scholarly journals Negative perception of aging is associated with frailty transitions within a cohort of sexual minority men

2021 ◽  
Author(s):  
Karen Nieves-Lugo ◽  
Deanna Ware ◽  
Keri Althoff ◽  
Mark Brennan-Ing ◽  
Steven Meanley ◽  
...  
Keyword(s):  
Health Outcomes ◽  
Sexual Minority ◽  
Functional Limitations ◽  
Subjective Age ◽  
Self Perception ◽  
Sexual Minority Men ◽  
Increased Risk ◽  
Minority Men ◽  
The Impact ◽  
Age Discrepancy

Abstract Background and Objectives Older people have increased risk of developing frailty, an age-related clinical syndrome associated with worse health outcomes. This study examined the effect of self-perception of aging (i.e., age discrepancy - individuals feel younger/older than their chronological age, and aging satisfaction) on frailty transitions. Research Design and Methods We use longitudinal data from 549 HIV-/499 HIV+ sexual minority men (SMM) aged 50 years or older enrolled in the Multicenter AIDS Cohort Study (MACS). To test the association of self-perception of aging on transitions between states of frailty (non-frail/frail), defined using Fried Frailty Phenotype, a multinomial modeling was used. Results With remaining non-frail as the referent group, participants reporting low aging satisfaction (vs moderate aging satisfaction) had increased odds of transitioning from Non-Frail to Frail (OR: 2.72; 95% CI:1.56-4.74), Frail to Non-Frail (OR: 3.40; 95% CI: 1.62-7.12) or remaining frail (Frail to Frail) (OR: 6.64; 95% CI: 3.88-11.38). Participants reporting older subjective age (vs no age discrepancy) had increased odds of transitioning from Non-Frail to Frail (OR: 2.50; 95% CI: 1.11-5.64), Frail to Non-Frail (OR: 4.47; 95% CI: 1.85-10.81) or remaining frail (Frail to Frail) (OR: 5.68; 95% CI: 3.06-10.56). High aging satisfaction and younger subjective age were not statistically associated with frailty transitions. Discussion and Implications Our findings show that negative self-perception of aging (i.e., older subjective age and low aging satisfaction) is associated with frailty transitions (non-frail to frail, frail to non-frail, frail to frail) when compared to remaining non-frail. Translational significance Frailty is associated with increased risk of adverse health outcomes and poor quality of life. Independent of HIV-status, negative self-perception of aging (i.e., low aging satisfaction and older subjective age) is associated with frailty transitions among a cohort of sexual minority men aged 50 years or older. Given functional limitations are a core component of the definition of frailty, promoting efforts that would mitigate the impact of negative self-perceptions of aging on functional limitations is important. The impact of this individual level factor will intersect with other dyadic, community and structural factors, all of which foster healthy aging.

Refining POSSIBLE: A Multicomponent Intervention to Increase HIV Risk Perceptions and PrEP Initiation Among Black Sexual Minority Men (Preprint)

2021 ◽  
Author(s):  
Derek Dangerfield ◽  
Janeane N. Anderson ◽  
Charleen Wylie ◽  
Renata Arrington-Sanders ◽  
Ricky N. Bluthenthal ◽  
...  
Keyword(s):  
Hiv Risk ◽  
Sexual Behaviors ◽  
Sexual Minority ◽  
Risk Perceptions ◽  
Future Research ◽  
Self Monitoring ◽  
Hiv Prevention Intervention ◽  
Sexual Minority Men ◽  
Minority Men ◽  
The Impact

