An Exploration of Resilience-Enabling Behaviors and Practices Among Young Latino Sexual Minority Men to Address Intersectional Stigma Experiences and Reduce Their HIV Risk: A Positive Deviance Approach.

Abstract

This mixed-methods study explored resilience-enabling behaviors and practices exhibited by young Latino sexual minority men (YLSMM) to cope with stigmatizing experiences attributed to their multiple minoritized identities and reduce their HIV risk. Guided by a positive deviance approach, we identified and interviewed 15 YLSMM (aged 18 to 24) with a history of regular HIV testing and lived experiences of intersectional stigma. Thematic analysis reveals multilevel strategies used by participants to mitigate the adverse effects of stigma on mental health and HIV preventive behaviors. Strategies included using positive self-talk and self-expression, having an immediate network of supportive friends and families, and engaging in community-based support groups and events. In turn, these strategies motivated participants to exercise self-care, accept their minoritized identities, especially their sexual orientation, seek emotional and informational support, and connect with other Latino sexual minority men and the larger Latine community.