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An Evolving Epidemic for African American and Latino HIV Positive Gay Men: Understanding the Sociocultural Contexts of Stigma, Marginalization, and Structural Inequalities

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Understanding Prevention for HIV Positive Gay Men

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Abstract

There has been a critical void in research related to prevention and care for African American and Latino HIV positive gay men. Epidemiologic research has indicated that African American and Latino HIV positive gay men experience deleterious health outcomes related to the HIV continuum of care (e.g., early diagnosis, linkage to care, retention in care, and viral suppression). Research has also shown that African American and Latino HIV positive gay men have inadequate access to culturally informed HIV care and treatment. The primary objective of this chapter is to examine core socio-cultural contexts that influence prevention and care for African American and Latino HIV positive gay men. More specifically, this chapter will explore: (1) prevention and care-related outcomes for African American and Latino HIV positive gay men; (2) health care delivery for African American and Latino HIV gay men; (3) role of health insurance; (4) theoretical approaches in prevention and care for African American and Latino HIV positive gay men; and (5) psychosocial support needs of African American and Latino HIV positive gay men.

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References

  • Akin, M., Fernandez, M. I., Bowen, G. S., & Warren, J. C. (2008). HIV risk behaviors of Latin American and Caribbean men who have sex with men in Miami, Florida, USA. Pan American Journal of Public Health, 23, 341–348.

    Article  PubMed  Google Scholar 

  • Alexander, J. L., LaRosa, J. H., Bader, H., Garfield, S., & Alexander, W. J. (2014). New dimensions in women’s health (6th ed.). Burlington, MA: Jones & Barlett Learning.

    Google Scholar 

  • Arreola, S., Santos, G. M., Beck, J., Sundararaj, M., Wilson, P. A., Hebert, P., … Ayala, G. (2015). Sexual stigma, criminalization, investment, and access to HIV services among men who have sex with men worldwide. AIDS and Behavior, 19(2), 227–234.

    Article  PubMed  Google Scholar 

  • Ayala, G., Bingham, T., Kim, J., Wheeler, D. P., & Millett, G. A. (2012). Modeling the impact of social discrimination and financial hardship on the sexual risk of HIV among Latino and Black men who have sex with men. American Journal of Public Health, 102(Suppl 2), S242–S249.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bailey, M. M. (2013). Butch queens up in pumps: Gender, performance, and ballroom culture in Detroit. Ann Arbor, MI: University of Michigan Press.

    Book  Google Scholar 

  • Bailey, M. M. (2014). Engendering space: Ballroom culture and the spatial practice of possibility in Detroit. Gender, Place, and Culture, 21(4), 489–507.

    Article  Google Scholar 

  • Bird, J. D., & Voisin, D. R. (2013). “You’re an open target to be abused”: A qualitative study of stigma and HIV self-disclosure among Black men who have sex with men. American Journal of Public Health, 103(12), 2193–2199.

    Article  PubMed  PubMed Central  Google Scholar 

  • Blosnich, J. R., Nasuti, L. J., Mays, V. M., & Cochran, S. D. (2016). Suicidality and sexual orientation: Characteristics of symptom severity, disclosure, and timing across the life course. American Journal of Orthopsychiatry, 86(1), 69–78.

    Article  PubMed  Google Scholar 

  • Bogart, L. M., Landrine, H., Galvan, F. H., Wagner, G. J., & Klein, D. J. (2013). Perceived discrimination and physical health among HIV-positive Black and Latino men who have sex with men. AIDS and Behavior, 17(4), 1431–1441.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bogart, L. M., Wagner, G. J., Galvan, F. H., Landrine, H., Klein, D. J., & Sticklor, L. A. (2011). Perceived discrimination and mental health symptoms among Black men with HIV. Cultural Diversity and Ethnic Minority Psychology, 17(3), 295–302.

    Article  PubMed  Google Scholar 

  • Bonacci, F. A., & Holtgrave, D. R. (2016). Unmet HIV service needs among Hispanic men who have sex with men in the United States. AIDS and Behavior, 20(10), 2444–2451.

    Article  PubMed  Google Scholar 

  • Bouris, A., Voisin, D., Pilloton, M., Flatt, N., Eavou, R., Hampton, K., … Schneider J. A. (2013). Project nGage: Network supported HIV care engagement for younger Black men who have sex with men and transgender persons. International AIDS Clinical Research, 4. doi: 10.4172/2155-6113.1000236.

