The effect of discrimination and resilience on depressive symptoms among middle-aged and older men who have sex with men.

2021 ◽  
Author(s):  
Andre L. Brown ◽  
Derrick D. Matthews ◽  
Steven Meanley ◽  
Mark Brennan-Ing ◽  
Sabina Haberlen ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Older Men ◽  
Middle Aged ◽  
Sex With Men

scholarly journals HIV Testing Among Middle-Aged and Older Men Who Have Sex With Men (MSM): A Blind Spot?

2019 ◽  
Vol 13 (4) ◽  
pp. 155798831986354 ◽  
Author(s):  
Alvaro Francisco Lopes Sousa ◽  
Artur Acelino Francisco Luz Nunes Queiroz ◽  
Inês Fronteira ◽  
Luís Lapão ◽  
Isabel Amélia Costa Mendes ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Online Survey ◽  
Older Men ◽  
Blind Spot ◽  
Multivariate Logistic Regression Model ◽  
Middle Aged ◽  
Factors Associated ◽  
Hiv Test ◽  
Sex With Men ◽  
Older Msm

Middle-aged and older men who have sex with men (MSM) are one of the most underestimated populations with regard to HIV/AIDS infection, despite the worldwide trend of increasing prevalence in recent years. This population also has low rates of testing, although rare studies are done exclusively with middle-aged and older MSM assessing the factors associated with this prevalence. Thus, based on data from an exclusive online survey with middle-aged and older MSM who use geolocation-based dating applications, the purpose of the study was to analyze factors associated with not taking the HIV test among middle-aged (50 years old) and older MSM in Brazil. Using a modification of time-location sampling adapted to virtual reality, 412 volunteers were approached in Grindr®, Hornet®, SCRUFF®, and Daddyhunt®. The multivariate logistic regression model was adopted to produce adjusted odds ratios (ORa), considering a significance level at .05. There were factors associated with not taking the test: being in a relationship (ORa: 0.24; 95% CI [0.10, 0.53]); knowing partner through the applications (ORa: 1.84; 95% CI [1.07, 3.15]); not knowing the serological status (ORa: 5.07; 95% CI [1.88, 13.67]); ejaculating outside of anal cavity (ORa: 1.79; 95% CI [1.04, 3.05]); practicing sex without penetration (ORa: 2.30; 95% CI [1.17, 4.50]); not taking the test as a form of prevention (ORa: 2.83; 95% CI [1.05, 7.68]); and rarely using Viagra in sexual intercourse (ORa: 1.91; 95% CI [1.20, 3.65]). There is a blind spot in the prevalence of HIV testing in older MSM because this population is not being covered by services, which compromises the overall response to HIV, the goals set for universal health coverage.

scholarly journals Characterizing Experiences of Conversion Therapy Among Middle-Aged and Older Men Who Have Sex with Men from the Multicenter AIDS Cohort Study (MACS)

2019 ◽  
Vol 17 (2) ◽  
pp. 334-342
Author(s):  
Steven P. Meanley ◽  
Ron D. Stall ◽  
Omar Dakwar ◽  
James E. Egan ◽  
Mackey R. Friedman ◽  
...  
Keyword(s):  
Cohort Study ◽  
Older Men ◽  
Multicenter Aids Cohort Study ◽  
Conversion Therapy ◽  
Middle Aged ◽  
Sex With Men

Social Support, Loneliness, Depressive Symptoms, and High-Risk Sexual Behaviors of Middle-Aged Hispanic Men Who Have Sex With Men

2019 ◽  
Vol 30 (1) ◽  
pp. 98-110 ◽  
Author(s):  
Beatriz Valdes ◽  
Karina Gattamorta ◽  
Sande Gracia Jones ◽  
Eric A. Fenkl ◽  
Joseph P. De Santis
Keyword(s):  
Social Support ◽  
Depressive Symptoms ◽  
High Risk ◽  
Sexual Behaviors ◽  
Middle Aged ◽  
Hispanic Men ◽  
Sex With Men

scholarly journals Middle-Aged and Older Men Who Have Sex With Men Exhibit Multiple Trajectories With Respect to the Number of Sexual Partners

2011 ◽  
Vol 16 (3) ◽  
pp. 590-598 ◽  
Author(s):  
Sin How Lim ◽  
Charles Lafayette Christen ◽  
Michael P. Marshal ◽  
Ronald D. Stall ◽  
Nina Markovic ◽  
...  
Keyword(s):  
Older Men ◽  
Sexual Partners ◽  
Middle Aged ◽  
Number Of Sexual Partners ◽  
Sex With Men

scholarly journals The Impact of Work Hours on Depressive Symptoms among Koreans Aged 45 and Over

2021 ◽  
Vol 18 (3) ◽  
pp. 853
Author(s):  
Juyeong Kim ◽  
Eun-Cheol Park
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Social Services ◽  
Depression Scale ◽  
Epidemiological Studies ◽  
Work Hours ◽  
Middle Aged ◽  
Health Studies ◽  
Males And Females ◽  
The Impact

