Black Gay Men Research Articles

Driving Under the Influence of Alcohol and Cannabis by Sexual Identity, Race, Ethnicity, and Gender: A Nationwide Analysis Using the 2016 to 2019 National Survey on Drug Use and Health.

Sexual minority populations experience higher rates of substance use and related problems, but little is known about their specific involvement in driving under the influence (DUI) of alcohol (DUIA) and cannabis (DUIC) incidents. Using data from the 2016 to 2019 National Survey on Drug Use and Health, we used logistic regression models to estimate the interactive effects of sexual identity, race/ethnicity, and gender on past-year DUIA among adults who used alcohol and DUIC among adults who used cannabis, accounting for covariates. Using model estimates and linear combinations, we calculated the predicted probabilities of each outcome and compared sexual identity differences within and across race/ethnicity and gender. With few exceptions, the predicted probabilities of DUIA and DUIC were significantly higher among sexual minority women than heterosexual women of similar race/ethnicity. The results were more variable among men with the probabilities of DUIA and DUIC being significantly higher for some groups of sexual minority men and some groups having probabilities equal to or lower than similar heterosexual men. Some of the largest sexual minority gaps in DUIA and DUIC were observed among Hispanic and Other lesbian women and Black gay men. Sexual minority individuals are more likely to report DUI than their heterosexual counterparts; however, the risk of DUI among sexual minority populations varies by racial/ethnic and gender subgroup. Our findings indicate the importance of applying an intersectional framework when addressing substance-use-related disparities and when designing effective DUI prevention interventions for sexual minority populations.

Sabelo's Journey as a Young Black Gay Man in South Africa and the Potential of the Grindr App.

Drawing from a case-study, this paper examines 18-year-old Sabelo's journey as a young black gay man in South Africa. Against the backdrop of heteronormativity and entrenched gender roles, Sabelo navigates a landscape where expressions of queer sexuality are often met with resistance. Focusing on a semi-structured interview, Sabelo's narrative reveals the pressure to conform to traditional masculinity and a sense of living a "double life" where acceptance is tied to economic success. Sabelo "acts straight" to manage the obligatory norms around masculinity and "coming out" increased tensions and the pressure to conform. Despite this, the emergence of the dating platform, Grindr, reflects a paradoxical landscape of opportunities and possibilities. Using the concept of the "queer assemblage," the paper argues for the significance of dating apps as more-than-human entities, in providing alternate pathways for sexual expression for young black gay identifying men. In conclusion, digital platforms offer space for transformative potential in subverting heteronormativity and providing queer individuals with spaces for self-expression.

Living the City: On Samuel R. Delany’s Times Square Red, Times Square Blue

Abstract: This essay attempts to read Samuel R. Delany’s Times Square Red, Times Square Blue as not just a recollection of exception to “development” projects in New York City but as a trenchant way to queer the city as an urban ontology. Delany challenges normative assumptions about how and where sexuality, gender, and race should be visible in urban space, by offering instead a cognitive map of “living the city” as a Black gay man. Delany also takes on what is otherwise unbearable in experiencing New York City over a quarter century, by addressing sexuality and the city as a formal experiment. The two parts of his project do not complement each other in any easy fashion; indeed, the pressure to split subjectivity in their juxtaposition forms a productive tension in how we might understand queering urban space as countercritique. In Delany’s work, living the city is not an escape from the unbearable contradictions of New York but is a way to think desire as both confrontation and as spacemaking. This is an architecture if not architectonic of what has not been in Times Square redesign.

Perceptions of a community-based HIV/STI testing program among Black gay, bisexual, and other MSM in Baltimore: a qualitative analysis

ABSTRACT Black gay, bisexual, and other men who have sex with men (GBM) are disproportionately affected by HIV and STIs. Safe Spaces 4 Sexual Health (SS4SH), a community-informed, status-neutral HIV/STI testing intervention combines online outreach via geo-social networking apps and social media with mobile van testing. During 2018–2019, we recruited 25 participants for interviews about their perceptions of SS4SH compared to clinic-based testing. Participants were aged 21–65 years (mean 35); 22 (88%) identified as Black/African American; 20 (80%) identified as gay; and 10 (40%) were living with HIV. Interviews were transcribed, coded, and analyzed using a modified thematic constant comparative approach. Five themes emerged; two related to perceptions of online outreach materials (participants were drawn to eye-catching and to-the-point messages and desired more diversity and representation in messages), and three related to preference for the mobile van (participants found SS4SH provided more comfort, more privacy/confidentiality, and increased accessibility and efficiency). GBM is increasingly using geo-social networking apps to meet sexual partners, and tailored online outreach has the potential to reach historically underserved populations. SS4SH is a barrier-reducing strategy that may serve as an entry to a status-neutral approach to services and help reduce stigma and normalize accessing HIV services.

