A Cross-sectional Study of Perceived Stress and Racial Discrimination Among a National Sample of Young Men Who Have Sex With Men.
Evette Cordoba, Robert Garofalo, Lisa M Kuhns, Cynthia R Pearson, D Scott Batey, Josh Bruce, Asa Radix, Uri Belkind, Marco A Hidalgo, Sabina Hirshfield, Rebecca Schnall
Author Information
Evette Cordoba: Evette Cordoba, PhD, MPH, is a Postdoctoral Research Scientist, Columbia University School of Nursing, New York, New York, USA. Robert Garofalo, MD, MPH, is the Division Head of Adolescent and Young Adult Medicine, the Potocsnak Family Professorship in Adolescent & Young Adult Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, and Professor of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA. Lisa M. Kuhns, PhD, is a Research Associate Professor of Pediatrics (Adolescent Medicine), Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA. Cynthia R. Pearson, PhD, is a Research Professor and Director of Research at the Indigenous Wellness Research Institute, School of Social Work, University of Washington, Seattle, Washington, USA. D. Scott Batey, PhD, MSW, is an Associate Professor of Social Work, Tulane University, New Orleans, Louisiana, USA. Josh Bruce, MPH, is the Director of Research Initiatives, Birmingham AIDS Outreach, Birmingham, Alabama, USA. Asa Radix, MD, PhD, MPH, FIDSA, is the Senior Director of Research and Education, Callen-Lorde Community Health Center, New York, New York, USA. Uri Belkind, MD, MS, FAAP, AAHIVS, is the Associate Director of Adolescent Health (Health Outreach to Teens), Callen Lorde Community Health Center, New York, New York, USA. Marco A. Hidalgo, PhD, MA, is a Faculty Psychologist at the Center for Transyouth Health and Development and Assistant Professor of Clinical Pediatrics, Children's Hospital Los Angeles, The Saban Research Institute and the Keck School of Medicine, University of Southern California, Los Angeles, CA, USA. Sabina Hirshfield, PhD, is a Principal Research Scientist, STAR Program, Department of Medicine, SUNY Downstate Health Sciences University, Brooklyn, New York, USA. Rebecca Schnall, PhD, MPH, RN-BC, FAAN, FACMI, is the Mary Dickey Lindsay Professor of Disease Prevention and Health Promotion, Columbia University School of Nursing, Professor of Population and Family Health, Columbia University, New York, New York, USA.
ABSTRACT: Research regarding the impact of racism on stress among young men who have sex with men (YMSM) is sparse. Secondary data were assessed from a 2018-2020 national mHealth prevention trial for YMSM aged 13-18 years (N = 542). Linear regression models examined associations between perceived stress and interpersonal and vicarious racism, adjusting for covariates. Stratified models by race/ethnicity were included. A subanalysis (n = 288) examined associations between nine interpersonal racial discriminatory events and perceived stress. Over 50% of participants experienced racial discrimination. In the multivariable models, exposure to interpersonal (β = 1.43, p-value: .038) and vicarious (β = 1.77, p-value: .008) racism was associated with perceived stress because there were four interpersonal racial discriminatory events. Stratified analysis by race/ethnicity found significant associations between interpersonal and vicarious racism and perceived stress among some racial/ethnic groups. Racial discrimination was common among YMSM, making them susceptible to the possible effects of vicarious and interpersonal racism on stress.
Associated Data
ClinicalTrials.gov | NCT03167606
References
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[PMID: 31941475]
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