Using PrEP to #STOPHIVATL: Findings from a Cross-Sectional Survey Among Gay Men and Transgender Women Participating in Gay Pride Events in Atlanta, Georgia, 2018

Transgender women have been understudied and underserved in Paraguay; data are urgently needed to understand their HIV prevention and care needs. To estimate HIV prevalence and related risk and preventive behaviors among trans women in Paraguay, we conducted a cross-sectional survey in 2017. We employed starfish sampling – a hybrid venue-based and peer-referral method combining recruitment at randomly sampled venues and randomly selected clients from program lists, followed by short-chain referrals of eligible peers. Among 304 trans women enrolled, HIV prevalence was 24.8% (95% confidence interval [CI] 18.5–31.2%), with risk increasing with age (adjusted odds ratio [AOR] 1.06 per year, 95% CI 1.03–1.10), residence in Asunción department (AOR 4.75, 95% CI 1.57–14.36), and cocaine use (AOR 2.09, 95% CI 1.11–3.95). Trans women in Paraguay need to be prioritized for interventions with high HIV prevention efficacy. Substance use interventions to address cocaine use may also yield prevention benefits for trans women in our context.

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High HIV prevalence and associated risk factors among transgender women in China: a cross‐sectional survey

Journal of the International AIDS Society ◽

10.1002/jia2.25417 ◽

2019 ◽

Vol 22 (11) ◽

Cited By ~ 3

Author(s):

Hongjing Yan ◽

Wenjing Xiao ◽

Yunting Chen ◽

Yuanfang Chen ◽

Jessica Lin ◽

...

Keyword(s):

Risk Factors ◽

Transgender Women ◽

Hiv Prevalence ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Associated Risk Factors

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Why do gay men want to be vaccinated against hepatitis B? An assessment of psychosocial determinants of vaccination intention

International Journal of STD & AIDS ◽

10.1258/0956462021924703 ◽

2002 ◽

Vol 13 (2) ◽

pp. 86-90 ◽

Cited By ~ 11

Author(s):

M Schutten ◽

J B F de Wit ◽

J E van Steenbergen

Keyword(s):

Hepatitis B ◽

Gay Men ◽

Social Cognitive ◽

Social Norm ◽

Linear Regression Analysis ◽

Homosexual Men ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Perceived Vulnerability ◽

Cognitive Determinants

We assessed to what extent gay men are motivated to obtain vaccination against hepatitis B virus (HBV), as well as the social cognitive determinants of this motivation. A cross-sectional survey was conducted among homosexual men by means of a written questionnaire that contained assessments of intention, knowledge and social–cognitive determinants of intention (i.e. attitude, social norm and perceived behavioural control towards vaccination, perceived severity and perceived vulnerability regarding HBV infection). Four hundred and thirty-three homosexual men completed the questionnaire. We conducted a linear regression analysis to determine the contribution of social–cognitive variables in explaining intention to be vaccinated. Attitude, social norm and perceived vulnerability were significant predictors of intention. Usually, health education emphasizes the severity of a disease, but from this analysis we can conclude that gay men should be convinced of their personal vulnerability to HBV, the benefits of vaccination, and that important referents of the targeted person think positively about vaccination.

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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

10.21203/rs.3.rs-33958/v1 ◽

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.

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Getting pre-exposure prophylaxis to high-risk transgender women: lessons from Detroit, USA

Sexual Health ◽

10.1071/sh18063 ◽

2018 ◽

Vol 15 (6) ◽

pp. 562 ◽

Cited By ~ 7

Author(s):

Julia E. Hood ◽

Tony Eljallad ◽

Julisa Abad ◽

Maureen Connolly ◽

Christine Heumann ◽

...

Keyword(s):

High Risk ◽

Hormone Replacement ◽

Risk Behaviour ◽

Transgender Women ◽

High Risk Population ◽

Hiv Status ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Survey Responses ◽