Qualitative evaluation of digital vending machines to improve access to STI and HIV testing in South West England: using a Person-Based Approach

ObjectivesTo report the development, implementation, acceptability and feasibility of vending machines offering HIV and sexually transmitted infection (STI) testing kits.DesignA qualitative study using the Person-Based Approach with patient and public...

Developing an mHealth program to improve HIV care continuum outcomes among young Black gay and bisexual men

BackgroundYoung Black gay and bisexual men (YBGBM) in the United States face significant disparities in HIV care outcomes. Mobile health (mHealth) interventions have shown promise with improving outcomes for YBGBM across the HIV care continuum.MethodsWe developed an mHealth application using human-centered design (HCD) from 2019–2021 in collaboration with YBGBM living with HIV and with HIV service providers. Our HCD process began with six focus groups with 50 YBGBM and interviews with 12 providers. These insights were used to inform rapid prototyping, which involved iterative testing and refining of program features and content, with 31 YBGBM and 12 providers. We then collected user feedback via an online survey with 200 YBGBM nationwide and usability testing of a functional prototype with 21 YBGBM.ResultsFocus groups and interviews illuminated challenges faced by YBGBM living with HIV, including coping with an HIV diagnosis, stigma, need for social support, and a dearth of suitable information sources. YBGBM desired a holistic approach that could meet the needs of those newly diagnosed as well as those who have been living with HIV for many years. Program preferences included video-based content where users could learn from peers and experts, a range of topics, a community of people living with HIV, and tools to support their health and well-being. Providers expressed enthusiasm for an mHealth program to improve HIV care outcomes and help them serve clients. Rapid prototyping resulted in a list of content topics, resources, video characteristics, community features, and mHealth tools to support adherence, retention, goal setting, and laboratory results tracking, as well as tools to help organization staff to support clients. Online survey and usability testing confirmed the feasibility, acceptability, and usability of the content, tools, and features.ConclusionsThis study demonstrates the potential of a video-based mHealth program to address the unique needs of YBGBM living with HIV, offering support and comprehensive information through a user-friendly interface and videos of peers living with HIV and of experts. The HCD approach allowed for continuous improvements to the concept to maximize cultural appropriateness, utility, and potential effectiveness for both YBGBM and HIV service organizations.

An exploratory study of community violence and HIV care engagement among Black gay and bisexual men

ABSTRACT This study examined the relationship between exposure to community violence and HIV care engagement among 107 Black gay or bisexual men living with HIV in Chicago. Measures assessed the importance of demographic covariates (age, annual income, health insurance status, and years living with HIV), community violence exposures, mental health, social support, in explaining variations in missed doses of antiretroviral therapy (ART) medication and missed HIV care appointments. Results showed that participants who reported higher rates of exposure to community violence were two times more likely to have missed ART doses and HIV care appointments. Participants who reported depression scores were two times more likely to have greater non-ART adherence. Finally, older participants were more likely to report fewer missed ART doses. More research is needed to clarify the mechanisms between age or depression and ART adherence given community violence exposure. Health care providers should screen for depression when attempting to promote better ART adherence and keeping HIV care appointments for Black gay and bisexual men living with HIV. Younger Black gay and bisexual men living with HIV may be more vulnerable than older men for missed ART doses and may require additional screening and follow-up.

Black Gay Men in Graduate Education: A Collaborative Autoethnography of Finding Black Queer Joy

In today’s sociopolitical climate, many marginalized communities face unique challenges and yet triumph in carving a pathway toward happiness and self-acceptance. Among those resilient individuals are Black gay men, who experience the intersectionality of race, gender, and sexuality, creating an array of experiences. This collaborative autoethnography explores the distinct hardship Black gay men face in graduate education while trying to find Black queer joy, particularly at predominantly white institutions (PWIs), where these programs can perpetuate institutional and systemic racism and homophobia. Through interviews, three themes emerged: a sense of belonging, battle fatigue, and finding joy. Elevating the experiences of Black gay men emphasizes the importance of recognizing intersectionality and inclusivity in institutional spaces for a more sustainable future.

