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1.
PLoS One ; 15(1): e0227331, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31899781

RESUMO

The aim of this study was to determine whether there are meaningful subgroups with different types of sexual risk behaviors among youth experiencing homelessness and examine the associations between potential classes and other risk variables. A latent class analysis was used to identify classes of youth according to sexual risk behaviors and sexual assault. A two-class solution was found to be the best fit for the data-Lower and Higher Risk groups. The Higher Risk class had significantly higher levels of synthetic marijuana and alcohol use, mental health diagnoses, and were more likely to have been tested for HIV than the Lower Risk group. Youth were more likely to be in the Higher Risk group if they were cisgender female or lesbian, gay, bisexual, or questioning (LGBQ). Nearly all youth (10/11) who reported having HIV infection were in the Higher Risk group. The Lower Risk group were sexually active but had lower rates of risk behaviors and sexual assault. Youth who were not sexually active had the lowest rates of marijuana and alcohol use as well as HIV testing. Health and social service providers should be aware of the added risks for stress, mental distress, mental health diagnoses, and substance use among youth who also report higher risk sexual behaviors and treat as needed.


Assuntos
Infecções por HIV/epidemiologia , Jovens em Situação de Rua , Comportamento Sexual/psicologia , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Adolescente , Adulto , Consumo de Bebidas Alcoólicas/efeitos adversos , Consumo de Bebidas Alcoólicas/psicologia , Sistema de Vigilância de Fator de Risco Comportamental , Bissexualidade/psicologia , Feminino , Infecções por HIV/psicologia , Infecções por HIV/virologia , Homossexualidade Feminina/psicologia , Humanos , Masculino , Programas de Rastreamento , Assunção de Riscos , Transtornos Relacionados ao Uso de Substâncias/psicologia , Adulto Jovem
2.
J Homosex ; 67(2): 189-205, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-30372375

RESUMO

Previous research has indicated that the sexual orientation of a sexual assault victim influences perceptions of blame. Although researchers have studied perceptions of blame toward straight and lesbian sexual assault victims, none have yet assessed perceptions of blame toward bisexual victims. The purpose of the current study is to examine perceptions of blame toward a female sexual assault victim and to determine whether the victim's sexual orientation impacts the level of attributed blame. Despite no previous research examining the impact of bisexuality on victim blaming, misconceptions that bisexual females are highly sexual, promiscuous, and untrustworthy make it likely that this population would be subject to greater levels of blame than either straight or lesbian victims. After random assignment to a vignette description of a sexual assault and completion of a victim-blaming questionnaire, results failed to support our hypotheses; participants did not blame the bisexual victim of sexual assault more than either the straight or lesbian victims. Further contrary to expected findings, males did not hold more blaming attitudes than females across conditions. Nonetheless, this study is important given the finding that attributions of blame influence whether sexual assault victims choose to disclose their assault, the failure of which can lead to negative mental health outcomes. Ultimately, the current study was a first step in understanding whether bisexual assault victims are evaluated differently than their straight and lesbian counterparts.


Assuntos
Vítimas de Crime/psicologia , Delitos Sexuais/psicologia , Comportamento Sexual/psicologia , Adulto , Atitude , Bissexualidade/psicologia , Revelação , Feminino , Homossexualidade Feminina/psicologia , Humanos , Percepção Social , Responsabilidade Social , Inquéritos e Questionários
3.
AIDS Behav ; 23(Suppl 3): 266-275, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31463712

RESUMO

Minority stress theory posits that homonegativity-whether experienced, anticipated, or internalized-adversely impacts health. We conducted qualitative interviews with 28 YB-GBMSM living with HIV to explore manifestations of homonegativity over the life course. Thematic analysis identified patterns in the ways that homonegativity was discussed at different points in participants' lives. Stifling, and sometimes traumatic, familial and religious environments led to experienced homonegativity early in life. These experiences led to anticipated and internalized homonegativity, which in turn shaped sexual identity formation processes in adolescence and into young adulthood. Ultimately, many participants distanced themselves from home environments, seeking and often finding extrafamilial support. Most participants eventually reached self-acceptance of both their sexuality and HIV status. In conclusion, experienced, anticipated and internalized homonegativity were pervasive as YB-GBMSM navigated family and religious environments over the life course. Future interventions should work with youth, families, and churches to prevent these harmful experiences.


