Dissertation/Thesis Abstract

Internalized Racism and High-Risk Sexual Behavior for African American Gay Men: A Narrative Study
by Fuqua, Vincent, Psy.D., California Institute of Integral Studies, 2019, 112; 27670082
Abstract (Summary)

Internalized racism or racist attitudes toward an individual’s own racial or ethnic group continues today, having significant societal implications for healthcare. These implications remain under-researched; thus, the purpose of this qualitative narrative inquiry study was to provide an understanding of past and current events that have influenced and contributed to internalized racism among African American gay men to see if a connection existed between their experiences of self-hatred and their high-risk sexual behaviors, which might lead to contracting HIV. Informed by critical race theory, the research questions regarded the potential influence of individual choices about sexual risk behavior and HIV transmission on health disparities influencing African Americans, the factors that contribute to internalized racism, and how to address that racism in the interest of positive health choices. In-depth interviews with 9 African American gay men residing in San Francisco who had been sexually active with more than 1 partner for at least 1 year indicated self-stigma and perceived disadvantages occurred for participants due to their race. Experiences of prejudice and stereotyping affirmed these perceptions, which were accompanied by self-hatred, self-doubt, anger, and feelings of powerlessness. Most participants did not link internalized racism with their high-risk sexual health behaviors, though many linked these behaviors with negative self-perceptions. These findings indicated confirmation for those of other studies, which also showed links between negative self-perception and high-risk sexual behavior. Taken together, the results have shown the need for adequate policy and practice for physical and mental health providers to address the negative self-perceptions as significant and as antecedents of risky health behaviors, negative individual health outcomes, and the spread of disease.

Indexing (document details)
Advisor: Chow, Lani
Commitee: Vakoch, Douglas, Tong, Benjamin, Monteiro, Kenneth
School: California Institute of Integral Studies
Department: Clinical Psychology
School Location: United States -- California
Source: DAI-A 81/6(E), Dissertation Abstracts International
Source Type: DISSERTATION
Subjects: LGBTQ studies, African American Studies, Behavioral psychology
Keywords: African American, Gay, Healing, Internalized racism, Racism, Sexual risk behavior
Publication Number: 27670082
ISBN: 9781392896808
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