Methods Used and Topics Addressed in Quantitative Health Research on Gay, Bisexual and Other Men Who Have Sex With Men: A Systematic Review of the Literature

Brennan, David J.; Bauer, Greta R.; Bradley, Kaitlin; Tran, Oth Vilaythong

doi:10.1080/00918369.2016.1247537

Cited by 25 publications

(29 citation statements)

References 46 publications

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“…In line with reviews of the international literature on health among older LGB people ( Addis, Davies, Greene, MacBride-Stewart, & Shepherd, 2009 ; Brennan, Bauer, Bradley, & Tran, 2017 ; McParland & Camic, 2016 ; Potter, Bamford, & Kneale, 2011 ), UK literature on older LGB people’s health is characterized by a focus on specific issues including HIV/AIDS, sexual health, mental health needs, and substance misuse. Much of this evidence is based on studies that do not make direct comparisons with heterosexual people.…”

Section: Evidence On Health and Sexuality In Older Agementioning

confidence: 99%

Inequalities in Health and Care Among Lesbian, Gay, and Bisexual People Aged 50 and Older in the United Kingdom: A Systematic Review and Meta-analysis of Sources of Individual Participant Data

Kneale

Thomas

French

2020

The Journals of Gerontology: Series B

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Objectives Modelling the health and care trajectories of lesbian, gay and bisexual (LGB) is essential to identify inequalities and support needs, yet because of the small sample of LGB people in any one survey, current evidence relies on studies that have poor generalisability and low power. This study assesses the magnitude of health inequalities among older LGB people across ten outcomes, informed by evidence on the health trajectories and distinct LGB history of the United Kingdom (UK). Methods A systematic review was conducted of representative data sources on older LGB and heterosexual people’s health and care status in the UK. Individual Participant Data (IPD) meta-analysis was employed to synthesise data from up to 25 different sources. To account for the intricacies of individual datasets, the analysis employed a two-stage approach where an odds ratio (OR) and standard error was calculated for each dataset individually, before being meta-analysed through DerSimonian and Laird random effects models. Results Among men aged 50+, being gay, bisexual or having another non-heterosexual orientation is associated with an increased risk of reporting long-term illness and health-related limitations. Indicators of mental health also suggest that gay and bisexual men are more likely to report low life satisfaction and to have attempted suicide over their life time. Among women, differences are apparent with regards to self-rated health as well as with engagement with risky health behaviours. Discussion The findings corroborate the minority stress theory, but they also generate new questions for researchers around when and how these inequalities emerge.

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Section: Evidence On Health and Sexuality In Older Agementioning

confidence: 99%

Inequalities in Health and Care Among Lesbian, Gay, and Bisexual People Aged 50 and Older in the United Kingdom: A Systematic Review and Meta-analysis of Sources of Individual Participant Data

Kneale

Thomas

French

2020

The Journals of Gerontology: Series B

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“…In this study, sexual orientation was determined by self-identification [12]. The self-identity sexual orientation of this study was measured by the question: "What is your sexual orientation?"…”

Section: Sexual Orientationmentioning

confidence: 99%

“…Moreover, studies have also shown that HIV-positive MSM have worse mental health than other HIV-positive populations [9,10], while some research found no difference [11]. MSM are defined as sexual minority men from the behavioral dimension of sexual orientation, of which most self-identity as gay or bisexual men (GBM) [12]. Sexual minority men, broadly defined, (a) are men who identify themselves as gay or bisexual, (b) have sexual partners who are male, or (c) are strongly attracted to men [12].…”

Section: Introductionmentioning

confidence: 99%

“…MSM are defined as sexual minority men from the behavioral dimension of sexual orientation, of which most self-identity as gay or bisexual men (GBM) [12]. Sexual minority men, broadly defined, (a) are men who identify themselves as gay or bisexual, (b) have sexual partners who are male, or (c) are strongly attracted to men [12]. This reflects the three dimensions of sexual orientation: identity, behavior, and attraction [13].…”