Factors Associated with the Awareness of and Willingness to Use HIV Pre-exposure Prophylaxis Among Gay, Bisexual, and Other Men Who Have Sex with Men, Baltimore, MD, 2017-2019.

Pre-exposure prophylaxis (PrEP) is an effective tool in protecting persons from acquiring HIV infection through sex or injection drug use. However, awareness and willingness to use PrEP among Black gay, bisexual, and other men who have sex with men (BMSM) remain suboptimal compared to White MSM (WMSM) in the United States. Our aims were to (1) assess the factors associated with PrEP awareness and willingness to use PrEP among MSM and (2) compare the PrEP perceptions among BMSM versus non-Black MSM. Data were drawn from two cross-sectional behavioral surveys in Baltimore, MD: Behavioral Surveillance Research (BESURE) conducted in 2017, and Safe Spaces 4 Sexual Health (SS4SH), conducted in 2018 and 2019. Descriptive statistics were used to summarize the study population. We used Poisson regression models to identify variables associated with awareness of PrEP and willingness to use PrEP. PrEP perceptions were assessed via 13 items scored on a 5-point Likert scale. Finally, we conducted a post-hoc exploratory bivariate analysis of the relationship between PrEP perception and willingness to use PrEP, stratified by race/ethnicity. A total of 261 MSM participated in this study. Many of the participants were aware of PrEP (75.1%). Factors associated with greater PrEP awareness included having greater than a high school education (aRR 1.22, 95% CI 1.04, 1.43); and earning more than $25,000 annually (aRR 1.24, 95% CI 1.08, 1.42). Participants who had received money in exchange for sex one or more times were less likely to be aware of PrEP (aRR 0.59, 95% CI 0.36, 0.95). More than half of the participants were willing to use PrEP (55.3%). In bivariate and multivariable analyses, demographic or behavioral characteristics were not significantly associated with willingness to use PrEP. Higher agreement with the following statements was associated with lower willingness to use PrEP: "Having to take a pill every day is difficult" (RR 0.89, 95% CI 0.82-0.97) and, "I am concerned about the side effects of PrEP" (RR 0.89, 95% CI 0.82-0.96), and "PrEP is for people who have riskier sex lives than I do" (RR 0.86, 95% CI 0.78-0.95). Conversely, higher willingness to use PrEP was associated with comfortable having sex without a condom (RR 1.11, 95% CI 1.02-1.21), less anxious about sex (RR 1.12, 95% CI 1.02-1.24), and my friends think that I should take PrEP (RR 1.19, 95% CI 1.07-1.32). We found BMSM compared to non-Black MSM had higher mean scores related to taking a daily pill (p = 0.041), concerns about side effects (p = 0.012), concerns about people thinking they had HIV (p = 0.001), concerns about the financial costs of PrEP (p = 0.038) and caution when dealing with healthcare organizations/medical mistrust (p = 0.019). Perceptions with a statistically significant lower score among BMSM versus non-Black MSM included statements such as, comfortable having sex without a condom (p = 0.003) and less anxious about sex (p < 0.001). We conclude HIV prevention strategies, programs, and interventions should be cognizant of PrEP perceptions that facilitate or hinder PrEP uptake in Baltimore City, MD.

Police Violence Experienced by Black Gay and Bisexual Men: The Effects on HIV Care Engagement and Medication Adherence.

Black men face high rates of police violence, including direct victimization and indirect exposure to or knowledge of harmful policing. This violence can result in death and physical harm, as well as in numerous poor mental health outcomes. There has been little research examining experiences of police violence experienced by Black gay and bisexual men or the effects of police brutality on HIV continuum of care outcomes. To address this important gap, in this exploratory study, we examined the effects of police brutality on engagement in HIV care and adherence to antiretroviral medications. Cross-sectional survey data were collected from 107 Black gay and bisexual men living with HIV. The path analysis showed that men with greater exposure to police violence had increased symptoms of post-traumatic stress disorder and were more likely to have missed HIV care appointments in the past year. Additionally, there was a significant indirect effect of exposure to police violence on missed medication doses via PTSD symptoms.

