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https://www.readbyqxmd.com/read/29168662/how-social-stigma-sustains-the-hiv-treatment-gap-for-msm-in-mpumalanga-south-africa
#1
Kabelo Maleke, Joseph Daniels, Tim Lane, Helen Struthers, James McIntyre, Thomas Coates
There are gaps in HIV care for men who have sex with men (MSM) in African settings, and HIV social stigma plays a significant role in sustaining these gaps. We conducted a three-year research project with 49 HIV-positive MSM in two districts in Mpumalanga Province, South Africa, to understand the factors that inform HIV care seeking behaviors. Semi-structured focus group discussions and interviews were conducted in IsiZulu, SiSwati, and some code-switching into English, and these were audio-recorded, transcribed, and translated into English...
November 1, 2017: Global Health Promotion
https://www.readbyqxmd.com/read/29168069/sexual-stigma-patterns-among-nigerian-men-who-have-sex-with-men-and-their-link-to-hiv-and-sexually-transmitted-infection-prevalence
#2
Cristina Rodriguez-Hart, Rashelle Musci, Rebecca G Nowak, Danielle German, Ifeanyi Orazulike, Uchenna Ononaku, Hongjie Liu, Trevor A Crowell, Stefan Baral, Man Charurat
Sexual stigma facilitates the spread of HIV and sexually transmitted infections (STIs) but little is known about stigma affecting Nigerian men who have sex with men (MSM). We assessed patterns of sexual stigma across Nigerian MSM and their relationship to HIV and STIs. Data were collected from the TRUST/RV368 Study, a prospective cohort of 1480 Nigerian MSM enrolled from March 2013 to February 2016 using respondent driven sampling. Structural equation modeling was utilized to assess the association between stigma classes and HIV and STI prevalence, adjusting for participants' characteristics...
November 22, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/29168067/continued-transmission-of-hiv-among-young-adults-who-inject-drugs-in-san-francisco-still-room-for-improvement
#3
Ali Mirzazadeh, Jennifer L Evans, Judith A Hahn, Jennifer Jain, Alya Briceno, Stephen Shiboski, Paula J Lum, Christopher Bentsen, Geoff Davis, Kathy Shriver, Melanie Dimapasoc, Mars Stone, Michael P Busch, Kimberly Page
We measured HIV incidence rate, trend and risk factors in 564 HIV-negative young people (< 30 years) who inject drugs (PWID) in San Francisco between 2000 and 2014. HIV incidence was 0.93/100 person-years (PY; 95% CI 0.50, 1.73). Incidence varied between 0.62/100 PY in 2000-2002 and 1.06/100 PY in 2012-2014 (P for trend = 1.0). HIV incidence varied significantly (P < 0.01) by race/ethnicity: among Hispanics it was 8.19/100 PY (95% CI 3.41, 19.68), African-Americans 4.59/100 PY (95% CI 1.15, 18.37), and Whites 0...
November 22, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/29166436/factors-associated-with-self-reported-discrimination-against-men-who-have-sex-with-men-in-brazil
#4
Laio Magno, Inês Dourado, Luís Augusto V da Silva, Sandra Brignol, Ana Maria de Brito, Mark Drew Crosland Guimarães, Adele Benzaken, Adriana de A Pinho, Carl Kendall, Ligia Regina Franco Sansigolo Kerr
OBJECTIVE: To estimate self-reported discrimination due to sexual orientation among men who have sex with men (MSM) in Brazil and to analyze associated factors. METHODS: A cross-sectional study of 3,859 MSM recruited in 2008-2009 with respondent driven sampling. Data collection conducted in health centers in 10 Brazilian cities. A face-to-face questionnaire was used and rapid HIV and syphilis tests conducted. Aggregated data were weighted and adjusted odds ratio estimated to measure the association between selected factors and self-reported discrimination due to sexual orientation...
