caa a22 4500 606232680 CHVBK 20210128101228.0 cr unu---uuuuu 210128e20150201xx s 000 0 eng 10.1007/s10508-014-0331-1 doi (NATIONALLICENCE)springer-10.1007/s10508-014-0331-1 Stress and Coping with Racism and Their Role in Sexual Risk for HIV Among African American, Asian/Pacific Islander, and Latino Men Who Have Sex with Men [Elektronische Daten] [Chong-suk Han, George Ayala, Jay Paul, Ross Boylan, Steven Gregorich, Kyung-Hee Choi] The deleterious effects of racism on a wide range of health outcomes, including HIV risk, are well documented among racial/ethnic minority groups in the United States. However, little is known about how men of color who have sex with men (MSM) cope with stress from racism and whether the coping strategies they employ buffer against the impact of racism on sexual risk for HIV transmission. We examined associations of stress and coping with racism with unprotected anal intercourse (UAI) in a sample of African American (N=403), Asian/Pacific Islander (N=393), and Latino (N=400) MSM recruited in Los Angeles County, CA during 2008-2009. Almost two-thirds (65%) of the sample reported being stressed as a consequence of racism experienced within the gay community. Overall, 51% of the sample reported having UAI in the prior 6months. After controlling for race/ethnicity, age, nativity, marital status, sexual orientation, education, HIV serostatus, and lifetime history of incarceration, the multivariate analysis found statistically significant main effects of stress from racism and avoidance coping on UAI; no statistically significant main effects of dismissal, education/confrontation, and social-support seeking were observed. None of the interactions of stress with the four coping measures were statistically significant. Although stress from racism within the gay community increased the likelihood of engaging in UAI among MSM of color, we found little evidence that coping responses to racism buffered stress from racism. Instead, avoidance coping appears to suggest an increase in UAI. Springer Science+Business Media New York, 2014 Sexual orientation nationallicence Men who have sex with men nationallicence Stress nationallicence Coping nationallicence HIV risk nationallicence Han Chong-suk Department of Sociology and Anthropology, Middlebury College, 05753, Middlebury, VT, USA aut Ayala George Global Forum on MSM and HIV, Oakland, CA, USA aut Paul Jay Center for AIDS Prevention Studies, University of California, San Francisco, San Francisco, CA, USA aut Boylan Ross Center for AIDS Prevention Studies, University of California, San Francisco, San Francisco, CA, USA aut Gregorich Steven Center for AIDS Prevention Studies, University of California, San Francisco, San Francisco, CA, USA aut Choi Kyung-Hee Center for AIDS Prevention Studies, University of California, San Francisco, San Francisco, CA, USA aut Archives of Sexual Behavior Springer US; http://www.springer-ny.com 44/2(2015-02-01), 411-420 0004-0002 44:2<411 2015 44 10508 https://doi.org/10.1007/s10508-014-0331-1 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10508-014-0331-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Han Chong-suk Department of Sociology and Anthropology, Middlebury College, 05753, Middlebury, VT, USA aut NATIONALLICENCE 700 1- Ayala George Global Forum on MSM and HIV, Oakland, CA, USA aut NATIONALLICENCE 700 1- Paul Jay Center for AIDS Prevention Studies, University of California, San Francisco, San Francisco, CA, USA aut NATIONALLICENCE 700 1- Boylan Ross Center for AIDS Prevention Studies, University of California, San Francisco, San Francisco, CA, USA aut NATIONALLICENCE 700 1- Gregorich Steven Center for AIDS Prevention Studies, University of California, San Francisco, San Francisco, CA, USA aut NATIONALLICENCE 700 1- Choi Kyung-Hee Center for AIDS Prevention Studies, University of California, San Francisco, San Francisco, CA, USA aut NATIONALLICENCE 773 0- Archives of Sexual Behavior Springer US; http://www.springer-ny.com 44/2(2015-02-01), 411-420 0004-0002 44:2<411 2015 44 10508