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AIDS and Behavior

, Volume 20, Issue 1, pp 51–64 | Cite as

Homonegativity, Religiosity, and the Intersecting Identities of Young Black Men Who Have Sex with Men

  • Katherine QuinnEmail author
  • Julia Dickson-Gomez
Original Paper

Abstract

Young, Black men who have sex with men (YBMSM) are disproportionately affected by HIV. Homonegativity, or the stigma associated with homosexuality, may be an important social factor influencing racial disparities in HIV. This research, conducted using an intersectional framework, examines experiences of homonegativity among YBMSM with a particular emphasis on the influence of the Black Church. We conducted 30 semi-structured interviews with YBMSM ages 16–24. Interview transcripts were analyzed in MAXQDA using thematic content analysis, guided by principles of grounded theory and constant comparative method. The Black Church is an integral aspect of YBMSM’s identity, history, family, and community life. As such, the Church’s construction of homosexuality dominated throughout YBMSM’s lives. The expectations of masculinity facing YBMSM emphasize expectations of physical and sexual dominance, which are viewed as incompatible with homosexuality. Participants describe complex decision-making around whether to disclose their sexuality and to whom, and weigh the consequences of disclosure and non-disclosure. For many YBMSM, their multiple, intersecting identities significantly influenced their experiences with homonegativity and their decisions about disclosing their sexual orientation. Findings lend support for the need to develop community-, family-, and church-based stigma reduction interventions that address homonegativity among YBMSM.

Keywords

Stigma Religion Homonegativity Black MSM Adolescents 

Notes

Acknowledgments

This research was funded in part by the Ruth L. Kirschstein National Research Service Award for Individual Predoctoral Fellows (F31 1MH03023). A sincere thank you to Drs. Sheri Johnson, Jeffrey A. Kelly, Jill Owczarzak, and Staci Young for the guidance, feedback, and oversight of this project. Most importantly, we are sincerely indebted to the young men who participated in this project and bravely entrusted us to relay their stories and experiences.

