"It's an uphill battle everyday": Intersectionality, low-income black heterosexual men, and implications for HIV prevention research and interventions

Psychology of Men and Masculinity

Volumn 14, Issue 1, 2013, Pages 25-34

  Bowleg, Lisa ^a   Teti, Michelle ^b   Malebranche, David J ^c   Tschann, Jeanne M ^d  

^a DREXEL UNIVERSITY   (United States)

^b UNIVERSITY OF MISSOURI   (United States)

^c EMORY UNIVERSITY SCHOOL OF MEDICINE   (United States)

^d UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

Black African American men; HIV prevention; Intersectionality; Racial discrimination; Social structural context

Indexed keywords

EID: 84882981367     PISSN: 15249220     EISSN: None     Source Type: Journal    
DOI: 10.1037/a0028392     Document Type: Article

References (82)

1. Adimora, A. A., & Auerbach, J. D. (2010). Structural interventions for HIV prevention in the United States. Journal of Acquired Immune Deficiency Syndromes, 55, S132-S135. doi:10.1097/QAI.0b013e3181fbcb38
2. Aidala, A. A., Cross, J. E., Stall, R., Harre, D., & Sumartojo, E. (2005). Housing status and HIV risk behaviors: Implications for prevention and policy. AIDS and Behavior, 9, 251-265. doi:10.1007/s10461-005-9000-7
3. Alexander, M. (2010). The new Jim Crow: Mass incarceration in the age of colorblindness. New York, NY: New Press.
4. Amaro, H. (1995). Love, sex, and power: Considering women's realities in HIV prevention. American Psychologist, 50, 437-447. doi:10.1037/0003-066X.50.6.437
5. Anderson, E. (1999). Code of the Street: Decency, violence, and the moral life of the inner city. New York, NY: W. W. Norton & Company.
6. Aronson, R. E., Whitehead, T. L., & Baber, W. L. (2003). Challenges to masculine transformation among urban low-income African American males. American Journal of Public Health, 93, 732-741. doi:10.2105/AJPH.93.5.732
7. Blankenship, K. M., Bray, S. J., & Merson, M. H. (2000). Structural interventions in public health. AIDS, 14, S11-S21. doi:10.1097/00002030-200006001-00003
8. Bond, L., Wheeler, D. P., Millett, G. A., LaPollo, A. B., Carson, L. F., & Liau, A. (2009). Black men who have sex with men and the association of down-low identity with HIV risk behavior. American Journal of Public Health, 99, S92-S95. doi:10.2105/AJPH.2007.127217
9. Bowleg, L. (2004). Love, sex, and masculinity in sociocultural context: HIV concerns and condom use among African American men in heterosexual relationships. Men and Masculinities, 7, 166-186. doi: 10.1177/1097184X03257523
10. Bowleg, L. (2008). When Black + lesbian + woman + Black lesbian woman: The methodological challenges of qualitative and quantitative intersectionality research. Sex Roles, 59, 312-325. doi:10.1007/s11199-008-9400-z
11. Bowleg, L. (2012a). The problem with the phrase "women and minorities": Intersectionality, an important theoretical framework for public health. American Journal of Public Health. doi:10.2105/AJPH.2012.300750
12. Bowleg, L. (2012b). "Once you've blended the cake, you can't take the parts back to the main ingredients": Exploring how Black gay and bisexual men describe and experience intersectionality. Sex Roles. doi: 10.1007/s11199-012-0152-4
13. Bowleg, L., Burkholder, G. J., Massie, J. S., Wahome, R., Teti, M., Malebranche, D. J., & Tschann, J. M. (2012a). Racial discrimination and postraumatic stress symptoms as pathways to sexual HIV risk among urban Black heterosexual men. Manuscript submitted for publication.
