Homophobia, Racism, and Other Social Barriers to HIV Prevention among Gay and Bisexual Men of Color

• Kalichman, S. ^[1]
  1. [1] University of Connecticut

     University of Connecticut

     Town of Mansfield, Estados Unidos

     
• Localización: Libro de Abstracts del I Congreso Internacional de Sexualidad: expresando la Diversidad, 2019
• Idioma: inglés
• Enlaces
  • Texto Completo Libro (pdf)
• Resumen

  • Throughout Europe and the Americas, gay and bisexual men have the highest rates ofHIV infection. Current trends in the US show that as many as 60% of gay and bisexualmen of color will contract HIV by the age of 40 and nearly half of gay and bisexualmen who are living with HIV in the US are undiagnosed. Infrequent HIV testingand the low uptake of evidence-based approaches to preventing HIV, particularlyHIV pre-exposure prophylaxis (PrEP), constitutes a public health crisis. Among thefactors that impede HIV prevention, including HIV testing and linkage to PrEP, arethe social stigmas and discrimination based on race, sexual orientation and HIV-risk.Furthermore, combinations of stigmas intersect to shape unique experiences such thatgay/bisexual men of color are stigmatized not just through racism and homophobia,but by the unique experiences of being a man of color who engages in same-sexsexual behaviors. Stigmatized characteristics intersect within individuals, a conceptknown as intersectional stigma; the juncture of multiple stigmatized characteristicsincluding race, sexual orientation and HIV-risk. This presentation will review researchon intersectional stigma experienced by gay and bisexual men of color and will discusshow stigma may be addressed in HIV prevention interventions for gay and bisexualmen.