Center for Interdisciplinary Research on AIDS, Yale School of Public Health, 220 E. 23rd Street, Suite 405, New York, NY, 10010, USA; Department of Human Development and Family Studies, The Pennsylvania State University, 208 Health and Human Development Building, University Park, PA, 16803, USA.
Department of Human Development and Family Studies, The Pennsylvania State University, 208 Health and Human Development Building, University Park, PA, 16803, USA.
Soc Sci Med. 2022 Jan;293:114602. doi: 10.1016/j.socscimed.2021.114602. Epub 2021 Nov 25.
Applying an intersectional framework to quantitative public health research among Black and Latino sexual minority men requires analysis that considers interlocking, multidimensional systems of racist and homonegative oppression that fundamentally subvert health. In this study, person-centered methods reflected the complexity of intersecting stigma and how subgroups experience that intersection differently.
Data were from a cohort of 435 Black and Latino sexual minority young men (mean age = 22.3 years) in the Healthy Young Men's Cohort Study in Los Angeles, United States. Participants provided data semiannually on five occasions spanning 24 months from 2016 to 2019. The marginal approach to longitudinal latent class analysis was used to identify latent classes indicated by multidimensional experiences of racism (e.g., police harassment, workplace discrimination, sexual objectification) and homonegativism (e.g., violence, family rejection, identity concealment) during the transition to adulthood. Associations between sociostructural burdens (e.g., socioeconomic status, food insecurity, unstable housing) and class incidents were investigated. Prevalence of mental health care needs, chronic health conditions, and overall self-reported health were compared among classes.
Five latent classes were identified: Minimal Stigma (26% of person records), Select Social Stigma (22%), Homonegativism (17%), Multiform Racism (24%), and Compound Stigma (11%). Sociostructural burdens were generally associated with 1.69-3.75 times higher odds of Select Social Stigma, Homonegativism, Multiform Racism, and Compound Stigma class incidents relative to Minimal Stigma. The Compound Stigma class had the greatest sociostructural burden, highest mental health care needs, and highest odds of sleep and gastrointestinal disorders, but classes did not differ in overall self-reported health.
These results exemplify how sociostructural burdens are interconnected with intersectional stigma experiences that together erode the health of Black and Latino sexual minority young men.
在针对黑人和拉丁裔性少数男性群体的定量公共卫生研究中应用交叉理论框架，需要进行分析以考虑种族主义和同性恋歧视的相互交织、多维系统，这些系统从根本上破坏了健康。在这项研究中，以个体为中心的方法反映了交叉污名的复杂性，以及亚群体如何以不同的方式体验这种交叉。
数据来自美国洛杉矶健康年轻男性队列研究中的 435 名黑人和拉丁裔性少数年轻男性（平均年龄 22.3 岁）。参与者在 2016 年至 2019 年的 24 个月期间，每半年提供五次关于五个方面的数据。采用边缘方法进行纵向潜在类别分析，以确定在向成年期过渡期间多维种族主义（例如，警察骚扰、工作场所歧视、性物化）和同性恋歧视（例如，暴力、家庭排斥、身份隐瞒）经历所指示的潜在类别。研究了社会结构负担（例如，社会经济地位、粮食不安全、住房不稳定）与类别的关联。比较了不同类别之间的心理健康护理需求、慢性健康状况和总体自我报告健康状况。
确定了五个潜在类别：最小污名（26%的个人记录）、选择性社会污名（22%）、同性恋歧视（17%）、多种形式的种族主义（24%）和复合污名（11%）。一般来说，社会结构负担与选择性社会污名、同性恋歧视、多种形式的种族主义和复合污名类别的发生率相关，其比值比为 1.69-3.75 倍。复合污名类别社会结构负担最大，心理健康护理需求最高，睡眠和胃肠道疾病的几率最高，但在总体自我报告健康方面，各类别之间没有差异。
这些结果例证了社会结构负担如何与交叉污名经历相互关联，这些经历共同削弱了黑人和拉丁裔性少数年轻男性的健康。
