scholarly journals Economic, Mental Health, HIV Prevention and HIV Treatment Impacts of COVID-19 and the COVID-19 Response on a Global Sample of Cisgender Gay Men and Other Men Who Have Sex with Men

2020 ◽  
Author(s):  
Glenn-Milo Santos ◽  
Benjamin Ackerman ◽  
Amrita Rao ◽  
Sara Wallach ◽  
George Ayala ◽  
...  
Keyword(s):  
Mental Health ◽  
Hiv Prevention ◽  
Gay Men ◽  
Hiv Treatment ◽  
Sex With Men

scholarly journals Economic, Mental Health, HIV Prevention and HIV Treatment Impacts of COVID-19 and the COVID-19 response on a Global Sample of Cisgender Gay Men and Other Men who have sex with Men

2020 ◽  
Author(s):  
Glenn-Milo Santos ◽  
Benjamin Ackerman ◽  
Amrita Rao ◽  
Sara Wallach ◽  
George Ayala ◽  
...  
Keyword(s):  
Mental Health ◽  
Hiv Prevention ◽  
Gay Men ◽  
Sex Workers ◽  
Hiv Treatment ◽  
Hiv Care ◽  
People Living With Hiv ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Sex With Men

Abstract There is an urgent need to measure the impacts of COVID-19 among gay men and other men who have sex with men (MSM). We conducted a cross-sectional survey with a global sample of gay men and other MSM (n= 2732) from April 16, 2020 to May 4, 2020, through a social networking app. We characterized the economic, mental health, HIV prevention and HIV treatment impacts of COVID-19 and the COVID-19 response, and examined whether subgroups of our study population are disproportionately impacted by COVID-19. Many men not only reported economic and mental health consequences, but also interruptions to HIV prevention and testing, and HIV care and treatment services. Consequences were significantly greater among people living with HIV, racial/ethnic minorities, immigrants, sex workers, and socio-economically disadvantaged groups. Findings underscore the crucial need to mitigate the multifaceted impacts of COVID-19 among gay men and other MSM, especially for those with intersecting vulnerabilities.

scholarly journals PrEP in the press

2020 ◽  
Vol 9 (2) ◽  
pp. 202-225 ◽  
Author(s):  
Lucy Jones ◽  
Luke Collins
Keyword(s):  
Hiv Prevention ◽  
Critical Discourse Analysis ◽  
Gay Men ◽  
Public Awareness ◽  
Critical Discourse ◽  
Linguistic Representations ◽  
The Press ◽  
Trial Basis ◽  
Sex With Men ◽  
Political Spectrum

Abstract This research reports on newspaper representations of PrEP, a HIV-prevention drug recently made available on a trial basis to at-risk individuals in England. Using corpus-assisted queer critical discourse analysis, we investigate the linguistic representations of the users of PrEP within three leading British newspapers from across the political spectrum between 2014–18. We find that users of PrEP are most frequently positioned as ‘men who have sex with men’ or ‘gay men’, a representation that we argue limits public awareness of HIV itself, and of available HIV prevention. Furthermore, while the most left-leaning newspaper in our corpus focuses on the human benefit of PrEP, the most right-leaning newspaper takes a moralistic stance which frames gay men as risk-taking and therefore less deserving of healthcare funding than other groups. We therefore argue that certain representations of PrEP’s beneficiaries are implicitly homophobic, and that most representations are unhelpfully restrictive.

Mental health needs of transgender women, gay men, and other men who have sex with men across sub-Saharan Africa.

