School of Social Work, University of Maryland, Baltimore, Maryland, USA
Health Sciences Library System, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
BMJ Open. 2023 Jul 31;13(7):e070969. doi: 10.1136/bmjopen-2022-070969.
Black gay and bisexual men are overburdened by HIV in the USA. While the socioecological model has been applied to understand potential mechanisms of HIV acquisition among black gay and bisexual men, there is mixed evidence on the impact of internalised stigma on HIV risk among this population. This systematic review protocol paper outlines the systematic review being conducted to determine the relationship between internalised racism, internalised homophobia and engagement in sexual behaviour, which puts individuals at risk for HIV infection.
For the review, we will conduct a systematic review of the literature, summarise and critique published scholarly literature on the associations between forms of internalised stigma and sexual behaviours among black gay and bisexual men. We will conduct a systematic search of published qualitative and quantitative research studies published during and after 1993. The searches will be conducted in Ovid Medline, Ovid APA PsycInfo and EBSCO SocINDEX databases. Studies will be included if they were conducted in the USA, with samples that comprised African American/black cisgender gay, bisexual, queer and other men who have sex with men, measured internalised racism and/or internalised homophobia, and assessed sexual behaviour risk for HIV acquisition.
No ethical approval will be required for this review. We will report our findings using the guidelines outlined by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Findings of this review may offer new opportunities to study internalised mechanisms impacting outcomes and to identify research gaps and spur additional queries in the group most disproportionately impacted by HIV.
在美国，黑人男同性恋者和双性恋者感染艾滋病的负担过重。虽然社会生态学模型已被应用于理解黑人男同性恋者和双性恋者获得艾滋病的潜在机制，但内化的耻辱感对这一人群的艾滋病风险的影响证据不一。本系统综述方案文件概述了正在进行的系统综述，以确定内化的种族主义、内化的恐同症与性行为之间的关系，这些行为会使个人面临感染艾滋病毒的风险。
为了进行综述，我们将对文献进行系统综述，总结和批判已发表的关于黑人男同性恋者和双性恋者内化的耻辱感与性行为之间关联的学术文献。我们将在 Ovid Medline、Ovid APA PsycInfo 和 EBSCO SocINDEX 数据库中进行已发表的定性和定量研究的系统搜索。如果研究是在美国进行的，样本包括非裔美国/黑人顺性别男同性恋者、双性恋者、酷儿和其他与男性发生性关系的男性，测量内化的种族主义和/或内化的恐同症，并评估性行为风险以获取艾滋病毒，那么这些研究将被包括在内。
本综述无需伦理批准。我们将按照系统评价和荟萃分析的首选报告项目中概述的指南报告我们的发现。本综述的结果可能为研究影响结果的内化机制提供新的机会，并确定研究差距，激发该组受艾滋病毒影响最严重的人的进一步询问。