Exposure Prophylaxis

Background Pre-exposure prophylaxis (PrEP) is a highly effective HIV prevention strategy, but it is unclear how best to deliver PrEP to key populations. Drawing upon a cross-sectional survey of transgender women (TW) in Detroit, USA, and experience of a PrEP clinic that serves this population, this manuscript describes the following: (1) the risk profile of Detroit TW; (2) the proportion of TW with at least one PrEP indication; and (3) perceptions of and experiences with PrEP among TW in Detroit. Methods: Between August 2017 and March 2018, 126 TW completed an online PrEP survey. Survey responses were summarised using descriptive statistics and multivariable relative risk regression. Results: Among participants who reported a negative or unknown HIV status (76% of all participants), 56% reported risk behaviour(s) consistent with PrEP indication guidelines, 17% reported currently taking PrEP and another 4% reported discontinued PrEP use. Among participants who met an indication for PrEP but were not currently taking PrEP, 64% indicated that they were not interested in taking PrEP. Approximately 60% of participants who were not currently taking PrEP reported that they would be more likely to take PrEP if it were provided at a clinic that also provided hormone replacement therapy. Conclusions: Although a substantial proportion of TW in our survey were on PrEP, interest in PrEP among high-risk TW who were not taking it was low. Specialised clinical infrastructure that is responsive to the specific needs of TW may be needed to expand PrEP to this oftentimes marginalised and high-risk population.

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The characteristics of the vulnerable Chinese gay men with depression and anxiety: a cross-sectional study

10.31083/jomh.2021.091 ◽

2021 ◽

pp. 1

Keyword(s):

Gay Men ◽

Common Mental Disorders ◽

Cross Sectional Study ◽

Depression And Anxiety ◽

Cross Sectional Survey ◽

Chi Square ◽

Related Factors ◽

Cross Sectional ◽

Logistic Regression Models ◽

The Status

Background and objective: Depression and anxiety are the most common mental disorders for human health, especially for gay men. This study aimed to assess the status and characteristics of Chinese gay men who were vulnerable to depression, anxiety, or the comorbidity of the two disorders. Material and methods: A total of 367 samples from a cross-sectional survey conducted between November and December 2017 were included. The Chinese version of SCL-90-R was used to measure the levels of anxiety and depression. The unadjusted associations of demographic characteristics with anxiety, depression, and comorbidity were evaluated by chi-square test. The most predictive factors of the respondents' depression, anxiety and the comorbidity were identified using multivariable logistic regression models. Results: The prevalence rates of depression, anxiety, and comorbidity were 36.51%, 27.79%, and 26.16%, respectively among gay men. Age, being the only child at home, personal monthly income, sexual orientation disclosure status, and source of participants were related to the prevalence of depression, anxiety, and comorbidity (all p < 0.05). Conclusions: Depression and/or anxiety are highly prevalent among Chinese gay men. Prevention strategies should be developed to target the related factors in the gay men population to thwart or slow down the situation. It is also crucial for social and family members to increase the acceptance of Chinese gay men.

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Factors associated with attitudes towards HIV cure research among transgender women and travestis: a cross-sectional survey in São Paulo, Brazil

BMJ Open ◽

10.1136/bmjopen-2020-040092 ◽

2020 ◽

Vol 10 (11) ◽

pp. e040092

Author(s):

Robert J Wozniak ◽

Natalia B Cerqueira ◽

Maria Candida S Dantas ◽

Bianca Mahafe ◽

Daniel A C Barros ◽

...

Keyword(s):

Hiv Infection ◽

Sao Paulo ◽

Transgender Women ◽

People Living With Hiv ◽

São Paulo ◽

Quantitative Methodology ◽

Hiv Cure ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Hiv Cure Research

ObjectiveCharacterising the perceptions of groups most affected by HIV is fundamental in establishing guidelines for biomedical advancement. Although Brazil has successfully fought HIV/AIDS through several measures, transgender women still have a likelihood of HIV infection 55 times higher than the general population. This study aimed to better understand the perception and awareness of HIV cure research among the trans-identifying population in São Paulo, Brazil, and to determine factors that motivate or discourage participation in HIV cure studies.SettingThis cross-sectional study analysed data collected from a questionnaire administered to 118 transgender women and travestis at 5 sites within the city of São Paulo. It uses quantitative methodology to describe the perspectives of transgender and travesti people in relation to HIV cure research and the context in which such perspectives are produced.ResultsOf 118 participants, most participants (73%) had some knowledge of HIV cure research and were most willing to participate in online surveys (52%), interviews (52%), focus groups (52%) and studies involving blood draws (57%). Those with a higher education or employment status were more likely to agree that someone had been cured of HIV, people living with HIV are discriminated against, and more information about HIV cure research is needed before the community embraces it. Only 55% of participants completely trusted their physician. The biggest motivational factors included gaining additional knowledge about HIV infection (77%) and the potential for a longer, healthier life for all (73%).ConclusionsAs a primary analysis of HIV cure attitudes among the transgender and travesti population as well as the social context in which they are formed, this study identifies opportunities to strengthen the dialogue and develop more educational collaborations between scientific investigators, community educators and the trans-identifying population to ensure that HIV cure research is inclusive of diverse perspectives.