14. Bowleg, L., Burkholder, G. J., Massie, J. S., Wahome, R., Teti, M., Malebranche, D. J., & Tschann, J. M. (2012b). Racial discrimination, social support, and sexual HIV risk among Black heterosexual men. AIDS & Behavior. Retrieved Mar 22, 2012, from http://www.springerlink.com/content/4v72q1820p1335h4/fulltext.pdf
15. Bowleg, L., Lucas, K. J., & Tschann, J. M. (2004). "The ball was always in his court": An exploratory analysis of relationship scripts, sexual scripts, and condom use among African American women. Psychology of Women Quarterly, 28, 70-82. doi:10.1111/j.1471-6402.2004.00124.x
16. Bowleg, L., & Raj, A. (2012). Shared communities, structural contexts, and HIV risk: Prioritizing the HIV risk and prevention needs of Black heterosexual men. American Journal of Public Health. doi:10.2105/AJPH.2011.300342
17. Bowleg, L., Teti, M., Massie, J. S., Patel, A., Malebranche, D. J., & Tschann, J. M. (2011). "What does it take to be a man? What is a real man?": ideologies of masculinity and HIV sexual risk among Black heterosexual men. Cultural, Health, and Sexuality, 13, 545-559. doi: 10.1080/13691058.2011.556201
18. Brah, A., & Phoenix, A. (2004). Ain't I a woman? Revisiting intersectionality. Journal of International Women's Studies, 5, 75-91.
19. Brewer, R. M., & Heitzeg, N. A. (2008). The racialization of crime and punishment: Criminal justice, color-blind racism, and the political economy of the prison industrial complex. American Behavioral Scientist, 51, 625-644. doi:10.1177/0002764207307745
20. Carey, M. P., Senn, T. E., Seward, D. X., & Vanable, P. A. (2010). Urban African-American men speak out on sexual partner concurrency: Findings from a qualitative study. AIDS and Behavior, 14, 38-47. doi: 10.1007/s10461-008-9406-0
21. Centers for Disease Control and Prevention. (2011a, November 8). HIV/AIDS among African Americans. Retrieved November 18, 2011, from http://www.cdc.gov/hiv/topics/aa/
22. Centers for Disease Control and Prevention. (2011b, February 16). HIV/AIDS Surveillance Report, 2009; Vol. 21. Retrieved February 28, 2011, from http://www.cdc.gov/hiv/surveillance/resources/reports/2009report/pdf/2009SurveillanceReport.pdf
23. Cochran, S. D., & Mays, V. M. (1993). Applying social psychological models to predicting HIV-related sexual risk behaviors among African- Americans. Journal of Black Psychology, 19, 142-154. doi:10.1177/00957984930192005
24. Collins, P. H. (1991). Black feminist thought: Knowledge, consciousness, and the politics of empowerment. New York, NY: Routledge.
25. Corneille, M. A., Tademy, R. H., Reid, M. C., Belgrave, F. Z., & Nasim, A. (2008). Sexual safety and risk taking among African American men who have sex with women: A qualitative study. Psychology of Men & Masculinity, 9, 207-220. doi:10.1037/a0012768
26. Council of the City of Philadelphia Committee on Public Safety. (2011, March 16). Hearing on Bill 110111-An ordinance amending Title 9 of The Philadelphia Code, entitled "Regulation of Businesses, Trades, and Professions". Retrieved May 5, 2011, from http://legislation.phila.gov/transcripts/Public%20Hearings/safety/2011/ps031611.pdf
27. Crenshaw, K. W. (1989). Demarginalizing the intersection of race and sex: A Black feminist critique of antidiscrimination doctrine, feminist theory, and antiracist politics. University of Chicago Legal Forum, 139, 139-167.
28. Crenshaw, K. W. (1991). Mapping the margins: Intersectionality, identity politics, and violence against women of color. Stanford Law Review, 43, 1241-1299. doi:10.2307/1229039
29. Davis, K. (2008). Intersectionality as buzzword: A sociology of science perspective on what makes a feminist theory successful. Feminist Theory, 9, 67-85. doi:10.1177/1464700108086364
