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Published in: Journal of Urban Health 1/2024

29-12-2023 | Human Immunodeficiency Virus | Original Article

The Inherent Violence of Anti-Black Racism and its Effects on HIV Care for Black Sexually Minoritized Men

Authors: Katherine G. Quinn, Jennifer L. Walsh, Wayne DiFranceisco, Travonne Edwards, Lois Takahashi, Anthony Johnson, Andrea Dakin, Nora Bouacha, Dexter R. Voisin

Published in: Journal of Urban Health | Issue 1/2024

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Abstract

The goal of this study was to examine the effects of racial discrimination, depression, and Black LGBTQ community support on HIV care outcomes among a sample of Black sexually minoritized men living with HIV. We conducted a cross-sectional survey with 107 Black sexually minoritized men living with HIV in Chicago. A path model was used to test associations between racial discrimination, Black LGBTQ community support, depressive symptoms, and missed antiretroviral medication doses and HIV care appointments. Results of the path model showed that men who had experienced more racism had more depressive symptoms and subsequently, missed more doses of HIV antiretroviral medication and had missed more HIV care appointments. Greater Black LGBTQ community support was associated with fewer missed HIV care appointments in the past year. This research shows that anti-Black racism may be a pervasive and harmful determinant of HIV inequities and a critical driver of racial disparities in ART adherence and HIV care engagement experienced by Black SMM. Black LGBTQ community support may buffer against the effects of racial discrimination on HIV care outcomes by providing safe, inclusive, supportive spaces for Black SMM.
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Metadata
Title
The Inherent Violence of Anti-Black Racism and its Effects on HIV Care for Black Sexually Minoritized Men
Authors
Katherine G. Quinn
Jennifer L. Walsh
Wayne DiFranceisco
Travonne Edwards
Lois Takahashi
Anthony Johnson
Andrea Dakin
Nora Bouacha
Dexter R. Voisin
Publication date
29-12-2023
Publisher
Springer US
Published in
Journal of Urban Health / Issue 1/2024
Print ISSN: 1099-3460
Electronic ISSN: 1468-2869
DOI
https://doi.org/10.1007/s11524-023-00823-x

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