Study on Long-Term Care Service Awareness, Needs, and Usage Intention of Older Adult Male Homosexuals in Taiwan and Their Ideal Long-Term Care Service Model.

As the significance of long-term care services for older adults becomes more pronounced in Taiwan, especially considering the intensifying trend of an aging population, there remains a lack of comprehensive attention to the long-term care needs and experiences of older adult individuals within the LGBTQ+ community. The present study examines the long-term care service awareness, needs, and usage intention of older adult male homosexuals in Taiwan and assesses their ideal long-term care service model. This study of five older adult male homosexual subjects aged 66 to 73 years is intended as a preliminary exploration. Interviews were used to collect data. The study determined that the five subjects displayed high awareness of long-term care services, as they possessed actual experience of these services or had even participated in care service staff training to obtain certificates. Some even had experience in applying for home care services and reported problems during use. The subjects perceived that they were very likely to require long-term care services in the future and tended to opt for home care services if they required long-term support. Due to their personal experiences, the subjects displayed negative awareness of long-term care services and expressed worry that long-term care service staff harbored poor attitudes toward homosexuals. The subjects considered the most important aspects of long-term care to be basic medical care and lifestyle care. However, they worried that long-term care staff would delay or refuse to provide such services due to the subjects' sexual orientation or stereotypes related to it, and they were concerned above all about the "friendly attitude" of long-term care staff. They hoped that long-term care staff were friendly toward homosexuals and did not discriminate against them, feeling that it would be more appropriate for homosexual long-term care staff to provide assistance. In terms of vision, while preferring organizations with homosexual employees, the subjects worried that they would be stigmatized and discriminated against. Regarding ideal long-term care services, while considering institutions with homosexual staff to be ideal, the subjects also worried that these would be labeled as institutions that were dedicated to homosexuals, potentially resulting in discrimination. Therefore, they hoped that the sexuality sensitivity of long-term care staff could be improved and that they would undergo professional continuing education to learn about homosexuals, their situations, and care needs.

Os impactos da violência entre mulheres em relação íntima: uma revisão integrativa da literatura / The impacts of violence among women in intimate relationships: an integrative literature review

Resumo O objetivo é identificar impactos culturais, sociais e de saúde causadas pela violência na parceria íntima (VPI) em mulheres homoafetivas (MOH) e biafetivas (MOB). Estudo de revisão integrativa da literatura que buscou e analisou estudos indexados nas bases de dados PubMed e Lilacs, sendo considerados os idiomas: inglês, português e espanhol. O estudo buscou responder a seguinte pergunta de pesquisa: "Quais impactos a VPI traz para as MOB e MOH?". Foram encontrados 42 estudos e após aplicado os critérios de exclusão, 19 compuseram a amostra final. Os dados foram analisados a partir da metodologia de análise de conteúdo, modalidade análise temática de Bardin (2009). A análise na íntegra dos artigos revelou duas categorias: 1) A violência na parceria íntima e os impactos socioculturais; e 2) A violência na parceira íntima e os impactos na saúde. A vivência de situações de violência na parceria íntima entre mulheres homo e/ou biafetivas afeta suas dimensões socioculturais e de saúde, já que elas estão sob o viés da dupla vulnerabilidade: mulher em relações homo/biafetivas. Existe também invisibilidade do fenômeno nos serviços de saúde já que os profissionais não são formados para abordar as diferentes orientações sexuais entre mulheres e menos ainda as situações de violência advindas dessas relações.