Assuntos
Afro-Americanos/psicologia , Grupo com Ancestrais do Continente Africano/psicologia , Bissexualidade/etnologia , Infecções por HIV/diagnóstico , Homossexualidade Masculina/etnologia , Adolescente , Adulto , Grupo com Ancestrais do Continente Africano/etnologia , Bissexualidade/psicologia , Georgia/epidemiologia , Infecções por HIV/etnologia , Infecções por HIV/psicologia , Homossexualidade Masculina/psicologia , Humanos , Entrevistas como Assunto , Masculino , Grupos Minoritários , Pesquisa Qualitativa , Comportamento Sexual , Minorias Sexuais e de Gênero/psicologia , Adulto Jovem
4.
J Youth Adolesc ; 48(10): 1938-1951, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31446586

RESUMO

Sexual/gender minority (Sexual/gender minority people are also referred to as Lesbian, Gay, Bisexual, Transgender, Queer) youth are more likely than cisgender heterosexual youth to exhibit depressive symptoms and be victimized. School climate research indicates that the presence of a Gay-Straight Alliance (a Gay-Straight Alliance or Gender-Sexuality Alliance is also referred to as a GSA and is a youth group to support sexual/gender minority youth), a supportive school climate, and seeking help from teachers are associated with more positive mental health outcomes; however, they are not typically measured together. This study uses a survey that measures all four measures of school environment with a national sample of 240 sexual/gender minority high school students ages 14-18 (mean age 15.77) where 53% of participants had a Gay-Straight Alliance in their school. The sample is 53% cisgender, 100% sexual minority and 62% white. Adjusting for demographics and presence of a Gay-Straight Alliance, fewer depressive symptoms were associated with lower help-seeking intentions for suicidal thoughts. The presence of Gay-Straight Alliance was not statistically associated with past-month help-seeking intentions or behaviors. Additionally, a more supportive school climate was associated with lower anxiety and depressive symptoms. However, the presence of a Gay-Straight Alliance was not statistically associated with anxiety or depressive symptoms. These findings suggest that a supportive school climate and supportive school personnel may be important for supporting the mental health of sexual/gender minority students.


Assuntos
Vítimas de Crime/psicologia , Saúde Mental/estatística & dados numéricos , Preconceito/psicologia , Minorias Sexuais e de Gênero/psicologia , Sexualidade/psicologia , Adolescente , Saúde do Adolescente , Bissexualidade/psicologia , Bullying/estatística & dados numéricos , Feminino , Heterossexualidade/psicologia , Humanos , Masculino , Instituições Acadêmicas , Comportamento Sexual/psicologia , Estudantes/psicologia
5.
Body Image ; 30: 145-149, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31323438

RESUMO

This cross-sectional study explored similarities and differences between heterosexual, bisexual, and lesbian women in levels of, and relationships between, the following constructs using a Tripartite Influence Model framework: family, peer, and media appearance pressures, thin- and muscular-ideal internalization, and eating disorder (ED) pathology. Self-identified heterosexual (n = 1,528), bisexual (n = 89), and lesbian (n = 278) undergraduate women completed the Sociocultural Attitudes Towards Appearance Questionnaire-4 and the Eating Disorder Examination-Questionnaire. Sexual orientation differences in appearance pressures, appearance-ideal internalization, and ED pathology were examined via analysis of variance tests. Relationships between these variables were examined with multi-group path analyses, controlling for age, race/ethnicity, and body mass index. Compared with lesbian women, heterosexual and bisexual women reported higher levels of peer appearance pressures. Paths from peer appearance pressures and thin-ideal internalization to shape/weight overvaluation and body dissatisfaction were strongest for bisexual women. Overall, results indicate notable similarities between heterosexual, bisexual, and lesbian women. However, preliminary evidence for potential differences highlights the importance of examining variation in ED risk between sexual minority subgroups.


