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- Title
Strong Ethnic Identity Buffers the Association of Heterosexism with Substance Use Among Black Sexual Minority Men.
- Authors
Kalinowski, Jolaade; Layland, Eric K.; Eaton, Lisa A.; Watson, Ryan J.
- Abstract
Introduction: Heterosexist stigma, including microaggressions experienced in their own racial/ethnic communities, may partially explain disproportionate levels of substance use involvement among Black sexual minority men (BSMM). A strong sense of ethnic identity may provide BSMM with a protective resource. The purpose of this study was to explore associations between ethnic identity and substance use in BSMM. Methods: Data were from Black sexual minority men (n = 390 Mage = 25.28; SD = 2.81) in the PrEP and Substance Use National Survey collected from March 2020 to August 2020 that included self-reported cannabis, cocaine, methamphetamines, inhalants, hallucinogens, prescription drugs misuse, and overall substance use involvement. Using zero-inflated negative binomial regression, we assessed the association between heterosexist microaggressions within BSMM's racial/ethnic communities and substance use involvement, moderated by subjective sense of ethnic identity. Results: More than half of participants reported past 3-month substance use. Heterosexist microaggressions were associated with higher relative risk of cannabis use involvement (RR = 1.76; 95% CI 1.13–2.73) and overall substance use involvement (RR = 2.23; 95% CI 1.39–3.56). Stronger ethnic identity buffered the association of heterosexism on substance use involvement (cannabis: RR = 0.82; 95% CI 0.72–0.95; overall: RR = 0.77; 95% CI 0.66–0.89). Conclusion: Nurturing ethnic identity development and reducing heterosexist stigma in Black communities may be a culturally responsive, two-pronged approach to reducing substance use involvement among BSMM. BSMM with strong ethnic identity demonstrated resilience to heterosexist stigma. Future research should examine the extent to which ethnic identity may be cultivated as a protective resource against substance use involvement.
- Subjects
UNITED States; SUBSTANCE abuse risk factors; AFRICAN Americans; HETEROSEXUALITY; RELATIVE medical risk; CONFIDENCE intervals; SUBSTANCE abuse; ATTITUDE (Psychology); SELF-evaluation; HISPANIC Americans; GROUP identity; SOCIAL stigma; RACE; REGRESSION analysis; RISK assessment; CRONBACH'S alpha; PSYCHOSOCIAL factors; SEXUAL minorities; QUESTIONNAIRES; DESCRIPTIVE statistics; RESEARCH funding; ETHNIC groups; MICROAGGRESSIONS; DATA analysis software
- Publication
Journal of Racial & Ethnic Health Disparities, 2023, Vol 10, Issue 3, p1270
- ISSN
2197-3792
- Publication type
Article
- DOI
10.1007/s40615-022-01312-8