Latino Gay Men Research Articles

Older immigrant Latino gay men and childhood sexual abuse: Findings from the Palabras Fuertes project.

Childhood Sexual Abuse (CSA) and maltreatment have long-term negative impacts on survivors, including older adults. Yet, limited qualitative examinations of how these experiences impact the lives of older adults exists and even fewer among older Latino gay men. We drew data from life-history narratives the first author conducted with five Spanish speaking older Latino gay men in New York City. Our analyses were guided by an Ecological Model, a Suffering lens, and our clinical social work experience with older adults, sexual minorities and people of color. All participants reported sexual experiences prior to the age of 15 and possible emotional and physical maltreatment. Yet, not all participants perceived these experiences as abuse. Our findings indicate how cultural, linguistic and contextual factors may affect disclosure and coping. Despite the fact that CSA and maltreatment occurred decades ago, these early experiences affected long-term psychosocial functioning. Our findings support a need for future research and clinical practice that considers the subjective perceptions of childhood sexual experiences and maltreatment and how these relate to psychosocial functioning in Latino gay men during older adulthood.

‘That hat means a lot more than a hat for some of us’: Gay Latino collegians in the era of Trump

ABSTRACT While there has been significant media coverage on Trump and his administration’s stance on LGBTQ and Latina/o communities, there has been limited empirical research on the matter. In this qualitative study, I employed racist nativism and queer critical theory to examine the lives of gay Latino men in college, with a focus on their race/ethnicity and sexuality, within the polarizing racial climate under Trump. Consistent with the conceptual frameworks, I elucidate the findings through in-depth critical race testimonios while accounting for systemic oppression (e.g., heterosexism, racism, white supremacy). Findings revealed the following themes: 1) fear as a result of the intersections of racist nativism and homophobia and 2) racialized incidents: Trumpists on campus. Implications for research and practice are discussed.

Exploring the Tensions Between Masculinities and Connections with Faculty and Staff among Gay Latino Collegians

This study utilizes Gloria E. Anzaldúa’s Border theory to explore how internalized messages of masculinities shape the ways that gay Latino men develop connections with university staff and faculty. Specifically, we highlight how such messages learned primarily in the context of the home create spaces of tension, nepantla, within heteronormative campus settings. We present portraits of five Latino collegians enrolled in a large public four-year institution, followed by three themes. The themes include gay Latinos developing relationships (1) solely for academic purposes, (2) that explicitly involve women, and, in other cases, (3) displaying resistant behaviors to developing connections. We conclude by offering practical implications for university administrators and faculty.

Acculturation as a Moderator of HIV Risk Behavior Correlates Among Latino Men Who Have Sex with Men.

Acculturation is associated with increased sexual risk behaviors among heterosexual Latinos, but its influence among Latino gay, bisexual, and other men who have sex with men (MSM) remains less clear. Elements of acculturation may create distinct lived experiences among sexual minority Latinos, moderating how beneficial and adverse influences contribute to their sexual risk behaviors. Latino MSM living in New York City (n = 412) were recruited using a modified time-space venue- and web-based sampling method. Negative binomial regression models estimated associations between indicators of acculturation (i.e., language use, nativity status, ethnic identification), sexual minority stressors (i.e., internalized homophobia, sexual orientation-based discrimination), peer condom use norms, and the number of serodiscordant condomless anal intercourse (SDCAI) encounters. Acculturation indicators were then tested as simultaneous moderators of the influence of each predictor variable on the outcome. The association between internalized homophobia and SDCAI was significant only among English language speakers (aIRR = 3.05 [2.13, 4.37]) and those born outside of the U.S. (foreign-born = 0, aIRR = 0.17 [0.08, 0.36]). Sexual orientation-based discrimination and SDCAI were also positively associated among both English-speaking (aIRR = 1.82 [1.22, 2.72]) and foreign-born men (aIRR = 0.34 [0.14, 0.84]). Stronger ethnic identification also moderated the protective effects of peer condom use norms on SDCAI (aIRR = 0.28 [0.15, 0.52]). Results suggest that different dimensions of acculturation help shape how both stressors and protective factors influence HIV risk among Latino MSM. Future research is needed to examine the mechanisms through which these differences in acculturation may act on sexual risk behaviors among Latino MSM.

