scholarly journals “I Do Not Like Being Me”: the Impact of Self-hate on Increased Risky Sexual Behavior in Sexual Minority People

2021 ◽  
Author(s):  
Maria Rosaria Nappa ◽  
Maria Giuseppina Bartolo ◽  
Jessica Pistella ◽  
Nicola Petrocchi ◽  
Angela Costabile ◽  
...  
Keyword(s):  
Sexual Orientation ◽  
Positive Affect ◽  
Sexual Minority ◽  
Risky Sexual Behavior ◽  
Sexual Minority Men ◽  
Minority Men ◽  
Minority Participants ◽  
The Impact ◽  
Minority People

Abstract Background  Increased risky sexual behaviors (RSB) in sexual minority people relative to heterosexual individuals are well documented. However, the role of trans-diagnostic factors that are not sexual orientation-specific, such as self-criticism, in predicting RSB was understudied. The present study aimed to test participants’ gender and sexual orientation as moderators between self-criticism and RSB. Methods Data were collected during 2019. The total sample included 986 sexual minority people (Nwomen = 51%) and 853 heterosexual people (Nwomen = 46%), ranging from 18 to 35 years of age. Self-criticism dimensions (self-hate, self-inadequacy, self-reassurance), types of positive affect (relaxed, safe/content, and activated affect), and RSB were assessed. Bivariate, multivariate analyses, and moderated regression analyses were conducted. Results Sexual minority participants showed higher levels of RSB, self-hate, and self-inadequacy than heterosexual people. Only in sexual minority men, RSB correlated positively with self-hate and negatively with safe/content positive affect. Moderated regressions showed that only for sexual minority participants, higher RSB were predicted by higher levels of self-hate. At the same time, this association was not significant for heterosexual people controlling the effects of age, presence of a stable relationship, other self-criticism dimensions, and activation safe/content affect scale. The two-way interaction between sexual orientation and gender was significant, showing that regardless of self-hate, the strength of the association between sexual orientation and RSB is stronger for sexual minority men than sexual minority women and heterosexual participants. Conclusions Findings highlight the distinctive role of self-hate in the occurrence of RSB in sexual minority people and support the usefulness of developing a compassion-focused intervention to target self-hate in sexual minority people.

scholarly journals Evaluating the impact of COVID-19: A cohort comparison study of drug use and risky sexual behavior among sexual minority men in the U.S.A.

2020 ◽  
Vol 216 ◽  
pp. 108260 ◽  
Author(s):  
Tyrel J. Starks ◽  
S. Scott Jones ◽  
Daniel Sauermilch ◽  
Matthew Benedict ◽  
Trinae Adebayo ◽  
...  
Keyword(s):  
Sexual Behavior ◽  
Drug Use ◽  
Sexual Minority ◽  
Risky Sexual Behavior ◽  
Comparison Study ◽  
Sexual Minority Men ◽  
Cohort Comparison ◽  
Minority Men ◽  
The Impact

scholarly journals Tryptophan depletion predicts lower positive affect in sexual minority men living with HIV who use methamphetamine

2021 ◽  
Author(s):  
Ji-Young Lee ◽  
Tiffany R. Glynn ◽  
Judith T. Moskowitz ◽  
Dietmar Fuchs ◽  
Torsten B. Neilands ◽  
...  
Keyword(s):  
Positive Affect ◽  
Sexual Minority ◽  
Tryptophan Depletion ◽  
Sexual Minority Men ◽  
Minority Men ◽  
Living With Hiv

Refining POSSIBLE: A Multicomponent Intervention to Increase HIV Risk Perceptions and PrEP Initiation Among Black Sexual Minority Men (Preprint)

2021 ◽  
Author(s):  
Derek Dangerfield ◽  
Janeane N. Anderson ◽  
Charleen Wylie ◽  
Renata Arrington-Sanders ◽  
Ricky N. Bluthenthal ◽  
...  
Keyword(s):  
Hiv Risk ◽  
Sexual Behaviors ◽  
Sexual Minority ◽  
Risk Perceptions ◽  
Future Research ◽  
Self Monitoring ◽  
Hiv Prevention Intervention ◽  
Sexual Minority Men ◽  
Minority Men ◽  
The Impact