  • Brewer, R. A., Magnus, M., Kuo, I., Wang, L., Liu, T. Y., & Mayer, K. H. (2014). Exploring the relationship between incarceration and HIV among Black men who have sex with men in the United States. Journal of Acquired Immune Deficiency Syndromes, 65(2), 218–225.

    Article  PubMed  Google Scholar 

  • Cahill, S., Trieweiler, S., Guidry, J., Rash, N., Stamper, L., Conron, K., … Lowery, P. (2017). High rates of access to health care, disclosure of sexuality and gender identity to providers among house and ball community members in New York City. Journal of Homosexuality. doi: 10.1080/00918369.2017.1328221.

  • Carrillo, H. (2001). The night is young: Sexuality in Mexico in the time of AIDS. Chicago: University of Chicago Press.

    Google Scholar 

  • Carrillo, H. (2017). Pathways of desire: The sexual migration of Mexican gay men. Chicago: University of Chicago Press.

    Google Scholar 

  • Centers for Disease Control and Prevention. (2015a). Diagnoses of HIV infection in the United States and dependent areas, 2014. HIV Surveillance Report, 26, 1–114. Retrieved from https://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-report-2015-vol-27.pdf.

    Google Scholar 

  • Centers for Disease Control and Prevention. (2015b). HIV testing and service delivery among Blacks or African Americans—61 health department jurisdictions, United States, 2013. Morbidity and Mortality Weekly Report, 64, 87–90.

    Google Scholar 

  • Centers for Disease Control and Prevention. (2015c). The Affordable Care Act helps people living with HIV/AIDS. Retrieved from: http://www.cdc.gov/hiv/policies/aca.html.

  • Centers for Disease Control and Prevention. (2016). Lifetime risk of HIV diagnosis by race/ethnicity. Retrieved from https://www.cdc.gov/nchhstp/newsroom/images/2016/croi_lifetime_risk_msm_race_ethnicity.jpg.

  • Choi, K. H., Han, C. S., Paul, J., & Ayala, G. (2011). Strategies for managing racism and homophobia among U.S. ethnic and racial minority men who have sex with men. AIDS Education and Prevention, 23(2), 145–158.

    Article  PubMed  PubMed Central  Google Scholar 

  • Choi, K. H., Paul, J., Ayala, G., Boylan, R., & Gregorich, S. E. (2013). Experiences of discrimination and their impact on the mental health among African American, Asian and Pacific Islander, and Latino men who have sex with men. American Journal of Public Health, 103(5), 868–874.

    Article  PubMed  PubMed Central  Google Scholar 

  • Cochran, S. D., Ackerman, D., Mays, V. M., & Ross, M. W. (2004). Prevalence of non-medical drug use and dependence among homosexually active men and women in the US population. Addiction, 99, 989–998.

    Article  PubMed  PubMed Central  Google Scholar 

  • Cohen, C. (1999). The boundaries of Blackness: AIDS and the breakdown of Black politics. Chicago: University of Chicago Press.

    Google Scholar 

  • Collins, P. H. (2005). Black sexual politics: African Americans, gender, and the new racism. New York, NY: Routledge Press.

    Google Scholar 

  • Diaz, R. (2007). In our own backyard: HIV/AIDS stigmatization in the Latino gay community. Sexual inequalities and social justice (pp. 50–65). Berkeley: University of California Press.

    Google Scholar 

  • Diaz, R. M., Ayala, G., & Bein, E. (2004). Sexual risk as an outcome of social oppression: Data from a probability sample of Latino gay men in three US cities. Cultural Diversity and Ethnic Minority Psychology, 10, 255–267.

    Article  PubMed  Google Scholar 

  • Diaz, R. M., Ayala, G., Bein, E., & Henne, J. (2001). The impact of homophobia, poverty, and racism on the mental health of gay and bisexual Latino men: Findings from 3 US cities. American Journal of Public Health, 91, 927–931.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • DeGroote, N. P., Korhonen, L. C., & Shouse, R. L. (2016). Unmet need for ancillary services among men who have sex with men and who are receiving HIV medical care-United States, 2013-2014. Mortality and Morbidity Weekly Report, 65(37), 1004–1007.