Queer love in the lives of gay Latino men in college

This qualitative study employed portraiture methodology and the analytical tool of thinking with theory to comprehend how gay Latino men enrolled at a four-year university experienced heteronormativity in different settings (e.g. with family and at college) and how these influenced their connections to love. Using stories from five participants, this research revealed how students navigated borderlands as a result of their sexuality and cultural background. The findings, presented as “queering love” portraits and portrait themes, showcased the ways that these gay Latino college men resisted heteronormative ideals of love and romance by performing disidentificatory actions. Findings will be of particular interest to higher education scholars and practitioners as they seek to support students as holistic beings on college campuses.

An intersectional approach to examine sleep duration in sexual minority adults in the United States: findings from the Behavioral Risk Factor Surveillance System

ObjectivesInvestigate sexual identity differences in sleep duration and the multiplicative effect of sexual identity and race/ethnicity among US adults. DesignCross-sectional. ParticipantsThe sample consisted of 267,906 participants from the Behavioral Risk Factor Surveillance System. MeasurementsSleep duration was categorized as very short (≤4 hours), short (5-6 hours), adequate (7-8 hours), or long (≥9 hours). Sex-stratified multinomial logistic regressions were used to examine sexual identity differences in sleep duration. We then examined sleep duration by comparing sexual minorities to (1) same-race/-ethnicity heterosexuals and (2) White participants with the same sexual identity. ResultsSexual minority women had higher odds of very short sleep compared to heterosexual women, regardless of race/ethnicity. Black gay men had higher rates of very short sleep but lower rates of long sleep relative to Black heterosexual men. Latino and Asian/Pacific Islander bisexual men reported higher rates of short sleep than their heterosexual counterparts. Black lesbian and other-race bisexual women were more likely to have very short sleep than their heterosexual peers. Black lesbian women also had higher rates of long sleep. Analyses examining racial/ethnic differences by sexual identity found that Black and Latino gay men reported higher rates of very short sleep compared to White gay men. Black bisexual women had higher rates of short sleep duration than White bisexual women. ConclusionsMore research is needed to understand how to promote sleep health among sexual minorities, particularly racial/ethnic minorities, and the impact of inadequate sleep duration on health outcomes in this population.

Sexual Orientation Identity, Race/Ethnicity, and Lifetime HIV Testing in a National Probability Sample of U.S. Women and Men: An Intersectional Approach.

Purpose: We examined differences in lifetime human immunodeficiency virus (HIV) testing in relation to both sexual orientation identity and race/ethnicity among U.S. women and men. Methods: We used 2013-2017 National Health Interview Survey data and multivariable logistic regression to assess the distribution of lifetime HIV testing across and within sexual orientation identity and racial/ethnic groups of U.S. women (n = 60,867) and men (n = 52,201) aged 18-64 years. Results: Among women, Black lesbian (74.1%) and bisexual (74.0%) women had the highest prevalence whereas Asian lesbian women (32.5%) had the lowest prevalence of lifetime HIV testing. Among men, the prevalence of lifetime HIV testing was the highest among Latino gay men (92.6%) and the lowest among Asian heterosexual men (32.0%). In most cases, Black women and Black and Latino men had significantly higher adjusted odds whereas Asian women and men had lower adjusted odds of lifetime HIV testing compared with their White counterparts within sexual orientation identity groups. In many instances, bisexual women and gay men had significantly higher adjusted odds of lifetime HIV testing relative to their heterosexual counterparts within racial/ethnic groups. Compared with White heterosexual individuals, most sexual orientation identity and racial/ethnic subgroups had significantly higher adjusted odds whereas Asian heterosexual, bisexual, and lesbian women and Asian heterosexual and bisexual men may have lower adjusted odds of lifetime HIV testing. Conclusion: Culturally relevant, linguistically appropriate, and structurally competent programs and practices are needed to facilitate lifetime HIV testing among diverse sexual orientation identity and racial/ethnic subgroups of women and men, including multiply marginalized subgroups that are undertested or disproportionately affected by HIV/AIDS.

Toxic Masculinity: An Outcome of Colonialism and its Effects on the Latinx/Chicanx LGBTQ+ Community

This research examines masculinity in the Latinx community within the U.S. Much of the theory behind masculinity involves discussing toxic masculinity and machismo. To do this, I look at film, poetry, and literature to discuss how toxic masculinity affects Queer Latinxs. Although this research focuses on fictional characters and the analysis of fictional works, these characters’ stories do not fall far from current LGBTQ+ Latinxs who may be experiencing the same issues. I examine La Mission, Mosquita y Mari, Gun Hill Road, “I am Joaquin,” “La Loca de la Raza Cosmica,” Rain God, and What Night Brings. These pieces work well with one another to show how gay Latino men, Latina lesbian women, and transgender Latina women are affected by toxic masculinity, internalized homophobia and transphobia. With this research I hope to show how the way we construct masculinity as a society, should be reconfigured to something more positive; I also hope to eliminate homophobia and transphobia, as well as violence and hate crimes towards the LGBTQ+ community.

