{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T04:36:45Z","timestamp":1793248605865,"version":"4.5.0"},"reference-count":27,"publisher":"Public Library of Science (PLoS)","issue":"8","license":[{"start":{"date-parts":[[2022,8,10]],"date-time":"2022-08-10T00:00:00Z","timestamp":1660089600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["U01 PS005112"],"award-info":[{"award-number":["U01 PS005112"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008374","name":"Center for AIDS Research, Emory University","doi-asserted-by":"publisher","award":["P30AI050409"],"award-info":[{"award-number":["P30AI050409"]}],"id":[{"id":"10.13039\/100008374","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>HIV-focused organizations, care providers and research programs often hire Black gay, bisexual and other men who have sex with men (GBMSM) in their efforts to reach highly affected communities. Due to their unique social position within and outside of organizations, Black GBMSM are ideally situated to contribute to HIV care and prevention programming targeting their own communities, but may also be at risk for stress and burnout in these settings. Despite this critical role for Black GBMSM in efforts to end the epidemic, little is known about subjective experiences of Black GBMSM who work in the HIV field.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>We conducted qualitative interviews with 19 Black GBMSM who were identified as key informants. All were working in community-based organizations, clinical or academic settings in the area of HIV prevention and treatment in Atlanta, Georgia. We used a thematic analysis approach to identify salient themes with respect to the workplace experiences of Black GBMSM as well as the role of their identities in their work in the field.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>Participants discussed: (1) Shared experiences and growth; (2) Work-related stressors; (3) Worker burnout; and (4) Commitment to continue working in the HIV field. On the whole, Black GBMSM derived meaning from their work, and found their intersectional identities to be a strength in fulfilling job duties. At the same time, Black GBMSM described multiple stresses faced as they balanced their personal and professional connections to this work, while also dealing with their own challenges related to discrimination, socioeconomic status, and health. Participants repeatedly described sacrificing their own well-being for the greater good of their communities, highlighting contributors to burnout within and outside of the workplace.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusions<\/jats:title>\n<jats:p>Our participants derived meaning from their work in the HIV field and were affirmed by professional interactions with other Black GBMSM. At the same time, they also faced work-related and other psychosocial stressors that predisposed them to frustration and burnout. To promote workplace equity and wellness for Black GBMSM, we share recommendations for HIV-focused organizations that employ and serve men in this demographic.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0264680","type":"journal-article","created":{"date-parts":[[2022,8,10]],"date-time":"2022-08-10T17:38:24Z","timestamp":1660153104000},"page":"e0264680","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":9,"title":["Passion, commitment, and burnout: Experiences of Black gay men working in HIV\/AIDS treatment and prevention in Atlanta, GA"],"prefix":"10.1371","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1468-8865","authenticated-orcid":true,"given":"Marxavian","family":"Jones","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin C.","family":"Smith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shamia","family":"Moore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Newman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9s","family":"Camacho-Gonz\u00e1lez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary W.","family":"Harper","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"del R\u00edo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5726-1637","authenticated-orcid":true,"given":"Sophia A.","family":"Hussen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2022,8,10]]},"reference":[{"key":"pone.0264680.ref001","unstructured":"Centers for Disease Control and Prevention. HIV and African American Gay and Bisexual Men 2018 [updated September 2018. Available from: https:\/\/www.cdc.gov\/hiv\/pdf\/group\/msm\/cdc-hiv-bmsm.pdf."},{"issue":"4","key":"pone.0264680.ref002","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1016\/j.annepidem.2017.02.003","article-title":"Lifetime risk of a diagnosis of HIV infection in the United States.","volume":"27","author":"KL Hess","year":"2017","journal-title":"Ann Epidemiol"},{"issue":"6","key":"pone.0264680.ref003","doi-asserted-by":"crossref","first-page":"E1","DOI":"10.1097\/PHH.0000000000000025","article-title":"Engaging, recruiting, and retaining black men who have sex with men in research studies: don\u2019t underestimate the importance of staffing\u2014lessons learned from HPTN 061, the BROTHERS study.","volume":"20","author":"M Magnus","year":"2014","journal-title":"J Public Health Manag Pract"},{"issue":"7","key":"pone.0264680.ref004","doi-asserted-by":"crossref","first-page":"1267","DOI":"10.2105\/AJPH.2012.300750","article-title":"The problem with the phrase women and minorities: intersectionality-an important theoretical framework for public health","volume":"102","author":"L. Bowleg","year":"2012","journal-title":"American journal of public health"},{"key":"pone.0264680.ref005","doi-asserted-by":"crossref","first-page":"754","DOI":"10.1007\/s11199-012-0152-4","article-title":"Once you\u2019ve blended the cake, you can\u2019t take the parts back to the main ingredients\u201d: Black gay and bisexual men\u2019s descriptions and experiences of intersectionality.","volume":"68","author":"L. Bowleg","year":"2013","journal-title":"Sex Roles"},{"issue":"6","key":"pone.0264680.ref006","doi-asserted-by":"crossref","first-page":"1241","DOI":"10.2307\/1229039","article-title":"Mapping the margins: Intersectionality, identity politics, and violence against women of color","volume":"43","author":"K. Crenshaw","year":"1991","journal-title":"Stanford Law Review"},{"key":"pone.0264680.ref007","doi-asserted-by":"crossref","first-page":"660","DOI":"10.1007\/s11199-012-0168-9","article-title":"An intersectional analysis of gender and race for sexual minorities who engage in gay and lesbian rights activism","volume":"68","author":"E Swank","year":"2013","journal-title":"Sex Roles"},{"issue":"6","key":"pone.0264680.ref008","doi-asserted-by":"crossref","first-page":"710","DOI":"10.1080\/13691058.2014.905706","article-title":"\u2019Triply cursed\u2019: racism, homophobia and HIV-related stigma are barriers to regular HIV testing, treatment adherence and disclosure among young Black gay men.","volume":"16","author":"EA Arnold","year":"2014","journal-title":"Culture, health & sexuality"},{"key":"pone.0264680.ref009","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1016\/j.socscimed.2019.04.042","article-title":"\"The fear of being Black plus the fear of being gay\": The effects of 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