    Article  Google Scholar 

  • Fields, E. L., Bogart, L. M., Smith, K. C., Malebranche, D. J., Ellen, J., & Schuster, M. A. (2015). “I always felt I had to prove my manhood”: Homosexuality, masculinity, gender role strain, and HIV risk among young Black men who have sex with men. American Journal of Public Health, 105, 122–131.

    Article  PubMed  PubMed Central  Google Scholar 

  • Fields, S. D., Malebranche, D., & Feist-Price, S. (2008). Childhood sexual abuse in Black men who have sex with men: Results from three qualitative studies. Cultural Diversity and Ethnic Minority Psychology, 14(4), 385–390.

    Article  PubMed  Google Scholar 

  • Freese, T. E., Padwa, H., Oeser, B. T., Rutkowski, B. A., & Schulte, M. T. (2017). Real-world strategies to engage and retain racial-ethnic minority young men who have sex with men in HIV prevention services. AIDS Patient Care and STDs, 31(6), 275–281.

    Article  PubMed  Google Scholar 

  • Friedman, M. R., Coulter, R. W., Silvestre, A. J., Stall, R., Teplin, L., Shoptaw, S., … Plankey, M. W. (2017). Someone to count on: Social support as an effect modifier of viral load suppression in a prospective cohort study. AIDS Care, 29(4), 469–480.

    Article  PubMed  Google Scholar 

  • Galvan, F. H., Bogart, L. M., Klein, D. J., Wagner, G. J., Chen, Y.T. (2017). Medical mistrust as a key mediator in the association between perceived discrimination and adherence to antiretroviral therapy among HIV positive Latino men. Journal of Behavioral Medicine. doi: 10.1007/s10865-017-9843-1.

  • García, L. I., Lechuga, J., & Zea, M. C. (2012). Testing comprehensive models of disclosure of sexual orientation in HIV-positive Latino men who have sex with men (MSM). AIDS Care, 24(9), 1087–1091.

    Article  PubMed  PubMed Central  Google Scholar 

  • Garcia, J., Parker, C., Parker, R. G., Wilson, P. A., Philbin, M., & Hirsch, J. S. (2016). Psychosocial implications of homophobia and HIV stigma in social support networks: Insights for high-impact HIV prevention among Black men who have sex with men. Health Education & Behavior, 43(2), 217–225.

    Article  Google Scholar 

  • Gilman, S. E., Cochran, S. D., Mays, V. M., Hughes, M., Ostrow, D., & Kessler, R. C. (2001). Risk of psychiatric disorders among individuals reporting same-sex sexual partners in the national comobidity survey. American Journal of Public Health, 91, 933–939.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Graham, L. F., Braithwaite, K., Spikes, P., Stephens, C. F., & Edu, U. F. (2009). Exploring the mental health of Black men who have sex with men. Community Mental Health Journal, 45(4), 272–282.

    Article  PubMed  Google Scholar 

  • Gwadz, M. V., Collins, L. M., Cleland, C. M., Leonard, N. R., Wilton, L., Gandhi, M., … Ritchie, A. S. (2017). Using the multiphase optimization strategy (MOST) to optimize an HIV care continuum intervention for vulnerable populations: A study protocol. BMC Public Health, 17(1), 383. doi:10.1186/s12889-017-4279-7

    Article  PubMed  PubMed Central  Google Scholar 

  • Hall, H. I., Holtgrave, D. R., Tang, T., & Rhodes, P. (2013). HIV transmission in the United States: Considerations of viral load, risk behavior, and health disparities. AIDS and Behavior, 17(5), 1632–1636.

    Article  PubMed  Google Scholar 

  • Han, C. S., Ayala, G., Paul, J. P., Boylan, R., Gregorich, S. E., & Choi, K. H. (2015). Stress and coping with racism and their role in sexual risk for HIV among African American, Asian/Pacific Islander, and Latino men who have sex with men. Archives of Sexual Behavior, 44(2), 411–420.

    Article  PubMed  Google Scholar 

  • Hickson, D. A., Mena, L. A., Wilton, L., Tieu, H. V., Koblin, B. A., Cummings, V., … Mayer, K. H. (2017). Sexual networks, dyadic characteristics, and HIV acquisition and transmission behaviors among Black men who have sex with men in 6 US cities. American Journal of Epidemiology, 185, 786–800.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hussen, S. a., Andes, K., Gilliard, D., Del Rio, C., & Malebranche, D. J. (2015). Transition to adulthood and antiretroviral adherence among HIV-positive Black men who have sex with men. American Journal of Public Health, 105, 725–731.

