Metrics of Sexual Behavior Stigma Among Cisgender Men Who Have Sex With Men in 9 Cities Across the United States
| Autor: | Bridget J. Anderson, E. Roberto Orellana, Alia Al-Tayyib, Garrett Shields, Colin Flynn, Jura Augustinavicius, Zaida Lopez, Stefan Baral, Anna B Flynn, Sarah M. Murray, John Mark Wiginton, Emily Higgins, Timothy W Menza, Yingbo Ma, Kwa Sey, Jessica L. Maksut, Danielle German, Jennifer Kienzle, Paige Wermuth |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Social stigma Epidemiology Sexual Behavior Social Stigma Psychological intervention Stigma (botany) Original Contribution Metropolitan area Disease control Health Services Accessibility United States Men who have sex with men Young Adult Sexual behavior Humans Family Tracking (education) Homosexuality Male Psychology Demography |
| Zdroj: | Am J Epidemiol |
| ISSN: | 1476-6256 0002-9262 |
| Popis: | Men who have sex with men (MSM) in the United States are stigmatized for their same-sex practices, which can lead to risky sexual behavior, potentiating risk for human immunodeficiency virus (HIV) infection. Improved measurement is necessary for accurately reporting and mitigating sexual behavior stigma. We added 13 sexual behavior stigma items to local surveys administered in 2017 at 9 sites in the Centers for Disease Control and Prevention’s National HIV Behavioral Surveillance system, which uses venue-based, time-sampling procedures to survey cisgender MSM in US Census Metropolitan Statistical Areas. We performed exploratory factor analytical procedures on site-specific (Baltimore, Maryland; Denver, Colorado; Detroit, Michigan; Houston, Texas; Nassau-Suffolk, New York; Portland, Oregon; Los Angeles, California; San Diego, California; and Virginia Beach-Norfolk, Virginia) and pooled responses to the survey items. A 3-factor solution—“stigma from family” (α = 0.70), “anticipated health-care stigma” (α = 0.75), and “general social stigma” (α = 0.66)—best fitted the pooled data and was the best-fitting solution across sites. Findings demonstrate that MSM across the United States experience sexual behavior stigma similarly. The results reflect the programmatic utility of enhanced stigma measurement, including tracking trends in stigma over time, making regional comparisons of stigma burden, and supporting evaluation of stigma-mitigation interventions among MSM across the United States. |
| Databáze: | OpenAIRE |
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