Lifetime Prevalence and Sociodemographic Correlates of Multifactorial Discrimination Among Middle-Aged and Older Adult Men Who Have Sex with Men

Steven P. Meanley*, Michael W. Plankey, Derrick D. Matthews, Mary E. Hawk, James E. Egan, Linda A. Teplin, Steven J. Shoptaw, Pamela J. Surkan, Ron D. Stall

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

This study describes multifactorial discrimination (discrimination attributed to multiple social identities) among middle-aged and older adult MSM. MSM aged 40+ years (N = 1,193) enrolled in the Multicenter AIDS Cohort Study completed behavioral surveys ascertaining experiences of discrimination and their social identity attributions. Non-proportional odds regressions assessed multifactorial discrimination by age, race/ethnicity, HIV status, and covariates. Twenty-seven percent of participants reported multifactorial discrimination. Adjusted models indicated that middle-aged men were more likely to report multifactorial discrimination compared to older adult men. Racial/ethnic minorities were more likely to report multifactorial discrimination compared to non-Hispanic white participants. These same patterns emerged among the sub-sample of participants living with HIV. To our knowledge, this is the first assessment of multifactorial discrimination in middle-aged and older MSM. Our findings support the deleterious association between multiple-marginalization and multifactorial discrimination. Multilevel interventions targeting interconnected experiences of stigma may improve the health of MSM in transition to older age.

Original languageEnglish (US)
JournalJournal of Homosexuality
DOIs
StateAccepted/In press - Jan 1 2019

Keywords

  • HIV
  • MSM
  • aging
  • discrimination
  • health disparities
  • multiple marginalization
  • stigma

ASJC Scopus subject areas

  • Gender Studies
  • Social Psychology
  • Education
  • Psychology(all)

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