Intersectional Discrimination, Positive Feelings, and Health Indicators Among Black Sexual Minority Men
Objective: This study examined psychological and sexual health indicators associated with positive feelings and discrimination at the intersection of race and gender among Black gay, bisexual, and other sexual minority men (SMM). Method: Participants were a national sample of 1,064 Black SMM (Mdn ag...
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Veröffentlicht in: | Health psychology 2020-03, Vol.39 (3), p.220-229 |
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description | Objective: This study examined psychological and sexual health indicators associated with positive feelings and discrimination at the intersection of race and gender among Black gay, bisexual, and other sexual minority men (SMM). Method: Participants were a national sample of 1,064 Black SMM (Mdn age = 28) who responded to self-report measures of positive feelings and discrimination associated with being a Black man, psychological distress, self-efficacy, emotional awareness, and sexual HIV risk and protective behavior. Using structural equation modeling, we examined associations between the positive feelings and discrimination scales and the psychological and sexual health indicators. We also tested age as a moderator of these associations. Results: Our results indicated that positive feelings about being a Black man were significantly positively associated with self-efficacy (b = 0.33), emotional awareness (b = 0.16), and sexual protective behavior (b = 0.93) and negatively associated with psychological distress (b = −0.26) and sexual risk behavior (b = −0.93). Except for emotional awareness and sexual protective behavior, discrimination as a Black man was also associated with these variables, though to a lesser magnitude for positive health indicators. Moderation results showed that, except for the association between positive feelings and emotional awareness, younger men generally had stronger associations between health indicators and the positive feelings and discrimination scales. Conclusions: These results suggest that positive feelings, in addition to discrimination, at the intersection of race and gender play an important role in the psychological and sexual health of Black SMM, especially earlier in their lives. |
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Jonathon</creator><contributor>Freedland, Kenneth E</contributor><creatorcontrib>English, Devin ; Carter, Joseph A. ; Forbes, Nicola ; Bowleg, Lisa ; Malebranche, David J. ; Talan, Ali J. ; Rendina, H. Jonathon ; Freedland, Kenneth E</creatorcontrib><description>Objective: This study examined psychological and sexual health indicators associated with positive feelings and discrimination at the intersection of race and gender among Black gay, bisexual, and other sexual minority men (SMM). Method: Participants were a national sample of 1,064 Black SMM (Mdn age = 28) who responded to self-report measures of positive feelings and discrimination associated with being a Black man, psychological distress, self-efficacy, emotional awareness, and sexual HIV risk and protective behavior. Using structural equation modeling, we examined associations between the positive feelings and discrimination scales and the psychological and sexual health indicators. We also tested age as a moderator of these associations. Results: Our results indicated that positive feelings about being a Black man were significantly positively associated with self-efficacy (b = 0.33), emotional awareness (b = 0.16), and sexual protective behavior (b = 0.93) and negatively associated with psychological distress (b = −0.26) and sexual risk behavior (b = −0.93). Except for emotional awareness and sexual protective behavior, discrimination as a Black man was also associated with these variables, though to a lesser magnitude for positive health indicators. Moderation results showed that, except for the association between positive feelings and emotional awareness, younger men generally had stronger associations between health indicators and the positive feelings and discrimination scales. Conclusions: These results suggest that positive feelings, in addition to discrimination, at the intersection of race and gender play an important role in the psychological and sexual health of Black SMM, especially earlier in their lives.</description><identifier>ISSN: 0278-6133</identifier><identifier>EISSN: 1930-7810</identifier><identifier>DOI: 10.1037/hea0000837</identifier><identifier>PMID: 31944799</identifier><language>eng</language><publisher>United States: American Psychological Association</publisher><subject>Adult ; African Americans - psychology ; AIDS ; Awareness ; Bisexuality ; Black People ; Discrimination ; Emotions ; Female ; Gender ; Health indicators ; Health status ; HIV ; Human ; Human immunodeficiency virus ; Humans ; Intersectionality ; Male ; Male Homosexuality ; Men ; Mental Health ; Middle Aged ; Minority groups ; Moderation ; Positive Emotions ; Protective factors ; Psychological distress ; Race ; Race and Ethnic Discrimination ; Risk behavior ; Risk-Taking ; Self report ; Self-efficacy ; Sex Discrimination ; Sexual and Gender Minorities - psychology ; Sexual behavior ; Sexual Behavior - psychology ; Sexual Health ; Sexual Minority Groups ; Social Discrimination - psychology</subject><ispartof>Health psychology, 2020-03, Vol.39 (3), p.220-229</ispartof><rights>2020 American Psychological Association</rights><rights>2020, American Psychological Association</rights><rights>Copyright American Psychological Association Mar 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a470t-9576a3af1123780aeff1b986cdb32167b622ba3d2f4ed0a317785588d3b105673</citedby><orcidid>0000-0002-0148-2852</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902,30976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31944799$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Freedland, Kenneth E</contributor><creatorcontrib>English, Devin</creatorcontrib><creatorcontrib>Carter, Joseph A.