    Article  PubMed  PubMed Central  Google Scholar 

  • Joseph, H. A., Belcher, L., O’Donell, L., Fernandez, M. I., Spikes, P. S., & Flores, S. A. (2014). HIV testing among sexually active Hispanic/Latino MSM in Miami-Dade County and New York City: Opportunities for increasing acceptance and frequency of testing. Health Promotion and Practice, 15(6), 867–880.

    Article  Google Scholar 

  • Latkin, C. A., Van Tieu, H., Fields, S., Hanscom, B. S., Connor, M., Hanscom, B., … Koblin, B. A. (2017). Social network factors as correlates and predictors of high depressive symptoms among Black men who have sex with men in HPTN 061. AIDS and Behavior, 21(4), 1163–1170.

    Article  PubMed  PubMed Central  Google Scholar 

  • Levy, M. E., Wilton, L., Phillips, G., 2nd, Glick, S. N., Kuo, I., Brewer, R. A., … Magnus, M. (2014). Understanding structural barriers to accessing HIV testing and prevention services among Black men who have sex with men (BMSM) in the United States. AIDS and Behavior, 18(5), 972–996.

    Article  PubMed  PubMed Central  Google Scholar 

  • Malebranche, D. J., Peterson, J. L., Fullilove, R. E., & Stackhouse, R. W. (2004). Race and sexual identity: Perceptions about medical culture and healthcare among Black men who have sex with men. Journal of the National Medical Association, 96, 97–107.

    PubMed  PubMed Central  Google Scholar 

  • Mannheimer, S. B., Wang, L., Wilton, L., Van Tieu, H., Del Rio, C., Buchbinder, S., … Mayer, K. H. (2014). Infrequent HIV testing and late HIV diagnosis are common among a cohort of Black men who have sex with men in 6 US cities. Journal of Acquired Immune Deficiency Syndromes, 67(4), 438–445.

    Article  PubMed  Google Scholar 

  • Martinez, O., Arreola, S., Wu, E., Muñoz-Laboy, M., Levine, E. C., Rutledge, S. E., … Carballo-Diéguez, A. (2016). Syndemic factors associated with adult sexual HIV risk behaviors in a sample of Latino men who have sex with men in New York City. Drug and Alcohol Dependence, 166, 258–262.

    Article  PubMed  PubMed Central  Google Scholar 

  • Martinez, O., Lee, J. H., Bandiera, F., Santamaria, E. K., Levine, E. C., & Operario, D. (2017). Sexual and behavioral health disparities among sexual minority Hispanics/Latinos: Findings from the National Health and Nutrition Examination Survey, 2001–2014. American Journal of Preventive Medicine, 53(2), 225–231. doi:10.1016/j.amepre.2017.01.037

    Article  PubMed  PubMed Central  Google Scholar 

  • Mayer, K. H., Wang, L., Koblin, B., Mannheimer, S., Magnus, M., del Rio, C., … HPTN061 Protocol Team. (2014). Concomitant socioeconomic, behavioral, and biological factors associated with the disproportionate HIV infection burden among Black men who have sex with men in U.S. cities. PLoS One, 9(1), e87298.

    Google Scholar 

  • Mays, V. M., & Cochran, S. D. (2001). Mental health correlates of perceived discrimination among lesbian, gay, and bisexual adults in the United States. American Journal of Public Health, 91, 1869–1876.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Mays, V. M., Cochran, S. D., & Zamudio, A. (2004). HIV prevention research: Are we meeting the needs of African American men who have sex with men? Journal of Black Psychology, 30, 78–105.

    Article  PubMed  Google Scholar 

  • Mays, V. M., Jones, A. L., Delany-Brumsey, A., Coles, C., & Cochran, S. D. (2017). Perceived discrimination in health care and mental heath/substance abuse treatment among Blacks, Latinos, and Whites. Medical Care, 55(2), 173–181.

    Article  PubMed  PubMed Central  Google Scholar 

  • Meyer, I. (2007). Prejudice and discrimination as social stressors. In I. H. Meyer & M. E. Northridge (Eds.), The health of sexual minorities: Public health perspectives on lesbian, gay, bisexual, and transgender populations (pp. 242–267). New York, NY: Springer Press.