Background: Given the documented importance of employment for middle-aged and older adults’ mental health, studies of the association between their number of work hours and depressive symptoms are needed. Objectives: To examine the association between the number of work hours and depressive symptoms in Korean aged 45 and over. Methods: We used data from the first wave to fourth wave of the Korea Longitudinal Study of Aging. Using the first wave at baseline, data included 9845 individuals. Depressive symptoms were measured using the 10-item Center for Epidemiological Studies Depression scale. We performed a longitudinal analysis to estimate the prevalence of depressive symptoms by work hours. Results: Both unemployed males and females aged 45–65 years were associated with higher depressive symptoms (β = 0.59, p < 0.001; β = 0.32, p < 0.001). Females working ≥ 69 h were associated with higher depressive symptoms compared to those working 41–68 h (β = 0.25, p = 0.013). Among those both middle-aged and older adults, both males and females unemployed were associated with higher depressive symptoms. Those middle-aged female working ≥69 h were associated with higher depressive symptoms. Conclusions: An increase in depressive symptoms was associated with unemployed males and females working ≥69 h compared to those working 41–68 h. Although this association was found among middle-aged individuals, a decrease in depressive symptoms in both sexes was associated with working 1–40 h. Depressive symptoms should decrease by implementing employment policies and social services to encourage employers to support middle-aged and older adults in the workforce considering their sex and age differences.

scholarly journals Barriers and Facilitators to Promoting Resilience to HIV/AIDS: A Qualitative Study on the Lived Experiences of HIV-Positive, Racial and Ethnic Minority, Middle-Aged and Older Men Who Have Sex with Men from Ontario, Canada

2021 ◽  
Vol 18 (15) ◽  
pp. 8084
Author(s):  
Renato M. Liboro ◽  
Sherry Bell ◽  
Brandon Ranuschio ◽  
Lianne Barnes ◽  
Jenna Despres ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Ethnic Minority ◽  
Lived Experiences ◽  
Barriers And Facilitators ◽  
Research Approach ◽  
Middle Aged ◽  
Community Based ◽  
Sex With Men ◽  
Racial And Ethnic Minority ◽  
Hiv Aids

Evidence-based research has highlighted the need for exploring factors that support the mental health of men who have sex with men living with HIV/AIDS (MSMLWH), and environmental influences that promote their resilience to HIV/AIDS. This exploratory study utilized a community-based participatory research approach to investigate barriers and facilitators to promoting resilience to HIV/AIDS, specifically among racial and ethnic minority, middle-aged and older MSMLWH, a population that continues to be significantly impacted by HIV/AIDS today. This collaborative, qualitative study recruited participants who identified as racial or ethnic minority MSMLWH, were aged 40 or older, and resided in Ontario, Canada. Participants (n = 24) discussed in their interviews barriers and facilitators to promoting resilience to HIV/AIDS, which they recognized from their lived experiences. Utilizing thematic analysis, themes related to barriers and facilitators to promoting resilience to HIV/AIDS were identified. Themes related to identified barriers included: (1) language proficiency, (2) racism, (3) pernicious norms in North American gay culture, and (4) HIV stigma. Themes related to identified facilitators included: (1) compartmentalization, (2) perseverance, and (3) community-based health and social services. This article discusses the implications of the study’s findings, particularly on how they may influence the development of future services for racial and ethnic minority, middle-aged and older MSMLWH.

Effects of testosterone treatment, with and without exercise training, on ambulatory blood pressure in middle‐aged and older men.

2021 ◽  
Author(s):  
Lauren C Chasland ◽  
Daniel J Green ◽  
Markus P Schlaich ◽  
Andrew J Maiorana ◽  
Brian R Cooke ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Exercise Training ◽  
Ambulatory Blood Pressure ◽  
Older Men ◽  
Middle Aged ◽  
Testosterone Treatment

Food Insecurity Partially Mediates the Association Between Drug Use and Depressive Symptoms among Men who have Sex with Men in Los Angeles, California

2021 ◽  
pp. 1-26
Author(s):  
David A. Wiss ◽  
Marjan Javanbakht ◽  
Michael J. Li ◽  
Michael Prelip ◽  
Robert Bolan ◽  
...  
Keyword(s):  
Food Security ◽  
Depressive Symptoms ◽  
High Risk ◽  
Los Angeles ◽  
Drug Use ◽  
Food Insecurity ◽  
Hiv Positive ◽  
Sex With Men ◽  
The Relationship ◽  
Hiv Negative

Abstract Objective: To understand the relationship between drug use, food insecurity (FI), and mental health among men who have sex with men (MSM). Design: Cohort study (2014-2019) with at least one follow-up. Setting: Visits at 6-month intervals included self-assessment for FI and depressive symptoms. Urine testing results confirmed drug use. Factors associated with FI were assessed using multiple logistic regression with random effects for repeated measures. General structural equation modeling tested whether FI mediates the relationship between drug use and depressive symptoms. Participants: Data were from HIV-positive and high-risk HIV negative MSM in Los Angeles, CA (n=431; 1,192 visits). Results: At baseline, FI was reported by 50.8% of participants, depressive symptoms in 36.7%, and 52.7% of urine screening tests were positive for drugs (i.e., marijuana, opioids, methamphetamine, cocaine, ecstasy). A positive drug test was associated with a 96% increase in the odds of being food insecure (95% CI: 1.26-3.07). Compared to those with high food security, individuals with very low food security have a nearly 7-fold increase in the odds of reporting depressive symptoms (95% CI: 3.71-11.92). Findings showed 14.9% of the association between drug use (exposure) and depressive symptoms (outcome) can be explained by FI (mediator). Conclusion: The prevalence of FI among this cohort of HIV-positive and high-risk HIV-negative MSM was high; the association between drug use and depressive symptoms was partially mediated by FI. Findings suggest that enhancing access to food and nutrition may improve mood in the context of drug use, especially among MSM at risk for HIV-transmission.

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