Journal
JOURNAL OF RACIAL AND ETHNIC HEALTH DISPARITIES
Volume 2, Issue 1, Pages 1-10Publisher
SPRINGER INTERNATIONAL PUBLISHING AG
DOI: 10.1007/s40615-014-0042-2
Keywords
Substance use; HIVrisk; Syndemic; Menwho; have sex withmen
Categories
Funding
- Center for Applied Research on Substance Use and Health Disparities
- National Institute on Drug Abuse [5 R01 DA024579]
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African American/Black men who have sex with men (MSM) in the USA experience health and social disparities at greater rates than MSM of other races/ethnicities, including HIV infection and substance use. This mixed methods paper presents: (1) a quantitative examination of health and social disparities among a sample of substanceusing African American/Black MSM (N=108) compared to Caucasian/White MSM (N=250) and (2) in-depth qualitative data from a subsample of African American/BlackMSM(N=21) in order to contextualize the quantitative data. Findings indicate that compared to Caucasian/White MSM, African American/Black MSM experienced a wide range of health and social disparities including: substance use and dependence; buying, trading or selling sex; educational attainment; employment; homelessness; identifying as gay; HIV status; arrest history; social support; and satisfaction with one's living situation. Qualitative data suggests that structural interventions that address homophobia and the social environment would be likely to mitigate many of the health and social disparities experienced by African American/Black MSM.
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