</creatorcontrib><creatorcontrib>Forbes, Nicola</creatorcontrib><creatorcontrib>Bowleg, Lisa</creatorcontrib><creatorcontrib>Malebranche, David J.</creatorcontrib><creatorcontrib>Talan, Ali J.</creatorcontrib><creatorcontrib>Rendina, H. Jonathon</creatorcontrib><title>Intersectional Discrimination, Positive Feelings, and Health Indicators Among Black Sexual Minority Men</title><title>Health psychology</title><addtitle>Health Psychol</addtitle><description>Objective: This study examined psychological and sexual health indicators associated with positive feelings and discrimination at the intersection of race and gender among Black gay, bisexual, and other sexual minority men (SMM). Method: Participants were a national sample of 1,064 Black SMM (Mdn age = 28) who responded to self-report measures of positive feelings and discrimination associated with being a Black man, psychological distress, self-efficacy, emotional awareness, and sexual HIV risk and protective behavior. Using structural equation modeling, we examined associations between the positive feelings and discrimination scales and the psychological and sexual health indicators. We also tested age as a moderator of these associations. Results: Our results indicated that positive feelings about being a Black man were significantly positively associated with self-efficacy (b = 0.33), emotional awareness (b = 0.16), and sexual protective behavior (b = 0.93) and negatively associated with psychological distress (b = −0.26) and sexual risk behavior (b = −0.93). Except for emotional awareness and sexual protective behavior, discrimination as a Black man was also associated with these variables, though to a lesser magnitude for positive health indicators. Moderation results showed that, except for the association between positive feelings and emotional awareness, younger men generally had stronger associations between health indicators and the positive feelings and discrimination scales. Conclusions: These results suggest that positive feelings, in addition to discrimination, at the intersection of race and gender play an important role in the psychological and sexual health of Black SMM, especially earlier in their lives.</description><subject>Adult</subject><subject>African Americans - psychology</subject><subject>AIDS</subject><subject>Awareness</subject><subject>Bisexuality</subject><subject>Black People</subject><subject>Discrimination</subject><subject>Emotions</subject><subject>Female</subject><subject>Gender</subject><subject>Health indicators</subject><subject>Health status</subject><subject>HIV</subject><subject>Human</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Intersectionality</subject><subject>Male</subject><subject>Male Homosexuality</subject><subject>Men</subject><subject>Mental Health</subject><subject>Middle Aged</subject><subject>Minority groups</subject><subject>Moderation</subject><subject>Positive Emotions</subject><subject>Protective factors</subject><subject>Psychological distress</subject><subject>Race</subject><subject>Race and Ethnic Discrimination</subject><subject>Risk behavior</subject><subject>Risk-Taking</subject><subject>Self report</subject><subject>Self-efficacy</subject><subject>Sex Discrimination</subject><subject>Sexual and Gender Minorities - psychology</subject><subject>Sexual behavior</subject><subject>Sexual Behavior - psychology</subject><subject>Sexual Health</subject><subject>Sexual Minority Groups</subject><subject>Social Discrimination - psychology</subject><issn>0278-6133</issn><issn>1930-7810</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp9kV9rFDEUxYModlt98QNIwBepHc2fmWTyIrTV2oUWBfU53MlkdlNnk22SKd1vb5atbfXB-xK4-XG45xyEXlHynhIuPywtkDItl0_QjCpOKtlS8hTNCJNtJSjne2g_pavCMNU0z9Eep6qupVIztJj7bGOyJrvgYcSfXDLRrZyH7eIIfwvJZXdj8Zm1o_OLdITB9_jcwpiXeO57ZyCHmPDxKvgFPhnB_MLf7e1UtC6dD9HlDb60_gV6NsCY7Mu79wD9PPv84_S8uvj6ZX56fFFBLUmuVCMFcBgoZVy2BOww0E61wvQdZ1TITjDWAe_ZUNueAKdStk3Ttj3vKGmE5Afo4053PXUr2xvrc4RRr4sniBsdwOm_f7xb6kW40ZIQyakoAm_vBGK4nmzKelUiseMI3oYpacZrWo5oRF3QN_-gV2GKJcUtJUrYtWrE_ymuqGxoywp1uKNMDClFO9yfTInetqwfWi7w68cm79E_tRbg3Q6ANeh12hiI2ZnRJjPFWIxvxTRXmmvGCP8N8qmxVg</recordid><startdate>20200301</startdate><enddate>20200301</enddate><creator>English, Devin</creator><creator>Carter, Joseph A.</creator><creator>Forbes, Nicola</creator><creator>Bowleg, Lisa</creator><creator>Malebranche, David J.</creator><creator>Talan, Ali J.