scholarly journals Co-occurring psychosocial problems predict HIV status and increased health care costs and utilization among sexual minority men

2018 ◽  
Vol 41 (4) ◽  
pp. 450-457 ◽  
Author(s):  
Conall O’Cleirigh ◽  
David W. Pantalone ◽  
Abigail W. Batchelder ◽  
Mark L. Hatzenbuehler ◽  
Samantha M. Marquez ◽  
...  
2015 ◽  
Vol 92 (6) ◽  
pp. 1092-1104 ◽  
Author(s):  
Sarah E. Valentine ◽  
Steven Elsesser ◽  
Chris Grasso ◽  
Steven A. Safren ◽  
Judith B. Bradford ◽  
...  

2018 ◽  
Vol 16 (3) ◽  
pp. 237-249 ◽  
Author(s):  
Jessica Jaiswal ◽  
Marybec Griffin ◽  
Stuart N. Singer ◽  
Richard E. Greene ◽  
Ingrid Lizette Zambrano Acosta ◽  
...  

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.


Author(s):  
Phillip L. Hammack ◽  
Brock Grecco ◽  
Bianca D. M. Wilson ◽  
Ilan H. Meyer

AbstractWhat forms of intracommunity stigma do young sexual minority men narrate as they participate in communities through mobile apps? In a content analysis of 32 interviews with a racially diverse sample of young sexual minority men (ages 19–25; 84.4% non-White) from four regions of the USA, a majority of men (62.5%) spontaneously discussed mobile apps (e.g., Grindr, Scruff) when asked about their experience of community more broadly. Men’s narratives revealed engagement with intracommunity stigma related to body size, race/ethnicity, gender expression, and sexual position (e.g., bottom). Stigma related to HIV status, substance use, and social class were not spontaneously narrated in response to questions about men’s experience in communities. Expressions of stigma were frequently experienced intersectionally, particularly regarding racialized stereotype expectations (e.g., “Asian men are twinks, effeminate”). We discuss the ways in which sexual minority men reproduce dominant ideologies related to racism, misogyny, and masculine body ideals as they engage with one another on mobile apps. To the extent that many young men rely on mobile apps for community connection, their experiences of community might serve to exacerbate, rather than ameliorate, the deleterious impact of stigma.


2012 ◽  
Vol 102 (2) ◽  
pp. 285-291 ◽  
Author(s):  
Mark L. Hatzenbuehler ◽  
Conall O'Cleirigh ◽  
Chris Grasso ◽  
Kenneth Mayer ◽  
Steven Safren ◽  
...  

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Derek T. Dangerfield ◽  
Jessica Cooper ◽  
Omeid Heidari ◽  
Sophia Allen ◽  
Terrell J.A. Winder ◽  
...  

2013 ◽  
Vol 28 (1) ◽  
pp. 161-177 ◽  
Author(s):  
Sarah E.Valentine ◽  
Sarah M. Bankoff ◽  
David W. Pantalone

Given the high rates of partner abuse (PA) among sexual minority men with HIV, it is surprising that this phenomenon remains largely understudied in this group. The extant literature reveals little about the lived experiences of the men who experience abuse in their primary relationships. Furthermore, the role of meaning making in recovery from PA remains unclear for any demographic group. Knowledge of such appraisals may provide insight into the ways that sexual minority men with HIV understand or assign value to their abuse experiences. Here, we aim to qualitatively explore the ways in which such men (N = 28) find meaning following their experiences of PA. In general, most men reported a sense of personal strength from having endured and survived PA. Surprisingly, the men did not link their postabuse recovery experiences to their sexual minority identity nor to their HIV status. Some men mentioned an increased sense of agency and attention to their own needs in their postabuse lives. With the exception of positive relationships with providers, the men described little use of peer or family support and ongoing social isolation.


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