scholarly journals A psychometric assessment of a network social capital scale among sexual minority men and gender minority individuals

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Meagan Zarwell ◽  
Jennifer L. Walsh ◽  
Katherine G. Quinn ◽  
Andréa Kaniuka ◽  
Alexandra Patton ◽  
...  
Keyword(s):  
Social Capital ◽  
Social Networks ◽  
Sexual Minority ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Sexual Minority Men ◽  
Gender Minority ◽  
Minority Men ◽  
And Gender ◽  
Group Memberships

Abstract Background Social capital, the potential for individuals to access resources through group memberships, is linked to a constellation of health outcomes. We modified a previously evaluated Constructed Family Social Capital Scale for gay, bisexual and other men who have sex with men who belong to constructed families to create a new measure of social capital within sexual minority men and gender minority individuals’ social networks. Methods Participants were recruited from a Pride festival in Milwaukee, Wisconsin in 2018 to complete a cross-sectional survey. This analysis is restricted to 383 participants who identified as sexual minority men or gender minority individuals and completed nine items measuring social capital within their social networks. We conducted exploratory and confirmatory factor analyses to assess factor structure. Internal consistency was measured using Cronbach’s alpha. Results Reliability was high, indicating the scale’s utility to assess Network Social Capital among sexual minority men and gender minority individuals. A single-factor solution with high factor loadings was found for the nine-item scale. Conclusions This study extended the psychometric properties of a preliminary social capital instrument modified from a prior study in a different population and context. The modified measure has implications for use among sexual minority men and gender minority individuals to measure social capital within social networks. Previous studies suggest that interventions to enhance social capital among sexual minority men and gender minority individuals may be beneficial for HIV prevention interventions. This tool may be relevant for the evaluation of social capital interventions within networks of sexual minority men and gender minority individuals.

scholarly journals Perceptions of Emergency Care by Sexual and Gender Minorities in Colorado: Barriers, Quality, and Factors Affecting Identity Disclosure

2021 ◽  
Vol 22 (4) ◽  
pp. 903-910
Author(s):  
William LaPlant ◽  
Leonardo Kattari ◽  
Lexie Ross ◽  
Jennifer Zhan ◽  
Jeffrey Druck
Keyword(s):  
Sexual Minority ◽  
Emergency Care ◽  
Sexual Minorities ◽  
Care Quality ◽  
Sexual And Gender Minorities ◽  
Cross Sectional ◽  
Gender Minority ◽  
Gender Minorities ◽  
Identity Disclosure ◽  
And Gender

Introduction: Expanding on data concerning emergency department (ED) use and avoidance by the sexual minority (those who identify as lesbian, gay, bisexual, queer, other [LGTBQ+]) and gender minority (those who identify as transgender, gender nonconforming, other) community may inform future ED LGTBQ+ training and clinical practice. Investigation objectives included characterizing rates of emergency care avoidance, identifying barriers to emergency care, and assessing emergency care quality and cultural competency for sexual and gender minorities. Methods: In this population-based, cross-sectional needs assessment, sexual minority, gender minority, and/or cisgender heterosexual-identified participants were selected based on participants’ subscription to newsletters or social media accounts for One Colorado, an LGBTQ+ advocacy organization. Each participant completed a single digital survey that collected qualitative and quantitative data about ED perception, use, and demographics. Results: A total of 477 LGBTQ+ or heterosexual-identified individuals (mean age = 44.3 (standard deviation [SD] = 16.7)) participated in the study. Lifetime emergency care avoidance rates for gender minorities were markedly increased (odds ratio [OR] 3.8, 95% confidence interval [CI], 2.2 – 6.6; P <.001), while avoidance rates for sexual minorities were similar to those of cisgender heterosexual respondents (17% vs 14%; P <.001). Gender minorities were more likely than sexual minorities to both avoid emergency care due to fear of discrimination (43% vs 15%; P =.002) and to have experienced discrimination during their last ED visit (OR 11, [95% CI, 5–24]; P <.001). No significant differences were observed between participants in care avoidance due to financial reasons or prior negative experiences. No cited ED factors that influenced identity disclosure decisions were distinctly predictive. Conclusion: Gender minorities are more likely than sexual minorities and heterosexual cisgender individuals to report ED avoidance and discrimination at last ED visit. Future work characterizing deficits in LGBTQ+ ED care might reduce these avoidance and discrimination rates, enhancing the level of patient care provided to this population.

scholarly journals Factors Influencing Depression and Anxiety among Black Sexual Minority Men

2011 ◽  
Vol 2011 ◽  
pp. 1-9 ◽  
Author(s):  
Louis F. Graham ◽  
Robert E. Aronson ◽  
Tracy Nichols ◽  
Charles F. Stephens ◽  
Scott D. Rhodes
Keyword(s):  
Identity Development ◽  
Sexual Identity ◽  
Sexual Minority ◽  
Stepwise Multiple Regression ◽  
Internalized Homonegativity ◽  
Depression And Anxiety ◽  
Snowball Sampling ◽  
Cross Sectional ◽  
Sexual Minority Men ◽  
Minority Men

The primary aim of this study was to examine the relationships between depression and anxiety, and ethnic and sexual identity development, and discrimination and harassment (DH) among Black sexual minority men. Additional aims were to determine whether an interaction effect existed between ethnic and sexual identity and whether coping skills level moderated these relationships. Using an observational cross-sectional design, 54 participants recruited through snowball sampling completed self-administered online surveys. Stepwise multiple regression analysis was used. Sixty-four percent of the variance in depression scores and 53% of the variance in anxiety scores were explained by DH and internalized homonegativity together. Thirty percent of the sample had scale scores indicating likelihood of depression and anxiety. Experience of DH and internalized homonegativity explained a large portion of the variability in depression and anxiety among Black sexual minority men. The study showed high prevalence of mental distress among this sample.

