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Anderson JG, Flatt JD, Cicero EC, Kittle K, Myers CR, Rose KM, Wharton W. Inclusive Care Practices and Policies Among Sexual and Gender Minority Older Adults. J Gerontol Nurs 2022; 48:6-15. [PMID: 36441066 PMCID: PMC10441248 DOI: 10.3928/00989134-20221107-03] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/23/2023]
Abstract
As the health care and well-being of sexual and gender minority (SGM; i.e., lesbian, gay, bisexual, and/or transgender or gender non-binary) people in the United States receive federal and local-level attention, SGM older adults and caregivers continue to be left out of important health policy and care conversations. The current article describes policy issues and affirmative strategies related to inclusive care practices among SGM older adults and caregivers. In addition to the broader policies considered related to health and well-being, we include a discussion of local-level policy strategies to mitigate discrimination and promote inclusive care for SGM older adults and caregivers. [Journal of Gerontological Nursing, 48(12), 6-15.].
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Burchett CO, Shen MJ, Freeman R, Seidel L, Karpiak S, Brennan-Ing M, Siegler EL. Using Focus Group Feedback to Identify Patient-Centered Initiatives for Older Persons with HIV. Clin Gerontol 2022; 45:661-672. [PMID: 32497461 PMCID: PMC8084408 DOI: 10.1080/07317115.2020.1769245] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Objectives: This study assessed how few community-based programs target older people living with HIV.Methods: We conducted four focus groups comprised of people 50 and older with HIV (N = 32; gay/bisexual men, heterosexual men, women, and Spanish-speakers) to inform HIV program development by exploring the services in which participants were actively involved, along with the services they wanted to receive.Results: Using inductive thematic qualitative analysis, four themes were identified pertaining to program development: (a) types of currently utilized HIV service organizations; (b) dissatisfaction with HIV programming and services; (c) participants' preferred programming, courses, groups, or activities; and (d) desire to serve as peer mentors.Conclusions: Results highlight the need for community-based organizations to address social engagement and isolation among older people living with HIV.Clinical implications: These findings exemplify the need for programs to be specifically designed for OPH, and created with the primary goals of socialization and helping develop social support networks.
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Affiliation(s)
- Chelsie O Burchett
- Department of Medicine, Weill Cornell Medicine, New York, New York, USA.,Department of Psychology, Stony Brook University, Stony Brook, New York, USA
| | | | - Ryann Freeman
- Moody College of Communication, Dell Medical School, The University of Texas at Austin, Austin, Texas, USA
| | - Liz Seidel
- The Hartford Institute for Geriatric Nursing, New York University Rory Meyers College of Nursing, New York, New York, USA
| | - Stephen Karpiak
- The Hartford Institute for Geriatric Nursing, New York University Rory Meyers College of Nursing, New York, New York, USA.,The HIV and Aging Center, ACRIA Center on HIV & Aging at GMHC, New York, NY, USA
| | - Mark Brennan-Ing
- Brookdale Center for Healthy Aging, Hunter College, the City University of New York, New York, NewYork, USA
| | - Eugenia L Siegler
- Department of Medicine, Weill Cornell Medicine, New York, New York, USA
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Dayton L, Tobin K, Latkin C. Understanding HIV/AIDS prevention and care in the context of competing health and well-being priorities among Black men who have sex with men in Baltimore, MD. AIDS Care 2021; 33:1458-1463. [PMID: 32847394 PMCID: PMC7907253 DOI: 10.1080/09540121.2020.1808159] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2019] [Accepted: 08/04/2020] [Indexed: 10/23/2022]
Abstract
This study examines health and well-being priorities among Black men who have sex with men (BMSM) in Baltimore, MD and their association with condom use. Among 148 sexually active BMSM, 43% were HIV positive. The majority ranked financial stability (68%), physical health (53%), and stable housing (59%) as top priorities. Fewer participants identified top priorities as mental health (37%), HIV prevention (35%), relationships with family (25%), and romantic partners (23%). Identifying HIV prevention (aOR: 2.25; 95% CI: 1.07-4.72) and relationship with family (aOR: 2.19; 95% CI: 0.99-4.89) as top priorities were associated with increased odds of always using condoms. Reporting stable housing as a top priority (aOR: 0.47; 95% CI: 0.22-1.00) reduced the odds of always using a condom. To increase relevance, HIV/AIDS prevention programs should address BMSM's financial, housing and physical health needs.
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Affiliation(s)
- Lauren Dayton
- Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland 21205, USA
| | - Karin Tobin
- Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland 21205, USA
| | - Carl Latkin
- Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland 21205, USA
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Boyd DT, Ramos SR, Quinn CR, Jones KV, Wilton L, Nelson LE. Family Support and Sociocultural Factors on Depression among Black and Latinx Sexual Minority Men. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:6759. [PMID: 34201780 PMCID: PMC8268525 DOI: 10.3390/ijerph18136759] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/11/2021] [Revised: 06/09/2021] [Accepted: 06/14/2021] [Indexed: 11/16/2022]
Abstract
Family-based approaches are critical for improving health outcomes in sexual minority men (SMM) of color. Yet, it is unclear how family context, internalized homophobia, and stress influence mental health outcomes among sexual minority men of color. From a cross-sectional sample of 448 participants, aged 16-24 years, survey data were analyzed to examine rates of family social support, the perception of sexuality by family, the stressfulness of life events, internalized homophobia, and other contextual variables on depression using linear regression. Our results indicated that an 86% increase in family social support was related to a -0.14 decrease in depression (ß = -0.14, p = 0.004). In addition, SMM who were separated by family and friends because of their sexuality were statistically significant and positively associated with depression (ß = 0.09, p < 0.001). Findings from our study suggest that the influence from the microsystem is salient in modifying mental health outcomes for SMM of color.
