Perceived difficulty of getting help to reduce or abstain from substances among sexual and gender minority men who have sex with men (SGMSM) and use methamphetamine during the early period of the COVID-19 pandemic

Card, Kiffer G.; McGuire, Michael; Bond‐Gorr, Jordan; Nguyen, Tribesty; Wells, Alex; Fulcher, Karyn; Berlin, Graham W.; Pal, Nicole; Hull, Mark; Lachowsky, Nathan J.

doi:10.1186/s13011-021-00425-3

Cited by 4 publications

(2 citation statements)

References 44 publications

(37 reference statements)

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“…For these reasons, we collapsed the responses into "white" and "non-white" categories in our analyses (e.g. [23]). We present our analyses including all racial and ethnic categories in the Supplemental Material (Table A2).…”

Section: Methodsmentioning

confidence: 99%

Inequality in exposure and knowledge drives vulnerability to rat-associated leptospirosis among Chicago communities

Dyer,

Byers,

Buckley

et al. 2023

Preprint

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To predict and prevent public health risks from urban rats, studies often examine zoonotic pathogen prevalence in rats in different urban environments. However, human exposure to rats and their awareness of the associated risks are poorly understood. In this study, we aimed to identify factors associated with two aspects of vulnerability to leptospirosis as a model rat-associated disease: 1) exposure to rat urine in the home and 2) lack of awareness that rats carry leptospirosis. To collect data on residents’ experiences and knowledge about rats, we mailed a survey to randomly-selected households along an income gradient in Chicago. Of 432 complete cases, 36% had observed rat urine in the home and 73% were unaware that rats carry leptospirosis. Using logistic regression, we found that non-white respondents had over three times higher odds of observing rat urine in the home than white respondents. Dog owners and respondents who sought out information about rats, regardless of source, were more likely to be aware that rats carry leptospirosis. When we examined both aspects of vulnerability simultaneously using multinomial regression, we found that residents most vulnerable to leptospirosis (who had been exposed to urine and were not aware that rats carry leptospirosis) were significantly less likely to be white and less likely to be dog owners. Our results suggest that more public education is needed about rat-associated diseases spread through feces and urine and that exposure to rats should be considered another environmental health burden that is disproportionately persistent in underserved communities of color.

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Section: Methodsmentioning

confidence: 99%

Inequality in exposure and knowledge drives vulnerability to rat-associated leptospirosis among Chicago communities

Dyer,

Byers,

Buckley

et al. 2023

Preprint

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show abstract

“…Given these disparities, LGBTQ+ people are more likely to need and engage in mental healthcare but are also less likely to receive satisfactory and competent care [ 11 , 12 , 13 , 14 , 15 ]. A study by Silveri et al found that LGBTQ+ people experience higher rates of substance misuse and mental illness, and unfortunately, also experience greater stigmatization both within and outside healthcare settings, with few tailored interventions to meet their care needs [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Preliminary Psychometric Evaluation of Novel Measures of Therapist Practice Related to LGBTQ+ Clients

Turpin,

Fish,

King-Marshall

et al. 2024

Healthcare

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Background: Culturally competent and equitable mental healthcare for LGBTQ+ people is critical for addressing mental health inequities for this population. Tools to assess therapists’ practice with LGBTQ+ clients are needed for research and clinical efforts related to mental healthcare equity goals. Methods: We conducted a preliminary assessment of the reliability and validity of a novel 28-item self-report measure assessing therapist practice with LGBTQ+ clients. We examined the construct validity using factor analyses, the convergent and criterion validity using intercorrelations with LGBTQ-affirming knowledge, self-efficacy, and attitudes, and the internal consistency using Cronbach alpha. Results: Our overall total LGBTQ+ practice measure demonstrated excellent internal consistency (Cronbach’s alpha = 0.91) and was strongly associated with LGBTQ+ knowledge (rho = 0.377), self-efficacy (rho = 0.633), and LGBTQ+ attitudes (rho = 0.305). We also identified two subscales: “Commitment to Continued Learning” and “Affirmative Practices”, which demonstrated similarly strong internal consistency and tests of validity. Conclusions: Our novel measure of overall LGBTQ+ practice, including two subscales, demonstrated strong reliability and validity. These findings have important implications for practice and research in mental healthcare for LGBTQ+ clients. Future research exploring these measures in relationship to mental healthcare outcomes is recommended.

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Coronavirus (COVID-19) and sexualised drug use among men who have sex with men: a systematic review

2023

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Drug-related harms, including harms from sexualised drug use (SDU), are disproportionately experienced by sexual and gender minority people, relative to their majority counterparts. Chemsex, a type of SDU practiced mainly by MSM, is associated with methamphetamine use and increased HIV seropositivity or risk of acquisition. Therefore, participants are at increased risk of immunocompromise. Existing evidence suggests that drug use increases following natural disasters. The impact of coronavirus disease 2019 (COVID-19) on chemsex is unknown. A PRISMA-adherent systematic review was conducted to synthesise reports of changes in the prevalence, frequency, or characteristics of drug use (and factors associated with these changes) following the onset of the COVID-19 pandemic. This report presents findings related to SDU/chemsex among MSM. A comprehensive search across nine databases, supplemented with backward-forward citation searching and contact with key opinion leaders, was conducted. Two reviewers carried out title-abstract screening, full-text screening, and data extraction. Following a final, single database search, nine studies were included in the narrative synthesis. More than half the sample were studies investigating HIV pre-exposure prophylaxis use. Twenty percent of participants in most studies reported chemsex participation. In four, participants reported a net increase or maintenance of chemsex participation during the pandemic and five reported a net decrease. Increased chemsex participation was associated with loneliness, cravings, and working during the pandemic. Decreased chemsex practice was associated with COVID-19-related fear. This synthesis suggests that chemsex practice continued, and for some MSM increased, throughout COVID-19 pandemic ‘lockdowns’. This may have increased COVID-19 transmission and severity among potentially vulnerable MSM.

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Perceived difficulty of getting help to reduce or abstain from substances among sexual and gender minority men who have sex with men (SGMSM) and use methamphetamine during the early period of the COVID-19 pandemic

Cited by 4 publications

References 44 publications

Inequality in exposure and knowledge drives vulnerability to rat-associated leptospirosis among Chicago communities

Inequality in exposure and knowledge drives vulnerability to rat-associated leptospirosis among Chicago communities

Preliminary Psychometric Evaluation of Novel Measures of Therapist Practice Related to LGBTQ+ Clients

Coronavirus (COVID-19) and sexualised drug use among men who have sex with men: a systematic review

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