Intersectional Effects of Sexual Orientation Concealment, Internalized Homophobia, and Gender Expression on Sexual Identity and HIV Risk Among Sexual Minority Men of Color: A Path Analysis

Details

• Alternative Title:
  J Assoc Nurses AIDS Care
• Personal Author:
  Ramos, S. Raquel ; Lardier, David T. ; Opara, Ijeoma ; Turpin, Rodman E. ; Boyd, Donte T. ; Gutierrez, José I. ; Williams, Chase Nicole ; Nelson, LaRon E. ; Kershaw, Trace
• Description:
  In the United States, 13 million people identify as sexual and gender minorities. The purposes of this article were to (a) examine the associations among sexual orientation concealment and internalized homophobia with HIV knowledge, health literacy, and transactional sex through sexual identity; and (b) assess whether gender expression moderates those relationships in sexual minority men of color. A multigroup mediation path model examined the association between sexual orientation concealment and internalized homophobia on HIV knowledge, health literacy, and transactional sex through sexual identity by gender expression. Results suggest that, among those with a masculine gender expression, as sexual concealment increased, health literacy decreased. The association between sexual orientation concealment and transactional sex varied by participant's gender expression as did the association between internalized homophobia and HIV knowledge. Multiple intersecting identities, when faced with anticipated discrimination and homophobia, can negatively affect health outcomes and increase HIV risk in sexual minority men of color.
• Keywords:
  Female Gender Expression HIV HIV Infections Homophobia Homosexuality, Male Humans Intersectionality Male Sexual And Gender Minorities Sexual Behavior Sexual Minority Men Skin Pigmentation Transactional Sex

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• Source:
  J Assoc Nurses AIDS Care. 32(4):495-511
• Pubmed ID:
  34101701
• Pubmed Central ID:
  PMC8221709
• Document Type:
  Journal Article
• Funding:
  DP5 OD029636/OD/NIH HHSUnited States/ ; K01 HL145580/HL/NHLBI NIH HHSUnited States/ ; U48 DP006382/DP/NCCDPHP CDC HHSUnited States/ ; UL1 TR001863/TR/NCATS NIH HHSUnited States/ ; L30 HL149001/HL/NHLBI NIH HHSUnited States/ ; UM1 AI068619/AI/NIAID NIH HHSUnited States/ ; UM1 AI068613/AI/NIAID NIH HHSUnited States/ ; R25 MH118935/MH/NIMH NIH HHSUnited States/ ; R25 MH087217/MH/NIMH NIH HHSUnited States/
• Volume:
  32
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:5131e54483654a007e1dae39b03bc7c0863aec7d25d16c714ef79ddf737289c5
• Download URL:
  https://stacks.cdc.gov/view/cdc/110545/cdc_110545_DS1.pdf
• File Type:
  [PDF - 504.72 KB ]