Abstract The aim is to identify cultural, social and health impacts caused by intimate partner violence (IPV) in homoaffective (MOH) and biaffective (MOB) women. This is an integrative literature review that sought and analyzed studies indexed in the PubMed and Lilacs databases, considering the following languages. The study sought to answer the following research question: "What impacts does IPV bring to MOB and MOH?". Forty two studies were found and after applying the exclusion criteria, 19 went into the final sample. Data were analyzed using the content analysis methodology, Bardin's thematic analysis modality (2009). The full analysis of the articles revealed two categories: 1) Intimate partner violence and sociocultural impacts; and 2) Intimate partner violence and health impacts. The experience of situations of violence in intimate partnerships between homo and/or biaffective women affect their sociocultural and health dimensions, since they are under the bias of double vulnerability: women in homo/biaffective relationships. There is also an invisibility of the phenomenon in health services, since professionals are not trained to address the different sexual orientations among women and even less the situations of violence resulting from these relationships.

The Effect of Perceived Social Support on the Mental Health of Homosexuals: The Mediating Role of Self-Efficacy.

OBJECTIVE: The purpose of this study was to investigate the mental health of homosexual adults in China and to explore the effects of perceived social support and self-efficacy on mental health. METHODS: Two hundred and nine homosexuals were recruited to participate in the online survey. The Perceived Social Support Scale, General Self-efficacy Scale, Self-rating Anxiety Scale and Self-rating Depression Scale were completed through a questionnaire website. Correlation analysis and mediation analysis were used to investigate the relationship between perceived social support, self-efficacy and mental health of homosexuals. RESULTS: Description analysis showed the following: (1) In this study, 53.9% of the participants had depression symptoms and 46.7% had anxiety problems; (2) perceived social support, self-efficacy, anxiety and depression were significantly related to each other. The mediation effect analysis found that self-efficacy mediates between perceived social support and depression but does not mediate between perceived social support and anxiety. CONCLUSIONS: The results demonstrated that in the context of Chinese collectivist culture, homosexuals have certain mental health problems, and their perceived social support and self-efficacy are critical protective factors for mental health. Our findings highlight the need to further strengthen social support and self-efficacy in mental health services for Chinese homosexuals.

Comportamentos sexuais durante a pandemia da Covid-19: representações sociais de homens gays e heterossexuais

Objetivo. O presente artigo objetivou comparar as representações sociais (RS) entre grupos de homens gays e heterossexuais sobre os comportamentos sexuais face ao isolamento social decorrente da pandemia da Covid-19. Método. Participaram 200 homens (100 heterossexuais e 100 homossexuais), com médias de idade de 27,06 e 28,12, respectivamente. Utilizou-se um formulário sociodemográfico on-line e uma entrevista semiestruturada com duas perguntas disparadoras para apreensão das RS. Os dados foram analisados pelo software IRAMUTEQ. Resultados. Verificou-se similaridades em ambos os grupos quanto a vida sexual ativa e uso de tecnologias para Sexting e acesso a pornografia. Entretanto, os homossexuais divergem na estrutura representacional ao buscarem estas estratégias compensatórias em maior quantidade, em razão de relacionamentos com pouca duração e/ou pouca união estável. Conclui-se que o distanciamento físico desvela intercorrências heterogêneas à vida afetivo-sexual nessa nova realidade social.

Objective. This article aimed to compare the social representations between groups of gay and heterosexual men about sexual behavior as a result of social isolation from the Covid-19 pandemic. Method. 200 men participated (100 heterosexuals and 100 homosexuals) with average age of 27.06 and 28.12, respectively. A sociodemographic questionnaire was used for sample characterization and a semi-structured interview for the apprehension of SR, with data processed by the IRAMUTEQ software. Results. Similarities were found in both groups in terms of active sex life and the use of technologies for sexing and access to pornography. However, homosexuals diverge in the representational structure when seeking greater compensatory strategies for having more stable civic states. It is concluded that physical distance reveals heterogeneous intercurrences to affective-sexual life in this new social reality.

A comparative analysis on characteristics and mortalities of four key transmission populations on antiretroviral therapy: a retrospective cohort study in Northwest China.

