[PDF] Health Issues Confronting Minority Men Who Have Sex With Men eBook
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Here is an important work that uniquely focuses on both gay/queer-self-identified men from diverse minority communities (African American, Latino, Native American, Asian and Pacific Islander) and men of these ethnic communities who have sex with men but are not gay/queer-self-identified. Each section of this edited book is devoted to a particular health issue affecting minority MSM, and consists of one or more scholarly chapters that address the particular issue.
Most public health students, academicians, and practitioners recognize the association between racial/ethnic minority status and the disproportionate burden of preventable disease in the United States. Much less attention has been directed, however, toward health disparities that affect gay and bisexual men. These disparities affect the lives of an estimated 5.3-7.4 million American men, and are an important concern for public health. Until very recently, the relative invisibility of this group and a paucity of empirical data have hampered attempts to identify health disparities experienced by gay and bisexual men. This book proposes to review and synthesize evidence of health disparities among gay and bisexual men, identify individual and community factors that contribute to these disparities, and articulate strategies for public health efforts to eliminate disparities. To date, these disparities have been largely discussed in isolation in the research literature in a manner that does not permit a comprehensive examination of these problems, their underlying causes, and potential solutions. Thus, a primary emphasis of the book will be to document health disparities among gay and bisexual men while also describing public health solutions to these challenges.
Background: Medical mistrust and trust significantly impact a variety of health behaviors and outcomes, widening health inequities among minoritized populations. While medical mistrust has been extensively studied, particularly among Black men, less is known about medical mistrust among sexual minority men (SMM). Additionally, research on medical trust is limited as most studies examine medical mistrust.This dissertation examines medical mistrust and trust in a sample of racially and ethnically diverse young sexual minority men (SMM; e.g., gay, queer, bisexual, and other men who have sex with men) in three ways: 1) to validate a scale commonly used to measure mistrust (Group-Based Medical Mistrust [GBMMS] and Group-Based Medical Mistrust-Sexual Orientation and Gender Minority [GBMMS-SGM]), 2) to examine medical mistrust within SMM by racial and ethnic group, 3) to validate Trust in Physician Scale (TIPS) among SMM. As such, this dissertation contains three articles.Methods: The GBMMS, GBMMS-SGM, and TIPS scales' factor structure were evaluated using Principal Axis Factoring (PAF) with a promax (oblique) rotation. To assess and compare medical mistrust among SMM, a one-way multivariate analysis of variance (MANOVA) was conducted to examine variations in race-based medical mistrust (GBMMS scores) and medical mistrust attributed to sexual/gender minority group status (GBMMS-SGM scores) by race (Black, Latinx, White, 0́−Other0́+). One-way ANOVAs were conducted separately for each scale to examine pair-wise differences in GBMMS and GBMMS-SGM scores between race and ethnic groups. Results: The GBMMS, GBMMS-SGM, and TIPS scales are valid and reliable measures for evaluating medical mistrust among this population. Additionally, this study found significant differences in race-based medical mistrust by race and that there may be meaningful differences in medical mistrust attributed to sexual/gender minority status by race. Conclusion: This dissertation provides the first validation of mistrust and trust-related scales among SMM. This study also demonstrates the need for more research examining the many facets of medical mistrust and trust among SMM. These findings can be used to develop culturally sensitive and appropriate programs and interventions that focus on addressing barriers to healthcare utilization for SMM and other minorized populations.
National Academies of Sciences, Engineering, and Medicine
Author : National Academies of Sciences, Engineering, and Medicine Publisher : National Academies Press Page : 583 pages File Size : 22,10 MB Release : 2017-04-27 Category : Medical ISBN : 0309452961
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
This volume of Advances in Medical Sociology showcases rich theoretical and empirical contributions on SGM health and wellbeing. The chapters address a variety of topics, drawing from classic and contemporary sociological frameworks and constructs, and reflecting intersecting interdisciplinary approaches to SGM health.
