalizing the intersection of race and sex: A Black feminist critique of antidiscrimination doctrine, feminist theory, and antiracist politics. University of Chicago Legal Forum, 139, 139–167. Crenshaw, K. W. (1989). Demarginalizing the intersection of race and sex: A Black feminist critique of antidiscrimination doctrine, feminist theory, and antiracist politics. University of Chicago Legal Forum, 139, 139–167.
8.
Zurück zum Zitat Collins, P. H. (1991). Black feminist thought: Knowledge, consciousness, and the politics of empowerment. New York: Routledge. Collins, P. H. (1991). Black feminist thought: Knowledge, consciousness, and the politics of empowerment. New York: Routledge.
10.
Zurück zum Zitat Wohl, A., Galvan, F., Carlos, J.-A., Mayers, H. F., Garland, W., Witt, M. D., et al. (2013). A comparison of MSM stigma, HIV stigma and depression in HIV-positive Latino and African American men who have sex with men (MSM). AIDS and Behavior, 17(4), 1454–1464. doi:10.1007/s10461-012-0385-9.CrossRefPubMed Wohl, A., Galvan, F., Carlos, J.-A., Mayers, H. F., Garland, W., Witt, M. D., et al. (2013). A comparison of MSM stigma, HIV stigma and depression in HIV-positive Latino and African American men who have sex with men (MSM). AIDS and Behavior, 17(4), 1454–1464. doi:10.​1007/​s10461-012-0385-9.CrossRefPubMed
12.
Zurück zum Zitat Herek, G. M., & Berrill, K. T. (1992). Hate crimes: Confronting violence against lesbians and gay men. Newbury Park, CA: Sage Publications. Herek, G. M., & Berrill, K. T. (1992). Hate crimes: Confronting violence against lesbians and gay men. Newbury Park, CA: Sage Publications.
13.
Zurück zum Zitat Bogart, L. M., Wagner, G. J., Galvan, F. H., Landrine, H., Klein, D. J., & Sticklor, L. A. (2011). Perceived discrimination and mental health symptoms among Black men with HIV. Cultural Diversity and Ethnic Minority Psychology, 17(3), 295–302. doi:10.1037/a0024056.CrossRefPubMedPubMedCentral Bogart, L. M., Wagner, G. J., Galvan, F. H., Landrine, H., Klein, D. J., & Sticklor, L. A. (2011). Perceived discrimination and mental health symptoms among Black men with HIV. Cultural Diversity and Ethnic Minority Psychology, 17(3), 295–302. doi:10.​1037/​a0024056.CrossRefPubMedPubMedCentral
14.
15.
Zurück zum Zitat Raymond, H. F., Chen, Y. H., Syme, S. L., Catalano, R., Hutson, M. A., & McFarland, W. (2014). The role of individual and neighborhood factors: HIV acquisition risk among high-risk populations in San Francisco. AIDS and Behavior, 18(2), 346–356. doi:10.1007/s10461-013-0508-y.CrossRefPubMed Raymond, H. F., Chen, Y. H., Syme, S. L., Catalano, R., Hutson, M. A., & McFarland, W. (2014). The role of individual and neighborhood factors: HIV acquisition risk among high-risk populations in San Francisco. AIDS and Behavior, 18(2), 346–356. doi:10.​1007/​s10461-013-0508-y.CrossRefPubMed
16.
Zurück zum Zitat Malebranche, D. J., & Bowleg, L. (2012). Beyond gay, bisexual, or DL: Structural determinants of HIV sexual risk among Black men in the United States. In H. M. Treadwell, C. Xanthos, & K. B. Holden (Eds.), Social determinants of health among African-American men. San Francisco, CA: John Wiley & Sons, Inc. Malebranche, D. J., & Bowleg, L. (2012). Beyond gay, bisexual, or DL: Structural determinants of HIV sexual risk among Black men in the United States. In H. M. Treadwell, C. Xanthos, & K. B. Holden (Eds.), Social determinants of health among African-American men. San Francisco, CA: John Wiley & Sons, Inc.
