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https://www.readbyqxmd.com/read/29665492/sex-and-orientation-identity-matter-in-the-substance-use-behaviors-of-sexual-minority-adolescents-in-the-united-states
#1
Theodore L Caputi
BACKGROUND: Health sciences researchers are beginning to understand the differing experiences and health risks among sexual minority subgroups (i.e., those who describe themselves as homosexual/gay/lesbian, bisexual, or unsure/questioning). Such research can promote the allocation of resources to high-risk groups and the development of interventions tailored to their needs. The present study extends this line of research to substance use among adolescents. METHODS: The lifetime and/or past 30-day alcohol, tobacco, cigarette, e-cigarette, marijuana, prescription drug, and illicit drug use of sexual minority and heterosexual adolescents was analyzed using data from the 2015 National Youth Risk Behavior Survey...
March 7, 2018: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/29628512/hot-news-sexually-transmitted-infections-on-the-rise-in-prep-users
#2
Pablo Barreiro
Pre-exposure prophylaxis (PrEP) with oral Truvada (tenofovir plus emtricitabine) is effective at preventing HIV infection in high-risk homosexual men. In the United States, PrEP was approved in 2012 and is reimbursed by Medicaid and the majority of private insurers. The situation is diverse and not uniform in the European Union, being PrEP more widely used in France than in the rest of countries. Concerns have been raised that PrEP use may be accompanied by the phenomena of risk compensation or behavioral disinhibition, whereby PrEP users' perception of decreased risk of HIV acquisition may lead them to engage in overall riskier sexual practices and increase their chances of acquiring sexually transmitted infections (STIs) (Blumenthal, et al...
January 2018: AIDS Reviews
https://www.readbyqxmd.com/read/29628069/experiences-of-discrimination-are-associated-with-greater-resting-amygdala-activity-and-functional-connectivity
#3
Uraina S Clark, Evan R Miller, Rachal R Hegde
BACKGROUND: Social discrimination, a type of psychological stressor, is associated with poorer physical and mental health outcomes, yet we have little understanding of how discrimination affects neural functions in marginalized populations. By contrast, the effects of psychological stress on neural functions are well documented, with evidence of significant effects on the amygdala-a neural region that is central to psychosocial functions. Accordingly, we conducted an examination of the relation between self-reported discrimination exposure and amygdala activity in a diverse sample of adults...
April 2018: Biological Psychiatry: Cognitive Neuroscience and Neuroimaging
https://www.readbyqxmd.com/read/29619436/concomitant-sexually-transmitted-diseases-in-patients-with-diagnosed-hiv-aids-a-retrospective-study
#4
Densy Violina Harnanti, Afif Nurul Hidayati, Muhammad Miftahussurur
Background: Human immunodeficiency virus (HIV) is a virus that causes Acquired Immunodeficiency Syndrome (AIDS) which weaken the human immune system and thus increasing the incidence of sexually transmitted infections (STIs) and vice versa. Materials and Methods: A retrospective study of STIs in HIV/AIDS patients in Unit Perawatan Intermediate Penyakit Infeksi (UPIPI) Dr. Soetomo General Hospital Surabaya was conducted from January 1st, 2013 to December 31st, 2014...
2018: African Journal of Infectious Diseases
https://www.readbyqxmd.com/read/29617194/the-intersectionality-of-stigmas-among-key-populations-of-older-adults-affected-by-hiv-a-thematic-analysis
#5
Megan Johnson Shen, Ryann Freeman, Stephen Karpiak, Mark Brennan-Ing, Liz Seidel, Eugenia L Siegler
OBJECTIVES: The present study examined the intersectionality of stigma across varying groups of older persons living with HIV (PWH). METHODS: Four focus groups of older PWH (gay/bisexual men, heterosexual men, heterosexual and bisexualwomen, and Spanish-speaking) were audio-recorded and transcribed. Inductive thematic text analysis was used to identify qualitative themes. RESULTS: Five major themes emerged from the data: 1) disclosure of HIV status; 2) types of stigma experienced; 3) discrimination experienced; 4) other outcomes associated with experiencing stigma; and 5) influence of aging on social isolation experienced due to stigma...