30. DeNavas-Walt, C., Proctor, B. D., & Smith, J. C. (2011, September). Income, poverty, and health insurance coverage in the United States: 2010 [Current Population Reports, P60-239]. Retrieved from http://www.census.gov/prod/2011pubs/p60-239.pdf
31. Denning, P. H., DiNenno, E. A., & Wiegand, R. E. (2011). Characteristics associated with HIV infection among heterosexuals in urban areas with high AIDS prevalence -- 24 cities, United States, 2006-2007. Morbidity and Mortality Weekly Report, 60, 1045-1049.
32. Denning, P. H., & DiNenno, E. A. (2010). Communities in crisis: Is there a generalized HIV epidemic in impoverished urban areas of the United States. Retrieved September 13, 2010, from http://www.cdc.gov/hiv/topics/surveillance/resources/other/poverty.htm
33. Du Bois, W. E. B., & Eaton, I. (1899). The Philadelphia Negro: A social study. Philadelphia, PA: University of Pennsylvania.
34. Gelman, A., Fagan, J., & Kiss, A. (2007). An analysis of the New York City Police Department's "Stop-and-Frisk" policy in the context of claims of racial bias. Journal of the American Statistical Association, 102, 813-823. doi:10.1198/016214506000001040
35. Hallfors, D. D., Iritani, B. J., Miller, W. C., & Bauer, D. J. (2007). Sexual and drug behavior patterns and HIV and STD racial disparities: The need for new directions. American Journal of Public Health, 97, 125-132. doi:AJPH.2005.075747[pii]10.2105/AJPH.2005.075747[doi]
36. Harawa, N. T., Williams, J. K., Ramamurthi, H. C., Manago, C., Avina, S., & Jones, M. (2008). Sexual behavior, sexual identity, and substance abuse among low-income bisexual and non-gay-identifying African American men who have sex with men. Archives of Sexual Behavior, 37, 748-762.
37. Harris, D. A. (1997). "Driving while Black" and all other traffic offenses: The Supreme Court and pretextual traffic stops. The Journal of Criminal Law and Criminology, 87, 544-582. doi:10.2307/1143954
38. Henny, K. D., Crepaz, N., Lyles, C. M., Marshall, K. J., Aupont, L. W., Jacobs, E. D.,.. Charania, M. R. (2012). Efficacy of HIV/STI behavioral interventions for heterosexual African American men in the United States: A meta-analysis. AIDS and Behavior. doi:10.1007/s10461-011-0100-2
39. Krieger, N. (1999). Embodying inequality: A review of concepts, measures, and methods for studying health consequences of discrimination. International Journal of Health Services, 29, 295-352. doi:10.2190/M11W-VWXE-KQM9-G97Q
40. Kvale, S. (1996). Interviews: An introduction to qualitative research interviewing. Thousand Oaks, CA: Sage.
41. Latkin, C., Weeks, M., Glasman, L., Galletly, C., & Albarracin, D. (2010). A Dynamic Social Systems Model for considering structural factors in HIV prevention and detection. AIDS and Behavior, 14, 222-238. doi: 10.1007/s10461-010-9804-y
42. Latkin, C. A., Curry, A. D., Hua, W., & Davey, M. A. (2007). Direct and indirect associations of neighborhood disorder with drug use and highrisk sexual partners. American Journal of Preventive Medicine, 32, S234-S241. doi:10.1016/j.amepre.2007.02.023
43. Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. Beverly Hills, CA: Sage.
44. Lindberg, L. D., & Orr, M. (2011). Neighborhood-level influences on young men's sexual and reproductive health behaviors. American Journal of Public Health, 101, 271-274. doi:10.2105/AJPH.2009.185769
45. Lundman, R. J., & Kaufman, R. L. (2003). Driving While Black: Effects of race, ethnicity, and gender on citizen self-reports of traffic stops and police actions. Criminology, 41, 195-220. doi:10.1111/j.1745-9125.2003.tb00986.x
