Whitfield Darren L
School of Social Work, University of Pittsburgh, Pittsburgh, PA, USA.
AIDS Care. 2020 Sep;32(9):1116-1124. doi: 10.1080/09540121.2020.1753007. Epub 2020 Apr 11.
Black men who have sex with men (MSM) account for 26% of all new HIV infections in the United States. Biomedical HIV interventions have proven to reduce HIV infections however the use of these interventions by Black MSM is inconsistent. Research suggests that internalized racism may contribute to inconsistent biomedical HIV interventions (condom use and PrEP use) among Black MSM. Using a national sample of 432 Black MSM, we examined the relationship between condom and PrEP use and internalized racism. The results suggest there is some evidence for an association between internalized racism and PrEP use. In addition, internalized racism was not associated with condom use for both insertive and receptive anal sex among Black MSM. These finding suggest the relationship between internalized racism and HIV prevention strategies is not facile and more attention is needed to understand the true impact of racism, both internal and societal, on HIV prevention strategies among Black MSM. These findings underscore the nature of racism in the daily lives of Black MSM and how it impacts HIV prevention strategies adopted by these men.
男男性行为的黑人（MSM）占美国所有新增艾滋病毒感染病例的26%。生物医学艾滋病毒干预措施已被证明可减少艾滋病毒感染，然而黑人男男性行为者对这些干预措施的使用并不一致。研究表明，内化的种族主义可能导致黑人男男性行为者在生物医学艾滋病毒干预措施（使用避孕套和暴露前预防）方面的不一致。我们以432名黑人男男性行为者为全国样本，研究了避孕套和暴露前预防的使用与内化种族主义之间的关系。结果表明，有一些证据支持内化种族主义与暴露前预防使用之间存在关联。此外，内化种族主义与黑人男男性行为者在插入式和接受式肛交中使用避孕套并无关联。这些发现表明，内化种族主义与艾滋病毒预防策略之间的关系并不简单，需要更多关注来了解内在和社会层面的种族主义对黑人男男性行为者艾滋病毒预防策略的真正影响。这些发现强调了黑人男男性行为者日常生活中种族主义的本质，以及它如何影响这些男性所采取的艾滋病毒预防策略。
