TitleSocial risk, stigma and space: key concepts for understanding HIV vulnerability among black men who have sex with men in New York City.
Publication TypeJournal Article
Year of Publication2017
AuthorsParker, CM, Garcia, J, Philbin, MM, Wilson, PA, Parker, RG, Hirsch, JS
JournalCult Health Sex
Date Published2017 Mar
KeywordsAfrican Americans, Condoms, HIV Infections, Homosexuality, Male, Humans, Interviews as Topic, Male, New York City, Risk-Taking, Sexual Behavior, Sexual Partners, Social Discrimination, Social Stigma

Black men who have sex with men in the USA face disproportionate incidence rates of HIV. This paper presents findings from an ethnographic study conducted in New York City that explored the structural and socio-cultural factors shaping men's sexual relationships with the goal of furthering understandings of their HIV-related vulnerability. Methods included participant observation and in-depth interviews with 31 Black men who have sex with men (three times each) and 17 key informants. We found that HIV vulnerability is perceived as produced through structural inequalities including economic insecurity, housing instability, and stigma and discrimination. The theoretical concepts of social risk, intersectional stigma, and the social production of space are offered as lenses through which to analyse how structural inequalities shape HIV vulnerability. We found that social risk shaped HIV vulnerability by influencing men's decisions in four domains: 1) where to find sexual partners, 2) where to engage in sexual relationships, 3) what kinds of relationships to seek, and 4) whether to carry and to use condoms. Advancing conceptualisations of social risk, we show that intersectional stigma and the social production of space are key processes through which social risk generates HIV vulnerability among Black men who have sex with men.

Alternate JournalCult Health Sex
PubMed ID27550415
PubMed Central IDPMC5415078
Grant ListL60 MD009069 / MD / NIMHD NIH HHS / United States
P30 MH043520 / MH / NIMH NIH HHS / United States
T32 MH019139 / MH / NIMH NIH HHS / United States
R01 MH098723 / MH / NIMH NIH HHS / United States
K01 DA039804 / DA / NIDA NIH HHS / United States