BACKGROUND Increased HIV pre-exposure prophylaxis (PrEP) initiation is urgently needed to substantially decrease the incidence among Black sexual minority men (BSMM). However, BSMM are less likely than other groups to accept a clinician’s recommendation to initiate PrEP and uptake remains suboptimal. Peers and smartphone apps are popular HIV prevention-intervention mechanisms that are typically used independently. Few studies have combined these strategies into a multi-component intervention to increase PrEP initiation for BSMM. OBJECTIVE This study refined an intervention using a smartphone app and a peer change agent (PCA) to increase HIV risk perceptions (HRP) and PrEP initiation among BSMM. METHODS Data were obtained from 12 focus groups and one in-depth interview among BSMM from Baltimore, MD, between October 2019 and May 2020 (N=39). Groups were stratified by age group: 18-24, 25-34, and 35 and older. Facilitators probed on attitudes towards the app, working with a PCA, and preferences for PCA characteristics. RESULTS Most self-identified as homosexual, gay, or same gender-loving (68%), were employed (69%), single (66%), and interested in self-monitoring sexual behaviors (68.4%). Overall, participants had low HRP and suggested that self-monitoring sexual behaviors could trigger internalized stigma. An acceptable PCA should be a “possible self” for BSMM to aspire. CONCLUSIONS Future research should explore the impact of implementing this strategy on HRP and PrEP initiation among BSMM.

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.

scholarly journals Evaluating the impact of COVID-19: A cohort comparison study of drug use and risky sexual behavior among sexual minority men in the U.S.A.

2020 ◽  
Vol 216 ◽  
pp. 108260 ◽  
Author(s):  
Tyrel J. Starks ◽  
S. Scott Jones ◽  
Daniel Sauermilch ◽  
Matthew Benedict ◽  
Trinae Adebayo ◽  
...  
Keyword(s):  
Sexual Behavior ◽  
Drug Use ◽  
Sexual Minority ◽  
Risky Sexual Behavior ◽  
Comparison Study ◽  
Sexual Minority Men ◽  
Cohort Comparison ◽  
Minority Men ◽  
The Impact

scholarly journals Rapid mixed-methods assessment of COVID-19 impact on Latinx sexual minority men and Latinx transgender women

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0244421
Author(s):  
Sarah MacCarthy ◽  
Max Izenberg ◽  
Joanna L. Barreras ◽  
Ron A. Brooks ◽  
Ana Gonzalez ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Sexual Minority ◽  
Healthcare Access ◽  
Transgender Women ◽  
Medical Attention ◽  
Computer Assisted ◽  
Hiv Knowledge ◽  
Sexual Minority Men ◽  
Minority Men ◽  
The Impact

We conducted a rapid, mixed-methods assessment to understand how COVID-19 affected Latinx sexual minority men (LSMM) and transgender women (LTGW). Using a computer-assisted telephone interviewing software, one interviewer called 52 participants (randomly sampled from a larger HIV prevention pilot study aiming to increase HIV knowledge and testing frequency; n = 36 LSMM and n = 16 LTGW) between 04/27/20-05/18/20. We quantified core domains using the Epidemic-Pandemic Impacts Inventory scale and provided important context through open-ended qualitative questions assessing: 1) COVID-19 infection history and experiences with quarantine; 2) Health and healthcare access; 3) Employment and economic impact of COVID-19. Participants reported increases in physical conflict or verbal arguments with a partner (13.5%) or other adult(s) (19.2%) due to stressors associated with the safer-at-home order. Participants also reported increased alcohol consumption (23.1%), problems with sleep (67.3%) and mental health (78.4%). Further, disruptions in access to Pre-Exposure Prophylaxis or PrEP–a daily pill to prevent HIV–occurred (33.3% of 18 participants who reported being on PrEP). Many said they received less medical attention than usual (34.6%), and LTGW reported delays in critical gender-affirming hormones/procedures. Half of the participants lost their jobs (50.0%); many undocumented participants relayed additional financial concerns because they did not qualify for financial assistance. Though no COVID-19 infections were noted, COVID-19 dramatically impacted other aspects of health and overall wellbeing of LSMM and LTGW. Public health responses should address the stressors faced by LSMM and LTGW during the COVID-19 pandemic and the impact on wellbeing.

scholarly journals “I Do Not Like Being Me”: the Impact of Self-hate on Increased Risky Sexual Behavior in Sexual Minority People

2021 ◽  
Author(s):  
Maria Rosaria Nappa ◽  
Maria Giuseppina Bartolo ◽  
Jessica Pistella ◽  
Nicola Petrocchi ◽  
Angela Costabile ◽  
...  
Keyword(s):  
Sexual Orientation ◽  
Positive Affect ◽  
Sexual Minority ◽  
Risky Sexual Behavior ◽  
Sexual Minority Men ◽  
Minority Men ◽  
Minority Participants ◽  
The Impact ◽  
Minority People

