Evidence map›Paper›PMID 34933242›Full record

ArticleSocial science & medicine (1982)2022

Intersecting racism and homonegativism among sexual minority men of color: Latent class analysis of multidimensional stigma with subgroup differences in health and sociostructural burdens.

Eric K Layland, Jennifer L Maggs, Michele D Kipke, Bethany C Bray

Abstract read
In one paragraph

Article in Social science & medicine (1982), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Intersectional discrimination and noncommunicable disease risk factors among sexual minority men of color.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Eric K LaylandCenter for Interdisciplinary Research on AIDS, Yale School of Public Health, 220 E. 23rd Street, Suite 405, New York, NY, 10010, USA; Department of Human Development and Family Studies, The Pennsylvania State University, 208 Health and Human Development Building, University Park, PA, 16803, USA. Electronic address: eric.layland@yale.edu.
Jennifer L MaggsDepartment of Human Development and Family Studies, The Pennsylvania State University, 208 Health and Human Development Building, University Park, PA, 16803, USA. Electronic address: jmaggs@psu.edu.
Michele D KipkeChildren's Hospital Los Angeles, 4650 Sunset Blvd., Los Angeles, CA, 90027, USA; Departments of Pediatrics and Preventive Medicine, Keck School of Medicine, University of Southern California, 1975 Zonal Ave., Los Angeles, CA, 90027, USA. Electronic address: mkipke@chla.usc.edu.
Bethany C BrayCenter for Dissemination and Implementation Science, University of Illinois at Chicago, 818 S Wolcott Ave., Chicago, IL, 60612, USA. Electronic address: bcbray@uic.edu.

Funding

Young Men of Color Who Have Sex with Men Cohort StudyU01DA036926 · NIDA · CHILDREN'S HOSPITAL OF LOS ANGELES · PI GOLDBACH, JEREMY THOMAS, KIPKE, MICHELE D. · 2015 to 2024
$23.3M
Pilot, Mentoring, and Professional Development CoreP50DA039838 · NIDA · PENNSYLVANIA STATE UNIVERSITY, THE · PI LI, RUNZE · 2015 to 2019
$13.9M
INTERDISCIPLINARY HIV PREVENTION TRAINING PROGRAMT32MH020031 · NIMH · YALE UNIVERSITY · PI Trace S Kershaw · 1999 to 2026
$12.1M
PREVENTION AND METHODOLOGY TRAINING (PAMT)T32DA017629 · NIDA · PENNSYLVANIA STATE UNIVERSITY-UNIV PARK · PI Eric D Claus, Rina D Eiden · 2005 to 2026
$9.5M
NIDA NIH HHS P50 DA039838NIDA NIH HHS T32 DA017629NIDA NIH HHS U01 DA036926NIMH NIH HHS T32 MH020031
6 · The paper itself

Abstract

rationaleApplying an intersectional framework to quantitative public health research among Black and Latino sexual minority men requires analysis that considers interlocking, multidimensional systems of racist and homonegative oppression that fundamentally subvert health. In this study, person-centered methods reflected the complexity of intersecting stigma and how subgroups experience that intersection differently.

methodsData were from a cohort of 435 Black and Latino sexual minority young men (mean age = 22.3 years) in the Healthy Young Men's Cohort Study in Los Angeles, United States. Participants provided data semiannually on five occasions spanning 24 months from 2016 to 2019. The marginal approach to longitudinal latent class analysis was used to identify latent classes indicated by multidimensional experiences of racism (e.g., police harassment, workplace discrimination, sexual objectification) and homonegativism (e.g., violence, family rejection, identity concealment) during the transition to adulthood. Associations between sociostructural burdens (e.g., socioeconomic status, food insecurity, unstable housing) and class incidents were investigated. Prevalence of mental health care needs, chronic health conditions, and overall self-reported health were compared among classes.

resultsFive latent classes were identified: Minimal Stigma (26% of person records), Select Social Stigma (22%), Homonegativism (17%), Multiform Racism (24%), and Compound Stigma (11%). Sociostructural burdens were generally associated with 1.69-3.75 times higher odds of Select Social Stigma, Homonegativism, Multiform Racism, and Compound Stigma class incidents relative to Minimal Stigma. The Compound Stigma class had the greatest sociostructural burden, highest mental health care needs, and highest odds of sleep and gastrointestinal disorders, but classes did not differ in overall self-reported health.

conclusionThese results exemplify how sociostructural burdens are interconnected with intersectional stigma experiences that together erode the health of Black and Latino sexual minority young men.

Indexed as

HomophobiaRacismSexual and Gender MinoritiesAdultBlack or African AmericanCohort StudiesHispanic or LatinoHumansLatent Class AnalysisMaleSocial StigmaYoung AdultDiscriminationHomophobiaIntersectionalityLatent class analysisMental healthPhysical healthRacismSocioeconomic status

Identifiers

PMID34933242
PMCPMC9020748

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.