2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/29166227/the-impact-of-attachment-style-on-sexual-satisfaction-and-sexual-desire-in-a-sexually-diverse-sample
#5
Kristen P Mark, Laura M Patrick, Sarah H Murray
Research has indicated that adult romantic attachment is influential and important to sexual and relationship satisfaction. Sexual desire, although not a direct focus of attachment literature, is highly related to sexual and relationship satisfaction, suggesting it may also be impacted by attachment style in romantic couples. However, the research conducted on sexual desire, sexual satisfaction, and attachment has been largely heterocentric, making it difficult to determine whether the findings documented in the literature thus far are relevant in a sexually diverse group of individuals...
November 22, 2017: Journal of Sex & Marital Therapy
https://www.readbyqxmd.com/read/29165515/-statement-of-the-advisory-committee-on-immunizations-of-sociedad-chilena-de-infectolog%C3%A3-a-about-outbreaks-of-hepatitis-a-in-chile
#6
Rodolfo Villena, Jan Wilhelm, Ximena Calvo, Jaime Cerda, Carola Escobar, Gabriela Moreno, Liliana Veliz, Marcela Potin
This document represents the position of the Chilean Infectious Diseases Society Advisory Committee on Immunization Practices regarding hepatitis A epidemiological situation in Chile. The recommendations are based on local epidemiological data, the hepatitis A virus infection characteristics and the global experience with the available vaccines. In relation to hepatitis A, Chile is no longer a highly endemic area but actually an intermediate one, currently concentrating cases in individuals over 15 years of age, with frequent outbreaks...
August 2017: Revista Chilena de Infectología: órgano Oficial de la Sociedad Chilena de Infectología
https://www.readbyqxmd.com/read/29164405/genetic-variance-in-homophobia-evidence-from-self-and-peer-reports
#7
Alexandra Zapko-Willmes, Christian Kandler
The present twin study combined self- and peer assessments of twins' general homophobia targeting gay men in order to replicate previous behavior genetic findings across different rater perspectives and to disentangle self-rater-specific variance from common variance in self- and peer-reported homophobia (i.e., rater-consistent variance). We hypothesized rater-consistent variance in homophobia to be attributable to genetic and nonshared environmental effects, and self-rater-specific variance to be partially accounted for by genetic influences...
November 21, 2017: Behavior Genetics
https://www.readbyqxmd.com/read/29164354/associations-between-major-depressive-episode-methamphetamine-use-disorder-severity-and-engagement-in-sexual-risk-taking-among-methamphetamine-using-men-who-have-sex-with-men
#8
Jesse B Fletcher, Dallas Swendeman, Cathy J Reback
Depression and methamphetamine use have been associated with increased sexual risk-taking among men who have sex with men (MSM). This study estimated associations between current major depressive episode and/or methamphetamine use disorder and engagement in condomless anal intercourse (CAI). From March 2014 thru January 2016, 286 methamphetamine-using MSM were enrolled into a RCT to reduce methamphetamine use and sexual risk-taking. Analyses revealed that current major depressive episode was associated with a 92% increase in the rate of engagement in CAI with casual male partners (IRR 1...
November 21, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/29162727/measuring-and-understanding-the-attitudes-of-australian-gay-and-bisexual-men-towards-biomedical-hiv-prevention-using-cross-sectional-data-and-factor-analyses
#9
Anna L Wilkinson, Bridget L Draper, Alisa E Pedrana, Jason Asselin, Martin Holt, Margaret E Hellard, Mark Stoove
INTRODUCTION: Contemporary responses to HIV embrace biomedical prevention, particularly treatment as prevention (TasP) and pre-exposure prophylaxis (PrEP). However, large-scale implementation of biomedical prevention should be ideally preceded by assessments of their community acceptability. We aimed to understand contemporary attitudes of gay and bisexual men (GBM) in Australia towards biomedical-based HIV prevention and propose a framework for their measurement and ongoing monitoring...
