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  1. Article ; Online: Patterns of Sexual Behavior and Sexually Transmitted Infections in Young Men Who Have Sex With Men.

    Vasilenko, Sara A / Rice, Cara E / Rosenberger, Joshua G

    Sexually transmitted diseases

    2018  Volume 45, Issue 6, Page(s) 387–393

    Abstract: Purpose: Young men who have sex with men (MSM) are at an increased risk for sexually transmitted infections (STIs). Recent research has documented the importance of understanding the multidimensional nature of sexual risk behavior; however, little is ... ...

    Abstract Purpose: Young men who have sex with men (MSM) are at an increased risk for sexually transmitted infections (STIs). Recent research has documented the importance of understanding the multidimensional nature of sexual risk behavior; however, little is known about how multidimensional patterns of sexual behavior among MSM may be associated with STIs.
    Method: This study applies latent class analysis to data from a large, HIV- sample of 18- to 25-year-old MSM recruited from social and sexual networking Web sites (N = 5965; 76% white, 11% Latino, 5% black, 4% Asian, 4% other; 74% homosexual, 21% bisexual, 1% heterosexual, 3%, unsure/questioning 1% other) to uncover multidimensional patterns of past-year sexual behaviors, partner factors, and protective behavior and their associations with self-reported STI diagnosis.
    Results: We selected a model with 8 classes, with nearly half of participants belonging to a class marked by multiple behaviors with more than 1 partner, and smaller numbers of individuals in classes with a smaller number of behaviors, romantic relationships, and sexual inactivity. Class membership was associated with recent STI diagnosis, with classes marked by no penetrative sex or receptive anal sex with consistent condom use having lower prevalence than those with inconsistent condom use, including those engaging in only insertive anal sex.
    Conclusions: Findings suggest heterogeneity of behaviors within MSM and that prevention messages may be more effective if they are tailored to individuals' patterns of sexual behavior, as well as demographic and sociocontextual factors.
    MeSH term(s) Adolescent ; Adult ; Bisexuality ; HIV Infections/epidemiology ; Heterosexuality/statistics & numerical data ; Homosexuality, Male/statistics & numerical data ; Humans ; Male ; Online Social Networking ; Risk-Taking ; Safe Sex ; Sexual Behavior/statistics & numerical data ; Sexual Partners ; Sexual and Gender Minorities/statistics & numerical data ; Sexually Transmitted Diseases/diagnosis ; Sexually Transmitted Diseases/epidemiology ; Young Adult
    Language English
    Publishing date 2018-02-21
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 435191-5
    ISSN 1537-4521 ; 0148-5717
    ISSN (online) 1537-4521
    ISSN 0148-5717
    DOI 10.1097/OLQ.0000000000000767
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Is Young Adulthood a Critical Period for Suicidal Behavior among Sexual Minorities? Results from a US National Sample.

    Fish, Jessica N / Rice, Cara E / Lanza, Stephanie T / Russell, Stephen T

    Prevention science : the official journal of the Society for Prevention Research

    2018  Volume 20, Issue 3, Page(s) 353–365

    Abstract: ... i.e., lesbian/gay and bisexual (LGB) people) is an understudied area that has critical prevention ... in the general population, sexual minorities also experience unique social stressors (e.g., anti-LGB stigma) that may alter ...