BACKGROUND: This study explored disparities in characteristics and mortalities among four major transmission groups on antiretroviral therapy in northwest China as well as the survival impact of each transmission route. METHODS: We first examined disparities in demographics and clinical characteristics of the four transmission populations. Kaplan Meier analysis was subsequently conducted to compare survival rates among all groups. At last, Cox proportional hazards regression model was employed to analyze the survival impact of a transmission route among seven main categories of survival factors associated with all-cause mortalities. RESULTS: Survival analysis showed significant differences in all-cause, AIDS- and non-AIDS-related deaths among four HIV populations (all P < 0.05). Using homosexuals as the reference, Cox proportional hazards model further revealed that the risk of all-cause death for blood and plasma donors was significantly higher than that of the reference (aHR: 5.21, 95%CI: 1.54-17.67); the risk of non-AIDS-related death for heterosexuals (aHR: 2.07, 95%CI: 1.01-4.20) and that for blood and plasma donors (aHR: 19.81, 95%CI: 5.62-69.89) were both significantly higher than that of the reference. CONCLUSIONS: Significant disparities were found in characteristics and mortalities among the four transmission groups where mortality disparities were mainly due to non-AIDS-related death. Suggestions are provided for each group to improve their survivorship.

Perfil clínico e epidemiológico de homens que fazem sexo com homens vivendo com HIV/AIDS / Clinical and epidemiological profile of men who have sex with men with HIV/AIDS

Identificar o perfil clínico e epidemiológico de Homens que fazem Sexo com Homens (HSH) que vivem com HIV/Aids. Estudo transversal realizado com 67 HSH que vivem com HIV/Aids. A coleta de dados clínicos e sociodemográficos foi realizada a partir de prontuários clínicos de um serviço de saúde. A idade dos participantes variou de 18 a 64 anos, a maioria fazia uso regular da TARV, apresentou linfócitos T CD4+ inicial e atual <500 células/mm³, carga viral inicial <100.000 cópias/ ml e atual <50 cópias/ml. Foi observada uma diferença estatística entre pacientes que não faziam uso regular da TARV e os que faziam uso regular desta, pois os que faziam uso regular apresentaram menos infecções oportunistas (p=0,046). Pacientes que apresentaram T CD4+ inicial ≥500 células/mm3 tiveram menos comorbidades (p=0,007) e infecções oportunistas (p=0,003). Também, pacientes que apresentaram carga viral inicial<100.000 cópias/ml tiveram menos infecções oportunistas (p=0,021). As comorbidades (anemia, caquexia, diarreia, tabagismo e depressão), coinfecções (sífilis, HPV e hepatite B) e infecções oportunistas (candidose oral, dermatite persistente e tosse persistente) foram prevalentes em HSH com HIV. Também, foi observado que a TARV tem um efeito protetor importante em relação a proteção contra infecções oportunistas.

To identify the clinical and epidemiological profile of Men who have Sex with Men (MSM) living with HIV / AIDS. Cross-sectional study carried out with 67 MSM living with HIV / AIDS. The collection of clinical and sociodemographic data was performed from clinical records of a health service. The age of the participants varied from 18 to 64 years, most of them used ART regularly, had initial and current CD4 + T lymphocytes <500 cells / mm³, initial viral load <100,000 copies / ml and current <50 copies / ml. A statistical difference was observed between patients who did not use ART regularly and those who used it regularly, as those who used it regularly had fewer opportunistic infections (p = 0.046). Patients who had an initial CD4 + T ≥500 cells / mm3 had fewer comorbidities (p = 0.007) and opportunistic infections (p = 0.003). Also, patients who had an initial viral load <100,000 copies / ml had fewer opportunistic infections (p = 0.021). Comorbidities (anemia, cachexia, diarrhea, smoking and depression), co-infections (syphilis, HPV and hepatitis B) and opportunistic infections (oral candidiasis, persistent dermatitis and persistent cough) were prevalent in MSM with HIV. In addition, it was observed that ART has an important protective effect in relation to protection against opportunistic infections.