November 21, 2017: Sexually Transmitted Infections
https://www.readbyqxmd.com/read/29162559/enhancing-the-usability-of-an-optical-reader-system-to-support-point-of-care-rapid-diagnostic-testing-an-iterative-design-approach
#10
Jess Hohenstein, Dakota O'Dell, Elizabeth L Murnane, Zhengda Lu, David Erickson, Geri Gay
BACKGROUND: In today's health care environment, increasing costs and inadequate medical resources have created a worldwide need for more affordable diagnostic tools that are also portable, fast, and easy to use. To address this issue, numerous research and commercial efforts have focused on developing rapid diagnostic technologies; however, the efficacy of existing systems has been hindered by usability problems or high production costs, making them infeasible for deployment in at-home, point-of-care (POC), or resource-limited settings...
November 21, 2017: JMIR Human Factors
https://www.readbyqxmd.com/read/29162443/visualization-of-the-inferoposterior-thoracic-wall-vip-and-boomerang-signs-novel-sonographic-signs-of-right-pleural-effusion
#11
James Siu Ki Lau, Chi Kit Yuen, Ka Leung Mok, Wing Wa Yan, Pui Gay Kan
OBJECTIVES: This study is to present the diagnostic values of the novel sonographic visualization of the inferoposterior thoracic wall (VIP) and boomerang signs in detecting right pleural effusion by sonologists with little to no experience in ultrasound. METHODS: A prospective analysis of a convenience sample of patients who were assessed by junior intensive care physicians was performed. The patients all underwent computed tomography (CT) of the chest or abdomen with lung bases as part of their care regardless of indication; the results were interpreted by radiologists and were considered the gold standard...
November 15, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29162345/postacute-care-after-pediatric-hospitalizations-for-a-primary-mental-health-condition
#12
James C Gay, Bonnie T Zima, Tumaini R Coker, Stephanie K Doupnik, Matthew Hall, Jonathan Rodean, Margaret O'Neill, Rustin Morse, Kris P Rehm, Jay G Berry, Naomi S Bardach
OBJECTIVES: To determine the proportion of US children hospitalized for a primary mental health condition who are discharged to postacute care (PAC); whether PAC discharge is associated with demographic, clinical, and hospital characteristics; and whether PAC use varies by state. STUDY DESIGN: Retrospective cohort study of a nationally representative sample of US acute care hospitalizations for children ages 2-20 years with a primary mental health diagnosis, using the 2009 and 2012 Kids' Inpatient Databases...
November 18, 2017: Journal of Pediatrics
https://www.readbyqxmd.com/read/29162317/dexamethasone-for-inpatient-childhood-asthma-exacerbations-is-as-effective-as-short-acting-corticosteroid-treatment
#13
Sara Seghezzo, Donald H Arnold, James C Gay, Paul E Moore, David P Johnson
No abstract text is available yet for this article.
November 18, 2017: Annals of Allergy, Asthma & Immunology
https://www.readbyqxmd.com/read/29161954/-we-hide%C3%A2-perceptions-of-hiv-risk-among-black-and-latino-msm-in-new-york-city
#14
Ashley Murray, Zaneta Gaul, Madeline Y Sutton, Jose Nanin
Black and Latino men who have sex with men (BLMSM) are disproportionately infected with HIV; they comprised 66% of HIV diagnoses among men who have sex with men (MSM) in the United States in 2015. Risk factors for HIV infection among BLMSM include a high community prevalence of diagnosed and undiagnosed HIV/STDs, and dense sex partner networks. Perceptions of HIV risk among BLMSM were explored to inform HIV prevention efforts. During 2011-2012, semistructured interviews were conducted with BLMSM in New York City...