    Abstract The developmental timing of suicide-related disparities between heterosexuals and sexual minorities (i.e., lesbian/gay and bisexual (LGB) people) is an understudied area that has critical prevention implications. In addition to developmentally situated experiences that shape risk for suicidality in the general population, sexual minorities also experience unique social stressors (e.g., anti-LGB stigma) that may alter their risk for suicidal behavior at different ages. Using a nationally representative US sample of adults, we assessed age-varying rates of suicidal behavior among heterosexuals and sexual minorities ages 18 to 60 and the age-varying association between anti-LGB discrimination and suicidal behavior. We also tested whether these age-varying prevalences and associations differed for men and women and for sexual minorities who did and did not endorse a sexual minority identity. Results indicate a critical period for suicide behavior risk for sexual minorities during young adulthood, with the highest rates of risk at age 18 followed by a steady decline until the early 40s. Disparities were particularly robust for sexual minorities who identified as lesbian, gay, or bisexual. This pattern was present for both men and women, though sexual minority women in their 30s were more likely to report suicidal behavior than heterosexuals and sexual minority men. Sexual minorities who experienced anti-LGB discrimination were more likely to report suicidal behavior, but the significance of this association was limited to those under 30. The effect of discrimination on suicidal behavior was stronger among young adult sexual minority men, relative to sexual minority women, but was present for a wider age range for sexual minority women (until age 30) relative to sexual minority men (until age 25).
    MeSH term(s) Adult ; Female ; Humans ; Male ; Sexual and Gender Minorities/psychology ; Suicidal Ideation ; Surveys and Questionnaires ; United States ; Young Adult
    Language English
    Publishing date 2018-03-29
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 2251270-6
    ISSN 1573-6695 ; 1389-4986
    ISSN (online) 1573-6695
    ISSN 1389-4986
    DOI 10.1007/s11121-018-0878-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Sexual Behavior Latent Classes Among Men Who Have Sex With Men: Associations With Sexually Transmitted Infections.

    Rice, Cara E / Norris Turner, Abigail / Lanza, Stephanie T

    Journal of sex research

    2016  Volume 54, Issue 6, Page(s) 776–783

    Abstract: Men who have sex with men (MSM) are at disproportionate risk of acquisition of sexually transmitted infections (STIs). We used latent class analysis (LCA) to examine patterns of sexual behavior among MSM and how those patterns are related to STIs. We ... ...

    Abstract Men who have sex with men (MSM) are at disproportionate risk of acquisition of sexually transmitted infections (STIs). We used latent class analysis (LCA) to examine patterns of sexual behavior among MSM and how those patterns are related to STIs. We examined patterns of sexual behavior using behavioral and clinical data from a cross-sectional study of 235 MSM who presented to an urban sexual health clinic for STI testing. Analyzed data were collected using a combination of interviewer- and self-administered surveys and electronic health records. We used LCA to identify underlying subgroups of men based on their sexual behavior, described the demographics of the latent classes, and examined the association between the latent classes and STI status. We identified three latent classes of sexual behavior: Unprotected Anal Intercourse (UAI) Only (67%), Partner Seekers (14%), and Multiple Behaviors (19%). Men in the Multiple Behaviors class had a 67% probability of being STI positive, followed by men in the UAI Only class (27%) and men in the Partner Seekers class (22%). Examining the intersection of a variety of sexual practices indicates particular subgroups of MSM have the highest probability of being STI positive.
    MeSH term(s) Adult ; Cross-Sectional Studies ; Homosexuality, Male ; Humans ; Male ; Sexual Behavior/classification ; Sexually Transmitted Diseases ; Young Adult
    Language English
    Publishing date 2016-08-12
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 220889-1
    ISSN 1559-8519 ; 0022-4499
    ISSN (online) 1559-8519
    ISSN 0022-4499
    DOI 10.1080/00224499.2016.1211599
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Timing of First Sexual Intercourse and Young Adult Health Outcomes.

    Vasilenko, Sara A / Kugler, Kari C / Rice, Cara E

    The Journal of adolescent health : official publication of the Society for Adolescent Medicine

    2016  Volume 59, Issue 3, Page(s) 291–297

    Abstract: Purpose: To examine how age of onset of sexual intercourse is associated with past-year and lifetime sexually transmitted infections (STIs) and depression in young adulthood.: Methods: We examined how occurrence of a lifetime and past-year STI, ... ...

