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- Title
Adverse Childhood Experiences and Health and Wellness Outcomes among Black Men Who Have Sex with Men.
- Authors
Ports, K.; Lee, R.; Raiford, J.; Spikes, P.; Manago, C.; Wheeler, D.; Ports, K A; Lee, R D; Wheeler, D P
- Abstract
Black men who have sex with men (BMSM) are a population at the intersection of two minority statuses-racial minority and sexual minority. Membership in either group, compared to white or heterosexual group membership, may increase one's risk of negative childhood and adult experiences. Baseline data from an HIV intervention efficacy trial (the Black Men Evolving Study) were used to explore the prevalence of adverse childhood experiences (ACEs) among 536 BMSM and associations between ACEs and adult mental and physical health outcomes. Overall, the prevalence of ACEs was high among this sample of BMSM with almost 90% experiencing at least one ACE. Findings revealed that ACE score was significantly associated with adult mental health (AOR = 1.21, 95% CI [1.12, 1.30]), but not with adult physical health. All ACEs were significantly associated with mental health, but only physical neglect and household substance abuse were significantly associated with physical health (AOR = 1.69, 95% CI [1.02, 2.74] and AOR = 1.57, 95% CI [1.03, 2.40], respectively). The findings support the need for interventions targeting improved adult health outcomes, particularly for minority groups, to consider the impact of early adversity on health and wellness.
- Subjects
UNITED States; MEN who have sex with men; BLACK gay men; MALE homosexuality; HIV-positive persons; SEXUAL orientation; STATISTICS on Black people; HOMOSEXUALITY; LIFE change events; MENTAL health; RESEARCH funding; TEENAGERS' conduct of life; PSYCHOLOGY of Black people; DISEASE prevalence
- Publication
Journal of Urban Health, 2017, Vol 94, Issue 3, p375
- ISSN
1099-3460
- Publication type
journal article
- DOI
10.1007/s11524-017-0146-1