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Unequal OpportunityHealth Disparities Affecting Gay and Bisexual Men in the United States$
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Richard J. Wolitski, Ron Stall, and Ronald O. Valdiserri

Print publication date: 2007

Print ISBN-13: 9780195301533

Published to Oxford Scholarship Online: September 2009

DOI: 10.1093/acprof:oso/9780195301533.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (www.oxfordscholarship.com). (c) Copyright Oxford University Press, 2019. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 22 October 2019

Interacting Epidemics and Gay Men's Health: A Theory of Syndemic Production among Urban Gay Men

Interacting Epidemics and Gay Men's Health: A Theory of Syndemic Production among Urban Gay Men

Chapter:
(p.251) 9 Interacting Epidemics and Gay Men's Health: A Theory of Syndemic Production among Urban Gay Men
Source:
Unequal Opportunity
Author(s):

Ron Stall

Mark Friedman

Joseph A. Catania

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780195301533.003.0009

Gay men in the United States are characterized by a higher prevalence rate for a series of psychosocial and biomedical health problems compared to heterosexual men in the U.S. This chapter presents a theoretical framework to explain higher prevalence rates among gay and bisexual men that can be used as the basis for public health interventions. The theory takes a life course perspective on the development of health problems among gay men, and describes the development of these problems as a syndemic process of interacting health problems that begin at an early age among gay male adolescents. The current dominant explanations for lower health profiles among gay men are that homophobia causes poor health in men. This chapter adds to that explanation the possibility that the lifelong effects of experiencing homophobic violence and cultural marginalization at a very early age is a centrally-important force in syndemic production among gay men.

Keywords:   syndemics, drug abuse, depression, partner violence, HIV risk, childhood sexual abuse, homosexuality, discrimination, public health, health disparities

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