A systematic review of psychosocial challenges for MSM living with HIV among diverse and intersecting minorities

被引:1
作者
Amato, Anthony Theodore [1 ]
Emond, Gilbert [2 ,3 ]
机构
[1] Univ Victoria, Sch Publ Hlth & Social Policy, Victoria, BC, Canada
[2] Concordia Univ, Dept Appl Human Sci, Montreal, PQ, Canada
[3] Concordia Univ, 7141 Sherbrooke West, Montreal, PQ H4B 1R6, Canada
关键词
95-95-95; target; HIV transmission; intersectionality; mental health; minority stress model; MSM; psychosocial; INTIMATE PARTNER VIOLENCE; CHILDHOOD SEXUAL-ABUSE; BLACK-MEN; BISEXUAL MEN; INFECTED MEN; OLDER GAY; HEALTH; RESILIENCE; STIGMA; HIV/AIDS;
D O I
10.3138/cjhs-2022-0048
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Men who have sex with men (MSM) living with HIV have been studied extensively for stigmatization and inequitable factors affecting well-being. Although intersecting factors are acknowledged in some studies, they are rarely discussed in the context of health implications among multiple minority identities. This leaves psychosocial research outputs to focus their efforts among less stigmatized MSM groups, white men, while disregarding specific issues among historically marginalized MSM-related identities (e.g., racialized, Indigenous, and aging populations). As per the 95-95-95 goals set by the Joint United Nations Programme on HIV and AIDS, this systematic review covers psychosocial protective and risk factors experienced by HIV-positive MSM while also considering other intersecting identities. Following a standardized search inquiry, 2,139 records were identified and narrowed down to 24 peer-reviewed articles which were systematically reviewed. Psychological and social protective factors are contextually described. Some risk factors such as co-occurring stigmas, psychological distress, exposure to violence, and trauma among diverse MSM can potentiate greater risk-taking behaviours associated with HIV transmission among HIV-positive men. These findings highlight factors that contribute to resilient pathways among racialized minorities and other intersections among MSM while also examining specific psychological stressors. Tailored interventions and care for minorities with intersecting identities, with a focus on co-occurring stigmas, are crucial to ensure the well-being of diverse HIV-positive MSM and reduce HIV transmission. We propose an adaptation to the minority stress model to refine available tools and provide future studies with more accurate depictions of the lived experiences among diverse MSM.
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页数:15
相关论文
共 85 条
[51]   Distress and depression in men who have sex with men: The urban men's health study [J].
Mills, TC ;
Paul, J ;
Stall, R ;
Pollack, L ;
Canchola, J ;
Chang, YJ ;
Moskowitz, JT ;
Catania, JA .
AMERICAN JOURNAL OF PSYCHIATRY, 2004, 161 (02) :278-285
[52]   Childhood Sexual Abuse Is Highly Associated With HIV Risk-Taking Behavior and Infection Among MSM in the EXPLORE Study [J].
Mimiaga, Matthew J. ;
Noonan, Elizabeth ;
Donnell, Deborah ;
Safren, Steven A. ;
Koenen, Karestan C. ;
Gortmaker, Steven ;
O'Cleirigh, Conall ;
Chesney, Margaret A. ;
Coates, Thomas J. ;
Koblin, Beryl A. ;
Mayer, Kenneth H. .
JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, 2009, 51 (03) :340-348
[53]   Sexual Health: International Perspectives HIV/AIDS and Disability [J].
Morris-Davidson, Donna ;
Grainger, Carrie .
SEXUALITY AND DISABILITY, 2018, 36 (04) :295-303
[54]   Longitudinal Modeling of Depressive Trajectories Among HIV-Infected Men Using Cocaine [J].
Mukerji, Shibani ;
Haghighat, Roxanna ;
Misra, Vikas ;
Lorenz, David R. ;
Holman, Alex ;
Dutta, Anupriya ;
Gabuzda, Dana .
AIDS AND BEHAVIOR, 2017, 21 (07) :1985-1995
[55]   Disability, mental health, sexual orientation and gender identity: understanding health inequity through experience and difference [J].
Nakkeeran, N. ;
Nakkeeran, Barathi .
HEALTH RESEARCH POLICY AND SYSTEMS, 2018, 16
[56]  
National Institute for Health and Care Excellence, 2012, APP H QUAL APPR CHEC
[57]  
Ofman Joshua J, 2003, J Manag Care Pharm, V9, P53
[58]   A Pandemic of the Poor Social Disadvantage and the U.S. HIV Epidemic [J].
Pellowski, Jennifer A. ;
Kalichman, Seth C. ;
Matthews, Karen A. ;
Adler, Nancy .
AMERICAN PSYCHOLOGIST, 2013, 68 (04) :197-209
[59]   Experiences of community and parental violence among HIV-positive young racial/ethnic minority men who have sex with men [J].
Phillips, Gregory, II ;
Hightow-Weidman, Lisa B. ;
Fields, Sheldon D. ;
Giordano, Thomas P. ;
Outlaw, Angulique Y. ;
Halpern-Felsher, Bonnie ;
Wohl, Amy R. .
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 2014, 26 (07) :827-834
[60]   The conflation of gender and sex: Gaps and opportunities in HIV data among transgender women and MSM [J].
Poteat, Tonia ;
German, Danielle ;
Flynn, Colin .
GLOBAL PUBLIC HEALTH, 2016, 11 (7-8) :835-848