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Validating the Anal Sex Stigma Scale among Black Sexual Minority Men Living with HIV.

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Title: Validating the Anal Sex Stigma Scale among Black Sexual Minority Men Living with HIV.
Authors: Dangerfield II, D. T. (AUTHOR), Turpin, R. (AUTHOR), Thorpe Jr, R. (AUTHOR), Hickson, D. A. (AUTHOR)
Source: Journal of Sex Research. Jun2026, Vol. 63 Issue 5, p746-754. 9p.
Subjects: HIV, Social stigma, Homophobia, Test reliability, Mental health, LGBTQ+ communities, Sexual minority men, Social support
Abstract: Anal sex stigma substantially affects sexual minority men (SMM), particularly regarding sexual roles and the implications of identifying as a "top" or "bottom." The intersection of negative perceptions regarding race, sexuality, and health status could intensify anal sex stigma effects among Black SMM living with HIV. However, there are few validated tools to measure this form of stigma among this demographic. Therefore, this study tested the psychometric properties of the Anal Sex Stigma Scale (ASSS) among 650 Black SMM living with HIV. Using exploratory and confirmatory factor analyses, a two-factor model was generated: "Self & Provider Anal Sex Stigma" and "Peer & Knowledge-Based Anal Sex Stigma." Both subscales showed excellent internal consistency (Cronbach's α > 0.90). Results revealed a strong correlation between higher anal sex stigma and negative mental health outcomes, including internalized homophobia, depression, and HIV stigma, as well as lower social support and LGBT community connectedness. Findings suggest that the ASSS is a reliable measure to assess anal sex stigma among Black SMM living with HIV and provide novel insights into how it manifests in this population. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Sex Research is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Label: Title
  Group: Ti
  Data: Validating the Anal Sex Stigma Scale among Black Sexual Minority Men Living with HIV.
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  Data: <searchLink fieldCode="AR" term="%22Dangerfield+II%2C+D%2E+T%2E%22">Dangerfield II, D. T.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Turpin%2C+R%2E%22">Turpin, R.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Thorpe+Jr%2C+R%2E%22">Thorpe Jr, R.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hickson%2C+D%2E+A%2E%22">Hickson, D. A.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Sex+Research%22">Journal of Sex Research</searchLink>. Jun2026, Vol. 63 Issue 5, p746-754. 9p.
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  Data: <searchLink fieldCode="DE" term="%22HIV%22">HIV</searchLink><br /><searchLink fieldCode="DE" term="%22Social+stigma%22">Social stigma</searchLink><br /><searchLink fieldCode="DE" term="%22Homophobia%22">Homophobia</searchLink><br /><searchLink fieldCode="DE" term="%22Test+reliability%22">Test reliability</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22LGBTQ%2B+communities%22">LGBTQ+ communities</searchLink><br /><searchLink fieldCode="DE" term="%22Sexual+minority+men%22">Sexual minority men</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Anal sex stigma substantially affects sexual minority men (SMM), particularly regarding sexual roles and the implications of identifying as a "top" or "bottom." The intersection of negative perceptions regarding race, sexuality, and health status could intensify anal sex stigma effects among Black SMM living with HIV. However, there are few validated tools to measure this form of stigma among this demographic. Therefore, this study tested the psychometric properties of the Anal Sex Stigma Scale (ASSS) among 650 Black SMM living with HIV. Using exploratory and confirmatory factor analyses, a two-factor model was generated: "Self & Provider Anal Sex Stigma" and "Peer & Knowledge-Based Anal Sex Stigma." Both subscales showed excellent internal consistency (Cronbach's α > 0.90). Results revealed a strong correlation between higher anal sex stigma and negative mental health outcomes, including internalized homophobia, depression, and HIV stigma, as well as lower social support and LGBT community connectedness. Findings suggest that the ASSS is a reliable measure to assess anal sex stigma among Black SMM living with HIV and provide novel insights into how it manifests in this population. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Sex Research is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/00224499.2025.2537763
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 746
    Subjects:
      – SubjectFull: HIV
        Type: general
      – SubjectFull: Social stigma
        Type: general
      – SubjectFull: Homophobia
        Type: general
      – SubjectFull: Test reliability
        Type: general
      – SubjectFull: Mental health
        Type: general
      – SubjectFull: LGBTQ+ communities
        Type: general
      – SubjectFull: Sexual minority men
        Type: general
      – SubjectFull: Social support
        Type: general
    Titles:
      – TitleFull: Validating the Anal Sex Stigma Scale among Black Sexual Minority Men Living with HIV.
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            NameFull: Dangerfield II, D. T.
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            NameFull: Turpin, R.
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            NameFull: Thorpe Jr, R.
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            NameFull: Hickson, D. A.
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            – D: 01
              M: 06
              Text: Jun2026
              Type: published
              Y: 2026
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