Abstract Background  Increased risky sexual behaviors (RSB) in sexual minority people relative to heterosexual individuals are well documented. However, the role of trans-diagnostic factors that are not sexual orientation-specific, such as self-criticism, in predicting RSB was understudied. The present study aimed to test participants’ gender and sexual orientation as moderators between self-criticism and RSB. Methods Data were collected during 2019. The total sample included 986 sexual minority people (Nwomen = 51%) and 853 heterosexual people (Nwomen = 46%), ranging from 18 to 35 years of age. Self-criticism dimensions (self-hate, self-inadequacy, self-reassurance), types of positive affect (relaxed, safe/content, and activated affect), and RSB were assessed. Bivariate, multivariate analyses, and moderated regression analyses were conducted. Results Sexual minority participants showed higher levels of RSB, self-hate, and self-inadequacy than heterosexual people. Only in sexual minority men, RSB correlated positively with self-hate and negatively with safe/content positive affect. Moderated regressions showed that only for sexual minority participants, higher RSB were predicted by higher levels of self-hate. At the same time, this association was not significant for heterosexual people controlling the effects of age, presence of a stable relationship, other self-criticism dimensions, and activation safe/content affect scale. The two-way interaction between sexual orientation and gender was significant, showing that regardless of self-hate, the strength of the association between sexual orientation and RSB is stronger for sexual minority men than sexual minority women and heterosexual participants. Conclusions Findings highlight the distinctive role of self-hate in the occurrence of RSB in sexual minority people and support the usefulness of developing a compassion-focused intervention to target self-hate in sexual minority people.

scholarly journals Family Support and Sociocultural Factors on Depression among Black and Latinx Sexual Minority Men

2021 ◽  
Vol 18 (13) ◽  
pp. 6759
Author(s):  
Donte T. Boyd ◽  
S. Raquel Ramos ◽  
Camille R. Quinn ◽  
Kristian V. Jones ◽  
Leo Wilton ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Health Outcomes ◽  
Sexual Minority ◽  
Internalized Homophobia ◽  
Mental Health Outcomes ◽  
Sociocultural Factors ◽  
Sexual Minority Men ◽  
Family Social Support ◽  
Minority Men

Family-based approaches are critical for improving health outcomes in sexual minority men (SMM) of color. Yet, it is unclear how family context, internalized homophobia, and stress influence mental health outcomes among sexual minority men of color. From a cross-sectional sample of 448 participants, aged 16–24 years, survey data were analyzed to examine rates of family social support, the perception of sexuality by family, the stressfulness of life events, internalized homophobia, and other contextual variables on depression using linear regression. Our results indicated that an 86% increase in family social support was related to a −0.14 decrease in depression (ß = −0.14, p = 0.004). In addition, SMM who were separated by family and friends because of their sexuality were statistically significant and positively associated with depression (ß = 0.09, p < 0.001). Findings from our study suggest that the influence from the microsystem is salient in modifying mental health outcomes for SMM of color.

scholarly journals Disordered eating behaviors and experiences of violence among Mexican youth with different sexual orientations: A population-based study

Salud Mental ◽  
2021 ◽  
Vol 44 (3) ◽  
pp. 117-126
Author(s):  
Luis Ortiz-Hernández ◽  
Jesús Abrahán Ruiz Rosas ◽  
Carolina Ayala-Hilario
Keyword(s):  
Disordered Eating ◽  
Sexual Minority ◽  
Eating Behaviors ◽  
Population Based ◽  
Sexual Minority Women ◽  
Disordered Eating Behaviors ◽  
Sexual Minority Men ◽  
Increased Risk ◽  
Minority Men ◽  
Mexican Youth