    Chapter  Google Scholar 

  • Meanley, S., Gale, A., Harmell, C., Jadwin-Cakmak, L., Pingel, E., & Bauermeister, J. A. (2015). The role of provide interactions on comprehensive sexual healthcare among young men who have sex with men. AIDS Education and Prevention, 27(1), 15–26.

    Article  PubMed  Google Scholar 

  • Mena, L., Crosby, R. A., & Geter, A. (2017). A novel measure of poverty and its association with elevated sexual risk behavior among young Black MSM. International Journal of STDs and AIDS, 28(6), 602–607.

    Article  Google Scholar 

  • Millett, G. A., Crowley, J. S., Koh, H., Valdiserri, R. O., Frieden, T., Dieffenbach, C. W., … Fauci, A. S. (2010). A way forward: The National HIV/AIDS strategy and reducing HIV incidence in the United States. Journal of Acquired Immune Deficiency Syndromes, 55, S144–S177.

    Article  PubMed  Google Scholar 

  • Millett, G. A., Peterson, J. L., Flores, S. A., Hart, T. A., Jeffries, W. L., 4th, Wilson, P. A., … Remis, R. S. (2012). Comparisons of disparities and risks of HIV infection in black and other men who have sex with men in Canada, UK, and USA: A meta-analysis. Lancet, 380(9839), 341–348.

    Article  PubMed  Google Scholar 

  • Mizuno, Y., Borkowf, C. B., Ayala, G., Carballo-Diéguez, A., & Millett, G. A. (2015). Correlates of sexual risk for HIV among US-born and foreign-born Latino men who have sex with men (MSM): An analysis from the Brothers y Hermanos study. Journal of Immigrant and Minority Health, 17(1), 47–55.

    Article  PubMed  PubMed Central  Google Scholar 

  • Nelson, L. E., Wilton, L., Moineddin, R., Zhang, N., Siddiqi, A., Sa, T., … HPTN 061 Study Team. (2016). Economic, legal, and social hardships associated with HIV risk among Black men who have sex with men in six US cities. Journal of Urban Health, 93(1), 170–88.

    Google Scholar 

  • Newberry, J. (2017). Racial profiling and the NYPD: The who, what, when, and why of stoop and frisk. New York: Palgrave Macmillan.

    Book  Google Scholar 

  • Nieves-Lugo, K., Del Rio-Gonzalez, A. M., Reisen, C., Poppen, P., Oursler, K. K., & Zea, M. C. (2017). Greater depressive symptoms and higher viral load are associated with poor physical function among Latino men living with HIV. International Association of Providers in AIDS Care, 16(1), 30–36.

    Article  Google Scholar 

  • Office of National AIDS Policy. (2015). National HIV/AIDS strategy. Retrieved from https://www.whitehouse.gov/administration/eop/onap/nhas.

  • Organista, K. C., Carrillo, H., & Ayala, G. (2004). HIV prevention with Mexican migrants: Review, critique, and recommendations. Journal of Acquired Immune Deficiency Syndromes, 37, S227–S239.

    Article  PubMed  Google Scholar 

  • Peek, M. E., Lopez, F. Y., Williams, H. S., Xu, L. J., McNulty, M. C., Acree, M. E., & Schneider, J. A. (2016). Development of a conceptual framework for understanding shared decision making among African American LGBT patients and their clinicians. Journal of General Internal Medicine, 31(6), 677–687.

    Article  PubMed  PubMed Central  Google Scholar 

  • Poteat, T., White, J., & van Griensven, F. (2014). The HIV care continuum in Black MSM in the USA. Lancet, 1(3), e97–e98.

    Article  Google Scholar 

  • Quinn, K., Voisin, D. R., Bouris, A., Jaffe, K., Kuhns, L., Evaou, R., & Schneider, J. (2017). Multiple dimensions of stigma and health related factors among young Black men who have sex with men. AIDS & Behavior, 21(1), 207–216.

    Article  Google Scholar 

  • Quinn, K., Voisin, D. R., Bouris, A., & Schneider, J. (2016). Psychological distress, drug use, sexual risks and medication adherence among young HIV-positive Black men who have sex with men: Exposure to community violence matters. AIDS Care, 28(7), 866–872.

