Factors Associated with Disclosure of Sexual Orientation Among Black Sexual Minority Men.
Marcie BermanLisa A EatonRyan J WatsonValerie A EarnshawJohn Mark WigintonEric LaylandPublished in: LGBT health (2022)
Purpose: This study evaluated the characteristics associated with sexual orientation disclosure among HIV-negative Black sexual minority men (BSMM) in the greater Atlanta, Georgia area. Survey data were collected from 475 HIV-negative BSMM from 2017 to 2019 as part of a larger behavioral intervention study focused on stigma, prejudice, and HIV-testing uptake. Methods: Participants reported their levels of sexual orientation disclosure globally, to their community, and to their family. Data were analyzed using one-way analysis of variance and multinomial logistic regression to determine whether demographic, minority stress, substance use, and mental health were associated with sexual orientation disclosure globally, to community members, and to family members. Results: Findings revealed that participants with older age, bisexual identity, and higher levels of internalized homophobia had higher odds of global, community, and family sexual orientation nondisclosure. Furthermore, participants with higher levels of resilience had lower odds of partial sexual orientation disclosure compared with their fully disclosed counterparts. Conclusions: These findings reveal variations associated with sexual orientation disclosure across varying contexts among HIV-negative BSMM, particularly among family member disclosure.
Keyphrases
- mental health
- hiv testing
- men who have sex with men
- hiv positive
- hiv infected
- antiretroviral therapy
- mental illness
- hepatitis c virus
- healthcare
- human immunodeficiency virus
- hiv aids
- machine learning
- big data
- single cell
- physical activity
- cross sectional
- genome wide
- depressive symptoms
- dna methylation
- heat stress
- data analysis