Cortisol profiles differ by race/ethnicity among young sexual minority men

2017 ◽  
Vol 75 ◽  
pp. 1-4 ◽  
Author(s):  
Stephanie H. Cook ◽  
Robert-Paul Juster ◽  
Benjamin J. Calebs ◽  
Justin Heinze ◽  
Alison L. Miller
Keyword(s):  
Sexual Minority ◽  
Sexual Minority Men ◽  
Race Ethnicity ◽  
Minority Men

scholarly journals Racial Discrimination, Sexual Partner Race/Ethnicity, and Depressive Symptoms Among Black Sexual Minority Men

2020 ◽  
Vol 49 (5) ◽  
pp. 1799-1809
Author(s):  
Devin English ◽  
DeMarc A. Hickson ◽  
Denton Callander ◽  
Melody S. Goodman ◽  
Dustin T. Duncan
Keyword(s):  
Depressive Symptoms ◽  
Racial Discrimination ◽  
Sexual Minority ◽  
Sexual Partner ◽  
Sexual Minority Men ◽  
Race Ethnicity ◽  
Minority Men

scholarly journals Adult Attachment Avoidance is Associated with Cortisol Awakening Response among Young Black Sexual Minority Men as Compared to Young White Sexual Minority Men

2021 ◽  
Author(s):  
Stephanie H. Cook ◽  
Erica Wood ◽  
Anthea Chan
Keyword(s):  
Social Relationships ◽  
Sexual Minority ◽  
Adult Attachment ◽  
Physiological Stress ◽  
Cortisol Awakening Response ◽  
Attachment Avoidance ◽  
Sexual Minority Men ◽  
Race Ethnicity ◽  
Minority Men ◽  
Stress Patterns

Research suggests that young sexual minority men (YSMM), particularly YSMM of color, are more likely to have dysregulated physiological stress responses as compared to their heterosexual counterparts. In addition, the quality of social relationships has been demonstrated to impact physiological stress patterns among young adults. One key indicator of social relationships is that of adult attachment, which refers to the types of socioemotional bonds that individuals form with peers, family, and romantic partners. However, the association between adult attachment and physiological stress functioning among diverse samples of YSMM has been underexplored. Thus, the current study sought to bridge this gap in the literature by exploring how race/ethnicity moderates the association between adult attachment and physiological stress patterns among Black versus White YSMM. N = 63 YSMM participated in a 5-day daily diary study in which they completed a baseline survey and provided saliva samples over the 5-day period in order to measure diurnal cortisol. Three-level hierarchical linear modeling was used in order to examine the association between race/ethnicity, adult attachment, and diurnal cortisol over the 5-day period. Results suggest that adult attachment avoidance was associated the cortisol awakening response (CAR) among YSMM. In addition, race/ethnicity moderated the association between adult attachment avoidance and the CAR such that YSMM who identified as Black had evidence of a more dysregulated physiological stress response as compared to YSMM who identified as White. Future research should focus on further unpacking the drivers of physiological stress patterns among White and Black YSMM.

scholarly journals Socioeconomic Status and Psychosocial Resources Mediate Racial/Ethnic Differences in Psychological Health Among Gay and Bisexual Men: A Longitudinal Analysis Using Structural Equation Modeling

2021 ◽  
Vol 15 (2) ◽  
pp. 155798832110011
Author(s):  
Rainier Masa ◽  
Sylvia Shangani ◽  
Don Operario
Keyword(s):  
Sexual Minority ◽  
Psychological Health ◽  
Well Being ◽  
Sexual Minority Men ◽  
Collective Self ◽  
Race Ethnicity ◽  
Minority Men ◽  
Racial Ethnic ◽  
Everyday Discrimination

