Stigmatization, Substance Use, and Sexual Risk Behavior among Latino Gay and Bisexual Men and Transgender Persons

Douglas Bruce · Jesús Ramírez-Valles · Richard T. Campbell

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LGBTQ Health, Identity, and Policy HIV/AIDS Research and Interventions HIV, Drug Use, Sexual Risk

Abstract

Following the minority stress model as a framework, we examine the associations between racial and homosexual stigma, substance use, and sexual risk behavior among a respondent-driven sample of Latino gay and bisexual men and male-to-female transgender persons (GBT) in Chicago and San Francisco (N = 643). We use structural equations to test such a model and disentangle the possible effects of the different stigmas and their corresponding dimensions (i.e., perception, experience, internalization). Findings revealed distinct pathways to sexual risk. Two are typified by experienced homosexual stigma and internalized racial stigma via multiple drug use, and two are characterized by experienced racial stigma and internalized homosexual stigma via alcohol use.

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References

2012Principles and Practice of Structural Equation Modeling 1998Principles and Practice of Structural Equation Modeling 1985Stress, appraisal, and coping 2013Stress: Appraisal and Coping 1989Structural Equations with Latent Variables 1991Structural Equations with Latent Variables.1954Nature of Prejudice 2003Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence.

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