Living While Black, Gay, and Poor: The Association of Race, Neighborhood Structural Disadvantage, and PrEP Utilization Among a Sample of Black Men Who Have Sex With Men in the Deep South

Utilizing the Andersen Healthcare Utilization Model, we examined the role of neighborhood context on pre-exposure prophylaxis (PrEP) utilization among a sample of Black men who have sex with men (MSM) residing in a medium-sized city in the Deep South. Data were derived from a sample of 142 Black MSM aged 18–64 years who were eligible for PrEP from a community-based study known as “ACCELERATE!” We used multilevel structural equation modeling to assess PrEP use. Social support, sexual risk, and health care access were predictive of PrEP use. Notably, residing in a neighborhood with concentrated poverty was associated with decreased PrEP use. Our findings reveal neighborhood structural disadvantage is associated with decreased PrEP use among Black MSM, after adjusting of individual-level sociodemographic characteristics. There is an urgent need to develop HIV prevention interventions and programs that explicitly address structural-level factors to eliminate racial/ethnic differences in HIV.

Firearm Availability, Homicide, and the Context of Structural Disadvantage

This study examines how legal and illegal firearm availability correspond to subsequent rates of firearm and non-firearm homicide in 226 U.S. cities from 2010 through 2017. We also assess how city-level economic disadvantage conditions this relationship. Results show that greater availability of illegal guns corresponds to future rates of firearm homicide while the rate of legal firearms dealers does not significantly influence firearm homicide. The association between firearm availability and homicide is conditional upon level of structural economic disadvantage. Our findings support efforts to decrease access to illegal firearms to reduce gun violence, especially among vulnerable and disadvantaged communities.

Personal recovery and socio-structural disadvantage: A critical conceptual review

Despite its seeming breadth and diversity, the bulk of the personal (mental health) recovery literature has remained strangely ‘silent’ about the impact of various socio-structural inequalities on the recovery process. Such an inadequacy of the empirical literature is not without consequences since the systematic omission or downplaying, at best, of the socio-structural conditions of living for persons with lived experience of mental health difficulties may inadvertently reinforce a reductionist view of recovery as an atomised, individualised phenomenon. Motivated by those limitations in extant scholarship, a critical literature review was conducted to identify and critique relevant research to problematise the notion of personal recovery in the context of socio-structural disadvantage such as poverty, homelessness, discrimination and inequalities. The review illuminates the scarcity of empirical research and the paucity of sociologically-informed theorisation regarding how recovery is shaped by the socio-structural conditions of living. Those inadequacies are especially pertinent to homelessness research, whereby empirical investigations of personal recovery have remained few and undertheorised. The gaps in the research and theorising about the relational, contextual and socio-structural embeddedness of recovery are distilled. The critical review concludes that personal recovery has remained underresearched, underproblematised and undertheorised, especially in the context of homelessness and other forms of socio-structural disadvantage. Understanding how exclusionary social arrangements affect individuals’ recovery, and the coping strategies that they deploy to negotiate those, is likely to inform anti-oppressive interventions that could eventually remove the structural constraints to human emancipation and flourishing.

Social Disorganization and Strain: Macro and Micro Implications for Youth Violence

Objectives: Explanations of community violence traditionally reflect a social disorganization perspective, suggesting that neighborhood characteristics affect crime via the intervening mechanism of informal social control. Drawing on Agnew’s Macro Strain Theory [MST], we argue that neighborhood characteristics 1) also affect macro-level crime for reasons related to aggregated strain and 2) condition the relationship between micro-level strains and individual violent offending. Methods: Using data from the Project on Human Development in Chicago Neighborhoods, we conduct a series of multilevel models examining both the macro- and multi-level relationship between neighborhood characteristics, strain and youth violence. Findings: Results generally support our arguments, suggesting that neighborhood characteristics like concentrated disadvantage 1) remain associated with community violence even after adjusting for multiple measures of informal social control and 2) condition the association between micro-level strain and violent offending. Conclusions: Strain processes, at both the macro and micro-level, play a critical role in the well-established empirical relationship between structural disadvantage and violence. In light of results, community crime control policies should address the ways in which structural disadvantage increases motivation, rather than focusing exclusively on the ways in which it weakens informal social control.

The Significance of the Declaration of Ethnic Minority Status for Irish Travellers

Irish Travellers are a traditionally nomadic ethnic minority indigenous to Ireland. Although recognized as an ethnic minority in adjacent jurisdictions, the Irish state persistently and explicitly denied recognizing Travellers’ separate ethnicity and pursued assimilationist policies designed to eradicate Travellers’ differences. However, in the late 1980s and 1990s, the state recognized the structural disadvantage and social stigma to which Travellers are subjected, naming them as a protected group in equality legislation, as well as laws addressing incitement to hatred. Through these interventions, the state afforded Travellers rights on the basis of their collective identity as Travellers, while continuing to deny their ethnicity. After sustained campaigning, Traveller ethnicity was recognized by the prime minister of Ireland in 2017. This article explores the reasoning behind, and legal significance of, that statement of recognition in Ireland.1 We outline the evidence in support of ethnic recognition as a prelude to addressing the question of whether recognition is likely to afford the community any additional rights. We conclude that this is unlikely given the protections afforded to the group prior to ethnic recognition, though we argue that recognition may give the community a firmer basis for arguing for the activation of these preexisting rights.