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5. Conceptualizing the Effects of Continuous Traumatic Violence on HIV Continuum of Care Outcomes for Young Black Men Who Have Sex with Men in the United States

Author

Quinn, Katherine G, Spector, Antoinette, Takahashi, Lois, and Voisin, Dexter R

Subjects
Public Health, Health Sciences, Health Services, Sexual and Gender Minorities (SGM/LGBT*), Drug Abuse (NIDA only), Infectious Diseases, Mental Health, HIV/AIDS, Clinical Research, Prevention, Behavioral and Social Science, Violence Research, Substance Misuse, Peace, Justice and Strong Institutions, Adult, Black or African American, Continuity of Patient Care, Discrimination, Psychological, Female, HIV Infections, Homosexuality, Male, Humans, Male, Social Stigma, Stress Disorders, Post-Traumatic, Treatment Outcome, United States, Violence, Black MSM, HIV continuum of care, Racial disparities, Syndemics, Public Health and Health Services, Social Work, Public health
Abstract

The United States (US) is on track to achieve the 90-90-90 targets set forth by UNAIDS and the National HIV/AIDS strategy, yet significant racial disparities in HIV care outcomes remain, particularly for young Black men who have sex with men (YBMSM). Research has demonstrated that various types of violence are key aspects of syndemics that contribute to disparities in HIV risk. However, little research has looked collectively at cumulative violent experiences and how those might affect HIV treatment and care outcomes. Drawing on extant literature and theoretical underpinnings of syndemics, we provide a conceptual model that highlights how continuous traumatic violence experienced by YBMSM may affect HIV outcomes and contribute to racial disparities in HIV outcomes. The findings of this focused review suggest a need for research on how continuous exposure to various types of violence influence HIV prevention and treatment outcomes for young Black MSM.

Published
2021

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