AIDS and Behavior

, Volume 17, Issue 4, pp 1454–1464 | Cite as

A Comparison of MSM Stigma, HIV Stigma and Depression in HIV-Positive Latino and African American Men who have Sex with Men (MSM)

  • Amy Rock Wohl
  • Frank H. Galvan
  • Juli-Ann Carlos
  • Hector F. Myers
  • Wendy Garland
  • Mallory D. Witt
  • Joseph Cadden
  • Eva Operskalski
  • Wilbert Jordan
  • Sheba George
Original Paper

Abstract

Little research has examined differences in HIV stigma versus MSM stigma and the role of these stigmas in depression for HIV-positive Latino and African American men who have sex with men (MSM), subgroups disproportionately impacted by HIV in the US. MSM stigma, HIV stigma, depression, stress and social support were examined among HIV-positive Latino (n = 100) and African American (n = 99) MSM patients at five HIV clinics in Los Angeles County, California. In multiple regression models, Latino MSM had higher HIV stigma scores (p = 0.002) but lower MSM stigma scores (p < 0.001) compared to African American MSM. General support and stress were associated with HIV stigma (p < 0.001), but not MSM stigma. Both HIV stigma (p < 0.0001) and MSM stigma (p < 0.0001) were associated with depression. These data underscore the differences in experienced stigma for Latino and African American MSM and can be used to shape effective stigma reduction programs and behavioral counseling.

Keywords

Stigma Depression Latino African American Gay men 

Resumen

Pocos estudios han examinado las diferencias en el estigma del VIH en comparación con el estigma de hombres que tienen sexo con hombres (HSH) y el papel de estos estigmas en la depresión de hombres Latinos y Afro-Americanos, subgrupos desproporcionadamente afectados por el VIH en los EE.UU. El estigma de HSH, el estigma del VIH, la depresión, el estrés y apoyo social fueron examinados entre hombres Latinos (n = 100) y Afro-Americanos (n = 99) VIH positivos, quienes eran pacientes (HSH) en cinco clínicas de VIH en el Condado de Los Angeles en California. En los modelos de regresión múltiple, HSH Latinos tuvieron una mayor puntuación del estigma de VIH (p = 0.002) pero menor puntuación del estigma HSH (p < 0.001) en comparación con los Afro-Americanos HSH. El apoyo general y el estrés se asociaron con el estigma del VIH (p < 0.001), pero no con el estigma HSH. El estigma del VIH (p < 0.0001) y el estigma HSH (p < 0.0001) se asociaron con la depresión. Estos datos ponen de relieve las diferencias en el estigma experimentado por latinos y Afro-americanos HSH y se puede utilizar para dar forma a programas eficaces de reducción del estigma y la consejería de comportamiento.

Palabras clave

Estigma Depresión Latino Afro-Americano Y hombres homosexuales 

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Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  • Amy Rock Wohl
    • 1
    • 2
  • Frank H. Galvan
    • 3
    • 10
  • Juli-Ann Carlos
    • 1
  • Hector F. Myers
    • 4
  • Wendy Garland
    • 1
  • Mallory D. Witt
    • 5
  • Joseph Cadden
    • 6
  • Eva Operskalski
    • 7
  • Wilbert Jordan
    • 8
  • Sheba George
    • 9
  1. 1.Division of HIV and STD ProgramsLos Angeles County Department of Public HealthLos AngelesUSA
  2. 2.Department of Preventive MedicineUSC Keck School of MedicineLos AngelesUSA
  3. 3.Bienestar Human ServicesLos AngelesUSA
  4. 4.Department of PsychologyUniversity of CaliforniaLos AngelesUSA
  5. 5.Division of HIV MedicineHarbor UCLA Medical CenterLos AngelesUSA
  6. 6.Rand Schrader HIV ClinicLos Angeles County/University of Southern California Medical CenterLos AngelesUSA
  7. 7.Maternal Child and Adolescent ClinicLos Angeles County/University of Southern California Medical CenterLos AngelesUSA
  8. 8.OASIS ClinicLos Angeles County MLK-MACCLos AngelesUSA
  9. 9.Biomedical Research Center, Charles Drew University of Medicine and ScienceLos AngelesUSA
  10. 10.Institute for Community Health Research, Charles Drew University of Medicine and ScienceLos AngelesUSA

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