Operating without a safety net: gay male adolescents and emerging adults' experiences of marginalization and migration, and implications for theory of syndemic production of health disparities.

TitleOperating without a safety net: gay male adolescents and emerging adults' experiences of marginalization and migration, and implications for theory of syndemic production of health disparities.
Publication TypePublication
Year of Publication2011
AuthorsBruce D, Harper GW
Corporate AuthorsAdolescent Medicine Trials Network for HIV/AIDS Interventions
JournalHealth Educ Behav
Volume38
Issue4
Pagination367-78
Date Published2011 Aug
ISSN1552-6127
KeywordsAdolescent, Adult, Bisexuality, Emigration and Immigration, Health Status Disparities, HIV Infections, Homosexuality, Male, Humans, Male, Prejudice, Qualitative Research, Risk Factors, United States, Young Adult
Abstract

<p>Health disparities among gay men (HIV, substance use, depression) have been described as a mutually occurring "syndemic" that is socially produced through two overarching dynamics: marginalization and migration. Although the syndemic theory proposes a developmental trajectory, it has been largely based on epidemiological studies of adult gay men and has not been examined using qualitative data from gay male adolescents and emerging adults describing their developmental experience. We conducted interviews with 54 HIV-positive gay and bisexual male adolescents and emerging adults at four sites in the United States. This study provides examples of developmental trajectories that help explain the early onset of socially produced health disparities among some gay male adolescents and emerging adults, but also the development of risk factors that may follow some gay men into adulthood.</p>

DOI10.1177/1090198110375911
Alternate JournalHealth Educ Behav
PubMed ID21398621
PubMed Central IDPMC3149744
Grant ListU01 HD040533 / HD / NICHD NIH HHS / United States
K01 MH089838 / MH / NIMH NIH HHS / United States
U01 HD040474 / HD / NICHD NIH HHS / United States
5 U01 HD 40533 / HD / NICHD NIH HHS / United States
K01 MH089838-01A1 / MH / NIMH NIH HHS / United States
5 U01 HD 40474 / HD / NICHD NIH HHS / United States