Doctoral Dissertation Defense by Mance Butram

Event information
Venue:MMC, SIPA 502/3


Florida International University
University Graduate School
Doctoral Dissertation Defense

Syndemic Risk Factors and Resilience Processes Related to HIV Transmission Risk among African American/Black Men in South Florida by

Mance E. Buttram

African American/Black men who have sex with men (MSM) are especially impacted by HIV infection and related health and social disparities, which are understood to be syndemic (interconnected, acting synergistically, contributing to an excess burden of disease) and resulting from larger environmental and structural forces. This dissertation uses mixed methods to examine how African American/Black MSM who participated in a randomized controlled trial (RCT) of sexual and substance use risk reduction interventions, are resilient to HIV transmission risk and related syndemic health and social disparities.

Quantitative analyses revealed a multitude of syndemic health and social disparities experienced by African American/Black MSM (N=108) at RCT study entry, and greater extent of beneficial changes on these measures at 12-month follow-up compared to Caucasian/White MSM (N=250). Qualitative data collected among a sub-sample of African American/Black MSM from the RCT (N=21) described the men’s experiences of living with health and social disparities and the resilience processes undertaken by men to create successful, healthy lives for themselves, in spite of structural and environmental constraints.

This dissertation concluded that resilience to HIV transmission risk and related syndemic health and social disparities among African American/Black MSM vary and are dependent on specific social environmental factors, including social relationships, structural and social homophobia, and access to social, economic, and cultural capital. Further, these conclusions highlight that men must define for themselves what it means to be resilient.\

Date: June 3, 2014
Department: Global and Sociocultural Studies
Time: 10:00 a.m.
Place: SIPA 502/503
Major Professors: Dennis Wiedman & Mark Padilla