Drugs,Sex, and Condoms: Identification and Interpretation of Race‐Specific Cultural Messages Influencing Black Gay and Bisexual Young Men Living with HIV

Black gay and bisexual young men carry a disproportionate burden of HIV in the United States. This study explored Black gay and bisexual young men living with HIV's identification and interpretation of race‐specific cultural messages regarding substance use, sexual activity, and condom use. A total of 36 Black gay and bisexual young men living with HIV (ages 16–24, mean = 20.6 years) from four geographically diverse regions of the United States participated in qualitative in‐depth interviews. Results from this study elucidate the ways in which these young men interpret various forms of race‐specific cultural messages and experiences regarding substance use, sexual activity, and condom use. Participants discussed cultural messages and experiences promoting and discouraging condoms and substance use. Regarding sexual activity, only messages and experiences promoting sex were reported. Across all three categories, messages and experiences promoting risk were predominant. Data further revealed that socially transmitted cultural messages received by young men emanated from multiple sources, such as family, peers, sexual partners, community/neighborhood, and the broader society. Race‐specific cultural messages and experiences should be addressed in interventions for this population, and programs should assist young men in developing a critical consciousness regarding these messages and experiences in order to promote health and well‐being.     

A qualitative study of body image and appearance among men of Chinese ancestry in Australia

Little is known about the body image of non-White men living in Western countries, even though it has been suggested that they may be more at risk of body image concerns, especially if they internalize Western ideals. This study focused on identifying the main body image and appearance themes among 15 men of Chinese ancestry in Australia using semi-structured interviews and grounded theory. Moderate muscularity was the preferred ideal and height dissatisfaction was shown to be the primary concern. The majority was not invested in achieving muscularity and had a “holistic” approach to their body image that included concerns about hairstyling and clothing. In addition, the men were influenced by both Asian and Western ideals, and this included comparison targets with both Asian and Western men. Further studies are needed to assess the extent of men's body image and appearance concerns, and the role played by Asian and Western influences.     

A Community Psychology of Men and Masculinity: Historical and Conceptual Review

This paper introduces the special section by presenting a historical and conceptual review of theory and research on the psychology of men and masculinity and then introducing the section’s papers. Men have power because of their gender, but differ in access to power based on other individual characteristics such as social class, income, education, ethnicity, sexual orientation, or physical strength. Men typically have been studied as generic rather than gendered beings in psychology. In contrast, a gendered analysis of men highlights the ways in which men’s experience, masculinity, and behavior contribute to health and social problems and to resources commonly addressed by community psychologists. Our gendered analysis suggests ways of working with men in group, organizational, and community settings to create positive individual and social change. Crucial to this analysis is the paradox that enacting masculinity both privileges and damages men. A second paradox stems from men having power as a group over women while individual men feel powerless or victimized by women as a group. The papers in this volume illustrate key themes of our historical and conceptual review through studies of adolescent and adult men as fathers, patients, partner abusers, support group participants and community members, and through examination of the impact of their gendered identities and behavior on health, well being, and justice.     

Profiles of Resilience and Psychosocial Outcomes among Young Black Gay and Bisexual Men

Young Black gay/bisexual men (YBGBM) are affected by contextual stressors—namely syndemic conditions and minority stress—that threaten their health and well‐being. Resilience is a process through which YBGBM achieve positive psychosocial outcomes in the face of adverse conditions. Self‐efficacy, hardiness and adaptive coping, and social support may be important resilience factors for YBGBM. This study explores different profiles of these resilience factors in 228 YBGBM in New York City and compares profiles on psychological distress, mental health, and other psychosocial factors. Four profiles of resilience were identified: (a) Low self‐efficacy and hardiness/adaptive coping (23.5%); (b) Low peer and parental support (21.2%); (c) High peer support, low father support (34.5%); and (d) High father and mother support, self‐efficacy, and hardiness/adaptive coping (20.8%). YBGBM in profile 1 scored markedly higher on distress (d = .74) and lower on mental health functioning (d = .93) compared to men in the other profiles. Results suggest that self‐efficacy and hardiness/adaptive coping may play a more important role in protecting YBGBM from risks compared to social support and should be targeted in interventions. The findings show that resilience is a multidimensional construct and support the notion that there are different patterns of resilience among YBGBM.     

Is subjective ambivalence toward gays a modern form of bias?

