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Jessica Fish and Bradley Boekeloo win Data Contract to Study LGBTQ Health Disparities
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They are one of the four research groups chosen for the data contract
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News
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Fish editorial published in AJPH
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So-called “conversion therapy” efforts create serious harm for youth that are LGBTQ
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News
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Jessica Fish, UMD Family Science
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Sexual minority population health inequities across the life course: Where do we go from here?
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Coming Up
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Corinne Reczek, Ohio State University
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Who are LGBTQ People?: A Demographic Profile of a Growing Population
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Coming Up
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Health Care Experiences of Black Transgender Women and Men Who Have Sex With Men
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Black sexual and gender minorities (SGM) are at greater risk for HIV compared to their White, cisgender, heterosexual counterparts. Linkage to culturally sensitive health care is, therefore, pivotal for HIV prevention and treatment of Black SGM. Unfortunately, social and structural challenges undermine Black SGM individuals' abilities to obtain adequate health care services, indicating a need to understand Black SGM perceptions of health care. To address this gap, we interviewed Black men who have sex with men and transwomen about their experiences with health care providers. Participants discussed needs and concerns, including provider SGM identity diversity and education; assumptions, judgment, stigma, and discrimination; and ability to establish a personal bond, trust, and familiarity. Black SGM indicated that providers often did not meet their needs in different ways regarding their SGM identities. Findings suggest a need for provider cultural sensitivity education programs that address the needs of Black SGM in health care.
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MPRC People
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Donna E. Howard, Dr.PH.
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Donna E. Howard Publications
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Sexual minority youth less likely to exit foster care
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Jessica Fish and her colleagues published a study presenting sexual minority youth as an overrepresented population in foster care, child welfare and out-of-home placement
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Research
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Selected Research
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Public Health Researchers Win Data Contract to Study LGBTQ Health Disparities
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Access to new dataset opens up research opportunities
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Research
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Selected Research
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Health Care Experiences of Black Transgender Women and Men Who Have Sex With Men
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Black sexual and gender minorities (SGM) are at greater risk for HIV compared to their White, cisgender, heterosexual counterparts. Linkage to culturally sensitive health care is, therefore, pivotal for HIV prevention and treatment of Black SGM. Unfortunately, social and structural challenges undermine Black SGM individuals' abilities to obtain adequate health care services, indicating a need to understand Black SGM perceptions of health care. To address this gap, we interviewed Black men who have sex with men and transwomen about their experiences with health care providers. Participants discussed needs and concerns, including provider SGM identity diversity and education; assumptions, judgment, stigma, and discrimination; and ability to establish a personal bond, trust, and familiarity. Black SGM indicated that providers often did not meet their needs in different ways regarding their SGM identities. Findings suggest a need for provider cultural sensitivity education programs that address the needs of Black SGM in health care.
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MPRC People
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Typhanye Vielka Dyer, Ph.D., MPH
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Typhanye Vielka Dyer Publications
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Genetic Clustering Analysis for HIV Infection among Men Who Have Sex with Men in Nigeria
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Background: The HIV epidemic continues to grow among MSM in countries across sub-Saharan Africa including Nigeria . To inform prevention efforts, we used a phylogenetic cluster method to characterize HIV genetic clusters and factors associated with cluster formation among MSM living with HIV in Nigeria . Methods: We analyzed HIV -1 pol sequences from 417 MSM living with HIV enrolled in the TRUST/RV368 cohort between 2013 and 2017 in Abuja and Lagos, Nigeria . A genetically linked cluster was defined among participants whose sequences had pairwise genetic distance of 1.5% or less. Binary and multinomial logistic regressions were used to estimate adjusted odds ratios (AORs) and 95% confidence intervals (CIs) for factors associated with HIV genetic cluster membership and size. Results: Among 417 MSM living with HIV , 153 (36.7%) were genetically linked. Participants with higher viral load (AOR = 1.72 95% CI: 1.04–2.86), no female partners (AOR = 3.66; 95% CI: 1.97–6.08), and self-identified as male sex (compared with self-identified as bigender) (AOR = 3.42; 95% CI: 1.08–10.78) had higher odds of being in a genetic cluster. Compared with unlinked participants, MSM who had high school education (AOR = 23.84; 95% CI: 2.66–213.49), were employed (AOR = 3.41; 95% CI: 1.89–10.70), had bacterial sexually transmitted infections (AOR = 3.98; 95% CI: 0.89–17.22) and were not taking antiretroviral therapy (AOR = 6.61; 95% CI: 2.25–19.37) had higher odds of being in a large cluster (size > 4). Conclusion: Comprehensive HIV prevention packages should include behavioral and biological components, including early diagnosis and treatment of both HIV and bacterial sexually transmitted infections to optimally reduce the risk of HIV transmission and acquisition.
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MPRC People
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Hongjie Liu, Ph.D.
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Hongjie Liu Publications
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Sexual Minority Health Disparities: An Examination of Age-Related Trends Across Adulthood In a National Cross-Sectional Sample
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Purpose: Sexual minorities experience signi fi cant health disparities across a variety of mental, behav ioral, and physical health indicators. Yet, an understanding of the etiology and progression of sexual minority health disparities across the lifespan is limited. Methods: We used the U.S. National Epidemiologic Survey of Alcohol and Related Conditions III to evaluate the association between sexual minority status and seven past-year health outcomes (alcohol use disorder, tobacco use disorder, drug use disorder, major depressive episode, generalized anxiety disorder, sexually transmitted infection, and cardiovascular conditions). To do this, we used unadjusted and adjusted logistic regression among our study sample (n ¼ 30,999; aged 18 e 65 years) and time- varying effect models to evaluate how sexual orientation differences in these outcomes vary across adulthood. Results: Relative to heterosexuals, sexual minorities had elevated odds of past-year alcohol use disorder and drug use disorder across all ages (18 e 65 years) although the magnitude of the disparity varies by age. Sexual minorities were also more likely to experience major depressive episode, generalized anxiety disorder, tobacco use disorder, sexually transmitted infection, and cardiovascular disease, but only at speci fi c ages. Conclusions: Sexual minority health disparities vary appreciably across the adult lifespan, thus eluci dating critical periods for focused prevention efforts.
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MPRC People
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Jessica N Fish, Ph.D.
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Jessica N Fish Publications