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Full-Text Articles in Medicine and Health Sciences

Spatial Stigma And Health In Postindustrial Detroit, Louis Graham, Mark Padilla, William Lopez, Alexandra Stern, Jerry Peterson, Danya Keene Jan 2016

Spatial Stigma And Health In Postindustrial Detroit, Louis Graham, Mark Padilla, William Lopez, Alexandra Stern, Jerry Peterson, Danya Keene

Louis F Graham

An emerging body of research suggests that those who reside in socially and economically
marginalized places may be marked by a stigma of place, referred to as
spatial stigma, which influences their sense of self, their daily experiences, and their
relations with outsiders. Researchers conducted 60 semistructured interviews at
partnering community-based organizations during summer 2011 with African
American and Latina/o, structurally disadvantaged youth of diverse gender and
sexual identities who were between 18 and 26 years of age residing in Detroit,
Michigan. The disadvantaged structural conditions and dilapidated built environment
were common themes in participants’ narratives. Beyond these descriptions, participants’ …


Interpersonal Relationships And Social Support In Transitioning Narratives Of Black Transgender Women In Detroit, Louis F. Graham, Halley P. Crissman, Jack Tocco, Laura Hughes, Rachel C. Snow, Mark B. Padilla Jul 2014

Interpersonal Relationships And Social Support In Transitioning Narratives Of Black Transgender Women In Detroit, Louis F. Graham, Halley P. Crissman, Jack Tocco, Laura Hughes, Rachel C. Snow, Mark B. Padilla

Louis F Graham

Social support has been shown to play a key role in overcoming adversities associated with marginalized identities, yet there is a dearth of information regarding the role of social networks in the gender transition process, particularly in ethnic minority transgender communities. This study uses life history narratives, and a modified grounded theory analysis, to explore the impact of interpersonal relationships on the gender transition process of Black transgender women in Detroit, Michigan. The following interpersonal interactions were significant: family reactions to self-recognition of femininity, coming out as gay prior to transgender identity disclosure, contact with an out transwoman, emotional and …


Navigating Community Institutions: Black Transgender Women's Experiences In Schools, The Criminal Justice System, And Churches, Louis Graham, Halley Crissman, Jack Tocco, William Lopez, Rachel Snow, Mark Padilla Apr 2014

Navigating Community Institutions: Black Transgender Women's Experiences In Schools, The Criminal Justice System, And Churches, Louis Graham, Halley Crissman, Jack Tocco, William Lopez, Rachel Snow, Mark Padilla

Louis F Graham

Young transgender women, especially those of color, are negatively impacted by suicidality, HIV, residential instability, survival sex work, and other challenges. This study used an oral narrative approach to collect life histories of 10 young black transwomen between 18 and 24 years of age residing in Detroit, Michigan. This study used grounded theory analysis to explore institutional violence, discrimination, and harassment (VDH). Participants described their experiences navigating three community institutions (schools, the criminal justice system, and churches) and broader society. Results highlight VDH through gender policing at school, sexual victimization in the criminal justice system, and negative judgment of gender …


Sexual Rights For Marginalized Populations, Louis Graham, Mark Padilla Dec 2013

Sexual Rights For Marginalized Populations, Louis Graham, Mark Padilla

Louis F Graham

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Psychosocial Health Of Black Sexually Marginalized Men, Louis Graham Dec 2011

Psychosocial Health Of Black Sexually Marginalized Men, Louis Graham

Louis F Graham

There is a paucity of research on the psychosocial health of black sexually marginalized men. The little research that exists suggests that black sexually marginalized men are disproportionately burdened by mental health problems and disorders, the most severe of which are depression, anxiety, and suicidality. A number of theoretical models have been conceptualized to explain health outcomes among both ethnic and sexual minorities, the most comprehensive of which include three primary pathways. The minority stress model, which has been used with ethnic and racial minorities as well as lesbian, gay, and bisexual communities, posits that minorities who face oppression from …


Critical Race Theory As Theoretical Framework And Analysis Tool For Population Health Research, Louis Graham, Shelly Brown-Jeffy, Robert Aronson, Charles Stephens Feb 2011

Critical Race Theory As Theoretical Framework And Analysis Tool For Population Health Research, Louis Graham, Shelly Brown-Jeffy, Robert Aronson, Charles Stephens

Louis F Graham

In population health research, it is important to consider socioecological perspectives that include cultural attitudes and beliefs which permeate all levels (intrapersonal, interpersonal, institutional/community, and structural/ policy). Given the specificity of target populations centered on identity – ethnic and others – it is appropriate and warranted to centralize cultural studies theories into health determinant investigations. Cultural studies, which focus explicitly on identity exploration and impacts, have much to contribute to health research. In accordance with the transdisciplinary nature of population health and bearing in mind the significant role of ethnic identity in health outcomes, it is beneficial to utilize critical …


Social Policy, Imperiled Communities, And Hiv/Aids Transmission In Prisons: A Call For Zero Tolerance, Louis F. Graham, Henrie Treadwell, Kisha Braithwaite Nov 2008

Social Policy, Imperiled Communities, And Hiv/Aids Transmission In Prisons: A Call For Zero Tolerance, Louis F. Graham, Henrie Treadwell, Kisha Braithwaite

Louis F Graham

HIV/AIDS and African-American male imprisonment contribute to the destruction of African-American communities. African-American men and HIV/AIDS are disproportionately represented throughout all sectors of the criminal justice industry, including the juvenile justice system. The criminal justice system contributes to unacceptably high African-American male imprisonment rates and HIV prevalence directly via the ‘war on drugs’ and lax enforcement of institutional policy among other things, and indirectly through perpetuation of economic hardship which further exacerbates imprisonment rates, thus closing the loop of a vicious cycle of revolving prison doors and HIV contraction. This article briefly introduces surrounding socio-political issues that contextualizes the ensuing …


Exploring The Mental Health Of Black Men Who Have Sex With Men, Louis F. Graham, Kisha Braithwaite, Pilgram Spikes, Charles F. Stephens, Ugo F. Edu Dec 2007

Exploring The Mental Health Of Black Men Who Have Sex With Men, Louis F. Graham, Kisha Braithwaite, Pilgram Spikes, Charles F. Stephens, Ugo F. Edu

Louis F Graham

Current research indicates that black men who have sex with men (MSM) are disproportionately burdened by depressive distress and anxiety disorders as compared to their white gay and heterosexual counterparts. This study utilizes focus groups to qualitatively explore issues surrounding the mental health status of this population in an attempt to shed light on potential influencing and determinant factors. Twenty-two self-identified black, or multiracial including black, MSM residing in Atlanta, Georgia participated in two focus groups—11 subjects each, respectively. Categories that emerged from data analysis include: knowledge/experiences, attitudes/beliefs, societal action/behavior, identity development, relationship functionality, and mental health status. Overarching themes …