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Affiliation(s)
- Donte T. Boyd
- College of Social Work, Ohio State University, Columbus, OH 43210, USA;
- Center for Interdisciplinary Research on AIDS, New Haven, CT 06510, USA;
| | - S. Raquel Ramos
- Department, Rory Meyers College of Nursing, New York University, New York, NY 10010, USA;
| | - Camille R. Quinn
- College of Social Work, Ohio State University, Columbus, OH 43210, USA;
| | - Kristian V. Jones
- School of Social Work, University of Texas at Austin, Austin, TX 78712, USA;
| | - Leo Wilton
- Department of Human Development, State University of New York at Binghamton, Binghamton, NY 13902, USA;
- Faculty of Humanities, University of Johannesburg, Johannesburg 2006, South Africa
| | - LaRon E. Nelson
- Center for Interdisciplinary Research on AIDS, New Haven, CT 06510, USA;
- School of Nursing, Yale University, New Haven, CT 06477, USA
- St. Michael’s Hospital, Li Ka Shing Knowledge Institute, MAP Centre for Urban Health Solutions, Toronto, ON M5B 1W8, Canada
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Chen J, McLaren H, Jones M, Shams L. The Aging Experiences of LGBTQ Ethnic Minority Elders: A Systematic Review. THE GERONTOLOGIST 2020; 62:e162-e177. [PMID: 32941597 DOI: 10.1093/geront/gnaa134] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2020] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND AND OBJECTIVES In gerontological research and practice, an increasing amount of attention is being paid to lesbian, gay, bisexual, transgender and queer (LGBTQ) older people and how their experiences differ from their heterosexual and cisgender counterparts. However, LGBTQ elders themselves are not a homogenous group. Moreover, as the immigrant populations in industrialized nations age, the number of LGBTQ elders from ethnic minority backgrounds will only grow. This systematic review hence investigates the experiences of LGBTQ ethnic minority elders. RESEARCH DESIGN AND METHODS Following the PRISMA guidelines, we conducted a systematic search in five databases for English peer-reviewed studies. The retrieved articles were coded and analyzed inductively using an intersectional framework to tease out the varying influences of ethnicity, age, gender and sexual identity on the LGBTQ ethnic minority elders' experiences. RESULTS A total of 30 articles across 17 studies (13 qualitative, seven quantitative and one mixed methods) were identified. Six key themes emerged from the studies: stigma and discrimination; isolation, support and belonging, interactions with services and institutions, self-acceptance, resilience and agency; mental health and wellbeing; and uncertain futures. DISCUSSION AND IMPLICATIONS The experiences of LGBTQ ethnic minority elders echo those of LGBTQ ethnic majority elders when they are shaped by gender and sexual identity factors. Nevertheless, significant differences in experiences -both positive and negative-emerge when cultural and ethnicity-related factors come to the fore. These findings emphasize the need for intersectional aging policies and services that go beyond catering for LGBTQ elders to include the diversity within this sub-population.
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Affiliation(s)
- Jinwen Chen
- College of Education, Psychology and Social Work, Flinders University, South Australia, Australia
| | - Helen McLaren
- College of Education, Psychology and Social Work, Flinders University, South Australia, Australia
| | - Michelle Jones
- College of Education, Psychology and Social Work, Flinders University, South Australia, Australia
| | - Lida Shams
- College of Education, Psychology and Social Work, Flinders University, South Australia, Australia
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Brown MJ, Serovich JM, Laschober TC, Kimberly JA. Disparities by age in depressive symptoms and substance use among men who have sex with men living with HIV. Int J STD AIDS 2020; 31:642-651. [PMID: 32448078 PMCID: PMC7299820 DOI: 10.1177/0956462420918676] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
The aim of this study was to assess the association between age, depressive symptoms, and substance use among men who have sex with men (MSM) living with HIV. Baseline data were obtained from 337 MSM living with HIV. Linear and logistic regression models were used to determine the association between age and depressive symptoms and substance use. MSM aged 35-49 had higher depressive symptoms than MSM 50 and older (B = 3.53; 95% CI: 0.33, 6.72); MSM aged 25-34 and MSM 35-49 had higher substance use than MSM 50 and older (B = 2.66; 95% CI: 0.77, 4.54; and B = 1.68; 95% CI: 0.22, 3.14, respectively). MSM aged 35-49 were more likely to be at risk for clinical depression than MSM 50 and older (OR = 1.84; 95% CI: 1.06, 3.22); MSM aged 18-24 and MSM 35-49 were less likely and more likely to have substance abuse than MSM 50 and older (OR = 0.29; 95% CI: 0.09, 0.91; and OR = 1.83; 95% CI: 1.02, 3.29, respectively). Interventions addressing depressive symptoms and substance use tailored to individuals in different age groups should account for varying needs at different stages of life.
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Affiliation(s)
- Monique J. Brown
- Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina
- South Carolina SmartState Center for Healthcare Quality
- Rural and Minority Health Research Center, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina
- Office for the Study of Aging, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina
| | - Julianne M. Serovich
- College of Behavioral and Community Sciences, University of South Florida, Tampa, Florida
| | - Tanja C. Laschober
- College of Behavioral and Community Sciences, University of South Florida, Tampa, Florida
| | - Judy A. Kimberly
- Division of Biology and Medicine, Brown University, Providence, Rhode Island
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