18.
19.
Zurück zum Zitat Orfield, G., Bachmeier, M. D., James, D. R., & Eitle, T. (1997). Deepening segregation in American Public Schools: A special report from the Harvard project on school desegregation. Equity and Excellence in Education, 30(2), 5–24. doi:10.1080/1066568970300202.CrossRef Orfield, G., Bachmeier, M. D., James, D. R., & Eitle, T. (1997). Deepening segregation in American Public Schools: A special report from the Harvard project on school desegregation. Equity and Excellence in Education, 30(2), 5–24. doi:10.​1080/​1066568970300202​.CrossRef
20.
Zurück zum Zitat Shihadeh, E. S., & Steffensmeier, D. J. (1994). Economic inequality, family disruption, and urban black violence: Cities as units of stratification and social control. Social Forces, 73(2), 729–751. doi:10.1093/sf/73.2.729.CrossRef Shihadeh, E. S., & Steffensmeier, D. J. (1994). Economic inequality, family disruption, and urban black violence: Cities as units of stratification and social control. Social Forces, 73(2), 729–751. doi:10.​1093/​sf/​73.​2.​729.CrossRef
22.
Zurück zum Zitat Diez-Roux, A. V., Kiefe, C. I., Jacobs, D. R., Haan, M., Jackson, S. A., Nieto, F. J., et al. (2001). Area characteristics and individual-level socioeconomic position indicators in three population-based epidemiologic studies. Annals of Epidemiology, 11(6), 395–405.CrossRefPubMed Diez-Roux, A. V., Kiefe, C. I., Jacobs, D. R., Haan, M., Jackson, S. A., Nieto, F. J., et al. (2001). Area characteristics and individual-level socioeconomic position indicators in three population-based epidemiologic studies. Annals of Epidemiology, 11(6), 395–405.CrossRefPubMed
24.
Zurück zum Zitat Bowleg, L., Teti, M., Malebranche, D. J., & Tschann, J. M. (2013). “It’s an uphill battle everyday”: Intersectionality, low-income black heterosexual men, and implications for HIV prevention research and interventions. Psychology of Men and Masculinity, 14(1), 25–34. doi:10.1037/a0028392.CrossRefPubMedPubMedCentral Bowleg, L., Teti, M., Malebranche, D. J., & Tschann, J. M. (2013). “It’s an uphill battle everyday”: Intersectionality, low-income black heterosexual men, and implications for HIV prevention research and interventions. Psychology of Men and Masculinity, 14(1), 25–34. doi:10.​1037/​a0028392.CrossRefPubMedPubMedCentral
25.
Zurück zum Zitat Bowleg, L., Teti, M., Malebranche, D. J., & Tschann, J. M. (2010). An uphill battle everyday: Exploring the implications of structural factors for sexual HIV risk among black heterosexual men. In 138th American Public Health Association Annual Meeting and Exposition, Denver, CO. Bowleg, L., Teti, M., Malebranche, D. J., & Tschann, J. M. (2010). An uphill battle everyday: Exploring the implications of structural factors for sexual HIV risk among black heterosexual men. In 138th American Public Health Association Annual Meeting and Exposition, Denver, CO.
27.
Zurück zum Zitat Crawford, N. D., Borrell, L. N., Galea, S., Ford, C., Latkin, C., & Fuller, C. M. (2013). The influence of neighborhood characteristics on the relationship between discrimination and increased drug-using social ties among illicit drug users. Journal of Community Health, 38(2), 328–337. doi:10.1007/s10900-012-9618-0.CrossRefPubMedPubMedCentral Crawford, N. D., Borrell, L. N., Galea, S., Ford, C., Latkin, C., & Fuller, C. M. (2013). The influence of neighborhood characteristics on the relationship between discrimination and increased drug-using social ties among illicit drug users. Journal of Community Health, 38(2), 328–337. doi:10.​1007/​s10900-012-9618-0.CrossRefPubMedPubMedCentral
28.
