Cover: Perceived Discrimination and Physical Health Among HIV-positive Black and Latino Men Who Have Sex with Men

Perceived Discrimination and Physical Health Among HIV-positive Black and Latino Men Who Have Sex with Men

Published In: AIDS and Behavior, v. 17, no. 4, May 2013, p. 1431-1441

Posted on rand.org May 1, 2013

by Laura M. Bogart, Hope Landrine, Frank H. Galvan, Glenn Wagner, David J. Klein

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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