The dual contingencies of ethnoraciality: Status-context disparities in health information sources among sexual minorities

This study examines whether the ethnoracial context of the residential area where sexual minorities live is associated with a particular health (care) belief – sources of trustworthy health information – and considers how ethnoracial group membership status differentiates these ecological associations drawing on mediation and moderation models. Using data from the 2010 Social Justice Sexuality Project, our analysis shows that sexual minorities who live with high concentrations of Latinos and Whites are less likely to rely exclusively on medical professionals for trustworthy health information than those who live with high concentrations of Blacks. However, exclusive reliance on doctors for health information among Black and Latino sexual minorities is stronger in co-ethnic communities (predominately Black and Latino areas, respectively). The analysis documents status and contextual differentials in and status-context contingencies of reliance on the Internet, social networks, and multiple agents (“triangulation”) as sources of health information. Findings suggest that place-based co-ethnic networks may facilitate disease prevention among Black and Latino sexual minorities by improving the quality of their relationships with sick role gatekeepers and breaking down the silos of the medical complex. The study concludes by considering the value of a place-based approach to alleviating health disparities among sexual minorities vis-à-vis the health care system.
Source: Social Science Research - Category: Psychiatry & Psychology Source Type: research