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Perceived Discrimination and Physical Health Among HIV-Positive Black and Latino Men Who Have Sex with Men |
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| Authors: | Laura M Bogart Hope Landrine Frank H Galvan Glenn J Wagner David J Klein |
| Institution: | 1. Department of Pediatrics, Harvard Medical School, Boston, MA, USA 5. Division of General Pediatrics, Department of Medicine, Boston Children’s Hospital, 300 Longwood Avenue, Boston, MA, 02115, USA 2. Center for Health Disparities Research, East Carolina University, Greenville, NC, USA 3. Bienestar Human Services, Inc., Los Angeles, CA, USA 4. RAND Corporation, Santa Monica, CA, USA |
| Abstract: | We conducted the first study to examine health correlates of discrimination due to race/ethnicity, HIV-status, and sexual orientation among 348 HIV-positive Black (n = 181) and Latino (n = 167) men who have sex with men. Participants completed audio computer-assisted self-interviews. In multivariate analyses, Black participants who experienced greater racial discrimination were less likely to have a high CD4 cell count OR = 0.7, 95 % CI = (0.5, 0.9), p = 0.02], and an undetectable viral load OR = 0.8, 95 % CI = (0.6, 1.0), p = 0.03], and were more likely to visit the emergency department OR = 1.3, 95 % CI = (1.0, 1.7), p = 0.04]; the combined three types of discrimination predicted greater AIDS symptoms F (3,176) = 3.8, p < 0.01]. Among Latinos, the combined three types of discrimination predicted greater medication side effect severity F (3,163) = 4.6, p < 0.01] and AIDS symptoms F (3,163) = 3.1, p < 0.05]. Findings suggest that the stress of multiple types of discrimination plays a role in health outcomes. |
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