Neighborhood Poverty and Social Environment Stressors Relate to Discrimination and Hate Crimes Among African-American Men Living with HIV
Method: HIV-positive African-American men (N=190) in Los Angeles, CA participated (mean age=44, SD=8). Participants provided information on perceived social environment stressors (e.g., vandalism, litter) and experiences with institutional and interpersonal discrimination (e.g., hate crimes such as physical assault) related to being Black, HIV-positive, or perceived as gay. Participants’ residential zip codes and U.S. Census data were used to determine neighborhood poverty rates (i.e. proportion of people in poverty).
Results: Multivariate linear regressions controlling for age, education, employment status, housing situation, and income indicated that (1) higher neighborhood poverty was significantly related to more experiences with discrimination (HIV-related: b=1.60, SE=.71, p=.02; gay-related: b=2.30, SE=.82, p=.005) and hate crimes (HIV-related: b=.99, SE=.35, p=.005; gay-related: b=1.34, SE=.37, p<.001); and (2) higher social environment stressors were significantly related to more discrimination events (gay-related: b=.91, SE=.26, p<.001; Black-related: b=2.41, SE=.74, p=.001) and hate crimes (gay-related: b=0.38, SE=.12, p=.002).
Conclusion: For HIV-positive African-American men, high levels of neighborhood poverty and stressors are associated with increase experiences with discrimination, including hate crimes. Interventions in this group should incorporate content that promotes individual- and community-level socioeconomic empowerment and stigma reduction.
Learning Areas:Assessment of individual and community needs for health education
Planning of health education strategies, interventions, and programs
Social and behavioral sciences
Describe the associations among neighborhood poverty, social environment stressors, discrimination, and hate crimes in a sample of African American men living with HIV.
Qualified on the content I am responsible for because: I have been the recipient of two NIH grant awards focusing on individuals with and at risk for HIV. I have been conducting research in the field of HIV for over 5 years exploring the relationships between psychological and environment factors on the health of individuals with and at risk for HIV.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.