Sociodemographic Factors Contribute to Mental Health Disparities and Access to Services Among Young Men Who Have Sex with Men in New York City

Storholm, Erik D.; Siconolfi, Daniel; Halkitis, Perry N.; Moeller, Robert W.; Eddy, Jessica A.; Bare, Michael

doi:10.1080/19359705.2012.763080

Cited by 23 publications

(15 citation statements)

References 71 publications

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“…For YMSM with higher levels of dissatisfaction, psychological stress related to body dissatisfaction may present an additional burden in addition to the disproportionate stress they may experience as sexual minorities (Meyer, 2003). Indeed, prior analyses of this sample have indicated existing mental health needs (Storholm et al, 2013). Second, YMSM with body dissatisfaction may engage in unhealthy weight control behaviors, use of health supplements with potentially deleterious health effects (Field et al, 2005; Hadland et al, 2014; Holsen et al, 2001; Neumark-Sztainer et al, 2006; Olivardia et al, 2004; Parent,2013; Smith et al, 2011; Tylka, 2011), and use of steroids (Blashill & Safren, 2014; Parent, 2013).…”

Section: Discussionmentioning

confidence: 99%

Body Dissatisfaction in a Diverse Sample of Young Men Who Have Sex With Men: The P18 Cohort Study

et al. 2015

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Young men who have sex with men (YMSM) may be at greater risk for body dissatisfaction, compared to their heterosexual peers. However, differences within YMSM populations are understudied, precluding the identification of YMSM who are at greatest risk. This study examined body dissatisfaction in a racially/ethnically diverse sample of YMSM ages 18–19 in New York City. Using cross-sectional data from the baseline visit of a longitudinal cohort study of YMSM (N = 591), body dissatisfaction was assessed using the Male Body Attitudes Scale. Three outcomes were modeled using linear regression: (1) overall body dissatisfaction, (2) muscularity dissatisfaction, and (3) body fat dissatisfaction. Covariates in the models included race/ethnicity, sexual orientation, BMI, gay community affiliation, and internalized homonegativity. White YMSM experienced greater body dissatisfaction across the three models. Internalized homonegativity was a statistically significant predictor of dissatisfaction across the three models, though its association with body dissatisfaction was relatively small. The findings point to future avenues of research, particularly qualitative research to explore demographic and cultural nuances in body attitudes among YMSM.

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Section: Discussionmentioning

confidence: 99%

Body Dissatisfaction in a Diverse Sample of Young Men Who Have Sex With Men: The P18 Cohort Study

et al. 2015

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“…In the current study, the race/ethnicity covariate did not retain significance after model adjustment (results not shown); however, race/ethnicity effects (e.g., economic forms of racial/ethnic discrimination, such as in the labour market or educational system) also may be manifested via socioeconomic factors (income; education) (Krieger, 2001; Williams & Mohammed, 2009). In a study of young (ages 18–19) MSM in New York city, the effect of race/ethnicity was no longer significant after controlling for SEP in its association with mental health outcomes (depression, PTSD, and suicidality) (Storholm et al, 2013). …”

Section: Discussionmentioning

confidence: 99%

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

Pakula

Marshall

Shoveller

et al. 2016

Journal of Homosexuality

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Objectives This study examines gradients in depressive symptoms by socioeconomic position (SEP) (i.e., income, education, employment) in a large, multi-site sample of MSM. Methods Baseline data were used from EXPLORE, a randomized controlled behavioral HIV prevention trial for HIV-uninfected MSM in 6 U.S. cities (n=4,277). Depressive symptoms were assessed using the Center for Epidemiologic Studies Depression scale (short form). A series of multiple linear regressions were fitted with interaction terms to assess additive and multiplicative relationships between SEP and depressive symptoms. Results Depressive symptoms were more prevalent among MSM with lower income, lower educational attainment, and those in the unemployed/other employment category. Income, education and employment all made significant contributions in additive models after adjustment. The employment and income interaction was statistically significant, indicating a multiplicative effect. Conclusions This study revealed gradients in depressive symptoms across SEP of MSM, pointing to income and employment status, and to a lesser extent education, as key factors for understanding heterogeneity of depressive symptoms.

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“…Methods and details of the recruitment and enrollment procedures as well as the baseline study visit have been described in detail previously and are summarized here. 9,13,15-19 Briefly, between June 2009 to May 2011, YMSM were recruited for enrollment into the P18 cohort study via both venue and internet-based strategies…”

Section: Methodsmentioning

confidence: 99%

Incidence of HIV Infection in Young Gay, Bisexual, and Other YMSM

Halkitis

Kapadia

Ompad

2015

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Content HIV infections continue to rise in a new generation of young, gay, bisexual and other men who have sex with men (YMSM) despite three decades of HIV prevention and recent biomedical technologies to deter infection. Objectives To examine the incidence of HIV and the demographics, behavioral, and structural factors associated with incident infections. Design Cohort study. Participants 600 YMSM who were ages 18-19 at baseline. Results At baseline 6 prevalent cases of HIV were detected. Over the course of 36 months and six additional waves of data collection, we identified 43 (7.2%) incident cases of HIV. Incident infections were marginally higher among those residing in neighborhoods with higher rates of HIV prevalence. Using Cox proportional hazards models we detected that hazard ratios for time to HIV seroconversion were significantly higher for Black YMSM (HR = 7.46) and Mixed/Other race YMSM (HR = 7.99), and older age at sexual debut with another man was associated with a lower risk of HIV seroconversion (HR = 0.50), while low perceived familial SES was marginally associated with an increased risk for HIV seroconversion (HR = 2.45). Conclusions These findings support the disparities for HIV that exist within the population of sexual minority men and suggest that we attend to behavioral, structural and social conditions to effectively tailor HIV prevention for a new generation of YMSM with a keen eyes to the conditions faced by racial and ethnic minority YMSM which heightened their risk for acquiring HIV.

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Sociodemographic Factors Contribute to Mental Health Disparities and Access to Services Among Young Men Who Have Sex with Men in New York City

Cited by 23 publications

References 71 publications

Body Dissatisfaction in a Diverse Sample of Young Men Who Have Sex With Men: The P18 Cohort Study

Body Dissatisfaction in a Diverse Sample of Young Men Who Have Sex With Men: The P18 Cohort Study

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

Incidence of HIV Infection in Young Gay, Bisexual, and Other YMSM

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