March 26, 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/29605540/the-management-of-methamphetamine-use-in-sexual-settings-among-men-who-have-sex-with-men-in-malaysia
#6
Sin How Lim, Mohd Akbar, Jeffrey A Wickersham, Adeeba Kamarulzaman, Frederick L Altice
BACKGROUND: The intentional use of illicit drugs for sexual purposes (also known as 'chemsex') is well known within the MSM communities in Malaysia although research in this population is scarce primarily because both drug use and homosexuality are illegal and stigmatised in Malaysia. METHODS: From April to December 2014, interviews were conducted with twenty men (age range 21-43) living in Greater Kuala Lumpur who had sexual intercourse with other men in the past 6 months and who used illicit drugs at least monthly in the past 3 months...
March 28, 2018: International Journal on Drug Policy
https://www.readbyqxmd.com/read/29593578/mental-disorder-the-need-for-an-accurate-definition
#7
Diogo Telles-Correia, Sérgio Saraiva, Jorge Gonçalves
There are several reasons why a definition for mental disorder is essential. Among these are not only reasons linked to psychiatry itself as a science (nosology, research) but also to ethical, legal, and financial issues. The first formal definition of mental disorder resulted from a deep conceptual analysis led by Robert Spitzer. It emerged to address several challenges that psychiatry faced at the time, namely to serve as the starting point for an atheoretical and evidence-based classification of mental disorders, to justify the removal of homosexuality from classifications, and to counter the arguments of antipsychiatry...
2018: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/29589485/characterization-of-a-new-hiv-1-crf01_ae-crf07_bc-recombinant-virus-form-men-who-have-sex-with-men-in-beijing-china
#8
Yang Jiao, Yan Wang, Desheng Kong, Chen Wang, Ruolei Xin, Yi Feng, Weinan Liu, Yiming Shao, Liying Ma
Recent studies have also revealed that three major viral strains (CRF07_BC, CRF01_AE, and subtype B) have been cocirculating among MSM in Beijing. Co-circulation of multiple subtypes in the same population contributes significantly to the emergence of recombinant viruses. This study reports a near full-length genome of a novel second-generation HIV-1 recombinant (BJ2015EU16) between CRF07_BC and CRF01_AE. The analysis of BJ2015EU16 shows that the genome is composed of at 3 interlaced segments, including two CRF07_BC and one CRF01_AE segments, with CRF07_BC as the backbone...
March 28, 2018: AIDS Research and Human Retroviruses
https://www.readbyqxmd.com/read/29553011/surveilling-the-mind-and-body-medicalising-and-de-medicalising-homosexuality-in-1970s-new-zealand
#9
James E Bennett, Chris Brickell
'Medicalisation' of same sex relations is a phenomenon that reached its peak in the 1950s and 1960s. The rise of gay liberation produced a divisive political contest with the psychiatric profession and adherents of the orthodox 'medical model' in the United States and - to a lesser extent - in the United Kingdom. This socio-historical process occurred throughout the English-speaking world, but much less is known about its dynamics in smaller countries such as New Zealand where the historiography on this issue is very sparse...
April 2018: Medical History
https://www.readbyqxmd.com/read/29551334/risk-behavior-score-a-practical-approach-for-assessing-risk-among-msm-in-brazil
#10
Gustavo Machado Rocha, Lígia Regina Franco Sansigolo Kerr, Carl Kendall, Mark Drew Crosland Guimarães
HIV/AIDS epidemic is not well controlled, and multiple sexual behavior factors help explain high rates of HIV infection among men who have sex with men (MSM). This article proposes to exam the use of a potential risk behavior score for HIV infection, based on the type and number of sexual partners, and condom use, and their associated factors in a sample of MSM in Brazil. A cross sectional RDS (Respondent Driven Sampling) study was performed among 3738 MSM aged 18+ years old from ten Brazilian cities. The risk behavior score was composed by the number of male partners and anal condom use in the last year with steady, casual, and commercial partners...