A large body of research demonstrates disparities in psychological health attributed to sexual minority identity, racial/ethnic minority identity, and socioeconomic status (SES). Fewer studies have explicated the role of these multiple attributes on psychological health and explored the role of SES and psychosocial resources in determining outcomes. We analyzed data from Project STRIDE, a longitudinal survey involving a diverse sample of gay and bisexual adult men ( n = 198). Using structural equation modeling, we tested hypothesized direct and indirect effects of race/ethnicity, SES, and three psychosocial mediational variables (collective self-efficacy, everyday discrimination, internalized homophobia) on two outcome variables—psychological and social well-being—assessed at 1-year follow-up. Our model indicated that: (1) race/ethnicity and SES were significantly associated with each other and with each psychosocial mediator; (2) higher SES was directly and indirectly associated with both measures of well-being; and (3) collective self-esteem and everyday discrimination mediated the association between SES and both measures of well-being. The model also indicated that racial/ethnic associations with psychological mediators and outcomes are evident in the context of SES, but these effects might be suppressed when the model does not consider SES. Findings highlight the critical role of SES and race/ethnicity in determining the psychological and social well-being of sexual minority men. Specification of mediating variables—collective self-efficacy, everyday discrimination, internalized homophobia—indicates potential intervention targets to improve psychological and social health in sexual minority men. Associations between race/ethnicity and SES support the need for intersectional frameworks in addressing the health of sexual minority men.

Bis, Tris, Glutes and Lies: Objectification and Body Image Among App-Using Sexual Minority Men

2017 ◽  
Author(s):  
Aaron S. Breslow ◽  
Anthea Chan ◽  
Eric Arnold ◽  
Elizabeth Glaeser ◽  
Aysegul Yucel ◽  
...  
Keyword(s):  
Body Image ◽  
Sexual Minority ◽  
Sexual Minority Men ◽  
Minority Men

scholarly journals Rationale and design of the Prevent Anal Cancer Self-Swab Study: a protocol for a randomised clinical trial of home-based self-collection of cells for anal cancer screening

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e051118
Author(s):  
Alan G Nyitray ◽  
Vanessa Schick ◽  
Michael D Swartz ◽  
Anna R Giuliano ◽  
Maria E Fernandez ◽  
...  
Keyword(s):  
Anal Canal ◽  
Anal Cancer ◽  
Sexual Minority ◽  
Hiv Positive ◽  
Hpv Dna ◽  
Sexual Minority Men ◽  
Home Based ◽  
Exfoliated Cells ◽  
Transgender Persons ◽  
Minority Men

IntroductionSquamous cell carcinoma of the anus is a common cancer among sexual minority men, especially HIV-positive sexual minority men; however, there is no evidenced-based national screening protocol for detection of anal precancers. Our objective is to determine compliance with annual anal canal self-sampling or clinician-sampling for human papillomavirus (HPV) DNA.Methods and analysisThis is a prospective, randomised, two-arm clinical study to evaluate compliance with annual home-based versus clinic-based HPV DNA screening of anal canal exfoliated cells. The setting is primary care community-based clinics. Recruitment is ongoing for 400 HIV-positive and HIV-negative sexual minority men and transgender persons, aged >25 years, English or Spanish speaking, no current use of anticoagulants other than nonsteroidal anti-inflammatory drugs and no prior diagnosis of anal cancer. Participants are randomised to either receive a swab in the mail for home-based collection of an anal canal specimen at 0 and 12 months (arm 1) or attend a clinic for clinician collection of an anal canal specimen at 0 and 12 months (arm 2). Persons will receive clinic-based Digital Anal Rectal Examinations and high-resolution anoscopy-directed biopsy to assess precancerous lesions, stratified by study arm. Anal exfoliated cells collected in the study are assessed for high-risk HPV persistence and host/viral methylation. The primary analysis will use the intention-to-treat principle to compare the proportion of those who comply with 0-month and 12-month sampling in the home-based and clinic-based arms. The a priori hypothesis is that a majority of persons will comply with annual screening with increased compliance among persons in the home-based arm versus clinic-based arm.Ethics and disseminationThe study has been approved by the Medical College of Wisconsin Human Protections Committee. Results will be disseminated to communities where recruitment occurred and through peer-reviewed literature and conferences.Trial registration numberNCT03489707.

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