Minority Stress and Sexual Problems among African-American Gay and Bisexual Men

Program in Human Sexuality, Department of Family Medicine and Community Health, University of Minnesota, 1300 S 2nd St., Ste. 180, Minneapolis, MN 55454, USA.
Archives of Sexual Behavior (Impact Factor: 3.53). 09/2007; 36(4):569-78. DOI: 10.1007/s10508-006-9081-z
Source: PubMed


Minority stress, such as racism and gay bashing, may be associated with sexual problems, but this notion has not been examined in the literature. African-American gay/bisexual men face a unique challenge in managing a double minority status, putting them at high risk for stress and sexual problems. This investigation examined ten predictors of sexual problems among 174 African-American gay/bisexual men. Covarying for age, a forward multiple regression analysis showed that the measures of self-esteem, male gender role stress, HIV prevention self-efficacy, and lifetime experiences with racial discrimination significantly added to the prediction of sexual problems. Gay bashing, psychiatric symptoms, low life satisfaction, and low social support were significantly correlated with sexual problems, but did not add to the prediction of sexual problems in the regression analysis. Mediation analyses showed that stress predicted psychiatric symptoms, which then predicted sexual problems. Sexual problems were not significantly related to HIV status, racial/ethnic identity, or gay identity. The findings from this study showed a relationship between experiences with racial and sexual discrimination and sexual problems while also providing support for mediation to illustrate how stress might cause sexual problems. Addressing minority stress in therapy may help minimize and treat sexual difficulties among minority gay/bisexual men.

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    • "This study was the first to suggest that discrimination may be correlated with physical health in a healthy LGB sample. Zamboni and Crawford (2007) investigated the relationship between lifetime racial and sexual orientation discrimination and sexual dysfunction among gay and bisexual African-American men and found that discrimination predicted more concurrent sexual dysfunction. Taken together, the evidence demonstrates that discrimination may have a direct association with poor physical health in LGB. "
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    ABSTRACT: Health disparities exist between sexual minorities and heterosexuals. These health disparities may be due to stressful social situations and environments that are created by discrimination. The current study recruited 277 sexual minorities to complete an online survey to examine the effects of discrimination on health. Discrimination from family and friends, compared to non-family and friends, was found to be more strongly associated with poorer health. This effect was partially statistically mediated by perceived stress reactivity. Findings from this study highlight the importance of distinguishing between different sources of discrimination when examining the effect of discrimination on health in sexual minority adults.
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    • "Paradoxalmente, na sexualidade heterossexual as intervenções médicas e farmacológicas, têm minimizado progressivamente e até mesmo anulado as características individuais, assim como dos casais envolvidos (Nobre, 2006). Salienta-se, contudo, que o medo do preconceito e da discriminação dificulta o acesso aos cuidados de saúde desta minoria (Zamboni & Crawford, 2007). Por isso, Bhugra e Wright (2007) sublinham que esses profissionais deveram exercer uma prática livre de preconceito e discriminação, direccionado a sua atenção para os factores e problemas específicos das minorias sexuais. "
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