Assuntos
Bissexualidade/psicologia , Imagem Corporal/psicologia , Heterossexualidade/psicologia , Homossexualidade Feminina/psicologia , Modelos Psicológicos , Minorias Sexuais e de Gênero/psicologia , Estudos Transversais , Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Feminino , Humanos , Motivação , Grupo Associado , Infuência dos Pares , Estudantes , Inquéritos e Questionários
6.
BMC Cancer ; 19(1): 678, 2019 Jul 10.
Artigo em Inglês | MEDLINE | ID: mdl-31291940

RESUMO

BACKGROUND: The literature on sexual orientation disclosure is arguably one of the most developed in the field of lesbian, gay and bisexual (LGB) people in healthcare in English speaking countries however, relatively little research has been conducted into disclosure in cancer care. Studies have been mainly undertaken in primary care where distinct circumstances pertain and where the benefits of disclosure include obtaining appropriate health information, treatment advice and avoiding misdiagnosis. METHODS: We conducted an in-depth qualitative study primarily recruiting patients through oncology care in hospital settings and through LGB community cancer support groups. Data were gathered through semi-structured interviews with 30 LGB patients with different cancer types. RESULTS: Data were analysed using thematic analysis and interpreted and interrogated through salutogenesis theory which offers a useful lens through which to consider the health promoting effects of sexual orientation disclosure in cancer care. We present three themes as part of the analysis: Authenticity as a driver for disclosure in cancer care, Partners as a (potential) salutogenic resource and Creating safe, healing environments conducive to disclosure. The findings are reported and discussed in relation to three inter-related concepts from current salutogenesis theorising including a sense of coherence, generalised resistance resources and healing environments which can facilitate sexual orientation disclosure. CONCLUSION: Our findings enable a more nuanced approach to understanding disclosure in this context. This study contributes to the literature through its articulation of the salutogenic potential of disclosure (if responded to appropriately) for LGB patients as individuals, in relationship to their partners or carers and the role of creating a visible healing-oriented optimal environment to promote quality of life and recovery.


Assuntos
Bissexualidade/psicologia , Revelação , Homossexualidade Feminina/psicologia , Homossexualidade Masculina/psicologia , Neoplasias/terapia , Senso de Coerência , Minorias Sexuais e de Gênero/psicologia , Adulto , Idoso , Atitude do Pessoal de Saúde , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Atenção Primária à Saúde , Relações Profissional-Paciente , Pesquisa Qualitativa , Qualidade de Vida , Comportamento Sexual , Parceiros Sexuais/psicologia , Adulto Jovem
7.
Cien Saude Colet ; 24(5): 1669-1678, 2019 May 30.
Artigo em Inglês | MEDLINE | ID: mdl-31166502

RESUMO

Bisexuality is the sexual, romantic, emotional and physical attraction that a person experiments for both of the biological sexes (men and women). Since the Venezuelan society is built under a heteronormative paradigm sometimes is considered that those sexualities, that drift apart from the social reality, are not comprehended thus generating a reject. Therefore, we conducted a study that was titled "Construction of Bisexual Identity in Venezuelan Adults: 'It is Not a transition, I Just Simply Am Like That'" that had as a general objective the understanding of the bisexual identity in Venezuelan adults. This article contemplates one dimension of this major project degree. In-depths interviews were carried out to willing participants and the obtained data were analyzed with the constant comparative method following an emerging design. Among the results four major categories were described, however, in this article we will be only focusing on the development of the bisexual identity.


Assuntos
Bissexualidade/psicologia , Minorias Sexuais e de Gênero/psicologia , Adulto , Feminino , Humanos , Entrevistas como Assunto , Masculino , Venezuela , Adulto Jovem
8.
BMC Public Health ; 19(1): 772, 2019 Jun 17.
Artigo em Inglês | MEDLINE | ID: mdl-31208391