Intersectionalities and the HIV continuum of care among gay Latino men living with HIV in North Carolina

ABSTRACT Objective Latino men who have sex with men (MSM) are disproportionately affected by HIV in the US and only half of Latinos diagnosed with HIV are virally suppressed. Little is known about the determinants of HIV care and treatment outcomes among Latinos. We used theories of intersectionality to assess the HIV testing, care and treatment experiences of gay Latino men living with HIV in a new immigrant destination. Design We conducted qualitative in-depth interviews with US and foreign-born gay Latino men living with HIV (n = 14) recruited through referrals from HIV care providers and case managers. We used Maxwell and Miller’s theory of qualitative analysis to guide our approach to data analysis, integrating narrative techniques and thematic coding. We used theories of intersectionality – including both intersecting identities and structures – as an interpretive framework to understand participants’ outcomes and experiences. Results All participants were engaged in HIV care at the time of the interviews. The mental health burden of diagnosis and managing life with HIV was a salient theme across all interviews. Most participants had experienced interruptions in their care due to both intersecting stigmatized identities (e.g. being gay, Latino, undocumented) and intersecting structures (healthcare, immigration policy, institutionalized homophobia). Undocumented participants directly connected their immigration status to their ability to get work, which then affected their retention in HIV care and treatment adherence. Conclusions Examining the interplay between identities and structures provides a contextualized understanding of outcomes along the HIV care continuum among gay Latino men that goes beyond behavioral and cultural explanations. There is a need to assess long-term experiences of navigating HIV care and treatment given the intersecting structures of mobility, housing instability, and immigration policy.

Discursive shifts associated with coming out: A corpus‐based analysis of news reports about Ricky Martin

AbstractThis study seeks to shed light on the discursive effects of a public sexual identity declaration as they surface in the language used to construct the social actor in question. Subscribing to queer linguistically informed critical discourse studies, it builds on and advances the theoretical discussion of coming out in language and sexuality studies. The investigation analyses a corpus of news reports about Ricky Martin, comparing two sub‐corpora, one with texts published before and another with texts from after Martin's public coming out as a gay man in 2010. A keyword analysis is performed to identify linguistic traces of central discourses manifesting in the two corpora. The quantitative analysis is complemented by an in‐depth qualitative analysis of the discursive construction of ethnicity and sexuality in two sample texts. The findings are discussed in the light of discursive shifts between pre‐ and post‐coming‐out phases and clashes between coming‐out stereotypes and the coming‐out experiences of Latino gay men.

The Effects of Intersecting Stigma: A Longitudinal Examination of Minority Stress, Mental Health, and Substance Use among Black, Latino, and Multiracial Gay and Bisexual Men.

Although Black, Latino, and multiracial gay and bisexual men (GBM) are disproportionately affected by health inequities facing GBM more broadly in the United States (CDC, 2017), there is a dearth of research examining how intersectional stigma affects psychological and behavioral outcomes such as depressive and anxiety symptoms and substance use. Based in minority stress and intersectionality theories, this study examined the main and intersectional effects of racial discrimination and gay rejection sensitivity on emotion regulation difficulties, depressive and anxiety symptoms, and later drug use and heavy drinking. We collected longitudinal data from 170 GBM of Black, Latino, or multiracial descent. Measurements included baseline racial discrimination, gay rejection sensitivity, and emotion regulation difficulties, 6 month depressive and anxiety symptoms, and baseline to 12 month heavy drinking and drug use. We analyzed data using longitudinal structural equation models. Our results indicated that racial discrimination and its interaction with gay rejection sensitivity were significantly associated with higher levels of emotion regulation difficulties, which predicted higher levels of depressive and anxiety symptoms at 6 months, which, in turn, predicted higher levels of heavy drinking, but not drug use, at 12 months. Moreover, the total indirect effect from the stigma variables to heavy drinking was statistically significant. These findings indicate that it is critical for researchers and clinicians to consider the effects of intersecting racial and sexual minority stress on emotion regulation in the persistence of psychological and behavioral health inequities facing Black, Latino, and multiracial GBM.

