Syndemic Experiences, Protective Factors, and HIV Vulnerabilities Among Lesbian, Gay, Bisexual and Transgender Persons in Jamaica

Logie, Carmen H.; Wang, Ying; Marcus, Natania; Levermore, Kandasi; Jones, Nicolette; Ellis, Tyrone; Bryan, Nicolette

doi:10.1007/s10461-018-2377-x

Cited by 12 publications

(3 citation statements)

References 68 publications

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“…Also, low self-esteem, history of forced sex, and use of crack and cocaine can contribute to inconsistent condom use among transgender individuals [ 17 ]. Syndemic vulnerabilities, such as alcohol abuse, depressive symptoms, and childhood sexual abuse, can negatively affect the ability to get condoms, use them correctly, and negotiate their use during sex [ 18 ]. Self-efficacy in condom use consistency can act as a protective factor against unprotected anal sex in commercial sexual relations/prostitution [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

Condom-Protected Sex and Minority Stress: Associations with Condom Negotiation Self-Efficacy, “Passing” Concerns, and Experiences with Misgendering among Transgender Men and Women in Brazil

Catelan

Saadeh

Lobato

et al. 2021

IJERPH

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This cross-sectional exploratory study aims to verify associations between condom-protected sex, condom negotiation self-efficacy, self-esteem, and four minority stressors (experiences with misgendering, “passing” concerns, anticipated prejudice, and perceived prejudice) among transgender men (TM) and transgender women (TW). 260 individuals (192 TW and 68 TM) residing in two Brazilian states participated in the study. Data was collected online and in two hospital programs for transgender people and included sociodemographic data, condom-protected sex, the Trans-Specific Condom/Barrier Negotiation Self-Efficacy (T-Barrier) Scale, the Rosenberg Self-Esteem Scale, and four minority stressors. Measures that were significantly associated with condom-protected sex were tested as independent variables in a linear regression model. The main results suggest that lower condom negotiation self-efficacy, higher “passing” concerns, and higher experiences with misgendering were predictors of lower frequency of condom-protected sex. These negative outcomes were found among both TM and TW, which justifies their inclusion in public health policies. Structural strategies and clinical interventions are suggested to address condom negotiation self-efficacy and “passing” concerns in transgender populations.

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Section: Introductionmentioning

confidence: 99%

Condom-Protected Sex and Minority Stress: Associations with Condom Negotiation Self-Efficacy, “Passing” Concerns, and Experiences with Misgendering among Transgender Men and Women in Brazil

Catelan

Saadeh

Lobato

et al. 2021

IJERPH

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“…On the other hand, the correlation between the use of barrier preventive methods and some effective, emotional, and behavioral factors has also aroused some interest in the scientific community. Thus, variables such as alcohol and other drug consumption [2,22], sexual compulsiveness [30], the search for sexual sensations [31] and depressive symptomatology [19,32], would constitute factors to be considered in developing preventive strategies. In addition, Logie et al design, implement and evaluate the effectiveness of the only HIV and STI group prevention program for women who have sex with women [4].…”

Section: Introductionmentioning

confidence: 99%

HIV and STI Prevention Among Spanish Women Who have Sex with Women: Factors Associated with Dental Dam and Condom Use

et al. 2022

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The scientific community has systematically ignored the needs of women who have sex with women (WSW). The invisibilization of romantic and sexual relationships between women has caused a profound lack of knowledge about the impact of HIV and other STIs on this population subgroup. This study aims to analyze the frequency of dental dam and condom use in WSW and identify the variables that explain the use of these two preventive methods. The sample is composed of 327 women aged between 18 and 60 years (M = 27.82; SD = 8.10). The results indicate that only 4.7% of those who practice cunnilingus and 5.2% of those who practice anilingus report “always” using dental dam (systematic use). Condoms are used systematically by 37.1% of those who practice vaginal penetration and 37.8% of those who practice anal penetration. Age, high perceived self-efficacy, and adequate assertive communication skills are variables significantly related to preventive behavior. The severity attributed to HIV and the perceived risk of infection are protective factors regarding dental dam use. For condom use, high levels of internalized homophobia and drug use are risk factors. Future preventive strategies should provide information on preventive strategies to WSW who, for different reasons, are not involved in LGBT contexts or associations and, therefore, do not have access to training activities and mistakenly believe that they are invulnerable as they do not have sexual relations with men.

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“…There are also knowledge gaps regarding protective factors that can mitigate the effects of harmful social conditions on health outcomes. A study with LGBT persons in Jamaica reported that social support and resilient coping partially mediated pathways from a latent construct of syndemics that included violence and substance use to sexual risk [29]. Furthermore, a study with MSM in Mexico reported that 'outness' about same sex sexual practices moderated pathways between syndemic factors, including substance use, depression, and internalized stigma, to sexual risks [30].…”

Section: Introductionmentioning

confidence: 99%

Conceptualizing LGBT Stigma and Associated HIV Vulnerabilities Among LGBT Persons in Lesotho

et al. 2020

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Social marginalization harms lesbian, gay, bisexual, and transgender (LGBT) persons' wellbeing in Lesotho. Socio-cultural mechanisms linking LGBT stigma, depression, substance use, and HIV among LGBT persons in Lesotho are understudied. We explore associations between LGBT stigma, mental health stressors, and HIV vulnerabilities among LGBT persons in Lesotho. We conducted in-depth, semi-structured interviews with 46 LGBT persons and six key informants (e.g. healthcare providers). Participants described depression, substance use, and HIV as mutually reinforcing and situated in larger social contexts of stigma. Alcohol use was a stigma coping strategy and a way to build LGBT connections. At the same time, alcohol use elevated HIV vulnerabilities by lowering condom use uptake. Pervasive stigma reinforced barriers to healthcare engagement. Community-led support and services were leveraged to navigate stigma, reduce HIV vulnerabilities, and ultimately improve health. Findings emphasize the key role contexts play in shaping sexual and mental health among LGBT persons in Lesotho.

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Syndemic Experiences, Protective Factors, and HIV Vulnerabilities Among Lesbian, Gay, Bisexual and Transgender Persons in Jamaica

Cited by 12 publications

References 68 publications

Condom-Protected Sex and Minority Stress: Associations with Condom Negotiation Self-Efficacy, “Passing” Concerns, and Experiences with Misgendering among Transgender Men and Women in Brazil

Condom-Protected Sex and Minority Stress: Associations with Condom Negotiation Self-Efficacy, “Passing” Concerns, and Experiences with Misgendering among Transgender Men and Women in Brazil

HIV and STI Prevention Among Spanish Women Who have Sex with Women: Factors Associated with Dental Dam and Condom Use

Conceptualizing LGBT Stigma and Associated HIV Vulnerabilities Among LGBT Persons in Lesotho

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