References

  1. 1.
    Centers for Disease Control and Prevention. CDC fact sheet: HIV among African American youth, 2014.Google Scholar
  2. 2.
    Prado G, Lightfoot M, Brown CH. Macro-level approaches to HIV prevention among ethnic minority youth: state of the science, opportunities, and challenges. Am Psychol. 2013;68(4):286–99.PubMedPubMedCentralCrossRefGoogle Scholar
  3. 3.
    Goffman E. Stigma: notes on the management of spoiled identity. Garden City: Anchor Books; 1963.Google Scholar
  4. 4.
    Aggleton P, Parker R, Maluwa M. Stigma, discrimination, and HIV/AIDS in latin American and the Caribbean. Inter-American Development Bank. 2003.Google Scholar
  5. 5.
    Castro A, Farmer P. Understanding and addressing AIDS-related stigma: from anthropological to clinical practice in haiti. Am J Public Health. 2005;95(1):53–9.PubMedPubMedCentralCrossRefGoogle Scholar
  6. 6.
    Arnold EA, Bailey MM. Constructing home and family: how the ballroom community supports African American GLBTQ youth in the face of HIV/AIDS. J Gay Lesbian Soc Serv. 2009;21(2–3):171–88.PubMedPubMedCentralCrossRefGoogle Scholar
  7. 7.
    Mahajan AP, Sayles JN, Patal VA, et al. Stigma in the HIV/AIDS epidemic: a review of the literature and recommendations for the way forward. AIDS. 2008;22(Suppl 2):S67–79.PubMedPubMedCentralCrossRefGoogle Scholar
  8. 8.
    Link BG, Phelan J. Conceptualizing stigma. Annu Rev Sociol. 2001;27:363–85.CrossRefGoogle Scholar
  9. 9.
    Parker R, Aggleton P. HIV and AIDS-related stigma and discrimination: a conceptual framework and implications for action. Soc Sci Med. 2003;57(1):13–24.PubMedCrossRefGoogle Scholar
  10. 10.
    Fullilove MT, Fullilove RE. Stigma as an obstacle to AIDS action: the case of the African American community. Am Behav Sci. 1999;42:1117–29.CrossRefGoogle Scholar
  11. 11.
    Edwards WJ. A sociological analysis of an in/visible minority group male adolescent homosexuals. Youth Soc. 1996;27(3):334–55.CrossRefGoogle Scholar
  12. 12.
    Brown E. We wear the mask: African American contemporary gay male identities. J Afr Am Stud. 2005;9(2):29–38.CrossRefGoogle Scholar
  13. 13.
    Rosario M, Scrimshaw EW, Hunter J. A model of sexual risk behaviors among young gay and bisexual men: longitudinal associations of mental health, substance abuse, sexual abuse, and the coming-out process. AIDS Educ Prev. 2006;18(5):444–60.PubMedPubMedCentralCrossRefGoogle Scholar
  14. 14.
    Malebranche DJ, Fields EL, Bryant LO, Harper SR. Masculine socialization and sexual risk behaviors among black men who have sex with men: a qualitative exploration. Men Masculinities. 2009;12(1):90–112.CrossRefGoogle Scholar
  15. 15.
    Smith J, Simmons E, Mayer KH. HIV/AIDS and the black church: what are the barriers to prevention services? J Natl Med Assoc. 2005;97(12):1682–5.PubMedPubMedCentralGoogle Scholar
  16. 16.
    Pew Forum on Religion and Public Life. A religious portrait of African Americans, U.S. Religious Landscape Survey, Washington, DC, January 2009.Google Scholar
  17. 17.
    Jeffries WL, Dodge B, Sandfort TGM. Religion and spirituality among bisexual black men in the USA. Cult Health Sex. 2008;10(5):463–77.PubMedPubMedCentralCrossRefGoogle Scholar
  18. 18.
    Balaji AB, Oster AM, Viall AH, Heffelfinger JD, Mena LA, Toledo CA. Role flexing: how community, religion, and family shape the experiences of young black men who have sex with men. AIDS Patient Care STDS. 2012;26(12):730–7.PubMedCrossRefGoogle Scholar
  19. 19.
    Foster ML, Arnold E, Rebchook G, Kegeles SM. ‘It’s my inner strength’: spirituality, religion and HIV in the lives of young African American men who have sex with men. Cult Health Sex. 2011;13(9):1103–17.PubMedPubMedCentralCrossRefGoogle Scholar
  20. 20.
    Cohen CJ. The boundaries of blackness: AIDS and the breakdown of black politics. Chicago: University of Chicago Press; 1999.Google Scholar
  21. 21.
    Pitt RN. “Killing the messenger”: religious black men’s neutralization of anti-gay religious messages. J Sci Study Relig. 2010;49(1):56–72.CrossRefGoogle Scholar
  22. 22.
    Lincoln CE, Mamiya LW. The Black church in the African American experience. Durham, NC: Duke University Press; 1990.CrossRefGoogle Scholar
  23. 23.
    Barnes DM. Religious affiliation, internalized homophobia, and mental health in lesbians, gay men, and bisexuals. Am J Orthopsychiatr. 2012;82(4):505–15.CrossRefGoogle Scholar
  24. 24.
    Ward EG. Homophobia, hypermasculinity and the US black church. Cult Health Sex. 2005;7(5):493–504.PubMedCrossRefGoogle Scholar
  25. 25.
    Fields EL, Bogart LM, Smith KC, Malebranche DJ, Ellen J, Schuster MA. “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. Am J Public Health. 2015;105(1):122–31.PubMedPubMedCentralCrossRefGoogle Scholar
  26. 26.
    Diaz RM, Ayala G, Bein E. Sexual risk as an outcome of social oppression: data from a probability sample of Latino gay men in three US cities. Cult Divers Ethn Minor Psychol. 2004;10:255–67.CrossRefGoogle Scholar
  27. 27.
    Earnshaw VA, Bogart LM, Dovidio JF, Williams DR. Stigma and racial/ethnic HIV disparities: moving toward resilience. Am Psychol. 2013;68(4):225–36.PubMedPubMedCentralCrossRefGoogle Scholar
  28. 28.
    Bowleg L. The problem with the phrase women and minorities: intersecionality—an important theoretical framework for public health. Am J Public Health. 2012;102(7):1267–73.PubMedPubMedCentralCrossRefGoogle Scholar
  29. 29.
