Reframing HIV prevention for gay men in the United States.

2010 ◽  
Vol 65 (8) ◽  
pp. 752-763 ◽  
Author(s):  
Perry N. Halkitis
Keyword(s):  
United States ◽  
Hiv Prevention ◽  
Gay Men ◽  
The United States

The Informal Norms of HIV Prevention: The Emergence and Erosion of the Condom Code

2017 ◽  
Vol 45 (4) ◽  
pp. 518-530 ◽  
Author(s):  
Byron Carson
Keyword(s):  
United States ◽  
Hiv Prevention ◽  
Gay Men ◽  
The United States ◽  
Hiv Treatment ◽  
Normative Beliefs ◽  
Digital Communities ◽  
Condom Usage ◽  
Treatment And Prevention ◽  
Hiv Epidemic

The response many gay men took to the HIV epidemic in the United States was largely informal, especially given distant state and federal governments. The condom code, a set of informal norms that encouraged the use of condoms, is one instance of this informal response, which was wholly uncoordinated. Yet, it is not clear why these informal norms emerged or why they have since eroded. This paper explores how gay men in particular generated expectations and normative beliefs regarding condom usage, which helped to establish the condom code as an informal norm. Furthermore, the erosion of the condom code is viewed as a result of changing expectations, which change as bio-medical means of HIV treatment and prevention develop and as online and digital communities facilitate serosorting, all of which provide alternatives to condoms as a means of prevention and their associated informal norms. Future HIV prevention campaigns should recognize the extent to which informal norms coordinate and encourage preventative behavior, as well as how beliefs and expectations alter the informal norms people adopt.

Shifting the Paradigm in HIV Prevention and Treatment Service Delivery Toward Differentiated Care for Youth

2019 ◽  
Author(s):  
Vincent Guilamo-Ramos ◽  
Marco Thimm-Kaiser ◽  
Adam Benzekri ◽  
Donna Futterman
Keyword(s):  
United States ◽  
Hiv Prevention ◽  
Service Delivery ◽  
The United States ◽  
Hiv Care ◽  
Health Concern ◽  
Service Needs ◽  
Minority Adolescents ◽  
Prevention And Treatment ◽  
Differentiated Care

Despite significant progress in the fight against HIV/AIDS in the United States, HIV prevention and treatment disparities among key populations remain a national public health concern. While new HIV diagnoses are increasing among people under age 30—in particular among racial, ethnic, and sexual minority adolescents and young adults (AYA)—dominant prevention and treatment paradigms too often inadequately consider the unique HIV service needs of AYA. To address this gap, we characterize persistent and largely overlooked AYA disparities across the HIV prevention and treatment continuum, identify AYA-specific limitations in extant resources for improving HIV service delivery in the United States, and propose a novel AYA-centered differentiated care framework adapted to the unique ecological and developmental factors shaping engagement, adherence, and retention in HIV services among AYA. Shifting the paradigm for AYA to differentiated HIV care is a promising approach that warrants implementation and evaluation as part of reinforced national efforts to end the HIV epidemic in the United States by 2030.

scholarly journals Pre-Exposure Prophylaxis Training among Medical Schools in the United States

2021 ◽  
Vol 12 ◽  
pp. 215013272110287
Author(s):  
Robert L. Cooper ◽  
Mohammad Tabatabai ◽  
Paul D. Juarez ◽  
Aramandla Ramesh ◽  
Matthew C. Morris ◽  
...  
Keyword(s):  
United States ◽  
Hiv Prevention ◽  
Injection Drug Users ◽  
Drug Users ◽  
Healthcare Providers ◽  
Medical Schools ◽  
The United States ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Exposure Prophylaxis

Pre-Exposure Prophylaxis (PrEP) has been shown to be an effective method of HIV prevention for men who have sex with-men (MSM) and -transgender women (MSTGWs), serodiscordant couples, and injection drug users; however fewer than 50 000 individuals currently take this regimen. Knowledge of PrEP is low among healthcare providers and much of this lack of knowledge stems from the lack or exposure to PrEP in medical school. We conducted a cross sectional survey of medical schools in the United States to assess the degree to which PrEP for HIV prevention is taught. The survey consisted Likert scale questions assessing how well the students were prepared to perform each skill associated with PrEP delivery, as well as how PrEP education was delivered to students. We contacted 141 medical schools and 71 responded to the survey (50.4%). PrEP education was only reported to be offered at 38% of schools, and only 15.4% reported specific training for Lesbian, Gay, Bisexual, and Transgender (LGBT) patients. The most common delivery methods of PrEP content were didactic sessions with 11 schools reporting this method followed by problem-based learning, direct patient contact, workshops, and small group discussions. Students were more prepared to provide PrEP to MSM compared to other high-risk patients. Few medical schools are preparing their students to prescribe PrEP upon graduation. Further, there is a need to increase the number of direct patient contacts or simulations for students to be better prepared.

