Stigma Diminishes the Protective Effect of Social Support on Psychological Distress Among Young Black Men Who Have Sex With Men.

Journal Article (Journal Article)

Addressing stigma remains a pressing HIV priority globally. Young Black men who have sex with men (YBMSM, ages 18-30; N = 474) completed an in-person baseline survey and reported their experiences of externalized stigma (i.e., racial and sexuality discrimination), internalized stigma (i.e., homonegativity), social support, and psychological distress (i.e., anxiety and depression symptoms). We used structural equation modeling to test the association between stigma and psychological distress, and examined whether social support mediated the relationship between stigma and psychological distress. Recognizing that these associations may differ by HIV status, we compared our models by self-reported HIV status (n = 275 HIV negative/unknown; n = 199 living with HIV). Our findings suggest that YBMSM who experience stigma are more vulnerable to psychological distress and may have diminished buffering through social support. These effects are accentuated among YBMSM living with HIV, highlighting the need for additional research focused on the development of tailored stigma reduction interventions for YBMSM.

Full Text

Duke Authors

Cited Authors

  • Bauermeister, JA; Muessig, KE; Flores, DD; LeGrand, S; Choi, S; Dong, W; Harper, GW; Hightow-Weidman, LB

Published Date

  • October 2018

Published In

Volume / Issue

  • 30 / 5

Start / End Page

  • 406 - 418

PubMed ID

  • 30332312

Pubmed Central ID

  • PMC6524771

Electronic International Standard Serial Number (EISSN)

  • 1943-2755

International Standard Serial Number (ISSN)

  • 0899-9546

Digital Object Identifier (DOI)

  • 10.1521/aeap.2018.30.5.406


  • eng