Intersectional Experienced Stigma and Psychosocial Syndemic Conditions in a Sample of Black Men Who Have Sex with Men Engaged in Sex Work (BMSM-SW) from Six US Cities.
Intersectional Experienced Stigma and Psychosocial Syndemic Conditions in a Sample of Black Men Who Have Sex with Men Engaged in Sex Work (BMSM-SW) from Six US Cities.
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DOI：
10.1080/00224499.2022.2072799
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发表时间：
2022-09
影响因子：
3.6
通讯作者：
Friedman, M. Reuel
中科院分区：
文献类型：
--
作者：
Chandler, Cristian J.;Adams, Brian J.;Eaton, Lisa A.;Meunier, Etienne;Andrade, Eli;Bukowski, Leigh A.;Stall, Ronald D.;Friedman, M. Reuel
在美国，与男性发生性关系的黑人男性（BMSM）相对于其他种族群体而言，经历了不成比例的暴力，物质使用，身心健康状况的负担。从事性工作的BMSM（BMSM-SW）经历了心理社会条件，性传播感染（包括艾滋病毒）和交叉污名的沉重负担。本分析的特点薪酬和客户端类型BMSM-SW，记录交叉污名BMSM-SW经历相对于其他BMSM，并探讨了经验丰富的交叉污名性工作的参与和社会心理症状（暴力，多种药物的使用，抑郁症状）之间的关系的影响。结果表明，大多数的BMSM-SW的样本中有女性客户，性工作者比其他BMSM更有可能雇用另一个性工作者。BMSM-SW比其他BMSM更有可能报告归因于种族的耻辱;性;艾滋病毒状况;社会经济地位;和“其他”属性，并且更有可能报告在所有评估的环境中（学校;医疗保健;就业;住房;警察/法院;和公共/社区）经历耻辱。交叉污名介导的性工作参与和社会心理症状之间的关系，占49%（95%CI：47.6-50.0%）的关系。对BMSM-SW的干预应包括建立服从的组成部分，以抵消交叉污名的影响。
Black men who have sex with men (BMSM) in the United States experience a disproportionate burden of violence, substance use, physical and mental health conditions relative to other racial groups. BMSM who engage in sex work (BMSM-SW) experience a high burden of psychosocial conditions, sexually transmitted infections including HIV, and intersectional stigma. This analysis characterizes remuneration and client typologies for BMSM-SW, documents intersectional stigma experienced by BMSM-SW relative to other BMSM, and explores the impact of experienced intersectional stigma on the relationship between sex work engagement and psychosocial syndemic conditions (violence, polydrug use, and depression symptoms). Results show that a majority of BMSM-SW in the sample had female clients and that sex workers were more likely than other BMSM to hire another sex worker. BMSM-SW were more likely than other BMSM to report stigma attributed to race; sexuality; HIV status; socioeconomic status; and “other” attributes, and were more likely to report experiencing stigma across all settings assessed (schools; healthcare; employment; housing; police/courts; and in public/community). Intersectional stigma mediated the relationship between sex work engagement and psychosocial syndemic conditions, accounting for 49% (95% CI: 47.6–50.0%) of the relationship. Interventions for BMSM-SW should include resilience-building components to counteract the effects of intersectional stigma.
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影响因子：
4.4
作者：
Kerrigan D;Karver TS;Barrington C;Davis W;Donastorg Y;Perez M;Gomez H;Mbwambo J;Likindikoki S;Shembilu C;Mantsios A;Beckham SW;Galai N;Chan KS
通讯作者：
Chan KS
影响因子：
5.4
作者：
Kline, Nolan
通讯作者：
Kline, Nolan
DOI：
10.1097/qai.0000000000001831
发表时间：
2018-12-01
影响因子：
3.6
作者：
Bukowski, Leigh A.;Chandler, Cristian J.;Stall, Ronald D.
通讯作者：
Stall, Ronald D.
影响因子：
5.4
作者：
Jackson, John W.;VanderWeele, Tyler J.
通讯作者：
VanderWeele, Tyler J.
南方艾滋病毒和其他性传播感染高危男女中的性交易行为
DOI：
10.1007/s11524-009-9368-1
发表时间：
2009-07-01
影响因子：
6.6
作者：
Bobashev, Georgiy V.;Zule, William A.;Wechsberg, Wendee M.
通讯作者：
Wechsberg, Wendee M.