Misinformation, Gendered Perceptions, and Low Healthcare Provider Communication Around HPV and the HPV Vaccine Among Young Sexual Minority Men in New York City: The P18 Cohort Study

Although racial/ethnic disparities in police contact are well documented, less is known about other dimensions of inequity in policing. Sexual minority groups may face disproportionate police contact. We used data from the P18 Cohort Study (Version 2), a study conducted to measure determinants of inequity in STI/HIV risk among young sexual minority men (YSMM) in New York City, to measure across-time trends, racial/ethnic disparities, and correlates of self-reported stop-and-frisk experience over the cohort follow-up (2014–2019). Over the study period, 43% reported stop-and-frisk with higher levels reported among Black (47%) and Hispanic/Latinx (45%) than White (38%) participants. Stop-and-frisk levels declined over follow-up for each racial/ethnic group. The per capita rates among P18 participants calculated based on self-reported stop-and-frisk were much higher than rates calculated based on New York City Police Department official counts. We stratified respondents’ ZIP codes of residence into tertiles of per capita stop rates and observed pronounced disparities in Black versus White stop-and-frisk rates, particularly in neighborhoods with low or moderate levels of stop-and-frisk activity. YSMM facing the greatest economic vulnerability and mental disorder symptoms were most likely to report stop-and-frisk. Among White respondents levels of past year stop-and-frisk were markedly higher among those who reported past 30 day marijuana use (41%) versus those reporting no use (17%) while among Black and Hispanic/Latinx respondents stop-and-frisk levels were comparable among those reporting marijuana use (38%) versus those reporting no use (31%). These findings suggest inequity in policing is observed not only among racial/ethnic but also sexual minority groups and that racial/ethnic YSMM, who are at the intersection of multiple minority statuses, face disproportionate risk. Because the most socially vulnerable experience disproportionate stop-and-frisk risk, we need to reach YSMM with community resources to promote health and wellbeing as an alternative to targeting this group with stressful and stigmatizing police exposure.

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Geographic Density and Uptake of Pre-exposure Prophylaxis (PrEP) Among Young Gay, Bisexual and Other Sexual Minority Men: A Global Positioning System (GPS) Study

AIDS and Behavior ◽

10.1007/s10461-021-03249-1 ◽

2021 ◽

Author(s):

Byoungjun Kim ◽

Basile Chaix ◽

Yen-Tyng Chen ◽

Denton Callander ◽

Seann D. Regan ◽

...

Keyword(s):

New York ◽

New York City ◽

Global Positioning System ◽

Sexual Minority ◽

Activity Space ◽

Positioning System ◽

Sexual Minority Men ◽

Global Positioning ◽

Minority Men ◽

Exposure Prophylaxis

AbstractThe geographic availability of pre-exposure prophylaxis (PrEP) providers is one important factor that significantly affects PrEP uptake. While most previous studies have employed spatial accessibility in static residential neighborhood definitions or self-reported healthcare accessibility, we examined the associations of the objectively measured geographic density of PrEP services with current PrEP use, using global positioning system (GPS) among sexual minority men (SMM) in New York City. 250 HIV-negative SMM participated in a 2-week GPS monitoring (January 2017–January 2018). Geographic PrEP density was measured as total numbers of PrEP providers in (1) individual activity space defined as daily path area of GPS points, (2) residential street network buffers and (3) census tract and ZIP code of residential locations. Geographic PrEP density within GPS-based activity space was positively associated with current PrEP use (prevalence ratio for 50-m activity space = 1.10, 95% confidence interval: [1.02, 1.18]). PrEP provider counts in residential buffer areas and administrative neighborhoods were not associated with PrEP use. Although it is not generalizable beyond New York City, our finding suggests the importance of daily mobility pattern in HIV prevention and PrEP implementation strategies.

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Reply to letter re “Outcomes of a COVID ‐19 Recovery Program for Patients Hospitalized with SARS‐CoV ‐2 Infection in New York City: A Prospective Cohort Study.”

PM&R ◽

10.1002/pmrj.12629 ◽

2021 ◽

Author(s):

Farah Hameed ◽

Eugene Palatulan ◽

Abhishek Jaywant ◽

Rami Said ◽

Corinna Lau ◽

...

Keyword(s):

New York ◽

New York City ◽

Cohort Study ◽

Prospective Cohort Study ◽

York City ◽

Prospective Cohort ◽

Recovery Program

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Early assessment of cancer outcomes in New York City firefighters after the 9/11 attacks: an observational cohort study

The Lancet ◽

10.1016/s0140-6736(11)60989-6 ◽

2011 ◽

Vol 378 (9794) ◽

pp. 898-905 ◽

Cited By ~ 75

Author(s):

Rachel Zeig-Owens ◽

Mayris P Webber ◽

Charles B Hall ◽

Theresa Schwartz ◽

Nadia Jaber ◽

...

Keyword(s):

New York ◽

New York City ◽

Cohort Study ◽

York City ◽

Observational Cohort Study ◽

Cancer Outcomes ◽

Early Assessment ◽

Observational Cohort

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Structural Barriers to Pre-exposure Prophylaxis Use Among Young Sexual Minority Men: The P18 Cohort Study

Current HIV Research ◽

10.2174/1570162x16666180730144455 ◽

2018 ◽

Vol 16 (3) ◽

pp. 237-249 ◽

Cited By ~ 16

Author(s):

Jessica Jaiswal ◽

Marybec Griffin ◽

Stuart N. Singer ◽

Richard E. Greene ◽

Ingrid Lizette Zambrano Acosta ◽

...

Keyword(s):

Health Care ◽

Cohort Study ◽

Hiv Prevention ◽

Sexual Behaviors ◽

Sexual Minority ◽

Structural Level ◽

Sexual Minority Men ◽

Hiv Prevention Strategies ◽

Minority Men ◽

Exposure Prophylaxis

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.

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Post-Exposure Prophylaxis and Methamphetamine Use among Young Sexual Minority Men: The P18 Cohort Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph19020712 ◽

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.

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