Transdiagnostic Approaches to Improve Sexual Minority Individuals’ Co-occurring Mental, Behavioral, and Sexual Health

2019 ◽  
pp. 457-476
Author(s):  
Craig Rodriguez-Seijas ◽  
Charles L. Burton ◽  
John E. Pachankis
Keyword(s):  
Sexual Minority ◽  
Minority Stress ◽  
Psychosocial Health ◽  
Illustrative Case ◽  
Sexual Minority Women ◽  
Stress Theory ◽  
Sexual Minority Men ◽  
Sexually Transmitted ◽  
Minority Men ◽  
And Gender

Sexual and gender minority individuals are at elevated risk of many adverse psychosocial health outcomes, including mood, anxiety, and substance use disorders, as well as suicidality and sexually transmitted infections. Despite greater utilization of mental health services, there remain few evidence-based approaches specifically tailored for sexual minority individuals and even fewer that are designed to explicitly address the multiple co-occurring conditions that afflict this group. This chapter describes one such approach, rooted in minority stress theory, that has been shown to empirically address the multitude of problematic outcomes and behaviors among sexual minority men and is currently being developed for sexual minority women. The chapter begins by describing the theoretical underpinnings of this therapeutic approach, subsequently providing a description of the major principles underlying this intervention. This chapter ends with an illustrative case example taken from the current clinical trials of this treatment program.

scholarly journals “That’s Only for Women”: The Importance of Educating HIV-Positive Sexual Minority Men on HPV and High Resolution Anoscopy (HRA)

2021 ◽  
Vol 20 ◽  
pp. 232595822110161
Author(s):  
Catherine Finneran ◽  
Jason Johnson Peretz ◽  
Danielle Blemur ◽  
Joel Palefsky ◽  
Lisa Flowers
Keyword(s):  
High Resolution ◽  
Sexual Minority ◽  
Group Discussions ◽  
Sexual Minority Men ◽  
Male Health ◽  
Anorectal Cancer ◽  
Minority Men ◽  
And Gender ◽  
Sex With Men ◽  
Prostate Health

Gay, bisexual, and other men who have sex with men (MSM) experience disproportionately high burdens of Human Papilloma Virus (HPV)-associated anal cancers. Recent focus has shifted to anorectal cancer prevention through high-resolution anoscopy (HRA); however, little is known about sexual minority men’s perceptions, attitudes, or beliefs regarding HRA. We conducted 4 qualitative Focus Group Discussions (FGDs) (n = 15) with sexual minority men, focusing on their beliefs, attitudes, and perceptions of undergoing HRA. Participants discussed their experiences of HPV/HRA as influenced by both their gender and sexuality, including unawareness of HPV disease as a male health issue, challenges relating to female-oriented HPV/HRA language, conception of HPV/HRA as related to prostate health, and connecting their sexual behavior identification as “bottoms” to their need for HRA. As efforts to improve HRA knowledge, access, and uptake among sexual and gender minority communities increase, special attention should be paid to language and messaging choices around HRA.

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

scholarly journals Minority Stress, Structural Stigma, and Physical Health Among Sexual and Gender Minority Individuals: Examining the Relative Strength of the Relationships

2021 ◽  
Author(s):  
Annesa Flentje ◽  
Kristen D Clark ◽  
Ethan Cicero ◽  
Matthew R Capriotti ◽  
Micah E Lubensky ◽  
...  
Keyword(s):  
Physical Health ◽  
Sexual Minority ◽  
Minority Stress ◽  
Relative Strength ◽  
Sexual Minority Women ◽  
Sexual Minority Men ◽  
Gender Minority ◽  
Sexual And Gender Minority ◽  
Community Environments ◽  
And Gender

Abstract Background Sexual and gender minority (SGM; i.e., non-heterosexual and transgender or gender-expansive, respectively) people experience physical health disparities attributed to greater exposure to minority stress (experiences of discrimination or victimization, anticipation of discrimination or victimization, concealment of SGM status, and internalization of stigma) and structural stigma. Purpose To examine which components of minority stress and structural stigma have the strongest relationships with physical health among SGM people. Methods Participants (5,299 SGM people, 1,902 gender minority individuals) were from The Population Research in Identity and Disparities for Equality (PRIDE) Study. Dominance analyses estimated effect sizes showing how important each component of minority stress and structural stigma was to physical health outcomes. Results Among cisgender sexual minority women, transmasculine individuals, American Indian or Alaskan Native SGM individuals, Asian SGM individuals, and White SGM individuals a safe current environment for SGM people had the strongest relationship with physical health. For gender-expansive individuals and Black, African American, or African SGM individuals, the safety of the environment for SGM people in which they were raised had the strongest relationship with physical health. Among transfeminine individuals, victimization experiences had the strongest relationship with physical health. Among Hispanic, Latino, or Spanish individuals, accepting current environments had the strongest relationship with physical health. Among cisgender sexual minority men prejudice/discrimination experiences had the strongest relationship with physical health. Conclusion Safe community environments had the strongest relationships with physical health among most groups of SGM people. Increasing safety and buffering the effects of unsafe communities are important for SGM health.

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