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01.05.2014 | Substantive Review

Understanding Structural Barriers to Accessing HIV Testing and Prevention Services Among Black Men Who Have Sex with Men (BMSM) in the United States

verfasst von: Matthew E. Levy, Leo Wilton, Gregory Phillips II, Sara Nelson Glick, Irene Kuo, Russell A. Brewer, Ayana Elliott, Christopher Watson, Manya Magnus

Erschienen in: AIDS and Behavior | Ausgabe 5/2014

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Abstract

Structural-level factors have contributed to the substantial disproportionate rates of HIV among Black men who have sex with men (BMSM) in the United States. Despite insufficient HIV testing patterns, however, there is a void in research investigating the relationship between structural factors and access to HIV testing and prevention services among BMSM. Building on previous scholarly work and incorporating a dynamic social systems conceptual framework, we conducted a comprehensive review of the literature on structural barriers to HIV testing and prevention services among BMSM across four domains: healthcare, stigma and discrimination, incarceration, and poverty. We found that BMSM experience inadequate access to culturally competent services, stigma and discrimination that impede access to services, a deficiency of services in correctional institutions, and limited services in areas where BMSM live. Structural interventions that eliminate barriers to HIV testing and prevention services and provide BMSM with core skills to navigate complex systems are needed.

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Titel: Understanding Structural Barriers to Accessing HIV Testing and Prevention Services Among Black Men Who Have Sex with Men (BMSM) in the United States
verfasst von: Matthew E. Levy
Leo Wilton
Gregory Phillips II
Sara Nelson Glick
Irene Kuo
Russell A. Brewer
Ayana Elliott
Christopher Watson
Manya Magnus
Publikationsdatum: 01.05.2014
Verlag: Springer US
Erschienen in: AIDS and Behavior / Ausgabe 5/2014
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-014-0719-x

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Understanding Structural Barriers to Accessing HIV Testing and Prevention Services Among Black Men Who Have Sex with Men (BMSM) in the United States

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