RESUMO

BACKGROUND: Researchers and activists have long called for changes to blood donation policies to end what is frequently framed as unjustified bans or deferral periods for men who have sex with men (MSM). Since 2016, in Canada, a man had to be abstinent from all sexual contact (anal or oral sex) with other men for at least 12 months in order to be an eligible blood donor. As of June 3, 2019, this deferral period was reduced to 3 months. METHODS: To better understand the acceptance of existing deferral policies and possible future policy, we conducted 47 in-depth interviews with a demographically diverse sample of gay, bisexual, queer, and other men who have sex with men (GBM) in Canada's three largest cities: Vancouver, (n = 17), Toronto (n = 15), and Montreal (n = 15). Interviews were coded in NVivo 11 following an inductive thematic analysis. We focus on men's preferred policy directions and their opinions about a policy change proposed by Canada's blood operators: a 3-month deferral for all sexual activity between men. We interviewed GBM approximately one-year before this new deferral policy was approved by Health Canada. RESULTS: Most participants were opposed to any deferral period in relation to MSM-specific sexual activity. A fair and safe policy was one that was the "same for everyone" and included screening for several risk factors during the blood donation process with no categorical exclusion of all sexually active MSM. Participants believed that multiple "gender blind" and HIV testing-related strategies could be integrated into the blood donation process. These preferences for a move away from MSM-specific exclusions aligned with their opinions concerning the possible change to a 3-month MSM deferral, for which participants shared three overarching perspectives: (1) step in the right direction; (2) ambivalence and uncertainty; and (3) not an improvement. CONCLUSION: A predominant assertion was that a change from a 12-month to a 3-month deferral period would not resolve the fundamental issues of fairness and equity affecting blood screening practices for GBM in Canada. Many participants believed that blood donation policy should be based on more up-to-date scientific evidence concerning risk factor assessment and HIV testing.


Assuntos
Bissexualidade/psicologia , Doadores de Sangue , Homossexualidade Masculina/psicologia , Políticas , Adulto , Bissexualidade/estatística & dados numéricos , Canadá , Infecções por HIV/prevenção & controle , Homossexualidade Masculina/estatística & dados numéricos , Humanos , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa , Fatores de Risco , Inquéritos e Questionários , Adulto Jovem
9.
PLoS One ; 14(5): e0216497, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31075153

RESUMO

OBJECTIVE: To examine cross-sectional and prospective associations between perceived discrimination in daily life (based on a range of attributes), sexual orientation discrimination, and health and wellbeing in middle-aged and older lesbian, gay and bisexual (LGB) people. METHODS: Data were from 304 LGB men and women aged 41-85 years participating in the English Longitudinal Study of Ageing. Perceived discrimination in daily life was reported in 2010/11. Participants could attribute their discrimination experience to characteristics including age, sex, race, physical disability, and sexual orientation. Self-rated health, limiting long-standing illness, depressive symptoms, quality of life, life satisfaction and loneliness were assessed in 2010/11 and 2016/17. Analyses adjusted for age, sex, ethnicity, partnership status and socioeconomic position. RESULTS: Perceived discrimination in daily life was reported by 144 (47.4%) participants. Cross-sectionally, perceived discrimination in daily life was associated with increased odds of depressive symptoms (OR = 2.30, 95% CI 1.02 to 5.21), loneliness (OR = 3.37, 95% CI 1.60 to 7.10) and lower quality of life (B = -3.31, 95% CI -5.49 to -1.12). Prospectively, perceived discrimination in daily life was associated with increased odds of loneliness (OR = 3.12, 95% CI 1.08 to 8.99) and lower quality of life (B = -2.08, 95% CI -3.85 to -0.31) and life satisfaction (B = -1.92, 95% CI -3.44 to -0.39) over six-year follow-up. Effect sizes were consistently larger for participants who attributed experiences of discrimination to their sexual orientation compared with those who attributed experiences of discrimination to other reasons (e.g. age, sex, race). CONCLUSION: These results provide cross-sectional and prospective evidence of associations between perceived discrimination in daily life and health and wellbeing outcomes in middle-aged and older LGB adults in England.


Assuntos
Bissexualidade/psicologia , Depressão/epidemiologia , Homossexualidade Feminina/psicologia , Homossexualidade Masculina/psicologia , Qualidade de Vida/psicologia , Sexismo/estatística & dados numéricos , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Feminino , Humanos , Solidão , Estudos Longitudinais , Masculino , Saúde Mental , Pessoa de Meia-Idade , Estudos Prospectivos , Sexismo/psicologia
10.
AIDS Behav ; 23(Suppl 3): 251-265, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31102108

RESUMO

Cognitive-psychosocial and other factors may affect participation in HIV testing, particularly by Hispanic/Latino gay, bisexual, and other men who have sex with men (MSM) in the U.S. South, a region hard-hit by HIV. We used univariate and multivariable logistic regression analyses to examine the association between social support and other cognitive-psychosocial factors; sociodemographic characteristics; risk behaviors; and self-reported HIV testing in a sample of 304 Hispanic/Latino MSM in North Carolina. In the multivariable logistic regression analysis, general and HIV-related social support and HIV-related knowledge were associated with greater odds of testing; speaking only Spanish was associated with reduced odds of testing. Social support and aspects of social connectedness may constitute community-based resources for use in HIV prevention efforts with Hispanic/Latino MSM. However, harnessing these resources for HIV prevention will require a better understanding of how social support relationships and processes shape HIV risks and protective actions by these vulnerable MSM.