</creator><creator>Rendina, H. Jonathon</creator><general>American Psychological Association</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7RZ</scope><scope>PSYQQ</scope><scope>7QJ</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-0148-2852</orcidid></search><sort><creationdate>20200301</creationdate><title>Intersectional Discrimination, Positive Feelings, and Health Indicators Among Black Sexual Minority Men</title><author>English, Devin ; Carter, Joseph A. ; Forbes, Nicola ; Bowleg, Lisa ; Malebranche, David J. ; Talan, Ali J. ; Rendina, H. Jonathon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a470t-9576a3af1123780aeff1b986cdb32167b622ba3d2f4ed0a317785588d3b105673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>African Americans - psychology</topic><topic>AIDS</topic><topic>Awareness</topic><topic>Bisexuality</topic><topic>Black People</topic><topic>Discrimination</topic><topic>Emotions</topic><topic>Female</topic><topic>Gender</topic><topic>Health indicators</topic><topic>Health status</topic><topic>HIV</topic><topic>Human</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Intersectionality</topic><topic>Male</topic><topic>Male Homosexuality</topic><topic>Men</topic><topic>Mental Health</topic><topic>Middle Aged</topic><topic>Minority groups</topic><topic>Moderation</topic><topic>Positive Emotions</topic><topic>Protective factors</topic><topic>Psychological distress</topic><topic>Race</topic><topic>Race and Ethnic Discrimination</topic><topic>Risk behavior</topic><topic>Risk-Taking</topic><topic>Self report</topic><topic>Self-efficacy</topic><topic>Sex Discrimination</topic><topic>Sexual and Gender Minorities - psychology</topic><topic>Sexual behavior</topic><topic>Sexual Behavior - psychology</topic><topic>Sexual Health</topic><topic>Sexual Minority Groups</topic><topic>Social Discrimination - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>English, Devin</creatorcontrib><creatorcontrib>Carter, Joseph A.</creatorcontrib><creatorcontrib>Forbes, Nicola</creatorcontrib><creatorcontrib>Bowleg, Lisa</creatorcontrib><creatorcontrib>Malebranche, David J.</creatorcontrib><creatorcontrib>Talan, Ali J.</creatorcontrib><creatorcontrib>Rendina, H. Jonathon</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PsycARTICLES (ProQuest)</collection><collection>ProQuest One Psychology</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Health psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>English, Devin</au><au>Carter, Joseph A.</au><au>Forbes, Nicola</au><au>Bowleg, Lisa</au><au>Malebranche, David J.</au><au>Talan, Ali J.</au><au>Rendina, H. Jonathon</au><au>Freedland, Kenneth E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intersectional Discrimination, Positive Feelings, and Health Indicators Among Black Sexual Minority Men</atitle><jtitle>Health psychology</jtitle><addtitle>Health Psychol</addtitle><date>2020-03-01</date><risdate>2020</risdate><volume>39</volume><issue>3</issue><spage>220</spage><epage>229</epage><pages>220-229</pages><issn>0278-6133</issn><eissn>1930-7810</eissn><abstract>Objective: This study examined psychological and sexual health indicators associated with positive feelings and discrimination at the intersection of race and gender among Black gay, bisexual, and other sexual minority men (SMM). Method: Participants were a national sample of 1,064 Black SMM (Mdn age = 28) who responded to self-report measures of positive feelings and discrimination associated with being a Black man, psychological distress, self-efficacy, emotional awareness, and sexual HIV risk and protective behavior. Using structural equation modeling, we examined associations between the positive feelings and discrimination scales and the psychological and sexual health indicators. We also tested age as a moderator of these associations. Results: Our results indicated that positive feelings about being a Black man were significantly positively associated with self-efficacy (b = 0.33), emotional awareness (b = 0.16), and sexual protective behavior (b = 0.93) and negatively associated with psychological distress (b = −0.26) and sexual risk behavior (b = −0.93). Except for emotional awareness and sexual protective behavior, discrimination as a Black man was also associated with these variables, though to a lesser magnitude for positive health indicators. Moderation results showed that, except for the association between positive feelings and emotional awareness, younger men generally had stronger associations between health indicators and the positive feelings and discrimination scales. Conclusions: These results suggest that positive feelings, in addition to discrimination, at the intersection of race and gender play an important role in the psychological and sexual health of Black SMM, especially earlier in their lives.</abstract><cop>United States</cop><pub>American Psychological Association</pub><pmid>31944799</pmid><doi>10.1037/hea0000837</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-0148-2852</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Adult African Americans - psychology AIDS Awareness Bisexuality Black People Discrimination Emotions Female Gender Health indicators Health status HIV Human Human immunodeficiency virus Humans Intersectionality Male Male Homosexuality Men Mental Health Middle Aged Minority groups Moderation Positive Emotions Protective factors Psychological distress Race Race and Ethnic Discrimination Risk behavior Risk-Taking Self report Self-efficacy Sex Discrimination Sexual and Gender Minorities - psychology Sexual behavior Sexual Behavior - psychology Sexual Health Sexual Minority Groups Social Discrimination - psychology |
title | Intersectional Discrimination, Positive Feelings, and Health Indicators Among Black Sexual Minority Men |
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