Passing policies like the Equality Act that prohibit hate crimes and LGBTQ discrimination are especially critical for Black sexual minority men, Rutgers researcher says
Eliminating racist and anti-LGBTQ policies is essential to improving the health of Black gay, bisexual and other sexual minority men, according to a Rutgers-led research team.
The study, published in the American Journal of Preventive Medicine, examined the impact that U.S. state-level structural racism and anti-LGBTQ policies have on the psychological and behavioral health of Black and white sexual minority men.
The researchers surveyed a U.S. nationwide sample of 1,379 Black and 5,537 white sexual minority men who were over age 16, identified as male (including cisgender and transgender men), were HIV-negative or unaware of their status, and reported on their psychological health (e.g. anxiety symptoms) and behavioral health, (e.g. heavy drinking and HIV testing frequency).
The study measured structural racism based on an index assessing state-level Black-white inequities in incarceration rates, educational attainment, economic indicators, employment status and residential segregation. It measured anti-LGBTQ policies using the Human Rights Campaign State Equality Index that grades each state based on how its laws affect LGBTQ communities, like permitting hate crimes, conversion therapy and discrimination in housing, employment and public accommodations. The states with the worst LGBTQ-policy grades were those in southern and upper midwestern states that continue to limit access or criminalize experiences of LGBTQ people, such as restricting access to bathrooms that match the gender identity of transgender and gender expansive communities. States with the worst structural racism scores were predominantly those with large metropolitan areas in northern states with legacies of redlining, systematic disinvestment and other forms of racism.