Assuntos
Infecções por HIV/diagnóstico , Infecções por HIV/prevenção & controle , Hispano-Americanos/psicologia , Programas de Rastreamento/métodos , Parceiros Sexuais/psicologia , Apoio Social , Adulto , Bissexualidade/etnologia , Bissexualidade/psicologia , Infecções por HIV/etnologia , Hispano-Americanos/estatística & dados numéricos , Homossexualidade Masculina/etnologia , Homossexualidade Masculina/psicologia , Homossexualidade Masculina/estatística & dados numéricos , Humanos , Masculino , North Carolina , Assunção de Riscos , Testes Sorológicos , Comportamento Sexual , Rede Social , Adulto Jovem
11.
AIDS Patient Care STDS ; 33(6): 253-261, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-31094576

RESUMO

Data indicate that diffusion of pre-exposure prophylaxis (PrEP) programs for HIV prevention is increasing in the United States; however, persistent disparities in PrEP access remain. Earlier waves of PrEP implementation focused on development (2012-2015) and diffusion (2016-2018). To reduce disparities, the next wave of PrEP implementation should focus on integration; that is, the assimilation of PrEP service as an integral part of HIV prevention, sexual health, and primary care. This review analyzes PrEP implementation literature in the context of three "next-wave" challenges: increasing patient demand, enhancing provider investment and competency, and improving health systems capacity. Our review revealed five activities we consider critical to successful next-wave PrEP implementation efforts: (1) redefining PrEP eligibility assessment, (2) de-emphasizing risk perception as a strategy to increase demand, (3) rejecting risk compensation arguments, (4) altering guidelines to make PrEP follow-up less onerous, and (5) focusing directly on strategies to reduce the cost of PrEP medication. This article ends with a case study of a research-practice partnership designed to instantiate new approaches to integrative implementation efforts.


Assuntos
Fármacos Anti-HIV/administração & dosagem , Bissexualidade/psicologia , Infecções por HIV/prevenção & controle , Homossexualidade Masculina/psicologia , Profilaxia Pré-Exposição/métodos , Adulto , Fármacos Anti-HIV/uso terapêutico , Feminino , Infecções por HIV/tratamento farmacológico , Humanos , Masculino , Comportamento Sexual , Saúde Sexual , Estados Unidos
12.
Aust N Z J Public Health ; 43(5): 419-423, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31141274

RESUMO

OBJECTIVE: PRONTO!, a peer-led rapid HIV-testing service in Melbourne, Australia, opened to improve HIV testing among gay and bisexual men (GBM). We compared client characteristics and return testing among GBM testing at PRONTO! with GBM testing at Melbourne Sexual Health Centre (MSHC). METHODS: All GBM attending PRONTO! and MSHC for HIV testing between August 2013 and April 2016 were included. We describe the number of tests, percentage of clients who returned during follow-up, the mean number of tests and median time between tests at the two services. RESULTS: At PRONTO!, 33% of 3,102 GBM and at MSHC 50% of 9,836 GBM returned for a further HIV test at least once. The mean number of tests per client was 1.7 and 2.5 at PRONTO! and MSHC (p<0.01), respectively. A majority of clients at both services reported behaviours that would recommend up to quarterly testing, however, the median time between tests was 20.0 and 17.0 weeks at PRONTO! and MSHC (p<0.01), respectively. CONCLUSIONS: A greater proportion of clients returned and returned frequently at MSHC compared to PRONTO!, however, at both services HIV testing frequency was suboptimal. Implications for public health: Novel HIV testing services should provide convenient and comprehensive sexual health services.