Zurück zum Zitat Weatherspoon, F. D. (2004). Racial profiling of African-American males: Stopped, searched, and stripped of constitutional protection. John Marshall Law Review, 38, 439. Weatherspoon, F. D. (2004). Racial profiling of African-American males: Stopped, searched, and stripped of constitutional protection. John Marshall Law Review, 38, 439.
29.
Zurück zum Zitat Krieger, N., Chen, J. T., Waterman, P. D., Soobader, M. J., Subramanian, S. V., & Carson, R. (2002). Geocoding and monitoring of US socioeconomic inequalities in mortality and cancer incidence: does the choice of area-based measure and geographic level matter?: The Public Health Disparities Geocoding Project. American Journal of Epidemiology, 156(5), 471–482.CrossRefPubMed Krieger, N., Chen, J. T., Waterman, P. D., Soobader, M. J., Subramanian, S. V., & Carson, R. (2002). Geocoding and monitoring of US socioeconomic inequalities in mortality and cancer incidence: does the choice of area-based measure and geographic level matter?: The Public Health Disparities Geocoding Project. American Journal of Epidemiology, 156(5), 471–482.CrossRefPubMed
30.
Zurück zum Zitat Subramanian, S. V., Chen, J. T., Rehkopf, D. H., Waterman, P. D., & Krieger, N. (2005). Racial disparities in context: A multilevel analysis of neighborhood variations in poverty and excess mortality among black populations in Massachusetts. American Journal of Public Health, 95(2), 260–265. doi:10.2105/AJPH.2003.034132.CrossRefPubMedPubMedCentral Subramanian, S. V., Chen, J. T., Rehkopf, D. H., Waterman, P. D., & Krieger, N. (2005). Racial disparities in context: A multilevel analysis of neighborhood variations in poverty and excess mortality among black populations in Massachusetts. American Journal of Public Health, 95(2), 260–265. doi:10.​2105/​AJPH.​2003.​034132.CrossRefPubMedPubMedCentral
32.
Zurück zum Zitat Steptoe, A., & Feldman, P. J. (2001). Neighborhood problems as sources of chronic stress: Development of a measure of neighborhood problems, and associations with socioeconomic status and health. Annals of Behavioral Medicine, 23(3), 177–185. doi:10.1207/S15324796ABM2303_5.CrossRefPubMed Steptoe, A., & Feldman, P. J. (2001). Neighborhood problems as sources of chronic stress: Development of a measure of neighborhood problems, and associations with socioeconomic status and health. Annals of Behavioral Medicine, 23(3), 177–185. doi:10.​1207/​S15324796ABM2303​_​5.CrossRefPubMed
33.
35.
Zurück zum Zitat Doyle, S., Kelly-Schwartz, A., Schlossberg, M., & Stockard, J. (2006). Active community environments and health: The relationship of walkable and safe communities to individual health. Journal of the American Planning Association, 72(1), 19–31. doi:10.1080/01944360608976721.CrossRef Doyle, S., Kelly-Schwartz, A., Schlossberg, M., & Stockard, J. (2006). Active community environments and health: The relationship of walkable and safe communities to individual health. Journal of the American Planning Association, 72(1), 19–31. doi:10.​1080/​0194436060897672​1.CrossRef
39.
Zurück zum Zitat Lewis, G. B. (2003). Black–White differences in attitudes toward homosexuality and gay rights. Public Opinion Quarterly, 67(1), 59–78. doi:10.1086/346009.CrossRef Lewis, G. B. (2003). Black–White differences in attitudes toward homosexuality and gay rights. Public Opinion Quarterly, 67(1), 59–78. doi:10.​1086/​346009.CrossRef
40.
Zurück zum Zitat Poindexter, C. C., Linsk, N. L., & Warner, R. S. (1999). “He listens… and never gossips:” spiritual coping without church support among older, predominantly African-American caregivers of persons with HIV. Review of Religious Research, 40(3), 230.CrossRef Poindexter, C. C., Linsk, N. L., & Warner, R. S. (1999). “He listens… and never gossips:” spiritual coping without church support among older, predominantly African-American caregivers of persons with HIV. Review of Religious Research, 40(3), 230.CrossRef
41.