    Article  PubMed  PubMed Central  Google Scholar 

  • Ramirez-Valles, J., Garcia, D., Campbell, R. T., Diaz, R. M., & Heckathorn, D. D. (2008). HIV infection, sexual risk behavior, and substance use among Latino gay and bisexual men and transgender persons. American Journal of Public Health, 98, 1036–1042.

    Article  PubMed  PubMed Central  Google Scholar 

  • Reisen, C. A., Brooks, K. D., Zea, M. C., Poppen, P. J., & Bianchi, F. T. (2013). Can additive measures add to an intersectional understanding? Experiences of gay and ethnic discrimination among HIV-positive Latino gay men. Cultural Diversity and Ethnic Minority Psychology, 19(2), 208–217.

    Article  PubMed  Google Scholar 

  • Rhodes, S. D., McCoy, T. P., Hergenrather, K. C., Vissman, A. T., Wolfson, M., Alonzo, J., … Eng, E. (2012). Prevalence estimates of health risk behaviors of immigrant Latino men who have sex with men. The Journal of Rural Health, 28, 73–83.

    Article  PubMed  Google Scholar 

  • Robert Wood Johnson Foundation. (2013). Medicaid expansion under the ACA: How states analyze the fiscal and economic trade-offs. Retrieved from http://www.rwjf.org/content/dam/farm/reports/issue_briefs/2013/rwjf406481.

  • Rodríguez-Díaz, C. E., Jovet-Toledo, G. G., Ortiz-Sánchez, E. J., Rodríguez-Santiago, E. I., & Vargas-Molina, R. L. (2015). Sexual health and socioeconomic-related factors among HIV-positive men who have sex with men in Puerto Rico. Archives of Sexual Behavior, 44(7), 1949–1958.

    Article  PubMed  PubMed Central  Google Scholar 

  • Rosenberg, E. S., Millett, G. A., Sullivan, P. S., Del Rio, C., & Curran, J. W. (2014). Understanding the HIV disparities between black and white men who have sex with men in the USA using the HIV care continuum: A modeling study. Lancet, 1(3), e112–e118.

    Article  Google Scholar 

  • Scott, H. M., Irvin, R., Wilton, L., Van Tieu, H., Watson, C., Magnus, M., … Buchbinder, S. (2015). Sexual behavior and network characteristics and their association with bacterial sexually transmitted infections among Black men who have sex with men in the United States. PloS One, 10(12), e0146025.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Senn, T. E., Braksmajer, A., Coury-Doniger, P., Urban, M. A., & Carey, M. P. (2017). Mobile technology use and desired technology-based intervention characteristics among HIV positive Black men who have sex with men. AIDS Care, 29(4), 423–427.

    Article  PubMed  Google Scholar 

  • Seth, P., Wang, G., Collins, N. T., Belcher, L., & Centers for Disease Control and Prevention (CDC). (2015). Identifying new positives and linkage to HIV medical care—23 testing site types, United States, 2013. Morbidity and Mortality Weekly Report, 64(24), 663–667.

    PubMed  PubMed Central  Google Scholar 

  • Solorio, R., Norton-Shelpuk, P., Forehand, M., Martinez, M., & Aguirre, J. (2014). HIV prevention messages targeting young Latino MSM. AIDS Research and Treatment, 2014, 353092. doi:10.1155/2014/353092

    Article  PubMed  PubMed Central  Google Scholar 

  • Spikes, P. S., Purcell, D. W., Williams, K. M., Chen, Y., Ding, H., & Sullivan, P. S. (2009). Sexual risk behaviors among HIV-positive Black men who have sex with women, with men, or with men and women: Implications for intervention development. American Journal of Public Health, 99(6), 1072–1078.

    Article  PubMed  PubMed Central  Google Scholar 

  • Tieu, H. V., Nandi, V., Hoover, D. R., Lucy, D., Stewart, K., Frye, V., … NYC M2M Study Team. (2016). Do sexual networks of men who have sex with men in New York City differ by race/ethnicity? AIDS Patient Care and STDs, 30(1), 39–47.

    Google Scholar 

  • Tieu, H. V., Nandi, V., Hoover, D. R., Lucy, D., Stewart, K., Frye, V., et al. (2016). Do sexual networks of men who have sex with men in New York City differ by race/ethnicity? AIDS Patient Care and STDs, 17, 102–115.