Navigatingmachismo: The exemplary knowledge and transformative learning of three gay Latino men

Navigating<i>machismo</i>: The exemplary knowledge and transformative learning of three gay Latino men

Reaching Mental Health Research Participants with Multiple Stigmas; A Description of Strategies Used in a Depression Intervention Study for YMSM of Color with HIV

Research indicates that stigma serves as a barrier to the recruitment of participants into mental health intervention studies. Some participants, such as those for depression intervention studies that target people with human immunodeficiency virus (HIV), may face multiple sources of stigma. The purpose of this brief report was to describe recruitment strategies used during the initial months of an ongoing preliminary pilot study designed to develop a web-based intervention for young African American and Latino gay and bisexual men living with HIV who reported symptoms of depression. We employed four primary recruitment strategies to identify potential participants in the Los Angeles metropolitan area for the study. These strategies included social media, referrals, direct contact, and recruitment flyers. Preliminary data indicated that recruitment efforts generated 57 responses from potential participants during the first four months of recruitment and study implementation. The monthly response rate from potential participants represented slightly more than 71% of the study’s minimum level targeted for participant enrollment. Findings from this preliminary study are discussed in terms of the role of stigma as a barrier to mental health participant research recruitment. Implications for both depression research and clinical interventions are considered.

Anal Cancer Prevention Perspectives Among Foreign-Born Latino HIV-Infected Gay and Bisexual Men.

This study explores understanding of primary and secondary prevention of anal cancer among human immunodeficiency virus (HIV)-infected foreign-born Latino gay and bisexual men (GBM). Between August 2015 and December 2016, researchers conducted 33 in-depth, semi-structured interviews with HIV-infected foreign-born Latino GBM. Interview questions sought to determine participants’ knowledge and perceived barriers and facilitators to primary and secondary prevention of anal cancer. Researchers analyzed interview transcripts using a qualitative content analysis approach. For primary prevention, men reported a lack of knowledge about the human papillomavirus (HPV) vaccine. However, for secondary prevention, roughly 60% of participants had previously screened for anal dysplasia via anal Papanicolaou (Pap) smear. However, participants reported willingness to screen, and provider recommendation was the most common screening facilitator. Men reported stigma related to their HIV status, sexual orientation, and anal Pap smear procedures as anal cancer screening barriers. Participants reported willingness to use a self-screening anal Pap smear test if it was commercially available. Health providers continue to be the leading source of health information. Therefore, provider recommendation for HPV vaccination and anal cancer screening among age-eligible foreign-born Latino HIV-infected GBM is critical. More work is needed to destigmatize HIV and sexual orientation to influence positive health behaviors among this population. Future intervention research could test the effects of provider-led interventions and also media campaigns aimed at influencing HPV vaccine uptake and anal cancer screening among this population.

Ni de Aquí, Ni de Allá: Conceptualizing the self-authorship experience of gay Latino college men using conocimiento

ABSTRACTThis essay aims to enhance our conceptual understanding of students with intersectional identities, specifically gay Latino men in college. We first explain how ethnic, gender, and sexual identities can act as compounding influences. Second, we review two distinct but complementary developmental theories. Conocimiento captures the disruptive, challenging path experienced by marginalized Latino youth. Self-authorship situates the broader developmental process in and beyond college. Our modified framework—conociéndose y escribiéndose—conceptualizes how college students navigate multiple marginalized identities. Finally, we discuss the implications of this intersectional framework for LGBTQ+ students and institutions seeking to enhance diversity, inclusion, and student success.

High Rates of Access to Health Care, Disclosure of Sexuality and Gender Identity to Providers Among House and Ball Community Members in New York City

ABSTRACTThe House and Ball community is an important cultural manifestation of resiliency for Black and Latino gay and bisexual men and transgender women. Participants at the August 2013 House of Latex Ball in New York City were surveyed about insurance coverage, health care access, experiences in health care, and housing instability. The sample (n = 367) was 58% Black/African American and 20% Hispanic/Latino, with a mean age of 31. Fifty-five percent were gay and bisexual men. Although only 6% identified as transgender, nearly one half were gender nonconforming. Strong majorities had health insurance, were in regular medical care, and were “out” to their providers. Some were unstably housed and had recently exchanged sex for shelter or money. High rates of health care access and disclosure indicate resiliency and agency. Unstable housing and income insecurity may be structural drivers of vulnerability for this population to HIV infection and other health risks.

