Gradients in Depressive Symptoms by Socioeconomic Position Among Men Who Have Sex With Men in the EXPLORE Study

Pakula, Basia; Marshall, Brandon D. L.; Shoveller, Jean; Chesney, Margaret A.; Coates, Thomas J.; Koblin, Beryl A.; Mayer, Kenneth H.; Mimiaga, Matthew J.; Operario, Don

doi:10.1080/00918369.2016.1150056

Cited by 8 publications

(5 citation statements)

References 48 publications

(68 reference statements)

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“…The mean self-esteem score in our sample was 1.94 (SD ϭ 0.56) and the mean depressive symptom score was 0.94 (SD ϭ 0.57). These findings suggest that the sample on average, has high self-esteem and low depressive symptoms, which is consistent with recent studies that have examined self-esteem and depression in samples of YMSM and MSM at-large (Agnew-Brune et al, 2019;Breslow et al, 2020;Kecojevic, Basch, Kernan, Montalvo, & Lankenau, 2019;Meanley et al, 2016;Pakula et al, 2016).…”

Section: Participantssupporting

confidence: 91%

When young adult men who have sex with men seek partners online: Online discrimination and implications for mental health.

Meanley¹,

Bruce²,

Hidalgo³

et al. 2020

Psychology of Sexual Orientation and Gender Diversity

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Online partner-seeking applications are sexual-identity affirming social spaces commonly accessed by young men who have sex with men (YMSM; ages 18 -24 years). Yet, prior studies with YMSM have observed sexual discrimination based on race/ethnicity and physical appearance to be common within these platforms. Few studies have explored the associations between online discrimination when partner-seeking and mental health. Our study's objective was to describe the prevalence of online sexual discrimination and test its associations with self-esteem and depression. We included cross-sectional data from the baseline survey of a web-based, HIV-prevention prospective randomized controlled trial for single YMSM (N ϭ 172) who reported seeking partners online. A national sample was recruited online from popular social and sexual networking sites. Using multivariable linear regressions, we tested the respective associations that race-based and appearance-based sexual discrimination had with self-esteem and depressive symptoms. We conducted stratified models by race/ethnicity (White vs. minority participants) and BMI categories (under-/normal weight vs. overweight/obese). Over 30% were exposed to race-based sexual discrimination and over 60% to appearance-based sexual discrimination. Weight-based sexual discrimination was associated with lower self-esteem. This association remained statistically significant in stratified models for racial/ethnic minority and overweight/obese participants only. Weightbased discrimination was positively associated with depressive symptoms among racial/ethnic minority YMSM. Our study highlights the potential contribution of weight-based discrimination when seeking partners online on YMSM's mental health. Coupled with community-level interventions to raise awareness about weight-related stigma, partner-seeking platforms should capitalize on opportunities for mass-media marketing strategies to promote body-type diversity and body-positive messaging. Public Significance StatementYoung men who have sex with men report race-based and weight-based sexual discrimination when seeking partners online. Despite high prevalence in our sample, race-based discrimination was not associated with mental health. Weight-based discrimination was negatively associated with selfesteem and positively associated with depression. Queer-targeted mass-media interventions that capitalize on promoting body-type diversity may be integral to shifting community norms away from rigid standards of attractiveness and ultimately having a positive impact on individual-level mental health.

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Section: Participantssupporting

confidence: 91%

When young adult men who have sex with men seek partners online: Online discrimination and implications for mental health.

Meanley¹,

Bruce²,

Hidalgo³

et al. 2020

Psychology of Sexual Orientation and Gender Diversity

View full text Add to dashboard Cite

show abstract

“…There is an established link between lower income levels and depressive symptoms. Therefore, instituting efforts to increase income levels among middle-aged and older MSM may alleviate their economic distress and in turn lower their depressive symptoms (Pakula et al, 2016; Sareen et al, 2011).…”

Section: Discussionmentioning

confidence: 99%

The effect of discrimination and resilience on depressive symptoms among middle-aged and older men who have sex with men.

Ae¹,

Matthews²,

Meanley³

et al. 2022

Stigma and Health

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This study investigated the associations between homophobic and racist discrimination and increased depressive symptoms among 960 middle-aged and older men who have sex with men (MSM) and how resilience moderated these relationships. We used five waves of longitudinal data from the Healthy Aging substudy of the Multicenter AIDS Cohort Study (MACS). We used linear regression analyses to model depressive symptoms as a function of discrimination. We used linear mixed analyses to model changes in mean

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“…Social and environmental gradients have been studied across adult health conditions in the U.S. and globally 15 . In recent years, these gradients have been related to adult mortality, 16 age‐related cognitive decline, 17 renal disease, 18 adult depressive symptoms, 19 and breast cancer 20 . Regarding children and adolescents, the impact of place has been related to birth outcomes 21 adolescent body mass index, 22 and risky behaviors (substance use and sexual activity) 23 …”

Section: Discussionmentioning

confidence: 99%

Small‐area socioeconomic status and children's oral health in a safety‐net care delivery setting

Rubin

Clouston

Edelstein

2020

J Public Health Dent

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Objectives: To better understand the impact of small-area socioeconomic status (SES) on caries experience and sealant presence among children receiving services through a comprehensive community-based safety-net oral health program. Methods: Census-tract level household data from the American Community Survey was utilized to construct an index that reflects the small-area socioeconomic environments in which children receive oral health services. This area SES index was entered into a logistic model with sociodemographic participant data collected by the community-based oral health program to consider its association with outcomes (caries and sealant experience) at first program visit, among children older and younger than 5 years. Results: Among poor children older than 5 years of age, higher census-tract level SES was associated with lesser caries experience and greater sealant experience at presentation for care to a community-based oral health program. Each standard deviation increase in census-tract level SES index was associated with reduced odds of any caries experience (aOR = 0.92; 95 percent CI 0.85, 0.99; P = 0.021) and increased odds of sealants (aOR = 1.20; 95 percent CI 1.05, 1.37; P = 0.009). Among children 5 years and under, only grade was associated with both outcomes. Conclusions: Within an inner city area of poverty, the greater a census tract's socioeconomic risks to health, the greater the odds that children over age five experience caries and the lesser their odds of having dental sealants. While associations between SES and oral health outcomes across the full spectrum of SES have been recognized, this study suggests that within lower SES areas, SESassociated gradients exist in children's oral health.

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Gradients in Depressive Symptoms by Socioeconomic Position Among Men Who Have Sex With Men in the EXPLORE Study

Cited by 8 publications

References 48 publications

When young adult men who have sex with men seek partners online: Online discrimination and implications for mental health.

When young adult men who have sex with men seek partners online: Online discrimination and implications for mental health.

The effect of discrimination and resilience on depressive symptoms among middle-aged and older men who have sex with men.

Small‐area socioeconomic status and children's oral health in a safety‐net care delivery setting

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