scholarly journals Deaths from smoking and from HIV/AIDS among gay and bisexual men in California, 2005–2050

2019 ◽  
pp. tobaccocontrol-2018-054850 ◽  
Author(s):  
Wendy B Max ◽  
Brad B Stark ◽  
Hai-Yen Sung ◽  
Naphtali B Offen

IntroductionDeaths from HIV/AIDS have long been of concern to the gay community, but less attention has focused on smoking-attributable deaths despite the relatively high smoking rates among gay and bisexual men. This study compared deaths from HIV/AIDS with smoking-attributable deaths among California gay and bisexual men from 2005 to 2050.MethodsSmoking-attributable fractions (SAFs) were estimated using smoking prevalence for gay and bisexual men from the 2011–2014 California Health Interview Surveys and published relative risks of death. Smoking-attributable deaths were calculated by multiplying the SAFs by deaths among gay and bisexual men. Deaths from HIV/AIDS among men who have sex with men was obtained from the California Department of Public Health. Future deaths from smoking and HIV/AIDS were projected using regression equations based on time trends.ResultsFrom 2005 to 2014, smoking caused over 6800 deaths among gay and bisexual men, while nearly 9500 died from HIV/AIDS. Mortality from both causes has been falling, but deaths from HIV/AIDS have been falling more rapidly. Projections suggest that in the mid-2040s, more gay/bisexual men will die from smoking than from HIV/AIDS.ConclusionSmoking will surpass HIV/AIDS as a cause of death among gay and bisexual men in California within a few decades. The lesbian, gay, bisexual and transgender (LGBT) community was highly effective in drawing attention and resources to the fight against HIV/AIDS, saving untold lives by hastening effective treatments. Lessons learnt in the fight against AIDS should be used to help fight the tobacco epidemic.

Sexual Health ◽  
2017 ◽  
Vol 14 (3) ◽  
pp. 221 ◽  
Author(s):  
Garrett Prestage ◽  
Benjamin Bavinton ◽  
Denton Callander ◽  
Steven P. Philpot ◽  
Iryna Zablotska ◽  
...  

Background Among gay and bisexual men (GBM), ‘serosorting’ is common and involves restricting sex, or at least condomless sex, to partners of the same HIV status. The prevalence of men conveying their serosorting preferences regarding partners they meet online remains unclear. Methods: This study reviewed 57 178 Australian online profiles obtained directly from a popular gay website. Logistic regression was used to identify factors associated with preferences for meeting HIV-positive partners. Results: Men could indicate their preferences from a list of 22 types of partners; 4358 profiles (7.6%) indicated an interest in meeting HIV-positive men. There were 1959 profiles (3.4%) listing a preference for 21 of the 22 types of men, including 1498 men (2.6%) that specifically excluded HIV-positive men. Men who specifically excluded HIV-positive men on their profiles were younger (mean age 34.7 years), less likely to identify as gay (25.6%) and more likely to always prefer ‘safer sex’ (55.3%) than those who specifically included them (mean age 39.6 years; 62.8% gay-identified; 30.9% preferred safer sex; P < 0.001). Men who specifically excluded HIV-positive partners on their profiles were also more likely to live outside major capital cities (P < 0.001). Conclusions: Being younger, living outside major cities, not identifying as gay, always preferring safer sex and either Caucasian or Asian background were associated with excluding HIV-positive men as potential sex partners. These factors may reflect lower social and community engagement with the gay community. The disinclination to include HIV-positive men as potential sex partners may be due to fear of infection, stigma or poor information about HIV.


2016 ◽  
Vol 29 ◽  
pp. 66-72 ◽  
Author(s):  
Toby Lea ◽  
Limin Mao ◽  
Max Hopwood ◽  
Garrett Prestage ◽  
Iryna Zablotska ◽  
...  

2016 ◽  
Vol 11 (3) ◽  
pp. 726-736 ◽  
Author(s):  
Jaclyn M. White Hughto ◽  
John E. Pachankis ◽  
Adam I. Eldahan ◽  
Danya E. Keene

Social–sexual networking technologies have been reported to yield both psychosocial benefits and sexual risks for gay and bisexual men, yet little research has explored how technology interacts with the social–geographical environment to shape the health of gay and bisexual men in the relatively understudied environment of small cities. This article draws on 29 semistructured interviews examining the use of social–sexual networking technologies among racially diverse gay and bisexual men in two small cities. Questions probed participants’ use of technology to meet sexual partners, engagement in the gay community, and the role of virtual and nonvirtual spaces in relation to health. Findings suggest that social networking technologies can help men navigate the challenges of small cities, including small and insular gay communities, lack of dedicated gay spaces, and sexual minority stigma. However, participants also describe declines in gay community visibility and cohesion, which they attribute to technology use. The article concludes by discussing the intersections of virtual and physical space in small cities as sites for the production of health and illness.