Assuntos
Bissexualidade/estatística & dados numéricos , Infecções por HIV/diagnóstico , Homossexualidade Masculina/estatística & dados numéricos , Programas de Rastreamento/estatística & dados numéricos , Sorodiagnóstico da AIDS , Adulto , Austrália , Bissexualidade/psicologia , Serviços de Saúde Comunitária , Feminino , Infecções por HIV/epidemiologia , Infecções por HIV/prevenção & controle , Homossexualidade Masculina/psicologia , Humanos , Masculino , Programas de Rastreamento/métodos , Estudos Retrospectivos , Minorias Sexuais e de Gênero
13.
Evol Psychol ; 17(2): 1474704919843892, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30983395

RESUMO

There is accumulating evidence that heterosexual men exhibit tolerance to their partners' same-sex infidelity. The current study examined such tolerance in the Chinese ( N = 949) and the British ( N = 305) cultural contexts. Consistent with the predictions derived from an evolutionary framework, across different cultural settings, men exhibited higher tolerance than women to their partners' same-sex infidelity. In addition, if they had to choose, men were considerably more likely than women to prefer their partners to cheat with an individual of the same than of the opposite sex. Participants were also more tolerant of infidelity involving their short-term than their long-term partners. Moreover, men who preferred same-sex attraction in women were more tolerant to the same-sex infidelity of their female partners than men who did not share these preferences. Finally, men and women who experienced same-sex attractions indicated higher tolerance to infidelity. The implications of these finding for the evolution of same-sex attraction in women were further discussed.


Assuntos
Bissexualidade/psicologia , Relações Extramatrimoniais/psicologia , Heterossexualidade/psicologia , Parceiros Sexuais/psicologia , Adulto , China , Comparação Transcultural , Feminino , Humanos , Masculino , Reino Unido , Adulto Jovem
15.
J Appl Psychol ; 104(10): 1266-1282, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-30985158

RESUMO

This study examined affect as it relates to the identity management (IM) experiences of lesbian, gay, and bisexual (LGB) workers. We integrate IM theories and evidence (Chaudoir & Fisher, 2010; Pachankis, 2007) within the framework of affective events theory (Weiss & Cropanzano, 1996) to predict relationships among mood, identity management, and emotion at work. LGB participants rated aspects of positive and negative affect each work morning and immediately following IM situations at work over 3 weeks, making it possible to examine within-person changes and next-day consequences of IM. Our results provided little support for the notion that LGB workers' IM behaviors are driven by affect. However, there do appear to be affective consequences of IM behaviors. After concealment, participants experienced diminished positive affect and increased negative affect; in contrast, revealing was associated with increased positive affect and diminished negative affect. Additionally, these immediate affective consequences of identity management continued into the following day for some facets of affect. We examine these findings as they relate to the identity management and affect literatures, thereby building new insights into their intersections. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Assuntos
Afeto/fisiologia , Bissexualidade/psicologia , Homossexualidade/psicologia , Minorias Sexuais e de Gênero/psicologia , Estigma Social , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
16.
J Acquir Immune Defic Syndr ; 81(4): 419-428, 2019 08 01.
Artigo em Inglês | MEDLINE | ID: mdl-30985555

RESUMO

BACKGROUND: Epidemiology research is limited on the characteristics of HIV pre-exposure prophylaxis (PrEP) using couples. SETTING: US nationwide sample recruited online in 2017. METHODS: HIV negative/unknown gay, bisexual, and other men who have sex with men with HIV negative/unknown partners (n = 3140) were asked about individual and main partner PrEP uptake. Men were coded into the following 5 groups: (1) neither participant nor partner on PrEP, (2) partner only on PrEP, (3) participant only on PrEP, (4) both on PrEP, and (5) unknown partner PrEP use. We examined associations of demographics, relationship factors, condomless anal sex (CAS) with main and causal partners, bacterial sexually transmitted infection diagnoses, and sexual positioning with reported dyadic PrEP use using fully adjusted multinomial logistic regressions. RESULTS: PrEP use was 3.2% for the partner only, 5.7% for the participant only, and 4.9% for both the participant and partner; 5.6% reported not knowing their partner's PrEP use status. Men who reported any CAS with their main partner or any CAS with male casual partners were both more likely to be classified in the dyadic PrEP use group compared with the neither on PrEP group. Compared with monogamous, men in open arrangements were more likely to be classified in each of the 3 PrEP groups compared with the neither on PrEP group. Six-month bacterial sexually transmitted infection prevalence was 2.8%, 8.1%, 8.3%, 15.6%, and 4.0% for the 5 groups, respectively. CONCLUSIONS: PrEP use occurred during times of higher risk behavior engagement, but further efforts are needed to expand PrEP use to more partnered gay, bisexual, and other men who have sex with men.