    Google Scholar 

  • Toro-Alfonso, J., & Rodriguez-Madera, S. (2004). Domestic violence in Puerto Rican gay male couples: Perceived prevalence, intergenerational violence, addictive behaviors, and conflict resolution skills. Journal of Interpersonal Violence, 19, 639–654.

    Article  PubMed  Google Scholar 

  • U.S. Department of Health and Human Services. (n.d.). The Affordable Care Act. Retrieved from http://www.hhs.gov/healthcare/rights/law/index.html.

  • U.S. Department of Health and Human Services. Office of Disease Prevention and Health Promotion. (2015). Healthy people 2020. Washington, DC: USDHHS. Retrieved from http://www.healthypeople.gov/2020/topics-objectives/topic/hiv.

    Google Scholar 

  • United States Department of Health and Human Services [US DHHS]. (2001). Mental health: Culture, race, and ethnicity—A supplement to Mental health: A report of the surgeon general. Rockville, MD: US Department of Health and Human Services.

    Google Scholar 

  • Vermund, S. H. (2017). The continuum of HIV care in the urban United States: Black men who have sex with men (MSM) are less likely than White MSM to receive antiretroviral therapy. Journal of Infectious Diseases. doi: 10.1093/infdis/jix009.

  • Williams, J. K., Wilton, L., Magnus, M., Wang, J., Dyer, T. P., Koblin, B. A., … HIV Prevention Trials Network 061 Study Team. (2015). Relation of childhood sexual abuse, intimate partner violence, and depression to risk factors for HIV among Black men who have sex with men n 6 US cities. American Journal of Public Health, 105(12), 2473–2481.

    Google Scholar 

  • Williams, D. R., Neighbors, H. W., & Jackson, J. S. (2003). Racial/ethnic discrimination and health: Findings from community studies. American Journal of Public Health, 93, 200–208.

    Article  PubMed  PubMed Central  Google Scholar 

  • Williams, J. K., Wyatt, E., Resell, J., Peterson, J., & Asuan-O’Brien, A. (2004). Psychosocial issues among gay- and non-gay-identifying HIV-seropositive African American and Latino MSM. Cultural Diversity and Ethnic Minority Psychology, 10, 268–286.

    Article  PubMed  Google Scholar 

  • Wilton, L., Koblin, B., Nandi, V., Xu, G., Latkin, C., Seal, D., … Spikes, P. (2015). Correlates of seroadaptation strategies among Black men who have sex with men (MSM) in 4 US cities. AIDS and Behavior, 19(12), 2333–2346.

    Article  PubMed  PubMed Central  Google Scholar 

  • Wheeler, D. P. (2005). Working with positive men: HIV prevention with black men who have sex with men. AIDS Education and Prevention, 17, 102–115.

    Article  PubMed  Google Scholar 

  • Wheeler, D. P. (2006). Exploring HIV prevention needs for nongay-identified Black and African American men who have sex with men: A qualitative exploration. Sexually Transmitted Diseases, 33, S11–S16.

    Article  PubMed  Google Scholar 

  • Zea, M. C., Reisen, C. A., Poppen, P. J., Bianchi, F. T., & Echeverry, J. J. (2005). Disclosure of HIV status and psychological well-being among Latino gay and bisexual men. AIDS and Behavior, 9(1), 15–26.

    Article  PubMed  Google Scholar 

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  1. Department of Human Development, College of Community and Public Affairs (CCPA), State University of New York at Binghamton, Binghamton, NY, USA

    Leo Wilton

  2. Faculty of Humanities, University of Johannesburg, Johannesburg, South Africa

    Leo Wilton

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  1. Department of Human Development, College of Community and Public Affairs (CCPA), State University of New York at Binghamton, Binghamton, NY, USA

    Leo Wilton

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Wilton, L. (2017). An Evolving Epidemic for African American and Latino HIV Positive Gay Men: Understanding the Sociocultural Contexts of Stigma, Marginalization, and Structural Inequalities. In: Wilton, L. (eds) Understanding Prevention for HIV Positive Gay Men. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-0203-0_10

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  • DOI: https://doi.org/10.1007/978-1-4419-0203-0_10

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  • Online ISBN: 978-1-4419-0203-0

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