46. Majors, R., & Billson, J. M. (1992). Cool pose: The dilemmas of Black manhood in America. New York, NY: Lexington Books.
47. Malebranche, D. J., Arriola, K. J., Jenkins, T. R., Dauria, E., & Patel, S. N. (2010). Exploring the "bisexual bridge": A qualitative study of risk behavior and disclosure of same-sex behavior among Black bisexual men. American Journal of Public Health, 100, 159-164. doi:10.2105/AJPH.2008.158725
48. Malebranche, D. J., & Bowleg, L. (in press). So much more than gay, bisexual or DL: Investigating the structural determinants of sexual HIV risk among Black men in the United States. In H. M. Treadwell, C. Xanthos, K. B. Holden & R. L. Braithwaite (Eds.), Social determinants of health among African American men. San Francisco, CA: Jossey- Bass.
49. Maruschak, L. M., & Beavers, R. (2009/2010, January 28). HIV in prisons, 2007-08. Bureau of Justice Statistics Bulletin. Retrieved October 25, 2011, from http://bjs.ojp.usdoj.gov/content/pub/pdf/hivp08.pdf
50. Mays, V. M., Cochran, S. D., & Barnes, N. W. (2007). Race, race-based discrimination, and health outcomes among African Americans. Annual Review of Psychology, 58, 201-225. doi:10.1146/annurev.psych.57.102904.190212
51. McCall, L. (2005). The complexity of intersectionality. Signs, 30, 1771-1800. doi:10.1086/426800
52. Merrick, E. (1999). An exploration of quality in qualitative research: Are "reliability" and "validity" relevant? In M. Kopala & L. A. Suzuki (Eds.), Using qualitative methods in psychology (pp. 25-36). Thousand Oaks, CA: Sage.
53. Millett, G. A., Malebranche, D. J., Mason, B., & Spikes, P. (2005). Focusing "down low": Bisexual black men, HIV risks and heterosexual transmission. Journal of the National Medical Association, 97, 52S-59S.
54. Morse, J. M. (2000). Determining sample size. Qualitative Health Research, 10, 3-5. doi:10.1177/104973200129118183
55. Nash, J. C. (2008). Re-thinking intersectionality. Feminist Review, 89, 1-15. doi:10.1057/fr.2008.4
56. Patton, M. Q. (2002). Qualitative research and evaluation methods (3rd ed.). Thousand Oaks, CA: Sage.
57. Pettit, B., & Western, B. (2004). Mass imprisonment and the life course: Race and class inequality in U.S. incarceration. American Sociological Review, 69, 151-169. doi:10.1177/000312240406900201
58. Philadelphia Department of Public Health, & AIDS Activities Coordinating Office. (2011, November 28). [Data Request: African American Males 2009].
59. Raj, A., & Bowleg, L. (2011). Heterosexual risk for HIV among Black men in the United States: A call to action against a neglected crisis in Black communities. American Journal of Men's Health. doi:10.1177/1557988311416496
60. Reed, E., Santana, M. C., Bowleg, L., Welles, S. L., Horsburgh, C., & Raj, A. (in press). Experiences of racial discrimination and relation to sexual risk for HIV among a sample of urban African American men. Journal of Urban Health. doi:10.1007/s11524-012-9690-x
61. Roberts, M. E., Gibbons, F. X., Gerrard, M., Weng, C. Y., Murry, V. M., Simons, L. G., & Lorenz, F. O. (2012). From racial discrimination to risky sex: Prospective relations involving peers and parents. Developmental Psychology, 48, 89-102.
62. Royster, D. A. (2003). Race and the invisible hand: How white networks exclude Black men from blue-collar jobs. Berkeley, CA: University of California Press.
63. Sabol, W. J., West, H. C., & Cooper, M. (2009). Prisoners in 2008. Bureau of Justice Statistics Bulletin. Retrieved December 24, 2009, from http://bjs.ojp.usdoj.gov/content/pub/pdf/p08.pdf
