scholarly journals Human Papillomavirus Vaccination and Infection in Young Sexual Minority Men: The P18 Cohort Study

2019 ◽  
Vol 33 (4) ◽  
pp. 149-156 ◽  
Author(s):  
Perry N. Halkitis ◽  
Pamela Valera ◽  
Caleb E. LoSchiavo ◽  
Stephen E. Goldstone ◽  
Maria Kanztanou ◽  
...  
Keyword(s):  
Cohort Study ◽  
Human Papillomavirus ◽  
Sexual Minority ◽  
Human Papillomavirus Vaccination ◽  
Sexual Minority Men ◽  
Minority Men

scholarly journals Structural Barriers to Pre-exposure Prophylaxis Use Among Young Sexual Minority Men: The P18 Cohort Study

2018 ◽  
Vol 16 (3) ◽  
pp. 237-249 ◽  
Author(s):  
Jessica Jaiswal ◽  
Marybec Griffin ◽  
Stuart N. Singer ◽  
Richard E. Greene ◽  
Ingrid Lizette Zambrano Acosta ◽  
...  
Keyword(s):  
Health Care ◽  
Cohort Study ◽  
Hiv Prevention ◽  
Sexual Behaviors ◽  
Sexual Minority ◽  
Structural Level ◽  
Sexual Minority Men ◽  
Hiv Prevention Strategies ◽  
Minority Men ◽  
Exposure Prophylaxis

Background: Despite decreasing rates of HIV among many populations, HIV-related health disparities among gay, bisexual and other men who have sex with men persist, with disproportional percentages of new HIV diagnoses among racial and ethnic minority men. Despite increasing awareness of HIV pre-exposure prophylaxis (PrEP), PrEP use remains low. In addition to exploring individual-level factors for this slow uptake, structural drivers of PrEP use must also be identified in order to maximize the effectiveness of biomedical HIV prevention strategies. Method: Using cross-sectional data from an ongoing cohort study of young sexual minority men (N=492), we examine the extent to which structural-level barriers, including access to health care, medication logistics, counseling support, and stigma are related to PrEP use. Results: While almost all participants indicated awareness of PrEP, only 14% had ever used PrEP. PrEP use was associated with lower concerns about health care access, particularly paying for PrEP. Those with greater concerns talking with their provider about their sexual behaviors were less likely to use PrEP. Conclusion: Paying for PrEP and talking to one’s provider about sexual behaviors are concerns for young sexual minority men. In particular, stigma from healthcare providers poses a significant barrier to PrEP use in this population. Providers need not only to increase their own awareness of and advocacy for PrEP as an effective risk-management strategy for HIV prevention, but also must work to create open and non-judgmental spaces in which patients can discuss sexual behaviors without the fear of stigma.

scholarly journals Post-Exposure Prophylaxis and Methamphetamine Use among Young Sexual Minority Men: The P18 Cohort Study

2022 ◽  
Vol 19 (2) ◽  
pp. 712
Author(s):  
Elizabeth Kaplun ◽  
Richard J. Martino ◽  
Kristen D. Krause ◽  
Michael Briganti ◽  
Paul A. D’Avanzo ◽  
...  
Keyword(s):  
Cohort Study ◽  
Hiv Infection ◽  
Sexual Minority ◽  
Post Exposure Prophylaxis ◽  
Sexual Minority Men ◽  
Methamphetamine Use ◽  
Post Exposure ◽  
Increased Risk ◽  
Minority Men ◽  
Exposure Prophylaxis

Methamphetamine use is associated with increased risk of HIV infection among young sexual minority men (SMM). Post-exposure prophylaxis (PEP) is an effective strategy for individuals who are exposed to HIV, but there is limited research about PEP use among young SMM and its relationship with methamphetamine use. This study analyzes the association between ever PEP use and recent methamphetamine use among young SMM in New York City, using cross-sectional data from the P18 Cohort Study (n = 429). Multivariable logistic regression models were used to assess the association between methamphetamine use and ever PEP use. Compared with those who had not used methamphetamine in the last 6 months, young SMM who did use methamphetamine were significantly more likely to have ever used PEP (AOR = 6.07, 95% CI: 2.10–16.86). Young SMM who had ever used PrEP had 16 times higher odds of ever using PEP (AOR = 16, 95% CI: 7.41–35.95). Those who completed bachelor’s degrees were 61% less likely to have ever used PEP (AOR = 0.39, 95% CI: 0.17–0.88). These data suggest that methamphetamine use could increase the risk of HIV infection, highlighting the critical need to target interventions for young SMM who use methamphetamine and are more likely to engage in unprotected intercourse.

Age of Sexual Debut among Young Gay-identified Sexual Minority Men: The P18 Cohort Study

2020 ◽  
pp. 1-8
Author(s):  
Perry N. Halkitis ◽  
Caleb LoSchiavo ◽  
Richard J. Martino ◽  
Blas Martin De La Cruz ◽  
Christopher B. Stults ◽  
...  
Keyword(s):  
Cohort Study ◽  
Sexual Minority ◽  
Sexual Debut ◽  
Sexual Minority Men ◽  
Minority Men

scholarly journals Psychometric analysis of the Life Worries Scale for a new generation of sexual minority men: The P18 Cohort Study.