Office gossip related to gays and lesbians: An ‘otherness’ perspective

Cross-cultural encounters with diverse individuals, such as gays and lesbians, has resulted in these persons often encountering a sense of otherness. Within the workplace context, there exists a preferable cultural identity of heteronormativity, where heterosexual individuals dominate and represent the ‘we,’ while those who are ‘different,’ including gays and lesbians, represent the ‘cultural other.’ The study that informs this article investigated how Black African gay and lesbian people, as the ‘cultural other,’ experience otherness through workplace gossip, and why gossipers engage in such behavior. Using a qualitative research approach comprising semi-structured face-to-face interviews with 18 Black African gay and lesbian persons, in various South African organizations, thematic analysis was the basis for data analysis. Findings suggest that Black African lesbian women at lower organizational levels experience greater marginalization in the form of gossip compared to Black African gay men. Furthermore, the perception among gay and lesbian participants is that gossip related to the sexual orientation of the other is more rooted in the Black African than the White, Coloured and Indian South African communities. It was also found that intersecting identities (socio-economic class; educational qualifications; geographic location) result in marginalized, lower educated employees from Black African townships gossiping to a greater extent about gay and lesbian people, than those with higher qualifications and socioeconomic profiles residing in suburbs. Organizational cultures where people were rooted in religious beliefs produced more intense office gossip than workplace cultures where managers and peers embraced diversity. We recommend that in embracing cross-cultural management practices, training of employees regarding cross-cultural adjustment and understanding the other, will bring positive outcomes in the workplace environment.

The Resistance is Always Black and Queer: Leadership as Resistance in Black Male Initiative and Men of Color Mentorship Programs

Defining leadership and student leader identity often brings a complex and complicated reality for Black students in higher education settings. Leadership identity, models, and practices are often grounded in Whiteness, heteronormativity, and cis-heteropatriarchy, which causes complex ways of understanding leadership. Thus, the purpose of this research is to explore how Black gay, bisexual, and queer men (BGBQM) redefine leadership as resistance and nuanced activism within Black male1 initiatives (BMI) and Men of Color (MoC) mentorship programs, given their Blackness and queerness identities. Using arts-based research (ABR) methodology, this research explores the following research questions: (1) How do BGBQM define masculinity and queerness and (2) how do BGBQM experience and enact nuanced activism in challenging heteronormativity and cis-heteropatriarchy in BMI and MoC mentorship programs? Findings are presented in a podcast script format to illuminate how these men center queerness and femininity, while challenging hegemonic masculinity and heteronormative notions of leadership engagement and development within BMI and MoC mentorship program settings.

Black social media influencers engage higher percentages of Black gay and bisexual men in online outreach for HIV prevention research relative to paid ads.

Influencer-based social media marketing campaigns are a popular strategy to engage customers in many non-research industries (e.g., retail), but have been increasingly used in public health campaigns to reach and engage specific populations. However, few studies have directly compared the performance of influencer-based marketing with other ad strategies (e.g., paid ads) in achieving these goals. From March to September 2023, we conducted an influencer-focused marketing campaign in which we identified and partnered with predominantly Black LGBTQ + influencers in the United States South to promote engagement in our ongoing research. We then used web analytics and interest form data to compare performance of influencer posts versus paid ads over the same time period. We contacted a total of 358 influencers, 20 of whom ultimately agreed to post (85% Black/African American) and made a total of 28 posts on our behalf. A significantly higher percentage of users who clicked through influencer posts were Black (40% vs. 15%), were not currently using pre-exposure prophylaxis (PrEP) (67% vs. 62%), had no history of PrEP use (78% vs. 72%), and reported higher medical mistrust (12% vs. 8%) compared to those who clicked through paid ads. The percentage of Black men who have sex with men who were at high HIV risk, who were not taking PrEP, had no history of PrEP, or were high in mistrust, were all 2-3 times higher among those who clicked through influencer posts relative to paid ads. Influencer-focused marketing may be a powerful tool to efficiently reach and engage high-priority and hard to reach populations.

