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. Storholm, 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

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)3384-3395
Number of pages12
JournalAIDS and Behavior
Volume23
Issue number12
DOIs
StatePublished - Dec 1 2019

Keywords

  • Minority stress
  • Resilience
  • Sexual risk
  • Stimulant use
  • YBMSM

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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  • Cite this

    Storholm, E. D., Huang, W., Siconolfi, D. E., Pollack, L. M., Carrico, A. W., Vincent, W., Rebchook, G. M., Huebner, D. M., Wagner, G. J., & Kegeles, S. M. (2019). 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. AIDS and Behavior, 23(12), 3384-3395. https://doi.org/10.1007/s10461-019-02572-y