2020 ◽  
pp. 153-166
Author(s):  
Carolyn Brown ◽  
Keletso Makofane ◽  
Kevin Rebe ◽  
L. Leigh Ann van der Merwe ◽  
Bhekie Sithole ◽  
...  
Keyword(s):  
Mental Health ◽  
Gay Men ◽  
Transgender Women ◽  
Health Needs ◽  
Sub Saharan Africa ◽  
Mental Health Needs ◽  
Sub Saharan ◽  
Sex With Men

scholarly journals Mental health in 2020 for men who have sex with men in the United States

Sexual Health ◽  
2017 ◽  
Vol 14 (1) ◽  
pp. 59 ◽  
Author(s):  
Abigail W. Batchelder ◽  
Steven Safren ◽  
Avery D. Mitchell ◽  
Ivan Ivardic ◽  
Conall O'Cleirigh
Keyword(s):  
Mental Health ◽  
Hiv Prevention ◽  
The United States ◽  
Hiv Care ◽  
Hiv Care Cascade ◽  
Age Related ◽  
The Us ◽  
Prevention And Treatment ◽  
Sex With Men ◽  
Hiv Aids

Despite continued advances in HIV prevention and treatment, gay and bisexual men and other men who have sex with men (MSM) remain the population most impacted by HIV/AIDS in the US and many other Western countries. Additionally, MSM are disproportionately affected by various psychological problems, including depression, distress, trauma and substance use. These challenges frequently co-occur, and are associated with higher rates of behaviours related to HIV acquisition and transmission, HIV infection, and, for those living with HIV/AIDS, lower levels of treatment engagement. Moreover, racial disparities exist among MSM in the US; for example, young African American MSM bear a disproportionate burden of the continuing HIV epidemic, likely related to disparate HIV prevalence in partner pools as well as long-standing structural inequities. In this review, the mental health challenges facing MSM primarily in the US, related to HIV and STI prevention and across the HIV care cascade, including HIV diagnosis, engagement and retention in care, and antiretroviral adherence, are illustrated. Disparities among MSM including racial and ethnic, age-related and structural barriers associated with HIV prevention and treatment, as well as current interventions, are also described. Moving forward towards 2020, resources will be needed to assess and implement scalable intervention strategies to address psychological and social barriers to HIV and STI risk reduction and treatment for MSM, with a particular focus on the most vulnerable subpopulations. As access to prevention and treatment strategies expand, and new breakthroughs continue to emerge, behavioural strategies will continue to be needed to reduce risk and increase uptake and engagement among MSM most at risk through 2020 and beyond.

Influence of stigma and homophobia on mental health and on the uptake of HIV/sexually transmissible infection services for Cameroonian men who have sex with men

Sexual Health ◽  
2015 ◽  
Vol 12 (4) ◽  
pp. 315 ◽  
Author(s):  
Charles W. Cange ◽  
Matthew LeBreton ◽  
Serge Billong ◽  
Karen Saylors ◽  
Ubald Tamoufe ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Physical Violence ◽  
Qualitative Interviews ◽  
Healthcare Access ◽  
Healthcare Setting ◽  
Hiv Treatment ◽  
Mental Wellbeing ◽  
Public Healthcare ◽  
Treatment Cascade ◽  
Sex With Men

Background Men who have sex with men (MSM) in Cameroon consistently face significant stigma and discrimination. The urban HIV prevalence in MSM is estimated at 35%. This study investigates the effect of stigma, discrimination and alienation on Cameroonian MSM’s engagement of the HIV treatment cascade. Methods: Qualitative interviews were semi-structured using a guide. Participants in Douala, Ngaoundere, Bamenda, Bertoua and Yaoundé were asked to describe the MSM social and structural context, MSM knowledge of existing HIV-related services in public and MSM-focussed non-governmental organisation (NGO) clinics. Using a codebook, coded text was extracted from 40 transcripts with Microsoft Word Macros. These texts were analysed for recurring themes that were developed into results. Results: There were three main themes that emerged. First, among those MSM participants seeking HIV services, many commonly reported experiences of discrimination and physical violence outside the healthcare setting. Second, a few respondents used services provided by the Ministry of Health and local NGOs. However, most participants observed limited clinical and cultural competency of public clinic staff. Third, MSM declared that lack of social support and healthcare access caused them much stress. Several individuals recounted their alienation greatly discouraged them from seeking HIV prevention, treatment and care services. Conclusions: Community-level and public healthcare-related stigma impacts the mental wellbeing of Cameroonian MSM. Alienation among MSM also represents a common obstacle to the uptake of MSM-oriented HIV/AIDS services. Improving provider cultural and clinical competency among Cameroonian health care workers combined with a broader stigma-reduction intervention for Cameroonian healthcare may increase the uptake of HIV prevention, treatment and care among MSM.

