Abstract

Black men face high rates of police violence, including direct victimization and indirect exposure to or knowledge of harmful policing. This violence can result in death and physical harm, as well as in numerous poor mental health outcomes. There has been little research examining experiences of police violence experienced by Black gay and bisexual men or the effects of police brutality on HIV continuum of care outcomes. To address this important gap, in this exploratory study, we examined the effects of police brutality on engagement in HIV care and adherence to antiretroviral medications. Cross-sectional survey data were collected from 107 Black gay and bisexual men living with HIV. The path analysis showed that men with greater exposure to police violence had increased symptoms of post-traumatic stress disorder and were more likely to have missed HIV care appointments in the past year. Additionally, there was a significant indirect effect of exposure to police violence on missed medication doses via PTSD symptoms.

中文翻译：

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黑人男同性恋和双性恋男性经历的警察暴力：对艾滋病毒护理参与度和药物依从性的影响

摘要

黑人面临警察暴力的比例很高，包括直接受害和间接接触或了解有害的治安行为。这种暴力可能导致死亡和身体伤害，以及许多不良的心理健康结果。很少有研究调查黑人同性恋和双性恋男性经历的警察暴力经历或警察暴力对艾滋病毒连续护理结果的影响。为了弥补这一重要差距，在这项探索性研究中，我们研究了警察的暴行对参与艾滋病毒护理和坚持抗逆转录病毒药物的影响。横断面调查数据收集自 107 名感染艾滋病毒的黑人同性恋和双性恋男性。路径分析显示，更多地接触警察暴力的男性，创伤后应激障碍的症状增加，并且在过去一年中更有可能错过艾滋病毒护理预约。此外，暴露于警察暴力对通过创伤后应激障碍（PTSD）症状错过服药剂量有显着的间接影响。