Are Benevolent Attitudes More Closely Related to Attitudes toward Homosexuals than Hostile Ones? Cases of Belarus, Kazakhstan, and Russia.

Previous studies have shown that ambivalent gender attitudes are associated with attitudes toward homosexuals. However, most of these studies have primarily considered ambivalent attitudes toward women and attitudes toward gay men, and have been carried out in countries with progressive laws regarding homosexuality. In this study, we examined the connection between ambivalent attitudes toward men and women and attitudes toward gay men and lesbian women in countries with conservative sexual legislation. In the first study, participants were residents of Russia (N = 163) and Kazakhstan (N = 194), while the second study used residents of Russia (N = 496) and Belarus (N = 123). Results indicated that benevolent attitudes predicted attitudes toward gays and lesbians better than the hostile ones. At the same time, attitudes toward men and women similarly predicted attitudes toward gays and lesbians. These patterns were manifested among different components of attitudes toward homosexuals. The results are discussed within the social context of the countries.

Predicting Social Support Exchanging Among Male Homosexuals Who are HIV-Positive in Social Media Context: The Role of Online Self-Disclosure.

This study investigated social support exchanges on social media among male homosexuals who are HIV-positive (MHHP) in China and explored how online self-disclosure relates to such activity. Analyses were based on 9,459 Weibo messages posted by 188 targeted users.Results showed that the informational and emotional support messages were prevalent in the Chinese context, and esteem social support was first found to be the most salient by the current investigation. Results of independent samples t-tests suggested that MHHP who engaged in significant self-disclosure on Weibo tended to have more frequent social support exchanges than those who did not. In particular, MHHP who expressed sex-seeking intentions and companionship seeking intentions were likely to post more supportive messages than those who did not express such intentions. Moreover, MHHP who disclosed their concerns over discrimination tended to post more emotional, informational, and esteem support messages than those who did not express discrimination concerns.

Perceived Stress Levels among Ukrainian Migrant and LGBT+ Minorities in Poland during the COVID-19 Pandemic.

The Coronavirus disease 2019 (COVID-19) pandemic, immigrant status and being a member of the LGBT+ community are all independent factors associated with increased stress levels. Few studies provide more complex analysis on this issue, and there has been no research on the cumulative burden of perceived stress that people belonging to both minorities experience in the current epidemiological situation. The aim of this study was to assess the ability to deal with an external situation during the third wave of the COVID-19 pandemic in Poland in the following groups with different stress levels (total sample n = 370): Polish heterosexual men (n = 202), heterosexual men from Ukraine (n = 131) and homo- and bisexual men (men who have sex with men-MSM) from Ukraine (n = 37). A Perceived Stress Scale (PSS-10) was used. The analysis of the survey did not show statistically significant differences between the three study groups in the general level of perceived stress (24.71, 24.77 and 26.49 points, respectively, p = 0.551), but it revealed numerous differences in coping with various aspects of everyday functioning between these groups. Negative assessment of one's own health proved to be the main factor negatively affecting the level of perceived stress, however specific health risks, medical history or the participants' previous experience have not been taken into account in the study. Our research shows differences in the needs, resources and methods of coping with stress between men who are Polish citizens and migrants from Ukraine, both heterosexual and belonging to the MSM group. Proper identification and addressing of these needs, taking into account different availability of health services, could be the responsibility of NGOs or insurance providers. This should result in the reduction of mental health burdens and the risk of developing serious mental disorders, and consequently in better functioning of persons belonging to minorities and in a reduced burden on the health care system.

Sexual behavior influence against HIV/AIDS in homosexuals at Palu City in 2020.