Theoretically, modern racism and sexism are characterized by ambivalence. We directly examined the consequence of being higher in subjective ambivalence toward gays (i.e. attitudes that feel “torn”) with regard to gay rights support. In Study 1, greater subjective ambivalence was associated with more negative attitudes (and not more positive attitudes), more ideological opposition to gays, more negative intergroup emotions, and less gay rights support. In Study 2, less opposition to gay bullying was predicted by: (a) greater subjective ambivalence (through lower intergroup empathy); and (b) experimentally-salient bullying justification norms (through lower collective guilt). These effects held controlling for Attitudes toward Lesbians and Gay Men (i.e., traditional negative attitudes). Although not overtly negative, individual differences in subjective ambivalence tap a unique, subtle, and less objectionable form of bias, consistent with aversive racism and justification–suppression frameworks of explaining modern biases.     

Prospective effects of social support on internalized homonegativity and sexual identity concealment among middle-aged and older gay men: a longitudinal cohort study

Background and objectives: Middle-aged and older gay men experience higher rates of depression and anxiety compared to their heterosexual counterparts, with internalized homonegativity and sexual identity concealment known to be major stress-related contributors. This study examined the prospective effect of different types and sources of social support on internalized homonegativity and sexual identity concealment experienced among middle-aged and older gay men.

Methods: A longitudinal survey involving two waves of data collection separated by 12 months was conducted among a cohort of 186 gay-identified men aged 40 years and older.

Results: Two types of social support were found to be important. Greater baseline tangible or practical support independently predicted lower internalized homonegativity at 12-month follow-up, while greater baseline emotional or psychological support independently predicted a lower tendency toward sexual identity concealment at 12-month follow-up. Greater baseline support from community or government agencies, such as health services and support organizations, predicted higher internalized homonegativity at 12-month follow-up.

Conclusions: These findings suggest that tangible and emotional support may be beneficial in reducing internalized homonegativity and sexual identity concealment among middle-aged and older gay men. Ensuring that services provide environments that do not compound the stressful impact of stigma also appears to be important.     

Stonewalling through Schizophrenia: An Anti-Gay Rights Culture in Hong Kong?

With its British colonial legacy and Chinese make-up, Hong Kong provides a stimulating stadium and lens through which to examine the validity of the use of “culture” in arguing against homosexuality and the development and protection of the rights of sexual minorities. After a brief account on the legal developments in Hong Kong on homosexuality, this article examines how the argument that Hong Kong has an inherently anti-gay rights culture, which simultaneously emphasizes Confucianism and Christianity, and which the government then uses to stonewall the development and protection of the rights of sexual minorities, merely illuminates an underlying schizophrenia as to what that culture actually is. In the process of my diagnosis, I will also discuss whether Confucianism and Christianity indeed oppose homosexuality and sexual minority rights.

Coming out stories framed as faith narratives, or stories of spiritual growth

The tension between religion and sexuality is particularly pronounced for gay and lesbian people who are often “caught in the middle” between a constitutional sexual orientation and a religious body that rejects it. This paper demonstrates how gay men can be helped in trying to integrate these deeply human and intrinsic parts of themselves, using a developmental approach first articulated by Robert Kegan. It argues that such development is often reflected later in theological language: in this case, in these men's coming out narratives, which are often framed as stories of spiritual growth.     

Protecting Sexual Minority Youth from Research Risks: Conflicting Perspectives

This paper examines how a younger white female graduate student and an African American female undergraduate viewed the relationship between the graduate student and older African American working class women. This relationship was formed around a community garden project. The graduate student understood the relationship to be based on gender and class background similarities; the undergraduate viewed it based on race differences and unexamined white privilege. Both interpretations are challenged as unidimensional. Through this re-telling, questions are raised about why situating ourselves via our identities is not practiced more frequently. Possible explanations of this lack of attention to situativity include a Cartesian philosophy of science that separates objectivity and subjectivity, a general unawareness of privilege by those who have it, and a dominant scientific discourse that neglects the role of the researcher. This paper illustrates why reflexivity is crucial for the work of community psychology.     

Sexuality and Exercise Motivations: Are Gay Men and Heterosexual Women Most Likely to be Motivated by Concern About Weight and Appearance?

This study was designed to investigate the relationship between sexuality and exercise motivations in 93 British bar staff. Participants who self-identified as heterosexual, gay, or lesbian completed the revised version of the Exercise Motivations Inventory and reported exercise frequency. Heterosexual men scored lower on appearance motives than did heterosexual women and gay men, higher on enjoyment motives than did gay men, and higher on competition motives than did women and gay men. Men were significantly less likely than women to be motivated by weight management. Heterosexual men also reported exercising significantly more frequently than the other three groups. Suggestions for targeted exercise promotion initiatives are discussed.