The Tangled Branches (<i>Las Ramas Enredadas</i>)

Santis, Joseph P. De; González-Guarda, Rosa M.; Provencio-Vasquez, Elías; Deleon, Diego A.

doi:10.1177/1043659613504110

Cited by 28 publications

(19 citation statements)

References 31 publications

(46 reference statements)

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“…Unlike the preponderance of evidence linking acculturation to negative outcomes such as depression and high risk sexual behaviors in Hispanics (Alegría et al, 2008; Beadnell et al, 2003; de Figueiredo, 2014; Le & Kato, 2004; Raffaelli, Zamboanga, & Carlo, 2005; Lee & Hahm, 2010) as well as in some studies with Hispanic MSM (DeSantis, Gonzalez-Guarda, Provencio-Vasquez and Deleon, 2014; De Santis, Vasquez, Weidel, Watson, & Sanchez, 2009) we found that Americanism was related to lower levels of depressive symptoms. The processes of acculturative risk may play out differently for Hispanic MSM than for other Hispanics, who as suggested by findings from qualitative research (Bianchi et al, 2007), may experience greater self-acceptance and alleviation of isolation and other stressors in the process of acculturation, lowering their risk for depressive symptoms.…”

Section: Discussioncontrasting

confidence: 96%

The Impact of Parental Reaction to Sexual Orientation on Depressive Symptoms and Sexual Risk Behavior Among Hispanic Men Who Have Sex with Men

Mitrani

Santis

McCabe

et al. 2017

Archives of Psychiatric Nursing

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Purpose This study examined the relationship of parent reaction to sexual orientation with depressive symptoms and safer sex among Hispanic adult men who have sex with men (MSM). We also examined men s acculturation to the U.S. (Americanism) in relation with these variables. Method Cross-sectional data collected from July 2011 to December 2012, from 125 MSM with a mean age of 43.02 years. Instruments included the Perceived Parent Reaction Scale, the Centers for Epidemiological Studies Depression Scale, the Safer Sex Behavior Questionnaire and the Bidimensional Acculturation Scale. Data was analyzed using Hierarchical generalized linear models (GZLM). Results Among men whose parents knew of their sexual orientation, rejection of son s sexual orientation from mother (p=.032) and from father (p=.004) was related to higher number of depressive symptoms. Parent reactions were not directly related to safer sex behaviors. Americanism was associated with lower depressive symptoms (p=.001) but was not related to safer sex behaviors. Conclusions Current parent attitudes about their sons sexual orientation had an effect on the sons emotional wellbeing and acculturation may play a protective role. Mental health and primary care clinicians working with Hispanic MSM should assess for level of family support and provide resources to assist with disclosure and family acceptance of sexual orientation as indicated, particularly among recently immigrated men who may be at higher risk.

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Section: Discussioncontrasting

confidence: 96%

The Impact of Parental Reaction to Sexual Orientation on Depressive Symptoms and Sexual Risk Behavior Among Hispanic Men Who Have Sex with Men

Mitrani

Santis

McCabe

et al. 2017

Archives of Psychiatric Nursing

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“…This correlation is consistent with other studies of lifetime and 12-month history of MSSIPV and CSA [32]- [35]. Logistic regression analysis showed that non-urban gay men had significant differences from urban gay men for both victim and perpetrator rates.…”

Section: Discussionsupporting

confidence: 90%

Syndemic Theory and Male Same Sex Intimate Partner Violence: An Urban/Non-Urban Comparison

Pimentel¹,

Cheng²,

Kelly³

2015

OALib

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Background: The majority of research with gay men has been conducted in urban populations, with minimal work on partner violence in non-urban (suburban and rural) settings. Syndemic theory, the concept that negative health outcomes are increased with the addition of each new deleterious health variable, has been used to understand partner violence. The aim of the study was to determine differences in prevalence and associated factors of male same-sex intimate partner violence (MSSIPV) among gay men residing in urban versus non-urban settings. Methods: A cross-sectional survey was conducted with gay men in the state of California. Variables were identified from syndemic theory and included exposure to intimate partner violence, depression, sexual compulsivity, poly-drug use, and childhood sexual abuse. Results: Demographic differences were evident between urban and non-urban dwelling gay men. Rates of lifetime victimization and perpetration of MSSIPV between urban and non-urban gay men were not significant. In regard to syndemic variables, only childhood sexual abuse (CSA) showed any significant differences between the two populations. Being a victim of CSA increased the odds of being a lifetime victim of MSSIPV by a factor of five for non-urban participants and increased the odds of being a victim by a factor of three for all subjects. Moreover, being a victim of CSA increased the odds of being a lifetime perpetrator of MSSIPV by a factor of three for non-urban participants. Conclusion: This appears to be the first of its kind study differentiating between urban and non-urban MSM. More research is needed to verify our findings of demographic and syndemic differences between these two populations in order to fully understand and address the needs of all members of the Lesbian, Gay, Bisexual, and Transgender (LGBT) community.

