Strengths and Resiliencies of Black MSM in New York City Who Maintain HIV-Seronegativity

Black gay, bisexual, and other men who have sex with men (MSM) carry the greatest burden of the HIV epidemic in the United States. Because Black MSM’s identities lie at the intersection of race and sexual orientation, they are more likely to experience negative social determinants of health, which have been associated with greater HIV acquisition. However, the majority of Black MSM maintain seronegativity, but few public health studies have identified what contributes to their seronegativity maintenance. In order to address this gap in knowledge, I explored maintained HIV-seronegativity among a cohort of Black MSM in New York City (NYC). Guided by social work’s strengths-based approach, I employed constructivist grounded theory building on sensitizing concepts from extant theories to explicate how Black MSM demonstrate resilience amidst high seroprevalence in NYC. Results from this study suggest that their unique strategies, strengths, and resiliencies are indubitably interconnected with their intersecting identities as Black men. Their strengths and resiliencies for maintained seronegativity originate from survival strategies that Black people have employed for generations

The social and sexual lives of Black sexual minority men 30 years of age and older in South Africa

ADDITIONAL FILE 1. Quantitative survey.BACKGROUND : Black sexual minority men (SMM) ages 30 and older are under-represented in HIV studies in sub- Saharan Africa, despite being at increased risk of HIV infection and contributing to potential onward HIV transmission. To better understand the social and sexual lives of older Black South African SMM, we conducted in-depth interviews with SMM who were > 30 years old. METHODS : From March–September 2016, we recruited a convenience sample of 37 SMM ages 30 and older by partnering with an LGBTQ+ organization in Tshwane, Pretoria. Men were interviewed about various aspects of their lives, including their sexual orientation, social connectedness, experiences with stigma and perspectives on participating in research. RESULTS : Participants described their experiences with their sexual identities, cultural and social implications of disclosure, and their perspective on South Africa’s political perspectives on the LGBTQ+ community. Men described how these experiences influence their trust in research and comfort participating in studies. CONCLUSIONS : Inferences drawn from these findings provide direction on how to improve middle-aged SMM’s representation in research, such as recruiting a higher proportion of older and middle-aged SMM to serve as seed participants and building stronger community partnerships to disseminate study findings to settings where data collection is conducted.The Fulbright U.S. Student Program, NIMH and NIAAA.http://www.biomedcentral.com/bmcpublichealtham2023PsychologySociolog

"Being downcast by society… adds to the stress levels and would explain why [we] smoke more.": Smoking among HIV-Positive Black Men Who Have Sex with Men.

Smoking causes more deaths among people living with HIV than HIV infection itself. Few smoking cessation interventions and studies of sexual minority communities have considered the lived experiences of Black men who have sex with men (BMSM) living with HIV. Before developing interventions for these men, we need to answer: How do experiences of discrimination and stigma influence their perceptions of smoking? This phenomenological study was led by a community-based organization. We conducted six focus groups with 53 BMSM living with HIV in Los Angeles. We used minority stress theory in the analysis and interpretation of the data. We identified two themes: (1) co-occurrence of race and sexual orientation stressors and smoking (e.g., "I feel like I'd be discriminated against sometimes because I'm gay and because I'm Black.") and (2) smoking as a reaction to HIV-positive status (e.g., "I know more people that started smoking after they found out they [had] HIV."). Participants smoked to cope with stressors around race, sexual orientation, and living with HIV. These findings challenge us to ensure that smoking cessation interventions address the personal and social concerns of BMSM living with HIV and help them identify healthier ways to cope with stressors