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Dangerfield is exploring the feasibility of mailing HIV and STI self-testing materials to MSM in Baltimore who use HIV PrEP to reduce the need for in-person clinical follow-up visits.“It’s not racist. Department of State, the National Science Foundation, and the Johns Hopkins Center for AIDS Research. His research has been supported by the U.S. His primary research promotes sexual health and targets ways to reduce HIV and STIs for men who have sex with men (MSM) in the U.S. Derek Dangerfield is a postdoctoral fellow at the Johns Hopkins School of Nursing.
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Racism in Care: Speak Up to Save a Lifeĭr.Aggressive Use of Power, People of Color, and Its Silent Threat to Health.They are committed to decreasing health disparities experienced by local and global communities by promoting social justice and health equity through nursing practice, research, education, and service.
HOT BLACK GAY MEN SERIES
This blog is a part of the “Dialogues in Health Equity” series by the Health Equity Faculty Interest Group. Ultimately, that work will improve the health of black men. We need to work to ensure that black, sexual minority men do not experience stigma, shame, or distress in society. Dangerfield” to keep at bay the shame, stigma, and distress that could impact my health, but many men do not have a protective identity like that. This is evident in the disparities observed for many health issues including HIV and HIV treatment adherence.įortunately, I can call upon “Dr. Black sexual minority men experience a “threeness,” an added identity as gay or bisexual, which complicates their personal identity and impacts their capacity to navigate through society and maintain their health. Dubois described the “twoness,” a double consciousness that many African-Americans experience as they operate as black in America. We need more diverse providers who can connect with patients at the different contexts of their lives.
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Larger social issues such as internalized homonegativity, medical mistrust, and socioeconomic status impact health care engagement for many black, gay men as well. Other issues, such as violence and stigma (at being both a black man and a gay man), are also salient for many black, sexual minority men and they impact health care engagement and health outcomes. Men in this community often feel shame and guilt, and understandably fear that HIV infection is inevitable. We need better clinical care and engagement for black sexual minority men. Dangerfield” ends up leaving, whether I tell the provider or not. Most of the time, “Derek” enters the room but “Dr.
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Like many black, sexual minority men, I often delay health care visits because the experience is so uncomfortable. Dangerfield helps me unpack whether the visit is uncomfortable because of my own internalized stigma or if the provider’s lack of cultural competency is impacting the session. Dangerfield can rationalize clinical visits, meet my health care needs, and is certainly not vulnerable to feelings of shame, guilt, and discomfort. That’s when I switch to my identity as “Dr. Tragically, black men who have sex with men have an estimated 50% lifetime risk of HIV despite reporting greater levels of all prevention behaviors compared to other groups of men who have sex with men. Your probability of getting HIV is high.” PrEP is a once-daily pill used to prevent HIV infection. Next, he takes my sexual and health history and starts to talk about “risk” for Black men. If that happens, I will have to find another provider.ĭespite the doctor’s ability to provide proper screening, I have to make a conscious effort to disregard his inability to connect with me and overcome my feelings of shame and fear about discovering any positive HIV or STI test results. While I’m doing that, I’m assessing the doctor’s ability to ask the right questions and not make me feel stigmatized or ashamed. I have to report sexual partners and practices and get swabbed everywhere for everything. I enter the room as “Derek” the patient and there’s an older white male physician who has little experience with the multiple contexts of my life as a black, gay man, but he provides “great care.” I sit anxiously, answer health history questions, and prepare myself for screening. Most of the time I try to be the “regular patient,” but it’s one of the most uncomfortable experiences for me. When I visit the doctor’s office, it’s hard to decide if I should be “Derek” the patient seeking health care services or “Dr.