The relation between cultural values and condom use among Latino gay men

ABSTRACTLatino men who have sex with men (MSM) are the second largest group to be affected by human immunodeficiency virus (HIV). Latino cultural values may influence sexual behaviors that can result in HIV acquisition. This study explored the relations among traditional machismo, caballerismo, familismo, unprotected anal intercourse (UAI), and the appeal of sex without condoms (ASWC) among Latino gay men. Results indicated that higher levels of familial honor and traditional machismo predicted higher levels of ASWC. These findings suggest that exploration of gender roles and family are important factors to be included in HIV prevention and intervention programs.

Contextualising family microaggressions and strategies of resilience among young gay and bisexual men of Latino heritage

Young Latino gay and bisexual men experience discrimination due to heterosexism and racism from within and beyond their communities. Although most research has emphasised overt forms of discrimination, a growing body of research is examining the effects of microaggressions, or indirect forms of discrimination, on racial and sexual minorities. The purpose of this study was to explore the contexts of various types of microaggressions, as well as describe the resilience strategies used by young adult Latino gay and bisexual men living in Los Angeles, California. A sample of 21 young Latino gay and bisexual men aged 18 to 29 years were recruited to complete qualitative, in-depth, semi-structured interviews following a phenomenological approach. Three contextual themes relevant to microaggressions emerged: (1) microassaults, (2) microinsults and (3) microinvalidations. Three themes emerged around the resilience strategies to overcome these experiences: (1) self-discovery, (2) adaptive socialisation and (3) self-advocacy. Family and community-based efforts to reinforce and expand resilience repertoires are needed to help young Latino gay and bisexual men.

Lessons Learned From Dissemination of Evidence-Based Interventions for HIV Prevention.

In 1999, IOM issued a report that recommended that the Centers for Disease Control and Prevention should disseminate evidence-based HIV prevention interventions (EBIs) to be implemented by health departments, community-based organizations, drug treatment centers, and clinics. Based on these recommendations, the Diffusion of Effective Behavioral Interventions Project was initiated in 2000 and began disseminating interventions into public health practice. For 15 years, the Centers for Disease Control and Prevention has disseminated 29 EBIs to more than 11,300 agencies. Lessons were identified during the 15 years of implementation regarding successful methods of dissemination of EBIs. Lessons around selecting interventions for dissemination, developing a dissemination infrastructure including a resource website (https://effectiveinterventions.cdc.gov), and engagement with stakeholders are discussed. A continuous development approach ensured that intervention implementation materials, instructions, and technical assistance were all tailored to the needs of end users, focus populations, and agency capacities. Six follow-up studies demonstrated that adopters of EBIs were able to obtain comparable outcomes to those of the original efficacy research. The Diffusion of Effective Behavioral Interventions Project may offer guidance for other large, national, evidence-based public health dissemination projects.

Designing a sexual network study of men who have sex with other men: exploring racial and ethnic preferences in study design and methods

ABSTRACTBlack and Latino gay, bisexual, and other men who have sex with men (MSM) have higher rates of HIV and other sexually transmitted infections (STIs) than their White counterparts. Differences in sexual networks have been hypothesized to play an important role in the observed racial/ethnic disparities in risk. However, concerns about the acceptability and feasibility of conducting sociocentric sexual network studies have left a dearth of data on the structure of sexual networks of MSM. If certain network research procedures are unacceptable among target populations, biases may be introduced. We conducted qualitative interviews and brief surveys with 30 self-identified Black (n = 12), Hispanic/Latino, (n = 9) and White (n = 9) sexually active MSM in the Greater Boston area to assess the acceptability and feasibility of potential procedures for a sociocentric sexual network study. We found that referring recent sexual partners as part of a sociocentric network study was generally acceptable, but racial/ethnic differences emerged regarding specific preferences for how to recruit sexual partners. While the majority of Black participants (7/12) explained that they would not want their name disclosed to sexual partners approached for study participation, most Latino participants (7/9) preferred having the opportunity to inform referrals themselves about the study prior to researchers contacting them, and White participants (8/9) favored having researchers disclose their names when recruiting referrals, emphasizing the importance of transparency. In order to reduce differential rates of research participation, increase scientific validity, and reduce risks of social harm, researchers studying sexual networks among MSM should be aware of these potential differences, engage communities in study design, and provide participants with a variety of options for recruiting their sexual partners.