November 1, 2017: American Journal of Men's Health
https://www.readbyqxmd.com/read/29161934/barriers-to-and-facilitators-of-help-seeking-behavior-among-men-who-experience-sexual-violence
#15
Martina Delle Donne, Joseph DeLuca, Pavel Pleskach, Christopher Bromson, Marcus P Mosley, Edward T Perez, Shibin G Mathews, Rob Stephenson, Victoria Frye
Research on sexual violence and related support services access has mainly focused on female victims; there is still a remarkable lack of research on men who experience sexual violence. Research demonstrates that people who both self-identify as men and are members of sexual-orientation minority populations are at higher risk of sexual violence. They are also less likely to either report or seek support services related to such experiences. The present study is an exploratory one aimed at filling the gap in the literature and better understanding how men, both straight and gay as well as cisgender and transgender, conceptualize, understand, and seek help related to sexual violence...
November 1, 2017: American Journal of Men's Health
https://www.readbyqxmd.com/read/29161889/intersections-of-physician-autonomy-religion-and-health-care-when-working-with-lgbt-patients
#16
Tara M Prairie, Bethany Wrye, Sarah Murfree
The purpose of this study is to explore the ways that some health care providers perceive the intersectionality of their autonomy, religious faith, and their medical practice, specifically when it comes to providing care for the LGBT+ (lesbian, gay, bisexual, transgender, queer, intersex, and asexual) community. Physicians (n = 25) and medical residents (n = 17) located in the southeast completed a qualitative survey regarding their views of working with LGBT+ patients. Five main themes resulted from the analysis: adequate education, communication, discrimination, duty versus physician autonomy, and religious exemption...
November 1, 2017: Health Promotion Practice
https://www.readbyqxmd.com/read/29161245/cancer-systems-biology-harnessing-off-target-effects
#17
Gaye Saginc, Franziska Voellmy, Rune Linding
No abstract text is available yet for this article.
November 21, 2017: Nature Chemical Biology
https://www.readbyqxmd.com/read/29161074/challenging-and-preventing-policies-that-prohibit-local-civil-rights-protections-for-lesbian-gay-bisexual-transgender-and-queer-people
#18
Jennifer L Pomeranz
Discrimination causes health inequities for stigmatized groups. Lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals, in particular, are at significantly increased risk for disparate health outcomes when they reside in states that fail to extend equal protections to them or that actively deprive equal rights to them. Several states and the federal government have proposed or enacted laws that permit residents to discriminate against LGBTQ individuals. One such law, Arkansas's Intrastate Commerce Improvement Act of 2015, preempts or prohibits local governments from enacting civil rights protections for LGBTQ individuals that are also lacking at the state level...
November 21, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/29160330/anxiety-and-depression-symptoms-in-brazilian-sexual-minority-ecstasy-and-lsd-users
#19
Lysa S Remy, Juliana Scherer, Luciano Guimarães, Hilary L Surratt, Steven P Kurtz, Flavio Pechansky, Felix Kessler
BACKGROUND: This study examined drug use patterns and psychiatric symptoms of anxiety and depression among young Brazilian sexual minority ecstasy and LSD users and compared findings with those reported for their heterosexual peers. METHOD: This cross-sectional study employed targeted sampling and ethnographic mapping approaches via face-to-face interviews conducted at bars and electronic music festivals using an adapted, semi-structured version of the Global Appraisal of Individual Needs questionnaire...
November 13, 2017: Trends in Psychiatry and Psychotherapy
https://www.readbyqxmd.com/read/29160167/an-innovative-long-final-year-assistantship-in-general-practice-description-and-evaluation
#20
Robert K McKinley, M Bartlett, S P Gay, S Gibson, A Panesar, M Webb
We describe and evaluate an innovative immersive 15 week final year assistantship in general practice. Evaluation data was taken from five years of routinely collected School data and available national comparative data. The assistantship aims to enable students to consolidate knowledge and hone their skills through central participation in the care of large numbers of patients with acute and long term conditions. We estimate that most students consulted with over 450 patients during the assistantship. Students report that they became useful to their practice teams, had multiple episodes of feedback on their performance which they found useful and, in the school exit survey, reported that they were highly prepared for practice...
November 21, 2017: Education for Primary Care
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