scholarly journals “That’s Only for Women”: The Importance of Educating HIV-Positive Sexual Minority Men on HPV and High Resolution Anoscopy (HRA)

Author(s):  
Catherine Finneran ◽  
Jason Johnson Peretz ◽  
Danielle Blemur ◽  
Joel Palefsky ◽  
Lisa Flowers

Gay, bisexual, and other men who have sex with men (MSM) experience disproportionately high burdens of Human Papilloma Virus (HPV)-associated anal cancers. Recent focus has shifted to anorectal cancer prevention through high-resolution anoscopy (HRA); however, little is known about sexual minority men’s perceptions, attitudes, or beliefs regarding HRA. We conducted 4 qualitative Focus Group Discussions (FGDs) (n = 15) with sexual minority men, focusing on their beliefs, attitudes, and perceptions of undergoing HRA. Participants discussed their experiences of HPV/HRA as influenced by both their gender and sexuality, including unawareness of HPV disease as a male health issue, challenges relating to female-oriented HPV/HRA language, conception of HPV/HRA as related to prostate health, and connecting their sexual behavior identification as “bottoms” to their need for HRA. As efforts to improve HRA knowledge, access, and uptake among sexual and gender minority communities increase, special attention should be paid to language and messaging choices around HRA.

2020 ◽  
Author(s):  
James E Egan ◽  
Sabina A Haberlen ◽  
Steven Meanley ◽  
Deanna Ware ◽  
Andre L Brown ◽  
...  

BACKGROUND With the graying of sexual and gender minority communities and the growing number of people aged ≥50 years living with HIV, it is increasingly important to understand resilience in the context of the psychosocial aspects of aging and aging well. OBJECTIVE This paper aims to describe the methods and sample for the <i>Understanding Patterns of Healthy Aging Among Men Who Have Sex With Men</i> study<i>.</i> METHODS This observational cohort study was conducted within the Multisite AIDS Cohort Study (MACS) and was designed to explore resiliencies to explain patterns of health and illness among middle-aged and older sexual minority men. To be eligible, a participant had to be an active participant in the MACS, be at least 40 years of age as of April 1, 2016, and report any sex with another man since enrollment in the MACS. RESULTS Eligible participants (N=1318) completed six biannual surveys between April 2016 and April 2019. The mean age of the sample was 59.6 years (range 40-91 years). The sample was mostly White, educated, gay-identified, and included both HIV-positive (656/1318, 49.77%) and HIV-negative (662/1318, 50.23%) men. CONCLUSIONS Understanding resiliencies in aging is a critical springboard for the development of more holistic public health theories and interventions that support healthy aging among older sexual minority men. INTERNATIONAL REGISTERED REPORT RR1-10.2196/25750


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Meagan Zarwell ◽  
Jennifer L. Walsh ◽  
Katherine G. Quinn ◽  
Andréa Kaniuka ◽  
Alexandra Patton ◽  
...  

Abstract Background Social capital, the potential for individuals to access resources through group memberships, is linked to a constellation of health outcomes. We modified a previously evaluated Constructed Family Social Capital Scale for gay, bisexual and other men who have sex with men who belong to constructed families to create a new measure of social capital within sexual minority men and gender minority individuals’ social networks. Methods Participants were recruited from a Pride festival in Milwaukee, Wisconsin in 2018 to complete a cross-sectional survey. This analysis is restricted to 383 participants who identified as sexual minority men or gender minority individuals and completed nine items measuring social capital within their social networks. We conducted exploratory and confirmatory factor analyses to assess factor structure. Internal consistency was measured using Cronbach’s alpha. Results Reliability was high, indicating the scale’s utility to assess Network Social Capital among sexual minority men and gender minority individuals. A single-factor solution with high factor loadings was found for the nine-item scale. Conclusions This study extended the psychometric properties of a preliminary social capital instrument modified from a prior study in a different population and context. The modified measure has implications for use among sexual minority men and gender minority individuals to measure social capital within social networks. Previous studies suggest that interventions to enhance social capital among sexual minority men and gender minority individuals may be beneficial for HIV prevention interventions. This tool may be relevant for the evaluation of social capital interventions within networks of sexual minority men and gender minority individuals.


Author(s):  
Craig Rodriguez-Seijas ◽  
Charles L. Burton ◽  
John E. Pachankis

Sexual and gender minority individuals are at elevated risk of many adverse psychosocial health outcomes, including mood, anxiety, and substance use disorders, as well as suicidality and sexually transmitted infections. Despite greater utilization of mental health services, there remain few evidence-based approaches specifically tailored for sexual minority individuals and even fewer that are designed to explicitly address the multiple co-occurring conditions that afflict this group. This chapter describes one such approach, rooted in minority stress theory, that has been shown to empirically address the multitude of problematic outcomes and behaviors among sexual minority men and is currently being developed for sexual minority women. The chapter begins by describing the theoretical underpinnings of this therapeutic approach, subsequently providing a description of the major principles underlying this intervention. This chapter ends with an illustrative case example taken from the current clinical trials of this treatment program.


Author(s):  
Trevor A. Hart ◽  
Julia R. G. Vernon ◽  
Nathan Grant Smith

This chapter reviews sexual health HIV-prevention interventions for HIV-negative sexual minority men, focusing on interventions with empirical support with an emphasis on interventions with support from randomized controlled trials. Most interventions focus on condomless anal sex, with the goal of reducing HIV acquisition, although interventions vary in terms of format (individual, group, or online), target age and ethnicity, and outcomes. A much smaller literature exists for sexual health beyond preventing HIV. Research is needed to further test the efficacy and external validity of sexual health interventions, including with older men who have sex with men. Many of the interventions discussed in this chapter use techniques that are familiar to therapists who employ cognitive–behavioral therapy (CBT). There is also a need for further work that uses the therapeutic modalities employed by most mental health professionals who practice within an empirically supported therapy orientation, such as CBT, interpersonal therapy, or behavioral therapies.


2017 ◽  
Author(s):  
Aaron S. Breslow ◽  
Anthea Chan ◽  
Eric Arnold ◽  
Elizabeth Glaeser ◽  
Aysegul Yucel ◽  
...  

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