Effects of internalised racism and internalised homophobia on sexual behaviours among black gay and bisexual men in the USA: a systematic review protocol

Introduction Black gay and bisexual men are overburdened by HIV in the USA. While the socioecological model has been applied to understand potential mechanisms of HIV acquisition among black gay and bisexual men, there is mixed evidence on the impact of internalised stigma on HIV risk among this pop...

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Main Authors: Darren L Whitfield, Rebekah S Miller, César G Escobar-Viera, Tural Mammadli, Andre L Brown, Jacob D Gordon, Cristian Chandler
Format: Article
Language:English
Published: BMJ Publishing Group 2023-07-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/13/7/e070969.full
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author Darren L Whitfield
Rebekah S Miller
César G Escobar-Viera
Tural Mammadli
Andre L Brown
Jacob D Gordon
Cristian Chandler
author_facet Darren L Whitfield
Rebekah S Miller
César G Escobar-Viera
Tural Mammadli
Andre L Brown
Jacob D Gordon
Cristian Chandler
author_sort Darren L Whitfield
collection DOAJ
description Introduction Black gay and bisexual men are overburdened by HIV in the USA. While the socioecological model has been applied to understand potential mechanisms of HIV acquisition among black gay and bisexual men, there is mixed evidence on the impact of internalised stigma on HIV risk among this population. This systematic review protocol paper outlines the systematic review being conducted to determine the relationship between internalised racism, internalised homophobia and engagement in sexual behaviour, which puts individuals at risk for HIV infection.Methods and analysis For the review, we will conduct a systematic review of the literature, summarise and critique published scholarly literature on the associations between forms of internalised stigma and sexual behaviours among black gay and bisexual men. We will conduct a systematic search of published qualitative and quantitative research studies published during and after 1993. The searches will be conducted in Ovid Medline, Ovid APA PsycInfo and EBSCO SocINDEX databases. Studies will be included if they were conducted in the USA, with samples that comprised African American/black cisgender gay, bisexual, queer and other men who have sex with men, measured internalised racism and/or internalised homophobia, and assessed sexual behaviour risk for HIV acquisition.Ethics and dissemination No ethical approval will be required for this review. We will report our findings using the guidelines outlined by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Findings of this review may offer new opportunities to study internalised mechanisms impacting outcomes and to identify research gaps and spur additional queries in the group most disproportionately impacted by HIV.
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spelling doaj.art-45cef04814cb45b7a0e604e0a92a02362023-08-10T23:55:07ZengBMJ Publishing GroupBMJ Open2044-60552023-07-0113710.1136/bmjopen-2022-070969Effects of internalised racism and internalised homophobia on sexual behaviours among black gay and bisexual men in the USA: a systematic review protocolDarren L Whitfield0Rebekah S Miller1César G Escobar-Viera2Tural Mammadli3Andre L Brown4Jacob D Gordon5Cristian Chandler6School of Social Work, University of Maryland, Baltimore, Maryland, USAHealth Sciences Library System, University of Pittsburgh, Pittsburgh, Pennsylvania, USADepartment of Psychiatry and Behavioral and Community Health Systems, University of Pittsburgh, Pittsburgh, Pennsylvania, USASchool of Social Work, University of Maryland, Baltimore, Maryland, USADirector of Equity, Diversity, and Inclusion, Cuyahoga County Board of Health, Parma, Ohio, USAInstitute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, Chicago, IL, USAInfectious Diseases, Vanderbilt University Medical Center, Nashville, Tennessee, USAIntroduction Black gay and bisexual men are overburdened by HIV in the USA. While the socioecological model has been applied to understand potential mechanisms of HIV acquisition among black gay and bisexual men, there is mixed evidence on the impact of internalised stigma on HIV risk among this population. This systematic review protocol paper outlines the systematic review being conducted to determine the relationship between internalised racism, internalised homophobia and engagement in sexual behaviour, which puts individuals at risk for HIV infection.Methods and analysis For the review, we will conduct a systematic review of the literature, summarise and critique published scholarly literature on the associations between forms of internalised stigma and sexual behaviours among black gay and bisexual men. We will conduct a systematic search of published qualitative and quantitative research studies published during and after 1993. The searches will be conducted in Ovid Medline, Ovid APA PsycInfo and EBSCO SocINDEX databases. Studies will be included if they were conducted in the USA, with samples that comprised African American/black cisgender gay, bisexual, queer and other men who have sex with men, measured internalised racism and/or internalised homophobia, and assessed sexual behaviour risk for HIV acquisition.Ethics and dissemination No ethical approval will be required for this review. We will report our findings using the guidelines outlined by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Findings of this review may offer new opportunities to study internalised mechanisms impacting outcomes and to identify research gaps and spur additional queries in the group most disproportionately impacted by HIV.https://bmjopen.bmj.com/content/13/7/e070969.full
spellingShingle Darren L Whitfield
Rebekah S Miller
César G Escobar-Viera
Tural Mammadli
Andre L Brown
Jacob D Gordon
Cristian Chandler
Effects of internalised racism and internalised homophobia on sexual behaviours among black gay and bisexual men in the USA: a systematic review protocol
BMJ Open
title Effects of internalised racism and internalised homophobia on sexual behaviours among black gay and bisexual men in the USA: a systematic review protocol
title_full Effects of internalised racism and internalised homophobia on sexual behaviours among black gay and bisexual men in the USA: a systematic review protocol
title_fullStr Effects of internalised racism and internalised homophobia on sexual behaviours among black gay and bisexual men in the USA: a systematic review protocol
title_full_unstemmed Effects of internalised racism and internalised homophobia on sexual behaviours among black gay and bisexual men in the USA: a systematic review protocol
title_short Effects of internalised racism and internalised homophobia on sexual behaviours among black gay and bisexual men in the USA: a systematic review protocol
title_sort effects of internalised racism and internalised homophobia on sexual behaviours among black gay and bisexual men in the usa a systematic review protocol
url https://bmjopen.bmj.com/content/13/7/e070969.full
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