Coping with discrimination among HIV-positive Black men who have sex with men

Laura M. Bogart, Sannisha Dale, Jana Christian, Kinjal Patel, Gary K. Daffin, Kenneth H. Mayer, David W. Pantalone

Research output: Contribution to journalArticle

20 Scopus citations

Abstract

In the USA, HIV-positive Black men who have sex with men show large disparities in disease outcomes compared to other racial/ethnic and risk groups. This study examined the strategies that HIV-positive Black men who have sex with men use to cope with different types of discrimination. A total of 27 HIV-positive Black men who have sex with men participated in semi-structured interviews, which were transcribed verbatim and coded using thematic analysis by multiple raters. Major coping themes included reactive avoidance (using behaviours, cognitions and emotions to escape from discrimination), a common reaction to racism; proactive avoidance (avoiding situations in which discrimination is anticipated), manifested as selective disclosure of HIV-serostatus; external attribution for discrimination (versus self-blame), used more for sexual orientation and HIV discrimination; and social support-seeking, which most often emerged in response to racism. Active coping strategies, such as self-advocacy (countering discrimination directly or indirectly), were infrequently reported. Findings suggest a need for structural anti-discrimination interventions, in tandem with culturally congruent individual- or group-level interventions that aim to enhance men’s existing adaptive coping strategies.

Original languageEnglish (US)
Pages (from-to)723-737
Number of pages15
JournalCulture, Health and Sexuality
Volume19
Issue number7
DOIs
StatePublished - Jul 3 2017
Externally publishedYes

Keywords

  • African American
  • Black
  • discrimination
  • HIV
  • intersectionality
  • men who have sex with men, USA

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health

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  • Cite this

    Bogart, L. M., Dale, S., Christian, J., Patel, K., Daffin, G. K., Mayer, K. H., & Pantalone, D. W. (2017). Coping with discrimination among HIV-positive Black men who have sex with men. Culture, Health and Sexuality, 19(7), 723-737. https://doi.org/10.1080/13691058.2016.1258492