    Bowleg L, Raj A. Shared communities, structural contexts, and HIV risk: prioritizing the HIV risk and prevention needs of black heterosexual men. Am J Public Health. 2012;102(52):S173–7.PubMedPubMedCentralCrossRefGoogle Scholar
  30. 30.
    Ahmed A, Kaplan M, Symington A, Kismodi E. Criminalising consensual sexual behaviour in the context of HIV: consequences, evidence, and leadership. Glob Public Health. 2011;6(sup3):S357–69.PubMedCrossRefGoogle Scholar
  31. 31.
    Pollini RA, Blanco E, Crump C, Zúñiga ML. A community-based study of barriers to HIV care initiation. AIDS Patient Care STDS. 2011;25(10):601–9.PubMedPubMedCentralCrossRefGoogle Scholar
  32. 32.
    Darrow WW, Montanea JE, Gladwin H. AIDS-related stigma among black and Hispanic young adults. AIDS Behav. 2009;13(6):1178–88.PubMedCrossRefGoogle Scholar
  33. 33.
    Buttaro A, Battle J. More than meets the eye: an ecological perspective on homophobia within the Black America. Black Women Gender Fam. 2012;6(1):1–22.CrossRefGoogle Scholar
  34. 34.
    Jeffries WL 4th, Marks G, Lauby J, Murrill CS, Millett GA. Homophobia is associated with sexual behavior that increases risk of acquiring and transmitting HIV infection among black men who have sex with men. AIDS Behav. 2012;17(4):1442–53.CrossRefGoogle Scholar
  35. 35.
    Harper GW, Jernewall N, Zea MC. Giving voice to emerging science and theory for lesbian, gay, and bisexual people of color. Cult Divers Ethn Minor Psychol. 2004;10(3):187–99.CrossRefGoogle Scholar
  36. 36.
    Warren JC, Fernandez MI, Harper GW, Hidalgo MA, Jamil OB, Torres RS. Predictors of unprotected sex among young sexually active African American, Hispanic, and white MSM: the importance of ethnicity and culture. AIDS Behav. 2008;12(3):459–68.PubMedPubMedCentralCrossRefGoogle Scholar
  37. 37.
    Washington P. Who gets to drink from the fountain of freedom? homophobia in communities of color. J Gay Lesbian Soc Serv. 2001;12(12):459–68.Google Scholar
  38. 38.
    Voisin DR, Bird JD, Shiu CS, Krieger C. “It’s crazy being a black, gay youth.” getting information about HIV prevention: a pilot study. J Adolesc. 2013;36(1):111–9.PubMedCrossRefGoogle Scholar
  39. 39.
    Bernard HR. Research methods in anthropology: qualitative and quantitative approaches. 5th ed. Lanham: Altamira Press; 2011.Google Scholar
  40. 40.
    Glaser B, Strauss A. The discovery of grounded theory: strategies for qualitative research. New York: Aldine De Gruyter; 1967.Google Scholar
  41. 41.
    Corbin J, Strauss A. Basics of qualitative research: techniques and procedures for developing grounded theory. Thousand Oaks: Sage; 2008.Google Scholar
  42. 42.
    Bowleg L. When black+lesbian+woman≠black lesbian woman: the methodological challenges of qualitative and quantitative intersectionality research. Sex Roles. 2008;59:312–25.CrossRefGoogle Scholar
  43. 43.
    Parent MC, Torrey C, Michaels MS. “HIV testing is so gay”: the role of masculine gender role conformity in HIV testing among men who have sex with men. J Couns Psychol. 2012;59(3):465.PubMedCrossRefGoogle Scholar
  44. 44.
    Hamilton CJ, Mahalik JR. Minority stress, masculinity, and social norms predicting gay men’s health risk behaviors. J Couns Psychol. 2009;56(1):132.CrossRefGoogle Scholar
  45. 45.
    Adimora AA, Schoenbach VJ. Social context, sexual networks, and racial disparities in rates of sexually transmitted infections. J Infect Dis. 2005;191(Suppl 1):S115–22.PubMedCrossRefGoogle Scholar
  46. 46.
    Mustanski BS, Newcomb ME, DuBois SN, Garcia SC, Grov C. HIV in young men who have sex with men: a review of epidemiology, risk and protective factors, and interventions. J Sex Res. 2011;48(2–3):218.PubMedPubMedCentralCrossRefGoogle Scholar
  47. 47.
    Perrino T, González-Soldevilla A, Pantin H, Szapocznik J. The role of families in adolescent HIV prevention: a review. Clin Child Fam Psychol Rev. 2000;3(2):81–96.PubMedCrossRefGoogle Scholar
  48. 48.
    Goode-Cross DT, Good GE. Managing multiple-minority identities: African American men who have sex with men at predominately white universities. J Divers High Educ. 2009;2(2):103–12.CrossRefGoogle Scholar
  49. 49.
    Scott HM, Pollack L, Rebchook GM, Huebner DM, Peterson J, Kegeles SM. Peer social support is associated with recent HIV testing among young black men who have sex with men. AIDS Behav. 2014;18(5):913–20.PubMedPubMedCentralCrossRefGoogle Scholar
  50. 50.
    Ellison CG, Levin JS. The religion-health connection: evidence, theory, and future directions. Health Educ Behav. 1998;25(6):700–20.PubMedCrossRefGoogle Scholar
  51. 51.
    Ellison CG, Hummer RA, Cormier S, Rogers RG. Religious involvement and mortality risk among African American adults. Res Aging. 2000;22(6):630–67.CrossRefGoogle Scholar
  52. 52.
    Lindley LL, Coleman JD, Gaddist BW, White J. Informing faith-based HIV/AIDS interventions: HIV-related knowledge and stigmatizing attitudes at project F.A.I.T.H. churches in south carolina. Public Health Rep. 2010;125(Suppl. 1):12–20.PubMedPubMedCentralGoogle Scholar
  53. 53.
    Fields EL, Bogart LM, Smith KC, Malebranche DJ, Ellen J, Schuster MA. HIV risk and perceptions of masculinity among young black men who have sex with men. J Adolesc Health. 2012;50(3):296–303.PubMedPubMedCentralCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Department of Psychiatry and Behavioral Medicine, Medical College of WisconsinCenter for AIDS Intervention ResearchMilwaukeeUSA

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