Jadwin-Cakmak Laura, Jauregui Juan C, McDowell Hyuri, Davis Kortez, LaBoy Richard, Johnson Gabriel L, Hosek Sybil, Harper Gary W
Department of Health Behavior & Health Education, University of Michigan School of Public Health, Ann Arbor, MI, USA.
Department of Psychiatry, Stroger Hospital of Cook County, Chicago, IL, USA.
J Gay Lesbian Ment Health. 2024;28(3):424-451. doi: 10.1080/19359705.2023.2200375. Epub 2023 May 3.
Stigma negatively influences engagement in HIV prevention and care. This study explores how young Black gay and bisexual men and transgender women (GBT) in the House and Ball Community (HBC) experience HIV and other intersecting stigmas.
We conducted phenomenological analysis of interviews with 60 young Black GBT HBC members and 30 older leaders of the HBC.
Participants described experiences of enacted, perceived, and internalized HIV stigma and intersecting stigmas related to race, ethnicity, sexuality, gender identity, gender expression, and body size, as well as their responses to HIV stigma. Intersecting stigmas shaped and reinforced one another, leading to isolation and increased HIV vulnerability.
Interventions to ameliorate intersectional stigma and its effects are needed to improve primary and secondary HIV prevention in the HBC.
耻辱感对艾滋病预防和护理的参与产生负面影响。本研究探讨了“屋与舞会社群”(HBC)中的年轻黑人男同性恋者、双性恋男性和跨性别女性(GBT)如何体验艾滋病及其他交叉耻辱感。
我们对60名年轻黑人GBT HBC成员和30名HBC年长领袖的访谈进行了现象学分析。
参与者描述了实际遭受的、感受到的和内化的艾滋病耻辱感,以及与种族、民族、性取向、性别认同、性别表达和体型相关的交叉耻辱感,以及他们对艾滋病耻辱感的反应。交叉耻辱感相互影响并强化,导致孤立和艾滋病易感性增加。
需要采取干预措施来减轻交叉耻辱感及其影响,以改善HBC中的艾滋病一级和二级预防。