scholarly journals Positive Development and Changes in Self-Rated Health Among Young Sexual Minority Males: The P18 Cohort Study

2019 ◽  
Vol 45 (4) ◽  
pp. 304-313
Author(s):  
F. Kapadia ◽  
P. A. D’Avanzo ◽  
S. H. Cook ◽  
S. Barton ◽  
S. N. Halkitis ◽  
...  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Eivind Meland ◽  
Hans Johan Breidablik ◽  
Frode Thuen ◽  
Gro Beate Samdal

Abstract Background Impaired self-rated health (SRH) and self-esteem (SE) in adolescents are associated with increased body mass index (BMI). These associations are often studied using cross-sectional designs; we performed a longitudinal cohort survey to examine them. Methods A longitudinal cohort study of 1225 Norwegian high school students, with SRH, SE and BMI as primary outcomes. We reported the results from temporal causal and residual change analyses separately, with odds ratios (ORs) and standardised regression coefficients (b) and 95% confidence limits. Results Body and weight concerns had unfavourable effects on SRH and SE, which both had favourable effects on each other. Increased BMI had unfavourable effects on SRH, but less so on SE. Body and weight concerns impacted SE change only among girls. Paradoxically, the intention of becoming thinner was associated with an increase in BMI, and the intention of becoming fatter predicted a decrease in BMI during the 2 years. SE and SRH were associated with a leaner body after 2 years. Conclusions This study confirms that body concerns had unfavourable effects on subjective health, and that positive self-concepts predicted a leaner body. Health promotion strategies built on body acceptance should be increasingly emphasised in clinical and public health practice.


Author(s):  
Tyrel J. Starks ◽  
Trey V. Dellucci ◽  
Travis I. Lovejoy ◽  
Gabriel Robles ◽  
Ruben Jimenez ◽  
...  

2018 ◽  
Vol 39 (6) ◽  
pp. 619-645 ◽  
Author(s):  
Rachel Valencia ◽  
Li Yan Wang ◽  
Richard Dunville ◽  
Akshay Sharma ◽  
Travis Sanchez ◽  
...  

2018 ◽  
Vol 55 ◽  
pp. 207-214 ◽  
Author(s):  
Annie Ristuccia ◽  
Caleb LoSchiavo ◽  
Perry N. Halkitis ◽  
Farzana Kapadia

PLoS ONE ◽  
2015 ◽  
Vol 10 (12) ◽  
pp. e0144456 ◽  
Author(s):  
M. Fernanda Lima-Costa ◽  
James Macinko ◽  
Juliana Vaz de Melo Mambrini ◽  
Cibele C. Cesar ◽  
Sérgio V. Peixoto ◽  
...  

2018 ◽  
Vol 16 (3) ◽  
pp. 237-249 ◽  
Author(s):  
Jessica Jaiswal ◽  
Marybec Griffin ◽  
Stuart N. Singer ◽  
Richard E. Greene ◽  
Ingrid Lizette Zambrano Acosta ◽  
...  

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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