Sources of Resilience as Mediators of the Effect of Minority Stress on Stimulant Use and Sexual Risk Behavior Among Young Black Men who have Sex with Men

  • Erik D. StorholmEmail author
  • Wenjing Huang
  • Daniel E. Siconolfi
  • Lance M. Pollack
  • Adam W. Carrico
  • Wilson Vincent
  • Gregory M. Rebchook
  • David M. Huebner
  • Glenn J. Wagner
  • Susan M. Kegeles
Original Paper


The greatest proportion of new HIV infections among men who have sex with men (MSM) is occurring among young Black MSM (YBMSM) ages 13–24. Consequently, research is needed to understand the psychosocial pathways that influence HIV risk and resilience in YBMSM. Minority Stress Theory proposes that the stigma, prejudice, and discrimination facing sexual and racial minorities are chronic stressors that lead to increased engagement in risk behaviors. The present study examined whether minority stress is associated with stimulant use and sexual risk behaviors by depleting psychosocial resilience. We recruited 1817 YBMSM, ages 18–29, from multiple venues in two major cities in Texas for participation in a brief survey. Results from structural equation modeling indicated that decreased resilience partially mediated the association of minority stress with sexual risk behavior. Resilience was also negatively associated with stimulant use. Interventions focused on cultivating psychosocial resilience could mitigate the deleterious consequences of minority stress and reduce stimulant use in YBMSM.


Stimulant use Resilience Minority stress Sexual risk YBMSM 



The authors would like to thank Anne Freeman, Douglas Sheehan, and Stephen Brown from the University of Texas Southwestern; and Jan Risser and Paige Padgett from the University of Texas, Houston.


These analyses were supported by National Institutes of Health awards R03DA042660 (PI: Storholm), and R01MH096690 (PI: Kegeles). Dr. Storholm was also supported by R03DA043402, and P30MH058107, and Dr. Vincent was also supported by the National Institute of Mental Health K23MH111402.

Compliance with Ethical Standards

Conflict of interest

All authors declare that no conflicts of interest exist.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Erik D. Storholm
    • 1
    Email author
  • Wenjing Huang
    • 1
  • Daniel E. Siconolfi
    • 1
  • Lance M. Pollack
    • 2
  • Adam W. Carrico
    • 3
  • Wilson Vincent
    • 2
  • Gregory M. Rebchook
    • 2
  • David M. Huebner
    • 4
  • Glenn J. Wagner
    • 1
  • Susan M. Kegeles
    • 2
  1. 1.RAND CorporationSanta MonicaUSA
  2. 2.Center for AIDS Prevention Studies, Department of MedicineUniversity of CaliforniaSan FranciscoUSA
  3. 3.School of MedicineUniversity of MiamiMiamiUSA
  4. 4.School of Public HealthGeorge Washington UniversityWashingtonUSA

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