March 15, 2018: Brazilian Journal of Infectious Diseases
https://www.readbyqxmd.com/read/29551102/thinking-upstream-the-roles-of-international-health-and-drug-policies-in-public-health-responses-to-chemsex
#11
Oliver Stevens, Jamie I Forrest
Chemsex is a growing public health concern in urban centres, and few interventions exist to mitigate the significant sexual, drug-related, and social harms potentially experienced by people who participate in chemsex. In much of the world, these immediate harms are further compounded by the criminalisation and stigmatisation of both homosexuality and drug use, preventing participants fully engaging with treatment services or provision of health care. Gay, bisexual and other men who have sex with men participating in chemsex fall between the traditional definitions of key populations and consequently are poorly provided for by existing drug and sexual health frameworks...
March 19, 2018: Sexual Health
https://www.readbyqxmd.com/read/29537178/multiple-strategies-to-identify-hiv-positive-black-men-who-have-sex-with-men-and-transgender-women-in-new-york-city-a-cross-sectional-analysis-of-recruitment-results
#12
Julie Franks, Sharon B Mannheimer, Yael Hirsch-Moverman, Eleanor Hayes-Larson, Paul W Colson, Hugo Ortega, Wafaa M El-Sadr
INTRODUCTION: Black men who have sex with men and transgender women are at high risk for HIV infection, but are more likely to be unaware of their infection or not in care for diagnosed HIV compared to other races. Respondent driven sampling has been advanced as a method to reach stigmatized and hidden populations for HIV testing. We compared strategies to recruit black, substance-using men who have sex with men and transgender women to identify newly diagnosed HIV infection, or those previously diagnosed but not in care...
March 2018: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/29536259/homosexual-behavior-between-male-spider-monkeys-ateles-geoffroyi
#13
Laura Busia, Anthony R Denice, Filippo Aureli, Colleen M Schaffner
Homosexual behavior is defined as genital contact or genital manipulation between same-sex individuals. In nonhuman primates, it may regulate social relationships by serving as a means of reconciliation, tension alleviation, or alliance formation. Grappling is a rare and complex behavior, which most frequently occurs between same-sex individuals of the genus Ateles and can include mutual manipulation of the genitalia. Here we report three cases of penile-anal intromission during grappling between wild male spider monkeys living in the natural protected area of Otoch Ma'ax Yetel Kooh, Mexico...
March 13, 2018: Archives of Sexual Behavior
https://www.readbyqxmd.com/read/29534773/the-changing-hiv-1-genetic-characteristics-and-transmitted-drug-resistance-among-recently-infected-population-in-yunnan-china
#14
M Chen, M H Jia, Y L Ma, H B Luo, H C Chen, C J Yang, J Dai, L Yang, L J Dong, R Lu, L J Song, Y Han, J Y Lu, A K L Cheung, Z W Chen, L Lu
Multiple human immunodeficiency virus (HIV)-1 genotypes in China were first discovered in Yunnan Province before disseminating throughout the country. As the HIV-1 epidemic continues to expand in Yunnan, genetic characteristics and transmitted drug resistance (TDR) should be further investigated among the recently infected population. Among 2828 HIV-positive samples newly reported in the first quarter of 2014, 347 were identified as recent infections with BED-captured enzyme immunoassay (CEIA). Of them, 291 were successfully genotyped and identified as circulating recombinant form (CRF)08_BC (47...
March 14, 2018: Epidemiology and Infection
https://www.readbyqxmd.com/read/29533207/lethal-asphyxiation-due-to-sadomasochistic-sex-training-how-some-sex-partners-avoid-criminal-responsibility-even-though-their-actions-lead-to-someone-s-death
#15
Damian Jacob Sendler
INTRODUCTION: Erotic asphyxiation is a sexual phenomenon in which one partner reduces the other person's brain oxygen level through strangulation. This study analyzes deaths caused by sexually-motivated strangulation to cases of homicidal choking - summarizing criminal penalties for defendants, depending on the presence of drugs, or alcohol intoxication. METHODS: The mode of analysis involves three sources of data. First, a retrospective chart review of our clinics' two recent cases...