A Nationwide Survey of COVID-19 Testing in LGBTQ+ Populations in the United States

2021 ◽  
pp. 003335492110181
Author(s):  
Richard J. Martino ◽  
Kristen D. Krause ◽  
Marybec Griffin ◽  
Caleb LoSchiavo ◽  
Camilla Comer-Carruthers ◽  
...  
Keyword(s):  
United States ◽  
Gay Men ◽  
Antibody Test ◽  
Nationwide Survey ◽  
The United States ◽  
Sociodemographic Characteristics ◽  
Full Time ◽  
Test Results ◽  
Antibody Testing ◽  
And Gender

Objectives Lesbian, gay, bisexual, transgender, or queer and questioning (LGBTQ+) people and populations face myriad health disparities that are likely to be evident during the COVID-19 pandemic. The objectives of our study were to describe patterns of COVID-19 testing among LGBTQ+ people and to differentiate rates of COVID-19 testing and test results by sociodemographic characteristics. Methods Participants residing in the United States and US territories (N = 1090) aged ≥18 completed an internet-based survey from May through July 2020 that assessed COVID-19 testing and test results and sociodemographic characteristics, including sexual orientation and gender identity (SOGI). We analyzed data on receipt and results of polymerase chain reaction (PCR) and antibody testing for SARS-CoV-2 and symptoms of COVID-19 in relation to sociodemographic characteristics. Results Of the 1090 participants, 182 (16.7%) received a PCR test; of these, 16 (8.8%) had a positive test result. Of the 124 (11.4%) who received an antibody test, 45 (36.3%) had antibodies. Rates of PCR testing were higher among participants who were non–US-born (25.4%) versus US-born (16.3%) and employed full-time or part-time (18.5%) versus unemployed (10.8%). Antibody testing rates were higher among gay cisgender men (17.2%) versus other SOGI groups, non–US-born (25.4%) versus US-born participants, employed (12.6%) versus unemployed participants, and participants residing in the Northeast (20.0%) versus other regions. Among SOGI groups with sufficient cell sizes (n > 10), positive PCR results were highest among cisgender gay men (16.1%). Conclusions The differential patterns of testing and positivity, particularly among gay men in our sample, confirm the need to create COVID-19 public health messaging and programming that attend to the LGBTQ+ population.

HIV Prevention in the United States

2004 ◽  
Vol 37 ◽  
pp. S119-S121 ◽  
Author(s):  
Robert S Janssen ◽  
Ronald O Valdiserri
Keyword(s):  
United States ◽  
Hiv Prevention ◽  
The United States

Tolerance and the labor supply of cohabiting gays and lesbians

2021 ◽  
pp. 1-28
Author(s):  
Mary Eschelbach Hansen ◽  
Michael E. Martell ◽  
Leanne Roncolato
Keyword(s):  
United States ◽  
Labor Supply ◽  
Division Of Labor ◽  
Gay Men ◽  
The United States ◽  
Paid Work ◽  
Lesbian Women ◽  
Heterosexual Women ◽  
The Relationship ◽  
Average State

Abstract Tolerance of sexual minorities is presumed to matter, but its effects are under-studied. Because tolerance can affect both experiences at work and division of labor in the household, we study the relationship between tolerance and the time cohabiting gay men and lesbian women spend in paid work across the United States. In the average state, the increase in tolerance between 2003 and 2015 is associated with an increase in paid work of about 1 week per year among cohabiting gay men. Though not robustly statistically significant, the increase in tolerance is associated with a decrease in paid work among cohabiting lesbian women relative to heterosexual women.

Founding New Sodom

2018 ◽  
Author(s):  
Daniel Rivers
Keyword(s):  
United States ◽  
Gay Men ◽  
Sexual Politics ◽  
New Age ◽  
The United States ◽  
Natural World ◽  
Gay Male ◽  
The Creation ◽  
Back To The Land

This essay looks at the worldview of gay male communalists across the United States in the mid-1970s as seen in the rural gay magazine Rural Free Delivery (RFD) in the critical years from 1973 to 1976 as well as in other extant archival sources related to gay communalism. As a clearinghouse for gay men involved in radical, back-to-the-land ventures, RFD provides a complex view of the creation of a largely white, gay male counterculture spirituality that fused the sexual politics of early gay liberationists with ecofeminist, animist, New Age understandings of sexuality, the natural world, and spirit. Gay men who were or who wanted to live in communal spaces nationwide sent letters and stories into RFD, which was published in a variety of gay male communal spaces during these years.

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