ArticleAmerican journal of preventive medicine2021
Intersecting Structural Oppression and Black Sexual Minority Men's Health.
Article in American journal of preventive medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 1 of them a synthesis that pooled it.
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Who cites it
51 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.
- The association between macro-level structural discrimination and alcohol outcomes: A systematic review.Social science & medicine (1982) · 2025Pooled it
- Moderators of LGBQ-affirmative cognitive behavioral therapy: ESTEEM is especially effective among Black and Latino sexual minority men.Journal of consulting and clinical psychology · 2023Trial
- Sexual stigma as a psychosocial mediator between racialized status and mental health in sexual minority men.Social psychiatry and psychiatric epidemiology · 2026Article
- "Unlocking Healthier Ways of Living and Being": Black Same Gender Loving Men's Insights Into Developing a Spirituality-Based Holistic Health Intervention.Qualitative health research · 2026Article
- The Association of Positive Intersectionality Latent Classes with Psychosocial Factors and PrEP Outcomes in Black Men Who Have Sex with Men (HPTN 073).Journal of racial and ethnic health disparities · 2026Article
- Identity in turmoil: Investigating the morally injurious dimensions of minority stress.European journal of psychotraumatology · 2025Article
- A Standard Measure of Structural Racism, Do We Have One? Can We Have One? A Narrative Review of Commonly Used Measures and Domains of Use.Journal of racial and ethnic health disparities · 2025Review
- The Paradox of Belonging: Minority Stress, Community Belongingness, and Subjective Well-Being Among Black LGBTQ+ Adults.Behavioral sciences (Basel, Switzerland) · 2025Article
- Supporting Queer and Trans Youth Who Hold BIPOC Identities: A Literature Review and Model to Inform Intersectional, Liberation-Focused Clinical Practice.Clinical child and family psychology review · 2025Review
- Integrating a Strengths-Based Intersectional Approach to the Study of Suicide Risk Among Black Lesbian, Gay, Bisexual, Transgender, Queer, and Questioning Youth.Mental health science · 2025Article
- Intersecting Identities: Exploring stigma, minority stress, resilience, and identity in sexual and gender diverse youths of color.SSM. Mental health · 2025Article
- Investigating Social Network Peer Effects on HIV Care Engagement Using a Fuzzy-Like Matching Approach: Cross-Sectional Secondary Analysis of the N2 Cohort Study.JMIR public health and surveillance · 2025Article
- Systemic inequities, dignity, and trust in the context of HIV care: a qualitative analysis.International journal for equity in health · 2025Article
- Social network alcohol use is associated with individual-level alcohol use among Black sexually minoritized men and gender-expansive people: Findings from the Neighborhoods and Networks (N2) cohort study.Alcohol, clinical & experimental research · 2025Article
- Intimate Partner Violence Predicts Alcohol and Substance Use Among Young Sexual and Gender Minorities Assigned Male at Birth: A Longitudinal Analysis of the RADAR Cohort.Substance use & misuse · 2025Article
- Medical mistrust of health systems as a moderator of resilience and self-reported HIV care engagement in Black and Latinx young adults living with HIV.Cultural diversity & ethnic minority psychology · 2025Article
- From mental health detention to health systems reform: Co-producing policy and practice recommendations with Black men, their communities, and health and social care professionals.PLOS mental health · 2025Article
- Manifestations and Lived Experiences of Structural Racism for Racial and Ethnic Minority Communities Affected by HIV Across the United States.Health equity · 2025Article
- Sexualized drug use factors among rural sexual minority men.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Perceived burdensomeness and thwarted belongingness as mediators of the relation between anxiety and suicidal ideation among adolescents.Suicide & life-threatening behavior · 2024Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
Abstract
introductionAlthough evidence indicates that Black gay, bisexual, and other sexual minority men experience vast psychological and behavioral health inequities, most research has focused on individual rather than structural drivers of these inequities. This study examines the associations between structural racism and anti-lesbian, gay, bisexual, transgender, and queer policies and the psychological and behavioral health of Black and White sexual minority men.
methodsParticipants were an Internet-based U.S. national sample of 1,379 Black and 5,537 White sexual minority men during 2017-2018. Analysis occurred in 2019-2020. Structural equation modeling tested the associations from indicators of structural racism, anti‒lesbian, gay, bisexual, transgender, and queer policies, and their interaction to anxiety symptoms, depressive symptoms, perceived burdensomeness, heavy drinking, and HIV testing frequency. Separate models for Black and White sexual minority men adjusted for contextual and individual covariates.
resultsFor Black participants, structural racism was positively associated with anxiety symptoms (β=0.20, SE=0.10, p=0.04), perceived burdensomeness (β=0.42, SE=0.09, p<0.001), and heavy drinking (β=0.23, SE=0.10, p=0.01). Anti‒lesbian, gay, bisexual, transgender, and queer policies were positively associated with anxiety symptoms (β=0.08, SE=0.04, p=0.03), perceived burdensomeness (β=0.20, SE=0.04, p<0.001), and heavy drinking (β=0.10, SE=0.04, p=0.01) and were negatively associated with HIV testing frequency (β= -0.14, SE=0.07, p=0.04). Results showed significant interaction effects, such that the positive associations between structural racism and both perceived burdensomeness (β=0.38, SE=0.08, p≤0.001) and heavy drinking (β=0.22, SE=0.07, p=0.003) were stronger for individuals living in states with high levels of anti‒lesbian, gay, bisexual, transgender, and queer policies. Neither of the oppression variables nor their interaction was significantly associated with outcomes for White sexual minority men.
conclusionsResults highlight the intersectional nature of structural oppression and suggest that racist and anti-lesbian, gay, bisexual, transgender, and queer policies must be repealed to rectify health inequities facing Black sexual minority men.
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