Evidence map›Paper›PMID 39820894›Full record

SynthesisPloS one2025

Racism, homophobia, and the sexual health of young Black men who have sex with men in the United States: A systematic review.

Sarah E Janek, Lisvel A Matos, Sandy Hatoum, Marta I Mulawa, Leila Ledbetter, Michael V Relf

Abstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
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

6 authors.

Sarah E JanekSchool of Nursing, Duke University, Durham, NC, United States of America.ORCID 0009-0002-1213-2791
Lisvel A MatosSchool of Nursing, Duke University, Durham, NC, United States of America.
Sandy HatoumGlobal Health Institute, Duke University, Durham, NC, United States of America.
Marta I MulawaSchool of Nursing, Duke University, Durham, NC, United States of America.ORCID 0000-0001-9687-421X
Leila LedbetterMedical Center Library, Duke University, Durham, NC, United States of America.
Michael V RelfSchool of Nursing, Duke University, Durham, NC, United States of America.

Funding

Social and Behavioral Sciences CoreP30AI064518 · NIAID · DUKE UNIVERSITY · PI Nwora Lance Okeke · 2005 to 2026
$50.5M
Nurse LEADS: Training in Nurse-LEd models of care ADdressing the Social Determinants of HealthT32NR021171 · NINR · DUKE UNIVERSITY · PI Rosa Maria Gonzalez-Guarda, Ryan Jeffrey Shaw · 2024 to 2026
$782k
Intersectional Discrimination and Sexual Health Among Young Black Men who Have Sex with Men: A Mixed Methods StudyF31MH138075 · NIMH · DUKE UNIVERSITY · PI JANEK, SARAH ELISE · 2024 to 2024
$42k
NIAID NIH HHS P30 AI064518NIMH NIH HHS F31 MH138075NINR NIH HHS T32 NR021171
6 · The paper itself

Abstract

Black gay, bisexual, and other men who have sex with men (BMSM) experience the highest rates of HIV acquisition annually out of any population in the United States, and young BMSM (YBMSM) are heavily impacted by this inequity as they enter adulthood. Despite a high annual HIV incidence, extant literature has found BMSM to engage in fewer sexual risk behaviors than White and Hispanic/Latino men who have sex with men, resulting in a gap between risk behaviors and the inequity of HIV infection. Structural factors, such as racism and homophobia, are thus being examined in order to understand this disconnect between behavior and HIV incidence. The purpose of this systematic review was to examine the discrimination experiences of YBMSM due to racism and homophobia in the United States and to evaluate the effect of these experiences on their sexual health. Four databases (MEDLINE, CINAHL Complete, APA PsycINFO, and Sociology Source Ultimate) were searched to examine the available qualitative, quantitative, and mixed method studies relevant to the research question. Out of 17 included studies, the majority were qualitative in design and were conducted in urban settings. Racism and homophobia affected YBMSM's sense of belonging, sexual identity, and sexual partnership choices. Often, masculinity would interact with these two constructs to impact how YBMSM engaged in sexual behavior, such as condomless sex, as well as their likelihood to seek sexual health care. Future research is needed to fully understand the relationships between discrimination and sexual health to develop effective structurally responsive interventions that will help decrease the inequities experienced by YBMSM.

Indexed as

Black or African AmericanHIV InfectionsHomophobiaHomosexuality, MaleRacismSexual HealthHumansMaleSexual and Gender MinoritiesSexual BehaviorUnited StatesYoung Adult

Identifiers

PMID39820894
PMCPMC11737682

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.