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Social risk, stigma and space: key concepts for understanding HIV vulnerability among black men who have sex with men in New York City

Parker, CM; Garcia, J; Philbin, MM; Wilson, PA; Parker, RG; Hirsch, JS; (2017) Social risk, stigma and space: key concepts for understanding HIV vulnerability among black men who have sex with men in New York City. Culture, Health and Sexuality , 19 (3) pp. 323-337. 10.1080/13691058.2016.1216604. Green open access

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Abstract

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.

Type: Article
Title: Social risk, stigma and space: key concepts for understanding HIV vulnerability among black men who have sex with men in New York City
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1080/13691058.2016.1216604
Publisher version: https://doi.org/10.1080/13691058.2016.1216604
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: HIV; Black men who have sex with men; social risk; stigma; space; New York City
UCL classification: UCL
UCL > Provost and Vice Provost Offices > UCL SLASH
UCL > Provost and Vice Provost Offices > UCL SLASH > Faculty of S&HS
UCL > Provost and Vice Provost Offices > UCL SLASH > Faculty of S&HS > Dept of Anthropology
URI: https://discovery.ucl.ac.uk/id/eprint/10181760
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