2018 ◽  
Vol 37 (1) ◽  
pp. 89-101 ◽  
Author(s):  
Perry N. Halkitis ◽  
Stephanie H. Cook ◽  
Annie Ristuccia ◽  
James Despotoulis ◽  
Michael D. Levy ◽  
...  
Keyword(s):  
Cohort Study ◽  
Sexual Minority ◽  
Psychometric Analysis ◽  
Sexual Minority Men ◽  
Minority Men ◽  
New Generation

scholarly journals Examining inequities in rates of undiagnosed HIV and rectal STIs in a large nationwide cohort study of sexual minority men

2021 ◽  
pp. sextrans-2021-055047
Author(s):  
H Jonathon Rendina ◽  
Ali Talan ◽  
K Marie Sizemore ◽  
Nicola F Tavella ◽  
Brian Salfas ◽  
...  
Keyword(s):  
Cohort Study ◽  
Hiv Infection ◽  
Ethnic Groups ◽  
Sexual Minority ◽  
Race And Ethnicity ◽  
Sexual Minority Men ◽  
Undiagnosed Hiv ◽  
Incarceration History ◽  
Minority Men ◽  
Black And Latino

ObjectiveSexual minority men (SMM) of colour are disproportionately impacted by HIV and bacterial STIs (bSTIs). To better understand within-group heterogeneity and differential risk factors by race and ethnicity, we sought to examine rates of undiagnosed HIV and rectal bSTI at the intersection of racial and ethnic identity with other sociodemographic factors.MethodsWe examined data from 8105 SMM conducting home-based self-testing at enrolment in a nationwide cohort study collected from November 2017 to August 2018. We conducted analyses stratified by racial and ethnic groups to examine within-group (ie, subgroup) unadjusted rates of HIV and rectal bSTI infection across a range of characteristics.ResultsRates of undiagnosed HIV were highest among Black (4.3%, n=39) and Latino (2.4%, n=38) SMM, with lower rates among those identified as multiracial (1.6%, n=15), white (1.3%, n=56) and other races (1.3%, n=6). Across the stratified analyses of HIV infection, 15 significant associations emerged showing that age, region, insurance type, sexual positioning and incarceration history had differential impacts across racial and ethnic groups. In particular, private and public insurance were protective against HIV for white but not Black and Latino SMM, and incarceration was associated with substantially higher rates of HIV infection for Black and Latino SMM relative to white SMM. We found significant co-occurrence of HIV and bSTI rates for participants who identified as Latino (OR=7.5, 95% CI 2.12 to 26.54), white (OR=3.19, 95% CI 1.14 to 8.98) and multiracial (OR=5.5, 95% CI 1.08 to 27.90), but not those who identified as Black (OR=0.82, 95% CI 0.10 to 6.56) or other races (OR=3.56 95% CI 0.31 to 40.80).ConclusionsStratified analyses showed differential rates of HIV infection at the intersection of racial and ethnic groups with other characteristics, particularly insurance status and incarceration history, pointing to structural inequities rather than individual behaviours underlying disproportionately high rates of HIV for Black and Latino SMM.

Event-level patterns of methamphetamine and poly-drug use among millennial sexual minority men: The P18 Cohort Study

2021 ◽  
Vol 117 ◽  
pp. 106831
Author(s):  
Richard J. Martino ◽  
Stephanie Shiau ◽  
Kristen D. Krause ◽  
Perry N. Halkitis
Keyword(s):  
Cohort Study ◽  
Drug Use ◽  
Sexual Minority ◽  
Sexual Minority Men ◽  
Minority Men

scholarly journals Understanding Patterns of Healthy Aging Among Men Who Have Sex With Men: Protocol for an Observational Cohort Study (Preprint)

2020 ◽  
Author(s):  
James E Egan ◽  
Sabina A Haberlen ◽  
Steven Meanley ◽  
Deanna Ware ◽  
Andre L Brown ◽  
...  
Keyword(s):  
Cohort Study ◽  
Sexual Minority ◽  
Healthy Aging ◽  
Observational Cohort Study ◽  
Sexual Minority Men ◽  
Health And Illness ◽  
Observational Cohort ◽  
Minority Men ◽  
And Gender ◽  
Sex With Men

BACKGROUND With the graying of sexual and gender minority communities and the growing number of people aged ≥50 years living with HIV, it is increasingly important to understand resilience in the context of the psychosocial aspects of aging and aging well. OBJECTIVE This paper aims to describe the methods and sample for the <i>Understanding Patterns of Healthy Aging Among Men Who Have Sex With Men</i> study<i>.</i> METHODS This observational cohort study was conducted within the Multisite AIDS Cohort Study (MACS) and was designed to explore resiliencies to explain patterns of health and illness among middle-aged and older sexual minority men. To be eligible, a participant had to be an active participant in the MACS, be at least 40 years of age as of April 1, 2016, and report any sex with another man since enrollment in the MACS. RESULTS Eligible participants (N=1318) completed six biannual surveys between April 2016 and April 2019. The mean age of the sample was 59.6 years (range 40-91 years). The sample was mostly White, educated, gay-identified, and included both HIV-positive (656/1318, 49.77%) and HIV-negative (662/1318, 50.23%) men. CONCLUSIONS Understanding resiliencies in aging is a critical springboard for the development of more holistic public health theories and interventions that support healthy aging among older sexual minority men. INTERNATIONAL REGISTERED REPORT RR1-10.2196/25750

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