The Informal Norms of HIV Prevention: The Emergence and Erosion of the Condom Code

2017 ◽  
Vol 45 (4) ◽  
pp. 518-530 ◽  
Author(s):  
Byron Carson
Keyword(s):  
United States ◽  
Hiv Prevention ◽  
Gay Men ◽  
The United States ◽  
Hiv Treatment ◽  
Normative Beliefs ◽  
Digital Communities ◽  
Condom Usage ◽  
Treatment And Prevention ◽  
Hiv Epidemic

The response many gay men took to the HIV epidemic in the United States was largely informal, especially given distant state and federal governments. The condom code, a set of informal norms that encouraged the use of condoms, is one instance of this informal response, which was wholly uncoordinated. Yet, it is not clear why these informal norms emerged or why they have since eroded. This paper explores how gay men in particular generated expectations and normative beliefs regarding condom usage, which helped to establish the condom code as an informal norm. Furthermore, the erosion of the condom code is viewed as a result of changing expectations, which change as bio-medical means of HIV treatment and prevention develop and as online and digital communities facilitate serosorting, all of which provide alternatives to condoms as a means of prevention and their associated informal norms. Future HIV prevention campaigns should recognize the extent to which informal norms coordinate and encourage preventative behavior, as well as how beliefs and expectations alter the informal norms people adopt.

scholarly journals Exploring the preferences of a culturally congruent, peer-based HIV prevention intervention for black men who have sex with men

Sexual Health ◽  
2018 ◽  
Vol 15 (5) ◽  
pp. 424 ◽  
Author(s):  
Derek T. Dangerfield II ◽  
Nina T. Harawa ◽  
Charles McWells ◽  
Charles Hilliard ◽  
Ricky N. Bluthenthal
Keyword(s):  
Los Angeles ◽  
Hiv Prevention ◽  
Hiv Testing ◽  
Black Men ◽  
Treatment Adherence ◽  
Hiv Treatment ◽  
Hiv Positive ◽  
Peer Mentors ◽  
Hiv Prevention Intervention ◽  
Sex With Men

Background HIV testing, treatment initiation and treatment adherence have been emphasised for Black men who have sex with men (BMSM). However, many BMSM do not get tested, obtain HIV treatment or adhere to treatment. It is essential to highlight barriers to HIV testing, treatment adherence and the ideal components for an intervention: peer mentors, socioeconomic resources and participant incentives. Methods: Five focus groups (n = 24) were conducted among HIV-negative and HIV-positive BMSM aged ≥18 years in Los Angeles, California, USA to explore motivations and barriers to testing and treatment and the components of an ideal, culturally competent HIV testing intervention for BMSM. Results: Barriers to HIV testing included fear and stigma associated with discovering a HIV-positive status and drug use. Motivations for testing included experiencing symptoms, beginning new relationships, perceptions of risk and peer mentors. Conclusions: Future HIV prevention and treatment efforts should consider these components to improve health outcomes among BMSM.

scholarly journals HIV Prevention Fatigue and HIV Treatment Optimism Among Young Men Who Have Sex With Men

2017 ◽  
Vol 29 (4) ◽  
pp. 289-301 ◽  
Author(s):  
Kathryn Macapagal ◽  
Michelle Birkett ◽  
Patrick Janulis ◽  
Robert Garofalo ◽  
Brian Mustanski
Keyword(s):  
Hiv Prevention ◽  
Young Men ◽  
Hiv Treatment ◽  
Sex With Men
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