Introduction. In high-income countries, sexual minorities are at a higher risk for disordered eating behaviors. It is not known whether these findings can be extrapolated to Mexico. Objective. Determine whether there are any differences in disordered eating behaviors among Mexican youth according to sexual orientation and analyze the potential role of experiences of violence and discrimination as mediators of these differences. Method. Data from a representative sample of Mexican youth (12 to 29 years old, n = 27,876) were analyzed. Three groups were identified: young people who were not in love (NIL), who were in love with people of the opposite sex (ILOS), or in love with people of the same sex (ILSS). Restrictive behaviors, secret eating, and self-induced vomiting were identified through a scale created for the survey. Results. ILSS men had a higher risk of restrictive thoughts and behaviors (B = .31), secret eating (OR = 2.21), and self-induced vomiting (OR = 3.65) than ILOS youth. Among women, there was only a difference in self-induced vomiting (RM = 2.49). In both sexes, being a young ILSS had an indirect effect on restrictive behaviors through its association with experiences of violence, discrimination at school, and sexual violence. Discussion and conclusion. Mexican sexual minority men are at a higher risk of disordered eating behaviors, whereas sexual minority women are at a higher risk of purging. Part of the differences in restrictive behaviors were explained by the increased risk for experiences of prejudice faced by sexual minority youth.

scholarly journals Characterisation of social support following incarceration among black sexual minority men and transgender women in the HPTN 061 cohort study

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e053334
Author(s):  
Joy D Scheidell ◽  
Typhanye V Dyer ◽  
Christopher Hucks-Ortiz ◽  
Jasmyn Abrams ◽  
Medha Mazumdar ◽  
...  
Keyword(s):  
Social Support ◽  
Cohort Study ◽  
Sexual Minority ◽  
Transgender Women ◽  
Sexual Minority Men ◽  
The Past ◽  
Increased Risk ◽  
Tangible Support ◽  
Minority Men

ObjectiveTo examine longitudinal associations between recent incarceration and subsequent social support among black sexual minority men and transgender women, and whether associations differed between those who did and did not have support prior to incarceration.DesignA secondary analysis in 2020 of data from the HIV Prevention Trials Network 061, a cohort study of black sexual minority men and transgender women recruited in 2009–2010 and followed for 12 months.SettingSix US cities (Atlanta, Boston, Los Angeles, New York City, San Francisco and Washington DC).ParticipantsIndividuals ≥18 years of age who identified as black, reported being male or assigned male at birth, reported ≥1 unprotected anal intercourse event with a male partner in the past 6 months, and reported on incarceration at the 6-month follow-up visit.ExposureHaving spent ≥1 night in jail/prison in the past 6 months reported at the 6-month follow-up visit.OutcomeSocial support measured using a six-item scale assessing frequency of emotional/informational, affectionate and tangible support (range 6–30); and dichotomous indicators of low support for each item (ie, receiving that form of support none/little of the time).ResultsAmong participants who returned for the 6-month visit (N=1169), 14% had experienced incarceration in the past 6 months. Mean support score was 20.9; 18.9 among those with recent incarceration versus 21.2 among those without. Recent incarceration predicted lower support (adjusted β −2.40, 95% CI −3.94 to –0.85). Those recently incarcerated had increased risk of lacking emotional/informational (eg, no one to talk to adjusted risk ratio (aRR) 1.55, 95% CI 1.13 to 2.13) and affectionate (aRR 1.51, 95% CI 1.11 to 2.04) but not tangible support. Effects appeared somewhat stronger among those who had support at baseline.ConclusionsIncarceration may reduce support on re-entry among black sexual minority men and transgender women, populations unequally targeted for incarceration and at risk for low support.

scholarly journals Body Dissatisfaction Among Sexual Minority Men: Psychological and Sexual Health Outcomes

2016 ◽  
Vol 45 (5) ◽  
pp. 1241-1247 ◽  
Author(s):  
Aaron J. Blashill ◽  
Julia Tomassilli ◽  
Katie Biello ◽  
Conall O’Cleirigh ◽  
Steven A. Safren ◽  
...  
Keyword(s):  
Sexual Health ◽  
Health Outcomes ◽  
Body Dissatisfaction ◽  
Sexual Minority ◽  
Sexual Minority Men ◽  
Minority Men
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