OBJECTIVE: The purpose of this study is to examine the sexual behavior relationship with HIV/AIDS on homosexuals in Palu City and its risk factors. METHOD: The study was held using a case-control with a retrospective study. The number of samples on the case-control group is 90 respondents with 1:1 comparison. Sampling techniques and data collection based on the medical record of VCT in Anutapura Hospital by using the questionnaire. The data is processed using the univariate analysis, bivariate analysis by using chi-square, and multivariate analysis by using logistic regression analysis. RESULTS: Based on bivariate analysis gained that there is a significant relationship of sexual behavior in homosexuals with HIV/AIDS in Palu City. Dependent variable is HIV/AIDS while the independent variable are the number of pairs p=0.004 (OR=12.6); Anal sex p=0.003 (OR=3.6); Oral ejaculation p=0.002 (OR=14.2); Oral sex-licking/rimming p=0.035 (OR=2.5); Fingering p=0.019 (OR=2.8); and interfemoral coitus p=0.011 (OR=3.0). Based on the modeling of multivariate logistic regression analysis obtained, dominant variables are the number of pairs, anal sex, and interfemoral coitus, so the most dominant variables are the number of pairs with OR=20.8. Homosexuals that have more than one couple do bareback sex, and interfemoral coitus have an estimated probability of HIV/AIDS in Palu City is 83.7%. CONCLUSION: There is a significant influence between sexual behavior against HIV/AIDS in homosexuals at Palu City in 2020.

Promoting Sexual Health Knowledge through a Social Workers' Mentorship Programme: A Study of Gay Young Adults.

Mentorship of counselling for men who have sex with other men and gay youths is understudied. The purpose of this study was to explore the effectiveness of how the Mentor Modelling Programme may increase the sexual health knowledge and practices of gay youths. As an expansion of a previous study with the application of the conceptual framework, this study mapped a sexual health promotion plan and the six-month-long Mentor Modelling Programme with the coordination of eight health and social care professionals and 40 gay youths. The researcher found positive and supportive feedback of how the Mentor Modelling Programme could increase sexual health knowledge, promote long-term relationships, and encourage referral of other vulnerable people. The results indicated two directions. The first solicited the perspectives of health and social care professionals and gay youths on how they would describe the relationship, application to, and experience of the Mentor Modelling Programme and second, assessed how this Mentor Modelling Programme influenced and changed the ideas and senses about counselling services and mentorship. This study reflected the current limited sexual promotion between traditional and inclusive sexual health materials. It further indicated the necessary concerns and areas of attention needed to upgrade the materials and host inclusive sexual health materials for both youths and adults in the communities.

Sexual behavior influence against HIV/AIDS in homosexuals at Palu City in 2020

Objective: The purpose of this study is to examine the sexual behavior relationship with HIV/AIDS on homosexuals in Palu City and its risk factors. Method: The study was held using a case-control with a retrospective study. The number of samples on the case–control group is 90 respondents with 1:1 comparison. Sampling techniques and data collection based on the medical record of VCT in Anutapura Hospital by using the questionnaire. The data is processed using the univariate analysis, bivariate analysis by using chi-square, and multivariate analysis by using logistic regression analysis. Results: Based on bivariate analysis gained that there is a significant relationship of sexual behavior in homosexuals with HIV/AIDS in Palu City. Dependent variable is HIV/AIDS while the independent variable are the number of pairs p = 0.004 (OR = 12.6); Anal sex p = 0.003 (OR = 3.6); Oral ejaculation p = 0.002 (OR = 14.2); Oral sex-licking/rimming p = 0.035 (OR = 2.5); Fingering p = 0.019 (OR = 2.8); and interfemoral coitus p = 0.011 (OR = 3.0). Based on the modeling of multivariate logistic regression analysis obtained, dominant variables are the number of pairs, anal sex, and interfemoral coitus, so the most dominant variables are the number of pairs with OR = 20.8. Homosexuals that have more than one couple do bareback sex, and interfemoral coitus have an estimated probability of HIV/AIDS in Palu City is 83.7%. Conclusion: There is a significant influence between sexual behavior against HIV/AIDS in homosexuals at Palu City in 2020. (AU)

Differences in substance use by sexual orientation and gender among Jewish young adults in Israel.