Assuntos
Infecções por HIV/epidemiologia , Infecções por HIV/prevenção & controle , Homossexualidade Masculina/psicologia , Homossexualidade Masculina/estatística & dados numéricos , Profilaxia Pré-Exposição/estatística & dados numéricos , Comportamento Sexual/psicologia , Comportamento Sexual/estatística & dados numéricos , Bissexualidade/psicologia , Bissexualidade/estatística & dados numéricos , Feminino , Infecções por HIV/psicologia , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Prevalência , Assunção de Riscos , Sexo Seguro , Parceiros Sexuais/psicologia , Minorias Sexuais e de Gênero , Doenças Sexualmente Transmissíveis/epidemiologia , Doenças Sexualmente Transmissíveis/prevenção & controle , Inquéritos e Questionários , Estados Unidos
17.
Cyberpsychol Behav Soc Netw ; 22(5): 315-324, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30896972

RESUMO

To examine the associations of adolescent sexual orientation with cyber behaviors and health indicators 5 years later during young adulthood and test whether cyber behaviors contribute to sexual orientation health disparities. Data were drawn from Waves 2 and 7 from the NEXT Generational Health Study, a nationally representative cohort of U.S. adolescents (n = 2012). Multiple linear regressions were used to examine differences between sexual orientation subgroups (defined based on sexual attraction) in five cyber behaviors and five health indicators. Mediation analyses were conducted to examine whether cyber behaviors mediated the associations between bisexual attraction and health indicators. Relative to heterosexual peers, bisexual youth spent more time engaging in cyber behaviors and social media, and reported more psychosomatic symptoms and poorer general health. Gay and questioning males spent less time playing video games than heterosexual males. Bisexual females reported more depressive symptoms and less optimism and happiness than heterosexual females. Time spent on cyber behaviors and social media was a significant mediator of adolescent bisexual attraction and worse health outcomes in young adulthood. Frequency of cyber behaviors differed between sexual minority subgroups. Bisexual youth in particular had more psychosomatic symptoms and poorer general health. Engagement in cyber behaviors and social media use contributed to increased health disparities among bisexual youth.


Assuntos
Disparidades nos Níveis de Saúde , Indicadores Básicos de Saúde , Heterossexualidade/estatística & dados numéricos , Minorias Sexuais e de Gênero/estatística & dados numéricos , Mídias Sociais/estatística & dados numéricos , Adolescente , Adulto , Bissexualidade/psicologia , Bissexualidade/estatística & dados numéricos , Estudos de Coortes , Feminino , Heterossexualidade/psicologia , Humanos , Modelos Lineares , Masculino , Minorias Sexuais e de Gênero/psicologia , Estados Unidos , Adulto Jovem
18.
AIDS Educ Prev ; 31(2): 127-135, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30917015

RESUMO

As a prevention strategy, HIV pre-exposure prophylaxis (PrEP) may benefit men who participate in group sex, but little is known about PrEP among this group internationally and virtually nothing is known of the European context. This study used an online survey of gay men living in Paris, France to assess associations between group sex and awareness of, use and interest in PrEP in its once-daily, episodic, injectable, and microbicidal forms. Men reporting recent (within 3 months) condomless group sex were much more likely to report once-daily PrEP use than men with no group sex experience (41.5% vs 7.7%, p < .001). Uptake was similarly low among men who had group sex with condoms (8.0%) and those with less-recent experience (6.43%). Overall, willingness to use PrEP-including its non-daily forms-was high among men reporting group sex, suggesting opportunities for outreach and implementation.


Assuntos
Bissexualidade/psicologia , Preservativos/estatística & dados numéricos , Infecções por HIV/prevenção & controle , Conhecimentos, Atitudes e Prática em Saúde , Homossexualidade Masculina/psicologia , Profilaxia Pré-Exposição/estatística & dados numéricos , Sexo sem Proteção/estatística & dados numéricos , Adulto , Bissexualidade/estatística & dados numéricos , Estudos Transversais , França , Infecções por HIV/epidemiologia , Infecções por HIV/psicologia , Homossexualidade Masculina/estatística & dados numéricos , Humanos , Internet , Masculino , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Comportamento Sexual/psicologia , Comportamento Sexual/estatística & dados numéricos , Parceiros Sexuais/psicologia , Inquéritos e Questionários , Sexo sem Proteção/psicologia , Adulto Jovem
19.
AIDS Behav ; 23(10): 2694-2705, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-30820849