"The Oxford Handbook of Sexual and Gender Minority Mental Health provides an overview of the current research on the mental health of sexual and gender minority (SGM) populations. It is aimed at researchers conducting studies on the mental health of SGM populations, clinicians and researchers interested in psychiatric disorders that affect SGM populations, clinicians using evidence-based practice in the treatment of SGM patients/clients, students in mental health programs (clinical psychology, psychiatry, clinical social work, and psychiatric nursing), and policymakers. This chapter defines some terms and provides an overview of current and past SGM research methods"--
Author : Institute of Medicine Publisher : National Academies Press Page : 293 pages File Size : 38,25 MB Release : 2011-06-24 Category : Medical ISBN : 0309210658
At a time when lesbian, gay, bisexual, and transgender individuals-often referred to under the umbrella acronym LGBT-are becoming more visible in society and more socially acknowledged, clinicians and researchers are faced with incomplete information about their health status. While LGBT populations often are combined as a single entity for research and advocacy purposes, each is a distinct population group with its own specific health needs. Furthermore, the experiences of LGBT individuals are not uniform and are shaped by factors of race, ethnicity, socioeconomic status, geographical location, and age, any of which can have an effect on health-related concerns and needs. The Health of Lesbian, Gay, Bisexual, and Transgender People assesses the state of science on the health status of LGBT populations, identifies research gaps and opportunities, and outlines a research agenda for the National Institute of Health. The report examines the health status of these populations in three life stages: childhood and adolescence, early/middle adulthood, and later adulthood. At each life stage, the committee studied mental health, physical health, risks and protective factors, health services, and contextual influences. To advance understanding of the health needs of all LGBT individuals, the report finds that researchers need more data about the demographics of these populations, improved methods for collecting and analyzing data, and an increased participation of sexual and gender minorities in research. The Health of Lesbian, Gay, Bisexual, and Transgender People is a valuable resource for policymakers, federal agencies including the National Institute of Health (NIH), LGBT advocacy groups, clinicians, and service providers.
Could crystal meth use in the gay community be responsible for a resurgence in the AIDS epidemic? According to recent studies, gay men who use crystal methamphetamine were twice as likely to have unprotected sex as those who did not — and more than three times as likely to be HIV-positive. Crystal Meth and Men Who Have Sex with Men is an unflinching look at this dangerous threat to the gay community, addressing the health and mental health needs of “Tina” users who are lost in a downward spiral of addiction and high-risk sexual behaviors. This vital book is the product of a unique collaboration between the New York City Department of Health and Mental Hygiene and researchers, clinicians, and community activists. Crystal Meth and Men Who Have Sex with Men contains the published proceedings of two important community events that took place in 2004 in New York City—“The Crystal Meth-HIV Connection: A Public Forum with Harvey Fierstein” and “Crystal Methamphetamine: Understanding and Treatment an Emerging Health Crisis.” Each article—whether drawn from personal account, research study, or online survey—reinforces the reality for the gay community that wherever crystal meth is, increases in sexual risk behaviors for HIV and other sexually transmitted infections (STIs) are sure to follow. This powerful book will help you to identify, approach, and treat clients who use meth, examing the physical, medical, and psychological effects and consequences of its widespread abuse. Topics addressed in Crystal Meth and Men Who Have Sex with Men include: the medical complications associated with methamphetamine use in HIV-infected patients, including hypertension, hyperthermia, rhabdomyolysis, and stroke the alarming rise in the number of emergency room visits related to crystal meth use the psychiatric consequences of methamphetamine use sexual history taking and screening for sexually transmitted infections creative educational interventions and clinical strategies substance abuse treatment interventions cognitive-behavioral therapy motivational interviewing gay-identified community-based treatment programs “club drugs” and the increase of HIV incidence harm reduction and much more Crystal Meth and Men Who Have Sex with Men is an essential resource for health and mental health professionals, including psychiatrists, psychologists, social workers, counselors, primary care physicians, nurse practitioners, and physician assistants. It’s equally beneficial for staff and administrators of community-based organizations that serve gay men.
Author : Ilan H. Meyer Publisher : Springer Science & Business Media Page : 740 pages File Size : 16,23 MB Release : 2007-03-12 Category : Medical ISBN : 0387313346
This is the first concise handbook on Lesbian, Gay, Bisexual and Transgender (LGBT) health in the past few years. It breaks the myths, breaks the silence, and breaks new ground on this subject. This resource offers a multidimensional picture of LGBT health across clinical and social disciplines to give readers a full and nuanced understanding of these diverse populations. It contains real-world matters of definition and self-definition, meticulous analyses of stressor and health outcomes, a extensive coverage of research methodology concerns, and critical insights into the sociopolitical context of LGBT individuals’ health and lives.