BACKGROUND: This study focuses on sexual orientation and gender-based differences among Israeli young adult substance use behaviors. In addition, it evaluates young adult perception of substance use and acceptance of substances use by close friends. METHODS: We conducted a cross-sectional study. A self-reported anonymous questionnaire was distributed to a convenience sample of 496 young-adults (age: M = 23.14, SD = 2.48), which included 126 heterosexual males, 128 heterosexual females, 131 gay men, and 111 lesbians. RESULTS: This study revealed significant sexual orientation and gender differences in all outcomes examined. Significant substance usage differences were found for same-sex orientation as 52% reported cannabis use and 24% reported using other illegal substances during the past 12 months compared to 34 and 6% (respectively) among heterosexuals. Significant gender differences were found, as male participants reported 50% cannabis use and 19% reported other illegal substance use in the past 12 months compared to 35 and 11% (respectively) among females. Additionally, compared with heterosexuals, gay men and lesbians perceived/assessed significantly higher substance usage rates among their close friends and higher levels of substance use acceptance by close friends. Regression models indicated the important role of respondent perceived and acceptance of substance use among close friends. Binge drinking, cannabis use, and other illegal substance use were positively associated with participants' perceived substance use and substance use acceptance level by close friends, after controlling for gender, sexual orientation, age, and level of education. CONCLUSIONS: Close friends and community norms can play an important role in shaping substance usage among young adults, especially among gay men and lesbians. The results of the current study highlight the need for developing prevention and harm reduction drug policies for Israeli young adults, especially for gay men and lesbians. Interventions should also focus on young adult peers and community norms related to substance use by professionals in educational, policy-making, and therapeutic contexts.

O desejo homossexual após a AIDS: uma análise sobre os critérios acionados por homens na busca por parceiros do mesmo sexo / Homosexual desire after AIDS: an analysis of the criteria adopted by men in the search for same sex partners

Resumo Este artigo analisa as mudanças e continuidades nos critérios de busca de parceiros por homens homossexuais a partir do impacto da epidemia de HIV-aids na cidade de São Paulo. Assim, compara dois momentos históricos distintos: entre 1979 e 1981 (pré-epidemia) e 2015 a 2017 (pós-epidemia). No primeiro período, a fonte incorporou 120 classificados recolhidos do jornal Lampião da Esquina e no segundo período, foram analisadas as preferências e os critérios acionados na busca por parceiros realizada com o uso de aplicativos geolocalizados, a partir de 120 perfis on-line. Os dados permitem afirmar que, já na virada da década de 1970 para a de 1980, existia a busca pelo "discreto" enquanto o pânico sexual criado em meio ao período mais mortal da epidemia de AIDS impulsionou o uso de Internet por homossexuais em busca de parceiros com menor probabilidade de estarem contaminados com o HIV, o "fora do meio (gay)". Desde então, a busca pelo "discreto e fora do meio" se consolidou moldando ideais corporais e de conduta que regem o atual mercado sexual on-line em que se insere parte dos homossexuais paulistanos.

Abstract This article analyzes changes and continuities in partner search criteria by homosexual men considering the impact of the HIV-AIDS epidemic in the city of São Paulo, Brazil. Thus, it compares two different historical moments: between 1979 and 1981 (pre-epidemic) and 2015 to 2017 (post-epidemic). In the first period, the source incorporated 120 classified ads collected from the Lampião da Esquina newspaper and in the second period, the preferences and criteria used to search for partners were analyzed using geolocalized applications, based on 120 online profiles. The data show that that between 1979-1981 the search for "discreet" partners took place, while the sexual panic created in the deadliest period of the AIDS epidemic boosted the use of the Internet in search of partners less likely to be infected with HIV, the "out of the (gay) scene". Since then, the search for "discreet and out of the (gay) scene" has consolidated itself by shaping the body's ideals and conduct that shape the current São Paulo online sex market in which part of the homosexuals take part.