Internalized Stigma and Risky Sexual Behavior in Gay Families: A Critical Discourse Analysis of a Critical Interview

Abstract: This adapted discourse analysis entails a critical examination of a young Black gay man’s beliefs about his resistance to using condoms, initially tied to his being stubborn and sexually spontaneous. It brings to light how multiple forms of minority stress have contributed toward a strong need to be self-reliant after an extensive history of rejection, occluding his ability to accept well-intended advice from caring others. Methodologically, this study demonstrates how a critical interviewing process can be used to allow racially minoritized participants a structure within which to question dominant discourses that may be obscuring underlying experiences and needs.

Neither Black nor Queer: evangelicalism and groundless theology in Brazil

This article illuminates the ramifications of what I call ‘groundless theology’ for Afro-Brazilian LGBTQ evangelicals. Based on ethnographic research at an igreja evangélica inclusiva (inclusive evangelical church) in São Paulo, I articulate the role of groundless theology in a church that openly accepts LGBTQ Christians as members and church leaders. Although this geographically nowhere-but-everywhere, rootless theology can be found in mainstream Brazilian evangelicalism, it is particularly noteworthy to identify its influence in the theological interpretations of Afro-Brazilian LGBTQ evangelicals. I will illustrate the workings of this theology through analyses of a Black gay man’s sermon about Hagar, a figure in the Hebrew Bible, and the theological stances of Afro-Brazilian LGBTQ congregants. These examples elucidate how the geographical selves of Afro-Brazilian LGBTQ evangelicals are shaped, orienting them not towards Brazil, Africa, or even the ‘Holy Land,’ but towards a spiritually- but not materially- grounded religious geography that can produce ahistorical and acontextual hermeneutical frameworks.

“The Best Little Boy in the World”: Disidentification in the Production of Black Gay Male Subjectivity1

This article examines how Black gay men produce identities in correspondence with cultural scripts of Black manhood. I illustrate how these scripts organize a subjectivity shaped by white supremacy and signify racial consciousness, respectability, and commitment to Black antiracism. The script intentionally excludes queer men. Instead, Black queer men are “faggots,” a subjectivity signifying weakness, wasted manhood, and capitulation to whiteness. Utilizing Muñoz's (1999, Disidentifications: Queers of Color and the Performance of Politics, University of Minnesota Press, Minneapolis) concept of disidentification, I track how participants engage in a reimagining of the conventional script of heteronormative Black masculinity to embody a subjectivity I call Super Black Man. This hybrid subjectivity responds to interlocking systems of race, sexuality, and gender in their lives by locating space in conventional Black male subjectivities for Black gay men. As Super Black Men, participants accomplished identities that did not compromise their self‐expression or affiliation with Black communities. I discuss how disidentification adds analytic complexity to this empirical investigation of Black gay men's identity work. What results is a more robust understanding of how race shapes the motives, trajectory, and outcomes of racialized sexual identities.

Reading a legacy of black gay literature in/to Disability Studies and a Crip-of-Color Theory: Exploring the work of Joseph Beam, Essex Hemphill and Audre Lorde

This article reads works of Audre Lorde, Essex Hemphill, Joseph Beam, and other writers through what I name a palimpsestic practice of crip reading . The very way in which we must find and read the voices of Black gay men is by locating anthologies and reading those contributors in palimpsestic relationship to one another and to Black feminist writers and organizers. Although Black gay men and Black feminists of the 1980’s and 1990’s engaged with cancer and HIV in their writings, they are often considered as part of different political, cultural, and intellectual legacies than is often included in the field of Disability Studies. A palimpsestic reading of their works as entangled with each other reveals new genealogies of crip activist and cultural work. By this I mean that Black queer and/or feminist writing exist in a palimpsest relationship with Disability Studies; one can read the layers of thought through one another. A palimpsestic reading also proposes that cultural workers presumed to be outside the sphere of Disability Studies are, in fact, central to creating a crip-of-color theory.

HIV Prevention and Care Among Black Cisgender Sexual Minority Men and Transgender Women: Protocol for an HIV Status-Neutral Cohort Study Using an Observational-Implementation Hybrid Approach.

