Evidence map›Paper›PMID 40259184›Full record

ArticleJournal of racial and ethnic health disparities2026

The Association of Positive Intersectionality Latent Classes with Psychosocial Factors and PrEP Outcomes in Black Men Who Have Sex with Men (HPTN 073).

David G Zelaya, Tim Janssen, Brayden Windes, Darrell P Wheeler, Sheldon D Fields, Geetha Beauchamp, Christopher W Kahler, Leo Wilton, Kenneth H Mayer

Abstract read
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In one paragraph

Article in Journal of racial and ethnic health disparities, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

David G ZelayaCenter for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health, Box G-S 121 South Main St, Providence, RI, 02912, USA. david_zelaya@brown.edu.ORCID 0000-0002-3173-3499
Tim JanssenCenter for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health, Box G-S 121 South Main St, Providence, RI, 02912, USA.
Brayden WindesCenter for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health, Box G-S 121 South Main St, Providence, RI, 02912, USA.
Darrell P WheelerNew Paltz State University of New York, New Paltz, NY, USA.
Sheldon D FieldsPennsylvania State University, State College, PA, USA.
Geetha BeauchampStatistical Center for HIV/AIDS Research & Prevention (SCHARP) Vaccine and Infectious Disease Division (VIDD), Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Christopher W KahlerCenter for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health, Box G-S 121 South Main St, Providence, RI, 02912, USA.
Leo WiltonDepartment of Human Development, State University of New York at Binghamton, Binghamton, NY, USA.
Kenneth H MayerDepartment of Psychiatry, Harvard Medical School, Boston, MA, USA.

Funding

Informing treatment adaptation based on the interplay between behavioral undercontrol and context: an event-level studyK01AA026335 · NIAAA · BROWN UNIVERSITY · PI JANSSEN, TIM · 2018 to 2022
$904k
A Theory-Driven Modification of a Motivational Interviewing Intervention Targeting Alcohol Misuse Among Hispanic AmericansK23AA030339 · NIAAA · BROWN UNIVERSITY · PI David G. Zelaya · 2023 to 2026
$734k
Division of Intramural Research, National Institute of Allergy and Infectious Diseases P30AI042853Division of Intramural Research, National Institute of Allergy and Infectious Diseases UM1AI068619Division of Intramural Research, National Institute of Allergy and Infectious Diseases UM1AI069412NIAAA NIH HHS AA019072NIAAA NIH HHS K01AA026335NIAAA NIH HHS K23 AA030339NIAAA NIH HHS K23AA030339NIAAA NIH HHS L30 AA031135
6 · The paper itself

Abstract

Experiences of discrimination and HIV risk in Black men who have sex with men (MSM) need to be examined from the perspective of strength and resilience and not just risk. Scholars have theorized that a strong connection with one's sociocultural identities may increase individuals' ability to cope with discrimination which has been related to positive health outcomes. Scholars have coined the term positive intersectionality to refer to how one's stigmatized identity(ies) can be used to draw strength and create a positive sense of self. The current study is a secondary data analysis of a study of 225 Black MSM. We utilized Latent Class Analysis to determine profiles of positive intersectionality measured by indicators of racial/ethnic identity, having an integrated sexual orientation and racial/ethnic identity, and levels of internalized homophobia. Fit indices suggested a five-latent class solution: low positive intersectionality (n = 3), ambivalent positive intersectionality (n = 19), moderate positive intersectionality (n = 66), salient/high positive intersectionality (n = 124), and conflict(ed) positive intersectionality (n = 13). Differences were found across classes on key outcomes, broadly individuals in classes with more positive intersectionality tended to report more positive psychosocial outcomes (i.e., more social support and less depression) than those in classes with lower positive intersectionality. Regarding PrEP outcomes, adherence (examined via a biomarker) was highest among those reporting ambivalent or conflict positive intersectionality compared to those with low positive intersectionality. Our findings underscore the need for the development of strengths-based and culturally tailored interventions may help to improve well-being for Black MSM.

Indexed as

Black or African AmericanHIV InfectionsHomosexuality, MalePre-Exposure ProphylaxisAdultHomophobiaHumansLatent Class AnalysisMaleMiddle AgedSocial IdentificationSocial StigmaWhiteYoung AdultBlack men who have sex with menIntersectionalityPrEPSocial support

Identifiers

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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.