Zurück zum Zitat Derlega, V. J., Winstead, B. A., Greene, Kathryn, Serovich, J., & Elwood, W. N. (2002). Perceived HIV-related stigma and HIV disclosure to relationship partners after finding out about the seropositive diagnosis. Journal of Health Psychology, 7(4), 415–432. doi:10.1177/1359105302007004330.CrossRefPubMed Derlega, V. J., Winstead, B. A., Greene, Kathryn, Serovich, J., & Elwood, W. N. (2002). Perceived HIV-related stigma and HIV disclosure to relationship partners after finding out about the seropositive diagnosis. Journal of Health Psychology, 7(4), 415–432. doi:10.​1177/​1359105302007004​330.CrossRefPubMed
43.
Zurück zum Zitat Herman, M. R. (2010). Do you see what i am?: How observers’ backgrounds affect their perceptions of multiracial faces. Social Psychology Quarterly, 73(1), 58–78. doi:10.1177/0190272510361436. Herman, M. R. (2010). Do you see what i am?: How observers’ backgrounds affect their perceptions of multiracial faces. Social Psychology Quarterly, 73(1), 58–78. doi:10.​1177/​0190272510361436​.
44.
Zurück zum Zitat Johnson, K. L., Gill, S., Reichman, V., & Tassinary, L. G. (2007). Swagger, sway, and sexuality: Judging sexual orientation from body motion and morphology. Journal of Personality and Social Psychology, 93(3), 321.CrossRefPubMed Johnson, K. L., Gill, S., Reichman, V., & Tassinary, L. G. (2007). Swagger, sway, and sexuality: Judging sexual orientation from body motion and morphology. Journal of Personality and Social Psychology, 93(3), 321.CrossRefPubMed
45.
Zurück zum Zitat Ronzio, C. R. (2007). Ambiguity and discord in US census data on the undercount, race/ethnicity and SES: Responding to the challenge of complexity. DataCrítica International Journal of Critical Statistics, 1(1), 11–17. Ronzio, C. R. (2007). Ambiguity and discord in US census data on the undercount, race/ethnicity and SES: Responding to the challenge of complexity. DataCrítica International Journal of Critical Statistics, 1(1), 11–17.
47.
Zurück zum Zitat Sue, D. W. (2010). Microaggressions in everyday life: Race, gender, and sexual orientation. Hoboken, NJ: Wiley. Sue, D. W. (2010). Microaggressions in everyday life: Race, gender, and sexual orientation. Hoboken, NJ: Wiley.
48.
Zurück zum Zitat Hancock, A.-M. (2007). When multiplication doesn’t equal quick addition: Examining intersectionality as a research paradigm. Perspective on Politics, 5(1), 63–79.CrossRef Hancock, A.-M. (2007). When multiplication doesn’t equal quick addition: Examining intersectionality as a research paradigm. Perspective on Politics, 5(1), 63–79.CrossRef
49.
Zurück zum Zitat Bauer, G. R. (2014). Incorporating intersectionality theory into population health research methodology: Challenges and the potential to advance health equity. Social Science and Medicine, 110, 10e17.CrossRef Bauer, G. R. (2014). Incorporating intersectionality theory into population health research methodology: Challenges and the potential to advance health equity. Social Science and Medicine, 110, 10e17.CrossRef
Metadaten
Titel
Discrimination and Hate Crimes in the Context of Neighborhood Poverty and Stressors Among HIV-Positive African-American Men Who Have Sex with Men
verfasst von
Sannisha K. Dale
Laura M. Bogart
Frank H. Galvan
Glenn J. Wagner
David W. Pantalone
David J. Klein
Publikationsdatum
22.12.2015
Verlag
Springer US
Erschienen in
Journal of Community Health / Ausgabe 3/2016
Print ISSN: 0094-5145
Elektronische ISSN: 1573-3610
DOI
https://doi.org/10.1007/s10900-015-0132-z

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