Black cisgender gay, bisexual, and other sexual minority men (SMM) and transgender women (TW) continue to be heavily affected by HIV. Further research is needed to better understand HIV prevention and care outcomes in this population. In particular, there is a need for research examining the impact of substance use and sleep health on HIV prevention and treatment outcomes among Black SMM and TW. This paper outlines the study methods being used in the recently launched follow-up study to the Neighborhoods and Networks (N2) study, which we refer to as N2 Part 2 (N2P2). N2P2 aims to address this gap in the literature, build off the findings of the original N2 study, and identify socioenvironmental determinants of health, including whether neighborhood and network factors mediate and moderate these relationships. Building on the N2 cohort study in Chicago from 2018 to 2022, N2P2 used a prospective longitudinal cohort design and an observational-implementation hybrid approach. With sustained high levels of community engagement, we aim to recruit a new sample of 600 Black SMM and TW participants residing in the Chicago metropolitan statistical area. Participants are asked to participate in 3 study visits across an 18-month study period (1 visit every 9 months). Four different forms of data are collected per wave: (1) an in-person survey, (2) biological specimen collection, (3) a daily remote ecological momentary assessment for 14 days after each study visit, and (4) data from electronic health records. These forms of data collection continue to assess neighborhood and network factors and specifically explore substance use, sleep, immune function, obesity, and the implementation of potential interventions that address relevant constructs (eg, alcohol use and pre-exposure prophylaxis adherence). The N2P2 study was funded in August 2021 by the National Institute of Drug Abuse (R01DA054553 and R21DA053156) and National Heart, Lung, and Blood Institute (R01HL160325). This study was launched in November 2022. Recruitment and enrollment for the first wave of data collection are currently ongoing. The N2P2 study is applying innovative methods to comprehensively explore the impacts of substance use and sleep health on HIV-related outcomes among an HIV status-neutral cohort of Black SMM and TW in Chicago. This study is applying an observational-implementation hybrid design to help us achieve findings that support rapid translation, a critical priority among populations such as Black SMM and TW that experience long-standing inequities with regard to HIV and other health-related outcomes. N2P2 will directly build off the findings that have resulted from the original N2 study among Black SMM and TW in Chicago. These findings provide a better understanding of multilevel (eg, individual, network, and neighborhood) factors that contribute to HIV-related outcomes and viral suppression among Black SMM and TW. DERR1-10.2196/48548.

Stories of Antiracist Gay/Lesbian Gender Alliance: Articulating Intersectional Solidarity in the 1980s

This article shows how in the early 1980s, Black and White Men Together (BWMT), an interracial group of antiracist gay men, constructed relations of connection with antiracist feminist lesbians of color. My analysis details how BWMT engaged in storytelling through newsletters, reporting their creation of relations of connection with Black, “Third World,” antiracist lesbians and constructing these relations as a multidimensional gender alliance involving important processes of creating networks of reciprocal solidarity, forging political alignment, and creating intentional spaces of camaraderie to sustain intersectional solidarity. This research substantively expands our understanding of U.S. LGBTQ+ intersectional movement(s) activism with the concept of multidimensional gender alliance and analytically expands our understandings of intersectional solidarity.

Exploring the Association Between Indicators of Socioeconomic Instability, Survival Sex, and Methamphetamine Use Among Young Adult Black Gay, Bisexual, and Other Men Who Have Sex With Men: A Cross-Sectional Study.

Methamphetamine (Meth) use is a contributor to poor health outcomes among young Black American gay, bisexual, and other men who have sex with men (YB-GBMSM). Emerging research indicates that socioeconomic instability may be a salient antecedent of meth use as men may be encouraged to engage in health-eroding activities, such as survival sex, to care for themselves, and then cope with instability-related stress via use of substances. We examined the degree to which indicators of socioeconomic instability, including homelessness and food insecurity, would directly, and indirectly, predict increases in meth use, via survival sex engagement. Hypotheses were tested using mediated path analysis with data from 100 YB-GBMSM in Atlanta, Georgia. Preliminary analysis results demonstrated positive associations between engaging in survival sex, food insecurity, homelessness, and living with HIV. Findings demonstrated that homelessness and food insecurity were directly associated with increased survival sex engagement but were not directly associated with meth use. Homelessness and food insecurity were indirectly associated with increased severity of meth use, via increased engagement in survival sex. Socioeconomic instability and survival sex engagement may be important intervention targets for future meth use intervention/prevention programming. Integrating programmatic components that address homelessness and food insecurity may decrease YB-GBMSM's need to rely on survival sex to meet their needs and decrease their likelihood of using meth as a result.