Long-Term Care Preferences and Sexual Orientation: Protocol for a Systematic Review.

BACKGROUND: With increasing age, the health status of older individuals commonly deteriorates and their care needs greatly increase. Therefore, many individuals are in need for formal or informal long-term care. In order to plan suitable long-term care settings, it is important to know the long-term care preferences of an ageing population (both heterosexuals and sexual minorities). The aim of this study is to systematically review the literature for evidence on preferences regarding long-term care and the potential differences with regard to sexual orientation. Methods and analysis: This study protocol for a systematic review is reported according to the PRISMA-P guidelines. A comprehensive search of published studies will be conducted using PubMed, Web of Science and PsycINFO bibliographic databases. Following predefined inclusion criteria, two authors will screen the titles and abstracts of the studies independently. Afterwards, we will obtain and screen full-text articles of eligible studies using the predefined inclusion criteria. Discrepancies will be resolved by consensus or consultation with a third researcher. Data will be extracted and synthesised. Extracted data will be categorised based on study design, type of long-term care preferences and the group (sexual orientation) which is addressed. The quality of reporting of the studies included will be assessed.

HIV/AIDS in Japan: Route and Age of Infection that Shaped the Epidemics in 1987-2016.

In Japan, HIV infection is classified as "HIV" or "AIDS" depending upon whether the infection was detected before or after the development of AIDS. In male homosexuals, in the plot of the number of "AIDS" notified annually versus the that of "HIV" notified annually, the plot fell on a straight line with a slope close to 1. When the number of "HIV" no longer increased, that of "AIDS" also stopped increasing. The number of "HIV" notified in one region or age group was correlated with that of other regions or age groups, respectively. However, no such correlation was observed among male heterosexuals. "HIV" was detected more frequently among male homosexuals and females than among male heterosexuals. The rate of "AIDS" detection increased with age in all infection categories. Our analysis, supported by findings of other studies, suggested that the higher rate of "HIV" detection among male homosexuals and females was attributed to the increased risk of receptive sexual intercourse, while the higher rate of "AIDS" detection among the elderly people was attributed to immunological senescence.

Sexual Orientation as a Peripheral Cue in Advertising: Effects of Models' Sexual Orientation, Argument Strength, and Involvement on Responses to Magazine Ads.

This study examines how sexual orientation of couples featured in magazine advertisements affects heterosexual viewers' responses using the elaboration likelihood model as a framework. A 3 × 2 × 2 × 3 experiment tested effects of sexual orientation, argument strength, involvement, and attitudes toward homosexuality on heterosexuals' attitudes toward the couple, advertisement, brand, and product, purchase intentions, and recall. Results indicate that consumers were accepting of ads with lesbian portrayals. Participants showed more negative attitudes toward gay male portrayals, but attitudes toward heterosexual and lesbian ads were similar. This effect was moderated by participants' attitudes toward homosexuals. Low-involvement consumers showed more negative attitudes toward homosexual portrayals than toward heterosexual portrayals, indicating that sexual orientation may have served as a peripheral cue negatively impacting attitudes toward the couple and ad under low elaboration. These effects were not observed for attitudes toward the brand and product, purchase intentions, or recall.

Altered Vision in MSM Patient, Diagnosis of Ocular Syphilis in Primary Care: A Case Report

@#There is a concern in the emergent of sexually transmitted diseases and its complication with the increase in the prevalence of men who have sex with men (MSM). Ocular syphilis is one of the conditions that is associated with high-risk patients especially in patients already infected with human immunodeficiency virus (HIV). This case reports an MSM patient who was diagnosed with concurrent HIV and ocular syphilis infections. The report focuses on the clinical presentation of ocular syphilis in HIV infected patients and its management in primary care

"Getting to zero" HIV/AIDS requires effective addressing of HIV issues in LGBT community.

