Black men who have sex with men living in states with HIV criminalization laws report high stigma, 23 U.S. cities, 2017

Details

• Alternative Title:
  AIDS
• Personal Author:
  Baugher, Amy R. ; Whiteman, Ari ; Jeffries, William L. ; Finlayson, Teresa ; Lewis, Rashunda ; Wejnert, Cyprian
• Corporate Authors:
  NHBS Study Group
• Description:
  Objectives:
  
  To examine the association between HIV laws, perceived community stigma, and behaviors and to compare differences between and within Black and White men who have sex with men (MSM).
  
  Design/Methods:
  
  National HIV Behavioral Surveillance conducted interviews and HIV testing with MSM in 23 U.S. cities in 2017 using venue-based sampling methods. We used weighted cross-sectional data to compare MSM living in states with versus without HIV laws using Rao–Scott chi-square tests. We modeled the association between stigma and state HIV laws within racial groups to obtain adjusted prevalence ratios (aPR) and 95% confidence intervals (CIs).
  
  Results:
  
  Among 7392 MSM, 56% lived in a state with HIV laws. In law states, Black MSM were more likely than White MSM to report their community would discriminate against persons with HIV (PWH) (59 versus 34%), not support the rights of PWH (20 versus 9%), not be friends with PWH (19 versus 10%), believe PWH ‘got what they deserved’ (27 versus 16%), and be intolerant of MSM (14 versus 5%). Adjusted for confounders, Black MSM in HIV law states were more likely to think their community would discriminate against PWH (aPR, 1.14; 95% CI, 1.02–1.29; P = 0.02) and be intolerant toward MSM (aPR, 2.02; 95% CI, 1.43–2.86; P < 0.001) than Black MSM in states without such laws.
  
  Conclusions:
  
  HIV laws were related to higher stigma, but only for Black MSM. Future research regarding HIV-related laws should account for racial/ethnic disparities. Modernizing laws can delegitimize stigma and promote focusing on effective HIV prevention strategies.
  
  
• Subjects:
  Black Or African American Cities Cross-Sectional Studies HIV Infections Homosexuality, Male Humans Male Sexual And Gender Minorities
• Source:
  AIDS. 35(10):1637-1645
• Pubmed ID:
  34270489
• Pubmed Central ID:
  PMC9030111
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Place as Subject:
  United States
• Volume:
  35
• Issue:
  10
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:a6be28c6a55f3c90c3e65ac788d16950d1486aad7b98282aa6297da0a0f1732b
• Download URL:
  https://stacks.cdc.gov/view/cdc/116654/cdc_116654_DS1.pdf
• File Type:
  [PDF - 265.50 KB ]