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Interpersonal Sensitivity and Loneliness among Chinese Gay Men: A Cross-Sectional Survey

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16112039 ◽

2019 ◽

Vol 16 (11) ◽

pp. 2039

Author(s):

Dongdong Jiang ◽

Yitan Hou ◽

Xiangfan Chen ◽

Rui Wang ◽

Chang Fu ◽

...

Keyword(s):

Gay Men ◽

Nuclear Family ◽

Short Form ◽

Sexual Partners ◽

Interpersonal Sensitivity ◽

Current Status ◽

Monthly Income ◽

Only Child ◽

Cross Sectional Survey ◽

Cross Sectional

To understand the current status of, and factors related to interpersonal sensitivity (IS) and loneliness among Chinese gay men. The Chinese version SCL-90-R was used to evaluate the status of IS, and the short-form UCLA Loneliness scale (ULS-8) was used for assessing loneliness level. Associations between demographics and IS were examined by chi-square tests and multivariable logistic regress analysis. Linear regression was used to assess the correlations between demographic factors and IS and loneliness. Dating practices and venues were summarized by multiple responses. Gay men who screened positive IS was identified in 36%. Age (OR25–29 = 8.731, 95% CI 2.296 to 33.139), education level (ORcollege = 0.037, 95% CI 0.046 to 0.911), being the only-child at home (ORyes = 4.733, 95% CI 2.293 to 9.733), monthly income (OR>7000 = 0.228, 95% CI 0.055 to 0.944), numbers of current sexual partners (OR1 = 0.285, 95% CI 0.129 to 0.629; OR2 = 0.109 95% CI 0.027 to 0.431) were related to IS. IS was also associated with a higher score of ULS-8 (β = 6.903, p < 0.001). Other variables associated with the score of ULS-8 included: living in a non-nuclear family (β = 0.998, p = 0.020), being a college student (β = −1.556, p = 0.044), having a higher monthly income (β for 3000–5000 yuan = −1.177, p = 0.045; β for over 7000 yuan = −2.207, p = 0.002), having sexual partners (all β < 1, p < 0.001), being the only-child (β = 1.393, p = 0.005). Nearly half of the sample (46.78%) reported that they looked for dating partners on the Internet or dating apps. IS and loneliness are positively correlated. Our study suggests that more humanistic care and social support should be given to Chinese gay men.

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Testing the Strain Theory of Suicide – The Moderating Role of Social Support

Crisis ◽

10.1027/0227-5910/a000604 ◽

2020 ◽

Vol 41 (2) ◽

pp. 82-88 ◽

Cited By ~ 1

Author(s):

Bob Lew ◽

Ksenia Chistopolskaya ◽

Yanzheng Liu ◽

Mansor Abu Talib ◽

Olga Mitina ◽

...

Keyword(s):

Social Support ◽

Suicidal Behavior ◽

Online Survey ◽

Perceived Social Support ◽

Strain Theory ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Psychological Strains ◽

Moderating Role

Abstract. Background: According to the strain theory of suicide, strains, resulting from conﬂicting and competing pressures in an individual's life, are hypothesized to precede suicide. But social support is an important factor that can mitigate strains and lessen their input in suicidal behavior. Aims: This study was designed to assess the moderating role of social support in the relation between strain and suicidality. Methods: A sample of 1,051 employees were recruited in Beijing, the capital of China, through an online survey. Moderation analysis was performed using SPSS PROCESS Macro. Social support was measured with the Multidimensional Scale of Perceived Social Support, and strains were assessed with the Psychological Strains Scale. Results: Psychological strains are a good predictor of suicidality, and social support, a basic need for each human being, moderates and decreases the effects of psychological strains on suicidality. Limitations: The cross-sectional survey limited the extent to which conclusions about causal relationships can be drawn. Furthermore, the results may not be generalized to the whole of China because of its diversity. Conclusion: Social support has a tendency to mitigate the effects of psychological strains on suicidality.

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