RESUMO

Men who have sex with men and women (MSMW), including those who are Black, experience HIV-related disparities compared to men who have sex with men only (MSMO). Few studies have assessed the prevalence and correlates of pre-exposure prophylaxis (PrEP) awareness and use among Black MSMW. We recruited MSM ≥ 18 attending Black Gay Pride events between 2014-2017. We conducted multivariable logistic regressions to assess differences in PrEP awareness and use among HIV-negative Black MSM (n = 2398) and within Black MSMW (n = 419). MSMW were less likely than MSMO to report PrEP awareness (p < 0.001). Among PrEP-aware MSM, MSMW were more likely than MSMO to report PrEP use (p < 0.05). MSMW receiving gay community support were more likely to be PrEP-aware (p < 0.01). MSMW reporting any past-year STI diagnoses were more likely to report PrEP use (p < 0.01). Findings suggest that PrEP awareness campaigns tailored for Black MSMW, concomitant with STI-to-PrEP interventions, will facilitate greater PrEP uptake in this population.


Assuntos
Grupo com Ancestrais do Continente Africano/estatística & dados numéricos , Fármacos Anti-HIV/administração & dosagem , Bissexualidade/etnologia , Infecções por HIV/prevenção & controle , Conhecimentos, Atitudes e Prática em Saúde/etnologia , Disparidades em Assistência à Saúde/etnologia , Homossexualidade Masculina/etnologia , Profilaxia Pré-Exposição/estatística & dados numéricos , Adolescente , Adulto , Afro-Americanos/psicologia , Afro-Americanos/estatística & dados numéricos , Grupo com Ancestrais do Continente Africano/psicologia , Conscientização , Bissexualidade/psicologia , Bissexualidade/estatística & dados numéricos , Estudos Transversais , Feminino , Infecções por HIV/etnologia , Homossexualidade Masculina/psicologia , Homossexualidade Masculina/estatística & dados numéricos , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Estados Unidos/epidemiologia , Adulto Jovem
20.
PLoS One ; 14(2): e0213015, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30818330

RESUMO

This study examined factors related to the quality of life (QOL) of gay and bisexual men during emerging adulthood in Taiwan. The factors included traditional harassment (e.g., verbal ridicule, relational exclusion, physical aggression, and theft of belongings), cyber harassment, sex- and gender-related factors (e.g., sexual orientation, age at initial identification of sexual orientation, self-reported level of gender nonconformity, and perceived social acceptance toward homosexuality and bisexuality), and demographic characteristics. In total, 305 Taiwanese gay and bisexual men, aged 20-25 years, were recruited. Their QOL, traditional harassment, and cyber harassment data were collected using the World Health Organization Questionnaire on Quality of Life: Short Form, School Bullying Experience Questionnaire, and Cyberbullying Experiences Questionnaire, respectively. In total, 60.3%, 34.4%, 28.2%, and 29.5% of the participants reported experiencing traditional harassment, cyber harassment, traditional harassment across multiple contexts, and harassment in multiple forms, respectively. Both traditional and cyber harassment were significantly associated with lower QOL. Individuals who experienced traditional harassment across multiple contexts and harassment in multiple forms had lower QOL in nearly all domains than did individuals who had experienced traditional harassment in a single context and harassment of a single form. However, the QOL did not significantly differ between individuals who had experienced traditional harassment in a single context and nonvictims nor between individuals who had experienced harassment of a single form and nonvictims. Lower education level, older age at initial identification of sexual orientation, higher perception of gender nonconformity, and lower perceived social acceptance toward homosexuality and bisexuality were significantly associated with lower QOL. Clinical and public health professionals should consider these factors when developing programs to enhance the QOL of gay and bisexual men.


Assuntos
Bissexualidade/psicologia , Homossexualidade Masculina/psicologia , Assédio Sexual/psicologia , Minorias Sexuais e de Gênero/psicologia , Adulto , Bullying/psicologia , Vítimas de Crime/psicologia , Cyberbullying/psicologia , Humanos , Masculino , Qualidade de Vida , Inquéritos e Questionários , Taiwan , Adulto Jovem
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