BACKGROUND Increased HIV pre-exposure prophylaxis (PrEP) initiation is urgently needed to substantially decrease the incidence among Black sexual minority men (BSMM). However, BSMM are less likely than other groups to accept a clinician’s recommendation to initiate PrEP and uptake remains suboptimal. Peers and smartphone apps are popular HIV prevention-intervention mechanisms that are typically used independently. Few studies have combined these strategies into a multi-component intervention to increase PrEP initiation for BSMM. OBJECTIVE This study refined an intervention using a smartphone app and a peer change agent (PCA) to increase HIV risk perceptions (HRP) and PrEP initiation among BSMM. METHODS Data were obtained from 12 focus groups and one in-depth interview among BSMM from Baltimore, MD, between October 2019 and May 2020 (N=39). Groups were stratified by age group: 18-24, 25-34, and 35 and older. Facilitators probed on attitudes towards the app, working with a PCA, and preferences for PCA characteristics. RESULTS Most self-identified as homosexual, gay, or same gender-loving (68%), were employed (69%), single (66%), and interested in self-monitoring sexual behaviors (68.4%). Overall, participants had low HRP and suggested that self-monitoring sexual behaviors could trigger internalized stigma. An acceptable PCA should be a “possible self” for BSMM to aspire. CONCLUSIONS Future research should explore the impact of implementing this strategy on HRP and PrEP initiation among BSMM.

scholarly journals Minority stress, intra-minority stress and social anxiety: Examining an extended psychological mediation framework among sexual minority men

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
C Mahon ◽  
G Kiernan ◽  
P Gallagher
Keyword(s):  
Sexual Orientation ◽  
Social Anxiety ◽  
Sense Of Coherence ◽  
Sexual Minority ◽  
Minority Stress ◽  
Rejection Sensitivity ◽  
Sexual Minority Men ◽  
Lgbt Community ◽  
Minority Men ◽  
Everyday Discrimination

Abstract Background Compared to their heterosexual counterparts, sexual minority men (SMM) are at an increased risk of social anxiety disorder. Distal (i.e., everyday discrimination) and proximal (i.e., internalised homophobia, rejection sensitivity, concealment of sexual orientation) minority stress processes are associated with heightened social anxiety for SMM. Stressors emerging from within the sexual minority male community, termed intra-minority stress, and psychological processes that may foster resilience (i.e., a sense of coherence, connectedness to the LGBT community) are less explored in this area. This study examined potential pathways between everyday discrimination, intra-minority stress, proximal minority stressors, resilience and social anxiety. Methods Self-identified SMM (N = 255) residing in the Republic of Ireland completed an online survey containing measures of minority stress, intra-minority stress, resilience and social anxiety. Structural equation modelling was used to examine the model. Results The model yielded a good fit to the data, X2(16) = 26.61, CFI = .99, TLI = .97, RMSEA = .05, and SRMR = .03. Rejection sensitivity and a sense of coherence had a significant indirect effect in the relationships between both exogenous variables (i.e., discrimination and intra-minority stress) and social anxiety. There were no significant pathways to social anxiety involving concealment of sexual orientation, internalised homophobia or LGBT community connectedness. Conclusions For SMM, minority stress processes and intra-minority stress are important determinants of social anxiety. Our findings demonstrate that proximal minority stressors may operate differently in a social anxiety context for SMM in western European countries. A sense of coherence was an integral factor in the model and demonstrated the strongest association with social anxiety.

scholarly journals Exploring the role of LGBT-affirming churches in health promotion for Black sexual minority men

2019 ◽  
Vol 22 (10) ◽  
pp. 1191-1206 ◽  
Author(s):  
Jordan J. White ◽  
Derek T. Dangerfield ◽  
Erin Donovan ◽  
Derek Miller ◽  
Suzanne M. Grieb
Keyword(s):  
Health Promotion ◽  
Sexual Minority ◽  
Sexual Minority Men ◽  
Minority Men

scholarly journals Rapid mixed-methods assessment of COVID-19 impact on Latinx sexual minority men and Latinx transgender women