64. Santana, M. C., Raj, A., Decker, M. R., La Marche, A., & Silverman, J. G. (2006). Masculine gender roles associated with increased sexual risk and intimate partner violence perpetration among young adult men. Journal of Urban Health, 83, 575-585. doi:10.1007/s11524-006-9061-6
65. Schwartzman, D. (1996). Black unemployment: Part of unskilled unemployment. Westport, CT: Greenwood.
66. Staples, R. (1978). Masculinity and race: The dual dilemma of Black men. Journal of Social Issues, 34, 169-183. doi:10.1111/j.1540-4560.1978.tb02547.x
67. Staples, R. (1982). Black masculinity: The Black males' role in American society. San Francisco, CA: Black Scholar.
68. Sue, D. W., Capodilupo, C. M., Torino, G. C., Bucceri, J. M., Holder, A. M., Nadal, K. L., & Esquilin, M. (2007). Racial microaggressions in everyday life: Implications for clinical practice. American Psychologist, 62, 271-286. doi:10.1037/0003-066X.62.4.271
69. Sumartojo, E. (2000). Structural factors in HIV prevention: Concepts, examples, and implications for research. AIDS, 14, S3-S10. doi: 10.1097/00002030-200006001-00002
70. Takagi, P., & Platt, T. (1982). Racism and imprisonment in the United States in the 1980s: A policy analysis. Retrieved May 1, 2010, from http://www.ncjrs.gov/App/Publications/abstract.aspx?ID=86404
71. Thomas, J. C., Levandowski, B. A., Isler, M. R., Torrone, E., & Wilson, G. (2008). Incarceration and sexually transmitted infections: A neighborhood perspective. Journal of Urban Health, 85, 90-99. doi:10.1007/s11524-007-9231-1
72. U.S. Bureau of Labor Statistics. (2012). The Employment Situation - January 2012. Retrieved January 20, 2012, from http://www.bls.gov/news.release/pdf/empsit.pdf
73. Warner, L. (2008). A best practices guide to Intersectional approaches in psychological research. Sex Roles, 59, 454-463. doi:10.1007/s11199-008-9504-5
74. Weber, L., & Parra-Medina, D. (2003). Intersectionality and women's health: Charting a path to eliminating health disparities. Advances in Gender Research, 7, 181-230. doi:10.1016/S1529-2126(03)07006-1
75. Whitehead, T. L., Peterson, J., & Kaljee, L. (1994). The "Hustle": Socioeconomic deprivation, urban drug trafficking, and low-income, African- American male gender identity. Pediatrics, 93, 1050-1054.
76. Whitehead, T. L. (1997). Urban low-income African American men, HIV/AIDS, and gender identity. Medical Anthropology Quarterly, 11, 411-447. doi:10.1525/maq.1997.11.4.411
77. Williams, D. R., Neighbors, H. W., & Jackson, J. S. (2008). Racial/ethnic discrimination and health: Findings from community studies. American Journal of Public Health, 98, S29-S37. doi:10.2105/AJPH.98.Supplement_1.S29
78. Wilson, P., Wright, K., & Isbell, M. T. (2008). Left Behind: Black America: A Neglected Priority in the Global AIDS Epidemic. Los Angeles, CA: Black AIDS Institute.
79. Wilson, W. J. (1996). When work disappears: The world of the new urban poor (1st ed.). New York, NY: Knopf.
80. Wolfe, W. A. (2003). Overlooked role of African-American males' hypermasculinity in the epidemic of unintended pregnancies and HIV/AIDS cases with young African-American women. Journal of the National Medical Association, 95, 846-852.
81. Wright, J. W. (1993). African-American male sexual behavior and the risk for HIV infection. Human Organization, 52, 421-431.
82. Wright, J. W. (1997). African American males and HIV: The challenge of the AIDS epidemic. Medical Anthropology Quarterly, 11, 454-455. doi:10.1525/maq.1997.11.4.454