March 10, 2018: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/29530239/-haemorrhagic-proctocolitis-as-primary-manifestation-of-lymphogranuloma-venereum-in-an-hiv-positive-male
#16
Andreas Brandt Gormsen, Jon Erik-Fraes Diernæs, Jørgen Skov Jensen, Uffe Koppelhus
This is a case report of lymphogranuloma venereum (LGV) manifesting as haemorrhagic proctocolitis in a homosexual HIV-positive male. The primary symptom was a rectal abscess, which was initially surgically treated and subsequently insufficiently treated with single-dose tablet azithromycin. The patient's symptoms were successfully treated after a 21-day doxycycline regime. LGV is a sexually transmitted infection with a rising incidence among persons with risk behaviour. This case report underlines the importance, that all positive rectal screenings for Chlamydia trachomatis should be routinely serotyped...
March 12, 2018: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/29514752/acceptance-of-homosexuality-through-education-investigating-the-role-of-education-family-background-and-individual-characteristics-in-the-united-kingdom
#17
Chaïm la Roi, Jornt J Mandemakers
Higher educated people tend to be more accepting of homosexuality than lower educated people. This has inspired claims that education leads to a higher acceptance of homosexuality. Alternatively, the association between education and acceptance of homosexuality could be confounded by (un)observed family background and stable individual characteristics. This study investigated the association between education and acceptance of homosexuality and the role of potential confounders in a unique longitudinal sample of British siblings...
March 2018: Social Science Research
https://www.readbyqxmd.com/read/29514190/a-socioecological-measurement-of-homophobia-for-all-countries-and-its-public-health-impact
#18
Erik Lamontagne, Marc d'Elbée, Michael W Ross, Aengus Carroll, André du Plessis, Luiz Loures
Background: Measuring homophobia at country level is important to guide public health policy as reductions in stigma are associated with improved health outcomes among gay men and other men who have sex with men. Methods: We developed a Homophobic Climate Index incorporating institutional and social components of homophobia. Institutional homophobia was based on the level of enforcement of laws that criminalise, protect or recognise same-sex relations. Social homophobia was based on the level of acceptance and justifiability of homosexuality...
March 3, 2018: European Journal of Public Health
https://www.readbyqxmd.com/read/29507341/the-relation-between-mental-health-homosexual-stigma-childhood-abuse-community-engagement-and-unprotected-anal-intercourse-among-msm-in-china
#19
Yaxin Zhu, Jie Liu, Yucun Chen, Ruochen Zhang, Bo Qu
The aim of the study was to explore the relation of various factors with unprotected anal intercourse (UAI) and provide some insight for HIV intervention on Chinese men who have sex with men (MSM). The current cross-sectional study recruited 365 MSM in Dalian, China. More than half of the respondents (117 respondents, 51.8% of the sample) had engaged in UAI. The multivariable logistic regression model suggested that poorer mental health (AOR: 7.16; 95% CI: 3.14-16.31), self-stigma (AOR: 1.53; 95% CI: 1.00-2...
March 5, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29505766/a-case-of-syphilitic-hepatitis-in-an-hiv-infected-patient
#20
Margarita N German, Kristina A Matkowskyj, Robert J Hoffman, Parul D Agarwal
While the incidence of syphilis has been persistently on the rise in the United States, hepatitis as a complication of early syphilis is relatively uncommon. We present a case of a 51-year-old homosexual, HIV-positive male who presented with acute cholestatic hepatitis with a predominantly elevated alkaline phosphatase. After lab studies and imaging were unrevealing, a liver biopsy was performed that showed expanded portal tracts with a predominantly lymphoplasmacytic infiltrate and prominent bile ductular proliferation with periductal neutrophils...
March 2, 2018: Human Pathology
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