2020 ◽  
Author(s):  
Trevor A Hart ◽  
Ramraajh Sharvendiran ◽  
Vijaya Chikermane ◽  
Ammaar Kidwai ◽  
Daniel Grace

Abstract Objectives: South Asian gay and bisexual men in Canada are at risk for experiencing both intersectional structural oppressions related to homophobia and racism as well as for the acquisition of sexually transmitted infections including HIV. Our objective was to examine intersectional stigma among South Asian gay and bisexual men and its effects on their mental and sexual health.Design: We recruited 39 South Asian gay and bisexual men in the Greater Toronto Area and interviewed them via focus groups (n = 37) or one-on-one interviews (n = 2). The facilitators used a semi-structured interview protocol covering topics about sexual health of South Asian gay and bisexual men, including their how their home backgrounds and their experiences of being South Asian in predominantly white gay spaces affected their sexual health, and how these experiences shaped their attitudes about sexual health services. Data were analysed to understand how Intersectional stigma affected perceived choices and health among South Asian GBM.Results: Participants reported significant concerns about the effects of intersectional oppressions as South Asian gay and bisexual men, including distress about the potential social harms arising to one’s family for having a gay or bisexual son. Men also described feeling excluded by the white-dominated gay community. Intersectional stigma led to loneliness and social isolation among South Asian gay and bisexual men, and limited social power in sexual relationships.Conclusions: Findings suggest that South Asian gay and bisexual men preferred programs that focused on reducing social isolation and loneliness, as opposed to traditional safer sex programming focusing on HIV risk education.


Assessment ◽  
2021 ◽  
pp. 107319112110429
Author(s):  
Anthony J. Maiolatesi ◽  
Satyanand Satyanarayana ◽  
Richard Bränström ◽  
John E. Pachankis

Social stressors stemming from within the gay community might render gay and bisexual men vulnerable to mental health problems. The 20-item intraminority Gay Community Stress Scale (GCSS) is a reliable measure of gay community stress, but the scale’s length limits its widespread use in sexual minority mental health research. Using three independent samples of gay and bisexual men, the present research developed two abbreviated versions of the GCSS using nonparametric item response modeling and validated them. Results indicated that eight items provided maximal information about the gay community stress construct; these items were selected to form the eight-item GCSS. The eight-item GCSS reproduced the factor structure of the parent scale, and gay community stress scores obtained from it correlated with other identity-specific social stress constructs and mental health symptoms. Associations between gay community stress and mental health symptoms remained significant even after controlling for related identity-specific stressors, general life stress, and relevant demographics. A four-item version was also developed and assessed, showing good structural, convergent, criterion, and incremental validity and adequate reliability. The eight- and four-item versions of the GCSS offer efficient measures of gay community stress, an increasingly recognized source of stress for gay and bisexual men.


2016 ◽  
Vol 34 (3) ◽  
pp. 376-396 ◽  
Author(s):  
Gibran Rodríguez de los Reyes ◽  
Karla Urriola González

Advancements in antiretroviral treatment and a greater access to medication have contributed to an increased life expectancy for people who live with HIV/AIDS. As a result, new psychosocial goals in the treatment of HIV, such as improving the quality of life and levels of well-being of those who are infected, have become increasingly relevant. Since men who have sex with men, particularly those who identify as gay and bisexual, continue to be a group of primary concern within the HIV-affected population, new interventions to help them reach the aforementioned goals must be developed. Considering HIV stigma represents a paramount psychosocial threat for individual’s psychological and physical well-being, the authors embrace a resilience-oriented perspective and propose a relational approach to helping gay and bisexual men living with HIV/AIDS better face social stigma. Through an integrative literature review that discusses scholarly works published in the past 15 years on the topics of HIV stigma, relationship quality, and interventions with couples dealing with chronic illness, the authors suggest several couple-oriented interventions as promising strategies to help gay and bisexual men living with HIV/AIDS cope with the social stigma. Future directions in research and plausible components for interventions with these HIV-affected male couples are also discussed.


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