Section: Introductionmentioning

confidence: 99%

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The Disparities in Mental Health Between Gay and Bisexual Men Following Positive HIV Diagnosis in China: A One-Year Follow-Up Study

Luo

Silenzio

Huang

et al. 2020

IJERPH

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This study aimed to determine the change in mental health (depression and anxiety) among HIV-positive gay and bisexual men (GBM) one year after diagnosis and the disparities in trajectories of mental health between them. The potential factors contributing to the disparities were also investigated. This was a one-year follow-up study focusing on the mental health of newly diagnosed HIV-positive individuals. Participants rated their depression, anxiety, stress, and social support levels at baseline and one year later. Information on the utilization of mental healthcare and the initiation of antiretroviral therapy (ART) after diagnosis was collected at one-year follow-up. A total of 171 and 87 HIV-positive gay and bisexual men, respectively, completed two-time points surveys in this study. The depressive and anxiety symptoms experienced by HIV-positive GBM improvement one year after diagnosis. These improvements tended to be smaller in gay participants. Other factors including mental health care utilization and ART status during the one-year follow-up period, changes in social stress scores and objective social support scores were also associated with the changes in depression and anxiety, and all these factors, except for change in objective support, were found to be statistically different between HIV-positive GBM. Special attention should be given to the mental health of HIV-positive gay men. Promoting HIV-positive gay men to assess to mental health services and ART may be important for these populations to improve mental health. Enhancing social support and reducing stress levels may also be necessary for the vulnerable HIV-positive sexual minority groups.

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“…Millet et al (2005) found that Black MSM were more likely than other racial groups to identify as bisexual. Brennan, Bauer, Bradley, and Tran (2017) suggested that sexual orientation tends to be defined as behavioral in disease-focused research (e.g., MSM), but defined as an identity (e.g., gay) for other research topics.…”

Section: Social Marketing/mass Media Campaignsmentioning

confidence: 99%

HIV Prevention Research on Men Who Have Sex With Men: A Scoping Review of Systematic Reviews, 1988–2017

Higa

Crepaz

McDonald

et al. 2020

AIDS Education and Prevention

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In the United States, men who have sex with men (MSM) are disproportionately affected by HIV. To identify research gaps and inform HIV prevention for MSM, we conducted a scoping review of systematic reviews using CDC's Prevention Research Synthesis database. Eligibility criteria comprised English-language systematic reviews focused on HIV prevention for MSM, published during 1988-2017, and included at least one U.S. primary study. We coded data type, subpopulations, topics, and key findings. To assess study quality, we used the Assessment of Multiple Systematic Reviews (AMSTAR). Among 129 relevant systematic reviews, study quality was high or moderate for 63%. Most common topics were sexual behavior and disease vulnerability. The most frequently mentioned MSM subgroups were HIV-positive, Black or African American, and young. Research gaps include Hispanic/Latino MSM, pre-exposure prophylaxis (PrEP), treatment as prevention, social determinants of health, health disparities, syndemics, and protective factors for sexual health.

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Methods Used and Topics Addressed in Quantitative Health Research on Gay, Bisexual and Other Men Who Have Sex With Men: A Systematic Review of the Literature

Cited by 25 publications

References 46 publications

Inequalities in Health and Care Among Lesbian, Gay, and Bisexual People Aged 50 and Older in the United Kingdom: A Systematic Review and Meta-analysis of Sources of Individual Participant Data

Inequalities in Health and Care Among Lesbian, Gay, and Bisexual People Aged 50 and Older in the United Kingdom: A Systematic Review and Meta-analysis of Sources of Individual Participant Data

The Disparities in Mental Health Between Gay and Bisexual Men Following Positive HIV Diagnosis in China: A One-Year Follow-Up Study

HIV Prevention Research on Men Who Have Sex With Men: A Scoping Review of Systematic Reviews, 1988–2017

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