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0244421
Author(s):  
Sarah MacCarthy ◽  
Max Izenberg ◽  
Joanna L. Barreras ◽  
Ron A. Brooks ◽  
Ana Gonzalez ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Sexual Minority ◽  
Healthcare Access ◽  
Transgender Women ◽  
Medical Attention ◽  
Computer Assisted ◽  
Hiv Knowledge ◽  
Sexual Minority Men ◽  
Minority Men ◽  
The Impact

We conducted a rapid, mixed-methods assessment to understand how COVID-19 affected Latinx sexual minority men (LSMM) and transgender women (LTGW). Using a computer-assisted telephone interviewing software, one interviewer called 52 participants (randomly sampled from a larger HIV prevention pilot study aiming to increase HIV knowledge and testing frequency; n = 36 LSMM and n = 16 LTGW) between 04/27/20-05/18/20. We quantified core domains using the Epidemic-Pandemic Impacts Inventory scale and provided important context through open-ended qualitative questions assessing: 1) COVID-19 infection history and experiences with quarantine; 2) Health and healthcare access; 3) Employment and economic impact of COVID-19. Participants reported increases in physical conflict or verbal arguments with a partner (13.5%) or other adult(s) (19.2%) due to stressors associated with the safer-at-home order. Participants also reported increased alcohol consumption (23.1%), problems with sleep (67.3%) and mental health (78.4%). Further, disruptions in access to Pre-Exposure Prophylaxis or PrEP–a daily pill to prevent HIV–occurred (33.3% of 18 participants who reported being on PrEP). Many said they received less medical attention than usual (34.6%), and LTGW reported delays in critical gender-affirming hormones/procedures. Half of the participants lost their jobs (50.0%); many undocumented participants relayed additional financial concerns because they did not qualify for financial assistance. Though no COVID-19 infections were noted, COVID-19 dramatically impacted other aspects of health and overall wellbeing of LSMM and LTGW. Public health responses should address the stressors faced by LSMM and LTGW during the COVID-19 pandemic and the impact on wellbeing.

scholarly journals The Prevalence of Sexual Violence Perpetration in Sexual Minority Men: A Secondary Analysis of Systematic Review Data

2021 ◽  
Author(s):  
RaeAnn Elizabeth Anderson ◽  
Sara K Kuhn ◽  
Amanda M. Vitale ◽  
Alyssa M. Ciampaglia ◽  
Kristin E. Silver
Keyword(s):  
Systematic Review ◽  
Sexual Violence ◽  
Sexual Minority ◽  
Secondary Analysis ◽  
Future Research ◽  
Sexual Minority Men ◽  
Sexual Perpetration ◽  
Violence Perpetration ◽  
Minority Men ◽  
Minority People

Purpose: Prior literature illustrates that sexual minority people (e.g., bisexual, gay, queer) are at increased vulnerability for sexual violence victimization compared to heterosexual peers, including while in college. However, the study of sexual violence perpetration in sexual minority populations, much less specifically sexual minority college men, has been neglected. This article reviews the literature and presents a secondary data analysis of a systematic review on college men’s sexual perpetration rates and associated methodology. We also conducted analyses to summarize available literature regarding publishing dates, authors, and data inclusivity. Methods: We downloaded the dataset and associated materials from Mendeley.com’s data archive. Results: To our surprise, we could not analyze sexual perpetration prevalence rates in sexual minority men using the systematic review data due to absence of reported data across all 77 independent samples including over 5,500 male participants. We found no significant relationship between inclusion of sexual minority men and the use of measurement strategies specialized to assess sexual minority needs. We did find a positive relationship between recency of publication and the inclusion of sexual minority men, r(76) = .24, p = .03, and that most authors/co-authors were women (72%). Conclusions: Preventing perpetration is central to ending sexual violence; therefore, future research should include sexual minority people and use appropriate methodology in the investigation of sexual perpetration characteristics and patterns.

scholarly journals The moderating role of resilience resources in the association between crime exposure and substance use among young sexual minority men

2019 ◽  
Vol 54 (11) ◽  
pp. 1787-1798
Author(s):  
Kristi E. Gamarel ◽  
Kimberly M. Nelson ◽  
Justin Heinze ◽  
Danielle M. Chiaramonte ◽  
Robin L. Miller ◽  
...  
Keyword(s):  
Substance Use ◽  
Sexual Minority ◽  
Sexual Minority Men ◽  
Minority Men ◽  
Moderating Role
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