Center for Applied Research on Substance Use and Health Disparities, Nova Southeastern University, Ft. Lauderdale, FL.
J Racial Ethn Health Disparities. 2015 Mar;2(1):1-10. doi: 10.1007/s40615-014-0042-2.
African American/Black men who have sex with men (MSM) in the U.S. experience health and social disparities at greater rates than MSM of other races/ethnicities, including HIV infection and substance use. This mixed methods paper presents: 1) a quantitative examination of health and social disparities among a sample of substance-using African American/Black MSM (N=108), compared to Caucasian/White MSM (N=250), and 2) in-depth qualitative data from a subsample of African American/Black MSM (N=21) in order to contextualize the quantitative data. Findings indicate that compared to Caucasian/White MSM, African American/Black MSM experienced a wide range of health and social disparities including: substance use and dependence; buying, trading or selling sex; educational attainment; employment; homelessness; identifying as gay; HIV status; arrest history; social support; and satisfaction with one's living situation. Qualitative data suggests that structural interventions that address homophobia and the social environment would be likely to mitigate many of the health and social disparities experienced by African American/Black MSM.
美国的非裔美国男性/黑人男男性行为者（MSM）比其他种族/族裔的 MSM 更容易经历健康和社会不平等，包括 HIV 感染和药物使用。本混合方法研究报告了：1）对一组药物使用的非裔美国男性/黑人 MSM（N=108）与白种/白人 MSM（N=250）的健康和社会不平等进行定量检查，以及 2）从非裔美国男性/黑人 MSM（N=21）的亚样本中获得的深入定性数据，以便对定量数据进行背景分析。研究结果表明，与白种/白人 MSM 相比，非裔美国男性/黑人 MSM 经历了广泛的健康和社会不平等，包括：药物使用和依赖；购买、交易或出售性服务；教育程度；就业；无家可归；同性恋身份；HIV 状况；被捕历史；社会支持；以及对生活状况的满意度。定性数据表明，解决恐同和社会环境的结构性干预措施可能会减轻非裔美国男性/黑人 MSM 所经历的许多健康和社会不平等。
