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Citation |
Kipke MD, Kubicek K, Akinyemi IC, Hawkins W, Belzer M, Bhandari S, Bray B. J. Urban Health 2020; 97(5): 653-667. |
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Copyright |
(Copyright © 2020, Holtzbrinck Springer Nature Publishing Group) |
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DOI |
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PMID |
32864727 |
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PMCID |
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Abstract |
Young men who have sex with men (YMSM), especially YMSM of color, are at increased risk for a wide range of threats to their health and well-being. In this study, we recruited and surveyed an urban sample of 448 young African American/Black (Black), Hispanic/Latino (Latino), and multi-racial/ethnic YMSM, ages 16-24 years (mean = 22.3 years), about stressful life events, their health and mental health, their access to and utilization of care, and their involvement in risk-related behaviors. We found that the majority reported experiences of racism (87%) and homophobia (76%). A high percentage reported food insecurity/hunger (36%), residential instability (15%), financial hardship (63%), and conflict with family/friends (62%). The prevalence of risk behaviors was also high, including recent use of tobacco (46%), alcohol (88%), and marijuana (72%), and 41% tested positive for 1+ drugs. Furthermore, 26% tested positive for 1+ sexually transmitted infections (STIs). Over half (56%) reported being worried about their health, 33% reported having a chronic health condition and 31% a mental health condition, and 45% had wanted/needed mental health services during the past year. Further, 17% reported suicidal ideation/had planned a suicide attempt and 26% had ever engaged in self-injurious behaviors. Significant differences by race/ethnicity and HIV status included residential status/food insecurity, type of racism/homophobia, drug use, and STIs. These findings demonstrate how vulnerable this population is with respect to a wide range of structural and social determinants of health that may be important drivers of behavioral, health, mental health outcomes, and potentially long-term health disparities. Language: en |
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Keywords |
Adolescent; Adult; Anxiety; Attitude to Health; Black or African American; Cohort Studies; Depression; Discrimination; Drug use; Health; Health Status; Hispanic or Latino; HIV; Homophobia; Homosexuality, Male; Humans; Male; Marijuana use; Racism; Risk-Taking; STIs; Stressful life events; Urban Population; YMSM; Young Adult |