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HEALTH & SEXUAL STATUS IN AN URBAN GAY ENCLAVE: An Application of the Stress Process Model
Unformatted Document Text:  HEALTH & SEXUAL STATUS IN AN URBAN GAY ENCLAVE:  An Application of the Stress Process Model* Adam Isaiah Green, Ph.D. University of Toronto, Department of Sociology Abstract To date, very little health research has examined the social organization of sexuality and its relationship to health and well-being.  In this article, I apply the stress process model as a framework to understand sexual sociality and its impact on health among urban gay men in a large North American gay enclave.  Data consisting of in-depth interviews with seventy gay men coupled with three years of fieldwork demonstrate a sexual status order that privileges White, middle-class men in their twenties and early thirties, while disadvantaging Black and Asian men, men over forty years of age, and poor men.  Men with low sexual status faced significant stressors in the form of avoidance from others, stigmatization and rejection.  These stressors, in turn, taxed personal resources, including self-esteem, sense of social support, and sense of control, and also negatively affected mental health in the form of depression, anxiety, and hopelessness.  Finally, some low status men were unable to consistently negotiate safe sex as a consequence of a history of field stressors and diminished personal resources.  The results suggest that more work on sexual status structures and their connection to health is needed, both within gay enclaves and across a broader spectrum of sexual subcultures. *Please send all inquiries to Adam Isaiah Green, Department of Sociology, University of Toronto, 725 Spadina Avenue, Toronto, Ontario, Canada  M5S 2J4, or by email:AdamIsaiah.## email not listed ##

Authors: Green, Adam.
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HEALTH & SEXUAL STATUS IN AN URBAN GAY ENCLAVE: 
An Application of the Stress Process Model*
Adam Isaiah Green, Ph.D.
University of Toronto, Department of Sociology
Abstract
To date, very little health research has examined the social organization of sexuality and 
its relationship to health and well-being.  In this article, I apply the stress process model 
as a framework to understand sexual sociality and its impact on health among urban gay 
men in a large North American gay enclave.  Data consisting of in-depth interviews with 
seventy gay men coupled with three years of fieldwork demonstrate a sexual status order 
that privileges White, middle-class men in their twenties and early thirties, while 
disadvantaging Black and Asian men, men over forty years of age, and poor men.  Men 
with low sexual status faced significant stressors in the form of avoidance from others, 
stigmatization and rejection.  These stressors, in turn, taxed personal resources, including 
self-esteem, sense of social support, and sense of control, and also negatively affected 
mental health in the form of depression, anxiety, and hopelessness.  Finally, some low 
status men were unable to consistently negotiate safe sex as a consequence of a history of 
field stressors and diminished personal resources.  The results suggest that more work on 
sexual status structures and their connection to health is needed, both within gay enclaves 
and across a broader spectrum of sexual subcultures.
*Please send all inquiries to Adam Isaiah Green, Department of Sociology, University of 
Toronto, 725 Spadina Avenue, Toronto, Ontario, Canada  M5S 2J4, or by email:
AdamIsaiah.## email not listed ##


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