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“…Second, although we collected data on country of origin and number of years in the United States, we did not have other measures pertaining to acculturation that could have more accurately described differences between foreign-born and native-born Latino MSM. Third, this study did not have psychosocial variables beyond IPV that have also been associated with HIV risk such as childhood sexual abuse, 47-49 internalized homophobia, 39,50 depression, 10 self-esteem, 10,30 machismo, 44,51-52 or sexual compulsivity. 53-55 Future studies of the Latino MSM communities in the United States that utilize Syndemics Theory could further explore how other acculturation and psychosocial variables may be related to HIV contraction within this MSM subgroup.…”

Section: Discussionmentioning

confidence: 99%

“…40 IPV has also been associated with elevated levels of substance use, 41-44 depression, 41 a greater number of sexual partners, 43 and CAI 41,44-46 among MSM. While the relationship between IPV and HIV for Latino MSM was originally proposed by González-Guarda et al, 30 , this is the first study to quantitatively show an association between IPV and HIV seroconversion among Latino MSM.…”

Section: Discussionmentioning

confidence: 99%

Disparities Within the Disparity—Determining HIV Risk Factors Among Latino Gay and Bisexual Men Attending a Community-Based Clinic in Los Angeles, CA

Beymer

Weiss

Halkitis

et al. 2016

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Background Latino gay, bisexual, and other men who have sex with men (MSM) in the United States have a 50% greater incidence of HIV when compared to White MSM. Previous studies have analyzed factors contributing to condomless anal intercourse (CAI) among Latino MSM, but few studies have followed cohorts of HIV-negative Latino MSM to determine circumstances for HIV infection. Informed by Syndemics Theory, we examine behavioral, biological, and contextual factors associated with HIV infection for Latino MSM. Methods Risk assessment and HIV testing data were analyzed for all initially HIV-negative, Latino MSM (n = 3,111) visiting a community-based clinic in Los Angeles, California from January 2009 to June 2014. Survival analyses were used to determine characteristics of Latino MSM who became HIV-positive during the study timeframe. Results Similar to previous studies of MSM, self-reported history of Chlamydia, Gonorrhea and/or Syphilis (aHR: 1.97; CI: 1.28-3.04), receptive CAI (aHR: 1.7; CI: 1.16-2.49), and methamphetamine use (aHR: 1.99; CI: 1.15-3.43) predicted HIV infection. In addition, originating from Central America (aHR: 2.31; CI: 1.41-3.79), Latino ethnicity of the last sex partner (aHR: 1.67; CI: 1.16-2.39), and experiencing intimate partner violence (IPV) (aHR: 1.73; CI: 1.13-2.64) were also associated with HIV infection among Latino MSM. Conclusions This is the first study to show independent associations between IPV and HIV infection among Latino MSM. This study shows that psychosocial conditions such as IPV fuel HIV incidence among Latino MSM, and psychosocial interventions should be considered to reduce HIV disparities among Latino MSM.

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The Tangled Branches (Las Ramas Enredadas)

Cited by 28 publications

References 31 publications

The Impact of Parental Reaction to Sexual Orientation on Depressive Symptoms and Sexual Risk Behavior Among Hispanic Men Who Have Sex with Men

The Impact of Parental Reaction to Sexual Orientation on Depressive Symptoms and Sexual Risk Behavior Among Hispanic Men Who Have Sex with Men

Syndemic Theory and Male Same Sex Intimate Partner Violence: An Urban/Non-Urban Comparison

Disparities Within the Disparity—Determining HIV Risk Factors Among Latino Gay and Bisexual Men Attending a Community-Based Clinic in Los Angeles, CA

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