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Journal of Urban Health
Published in: Journal of Urban Health 5/2020

01-10-2020 | Sexually Transmitted Infection

The Healthy Young Men’s Cohort: Health, Stress, and Risk Profile of Black and Latino Young Men Who Have Sex with Men (YMSM)

Authors: Michele D. Kipke, Katrina Kubicek, Ifedayo C. Akinyemi, Wendy Hawkins, Marvin Belzer, Sandesh Bhandari, Bethany Bray

Published in: Journal of Urban Health | Issue 5/2020

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Abstract

Young men who have sex with men (YMSM), especially YMSM of color, are at increased risk for a wide range of threats to their health and well-being. In this study, we recruited and surveyed an urban sample of 448 young African American/Black (Black), Hispanic/Latino (Latino), and multi-racial/ethnic YMSM, ages 16–24 years (mean = 22.3 years), about stressful life events, their health and mental health, their access to and utilization of care, and their involvement in risk-related behaviors. We found that the majority reported experiences of racism (87%) and homophobia (76%). A high percentage reported food insecurity/hunger (36%), residential instability (15%), financial hardship (63%), and conflict with family/friends (62%). The prevalence of risk behaviors was also high, including recent use of tobacco (46%), alcohol (88%), and marijuana (72%), and 41% tested positive for 1+ drugs. Furthermore, 26% tested positive for 1+ sexually transmitted infections (STIs). Over half (56%) reported being worried about their health, 33% reported having a chronic health condition and 31% a mental health condition, and 45% had wanted/needed mental health services during the past year. Further, 17% reported suicidal ideation/had planned a suicide attempt and 26% had ever engaged in self-injurious behaviors. Significant differences by race/ethnicity and HIV status included residential status/food insecurity, type of racism/homophobia, drug use, and STIs. These findings demonstrate how vulnerable this population is with respect to a wide range of structural and social determinants of health that may be important drivers of behavioral, health, mental health outcomes, and potentially long-term health disparities.
Footnotes
1
YMSM is used here to denote behavior as opposed to identity as YMSM is inclusive of young men who have sexual attractions to other men regardless of sexual identity (e.g., gay, bisexual, queer).
 
2
Name of IRB is blinded for peer review. The name will be provided upon acceptance of the manuscript.
 
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Metadata
Title
The Healthy Young Men’s Cohort: Health, Stress, and Risk Profile of Black and Latino Young Men Who Have Sex with Men (YMSM)
Authors
Michele D. Kipke
Katrina Kubicek
Ifedayo C. Akinyemi
Wendy Hawkins
Marvin Belzer
Sandesh Bhandari
Bethany Bray
Publication date
01-10-2020

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