Stigmatization, Stress, and the Search for Belonging in Black Men Who Have Sex With Men Who Use Methamphetamine
| Autor: | Perry N. Halkitis, Roy C. Jerome |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Internalized homophobia
media_common.quotation_subject Human immunodeficiency virus (HIV) Methamphetamine medicine.disease_cause Hiv risk Racism Men who have sex with men Developmental psychology Methamphetamine use Anthropology medicine Psychology Applied Psychology Qualitative research media_common Clinical psychology medicine.drug |
| Zdroj: | Journal of Black Psychology. 35:343-365 |
| ISSN: | 1552-4558 0095-7984 |
| Popis: | Black men who have sex with men (BMSM) continue to be disproportionately affected by HIV. Methamphetamine use has been identified as a source of HIV risk in gay and bisexually identified men, yet the relationship between methamphetamine use and sexual risk among BMSM specifically remains unclear. The goal of this qualitative study was to investigate psychological, contextual, and developmental factors informing methamphetamine use and HIV risk behavior among a sample of heterosexual, gay, and bisexual BMSM (N = 52) in New York City. Methamphetamine use and sexual risk were associated with stress induced by stigmatization arising from and within larger dominant White gay culture, stigmatization incurred within the community, internalized homophobia, and stress induced by living under the shadow of the perceived inevitability of contracting HIV as BMSM. Methamphetamine use was associated with venues where participants could be sheltered from experiences of racism, homophobia, and dominant hegemonic images of Black masculinity, while exploring and developing same-sex desires, thereby instilling a sense of community belonging. Suggestions for culturally appropriate strategies for treating both methamphetamine use and HIV risk behaviors among BMSM are discussed. |
| Databáze: | OpenAIRE |
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