An Evolving Epidemic for African American and Latino HIV Positive Gay Men: Understanding the Sociocultural Contexts of Stigma, Marginalization, and Structural Inequalities

Abstract

There has been a critical void in research related to prevention and care for African American and Latino HIV positive gay men. Epidemiologic research has indicated that African American and Latino HIV positive gay men experience deleterious health outcomes related to the HIV continuum of care (e.g., early diagnosis, linkage to care, retention in care, and viral suppression). Research has also shown that African American and Latino HIV positive gay men have inadequate access to culturally informed HIV care and treatment. The primary objective of this chapter is to examine core socio-cultural contexts that influence prevention and care for African American and Latino HIV positive gay men. More specifically, this chapter will explore: (1) prevention and care-related outcomes for African American and Latino HIV positive gay men; (2) health care delivery for African American and Latino HIV gay men; (3) role of health insurance; (4) theoretical approaches in prevention and care for African American and Latino HIV positive gay men; and (5) psychosocial support needs of African American and Latino HIV positive gay men.