This communication is regarding the necessity to address the HIV-related needs of LGBTQIA+ community (Lesbian, Gay, Bisexual, Transgender/transsexual, Queer/Questioning, Intersex, Asexuality, and others) for attaining the 'GETTING TO ZERO' theme for zero new HIV infections, zero AIDS-related deaths and zero discrimination. Most of the times, prevention of HIV/AIDS is talked about in terms of faithfulness to one's partner, use of protective devices such as condoms, pre and post exposure prophylaxis, using anti-retroviral therapies and use of microbicides, behavior change etc. HIV-related issues are however, one of the pertinent issues that needs to be effectively addressed in the LGBTQIA+ community.

A Revelação da Homossexualidade na Família: Revisão Integrativa da Literatura Científica / La Revelación de la Homosexualidad en la Familia: Revisión Integra de la Literatura Científica / Revealing one's Homosexuality to the Family: An Integrative Review of the Scientific Literature

Resumo A revelação da homossexualidade (coming out) no contexto familiar é um tema ainda pouco investigado na literatura científica. O presente estudo teve por objetivo apresentar uma revisão integrativa da literatura científica a fim de compreender quais as repercussões da revelação da orientação sexual nas relações familiares de jovens adultos homossexuais. A partir das bases LILACS, MEDLINE, PePSIC, PsycINFO e SciELO (janeiro/2006-maio/2016), foram recuperados 38 artigos. Predominam estudos qualitativos com pessoas homossexuais, tanto com gays quanto com lésbicas, e outros que ressaltam o papel da família diante do coming out, o que permite conhecer e identificar questões ligadas ao processo de revelação ou ocultação da homossexualidade. Estudos também avaliam a participação e os sentimentos que acarretam a revelação nas famílias, sendo observado contextos em que os conflitos prevaleceram e outros nos quais houve acolhimento por parte dos entes. Também foram observados casos em que jovens buscaram a rede social como uma referência de apoio no processo de coming out. Nota-se a necessidade de novos estudos acerca da temática, ampliando a visibilidade desse processo.

Resumen La revelación de la homosexualidad (coming out) en el contexto familiar aun es un tema poco investigado en la literatura científica. El presente estudio tuvo por objetivo presentar una revisión integradora de la literatura científica a fin de comprender cuales son las repercusiones de la revelación de la orientación sexual en las relaciones familiares de jóvenes y adultos homosexuales. A partir de las bases LILACS, MEDLINE, PePSIC, PsycINFO y SciELO (enero/2006-mayo/2016), fueron recuperados 38 artículos. Predominan estudios cualitativos con los homosexuales. Los estudios también evalúan la participación de los sentimientos que conducen la revelación en las familias, siendo observados contextos en que los conflictos prevalecen y otros en los cuales hubo acogimiento por parte de los entes. También fueron observados casos en que los jóvenes buscaron la red social como una referencia de apoyo en el proceso de coming out. Se nota la necesidad de nuevos estudios acerca de la temática, ampliando la visibilidad de ese proceso.

Abstract Coming out in the family context is a subject that has not been widely investigated in the scientific literature. This study aimed to present an integrative review of the scientific literature to understand the repercussions of young adult homosexuals revealing their sexual orientation to their families. A total of 38 articles were retrieved from the LILACS, MEDLINE, PePSIC, PsycINFO and SciELO databases (January/2006-May/2016). Qualitative studies with homosexuals predominate, both with gays and lesbians, and others that highlight the role of the family in the coming out, which allows to know and identify issues related to the process of revelation or concealment of homosexuality. The studies also assessed the participation and feelings resulting from coming out to the family, with contexts in which conflicts prevailed observed and others in which there was acceptance by the family members. Cases in which young people turned to social networks as a support reference in the coming out process were also observed. There is a notable need for new studies on the theme, increasing the visibility of this process.