    Abstract Purpose: To examine how age of onset of sexual intercourse is associated with past-year and lifetime sexually transmitted infections (STIs) and depression in young adulthood.
    Methods: We examined how occurrence of a lifetime and past-year STI, lifetime diagnosis of depression, and past-week depressive symptoms differed as a function of age of onset of sexual intercourse using data from the National Longitudinal Study of Adolescent to Adult Health (Add Health; N = 8,938 individuals). Time-varying effect models were used to examine how age of onset, measured as continuous age, was associated with these outcomes in young adulthood, with all analyses stratified to examine gender differences.
    Results: Individuals who engaged in first intercourse before age 16 reported higher than average rates of all outcomes studied; for example, an estimated 35% of women and 12% of men who initiated at age 14 years reported a lifetime STI, compared with about 5% of those who initiated at age 24 years. Timing of first intercourse past the mid-twenties was associated with lower than average rates of STIs and lifetime depression diagnoses but was associated with a somewhat higher level of past-year depressive symptoms. Patterns were similar by gender, although there was little difference in men's depression diagnoses by age of onset.
    Conclusions: Results suggest that sexual intercourse before age 16 years may be associated with higher rates of STIs and depression. Findings provide support for comprehensive programs that both promote delay of first intercourse and provide safe sex and psychological support for those who initiate early.
    MeSH term(s) Adolescent ; Adolescent Behavior/psychology ; Adult ; Age Factors ; Age of Onset ; Coitus/psychology ; Depression/epidemiology ; Female ; Health Surveys ; Humans ; Longitudinal Studies ; Male ; Sex Distribution ; Sex Factors ; Sexually Transmitted Diseases/epidemiology ; Young Adult
    Language English
    Publishing date 2016-06-03
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 1063374-1
    ISSN 1879-1972 ; 1054-139X
    ISSN (online) 1879-1972
    ISSN 1054-139X
    DOI 10.1016/j.jadohealth.2016.04.019
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  5. Article ; Online: Disparities in substance use behaviors and disorders among adult sexual minorities by age, gender, and sexual identity.

    Schuler, Megan S / Rice, Cara E / Evans-Polce, Rebecca J / Collins, Rebecca L

    Drug and alcohol dependence

    2018  Volume 189, Page(s) 139–146

    Abstract: Background: Sexual minorities (SMs) experience elevated rates of substance use behaviors and disorders relative to heterosexuals; minority stress is theorized to contribute to these disparities. As SMs are not a homogenous group, analyses that aggregate ...

    Abstract Background: Sexual minorities (SMs) experience elevated rates of substance use behaviors and disorders relative to heterosexuals; minority stress is theorized to contribute to these disparities. As SMs are not a homogenous group, analyses that aggregate SMs across sexual identity, age, or gender obscure important variation among this population. To date, age- and gender-specific disparities have not been rigorously examined using a large national sample.
    Methods: Using data on 67,354 adults (ages 18-49) from the 2015 and 2016 National Survey of Drug Use and Health we examined age- and gender-specific disparities in smoking, heavy episodic drinking, marijuana use, illicit drug use, and alcohol/substance use disorder. Age groups were ages 18-25, 26-34, and 35-49. Using logistic regression, we estimated age- and gender-specific odds ratios for gay/lesbian and bisexual individuals, relative to heterosexuals; analyses adjusted for demographic characteristics.
    Results: Bisexual women had significantly elevated odds of all outcomes at all ages, relative to heterosexual women. Gay/lesbian individuals had significantly elevated odds for nearly all outcomes compared to same-gender heterosexuals at ages 18-25, but not consistently at older ages. For bisexual men, significant disparities compared to heterosexual men were only observed at ages 35-49 for marijuana use and alcohol/substance use disorder.
    Conclusions: We found notable within-group differences regarding SM disparities. While disparities were most pronounced in young adulthood for gay/lesbian individuals and mid-adulthood for bisexual men, bisexual women uniquely experienced disparities across all ages. Minority stress experiences may vary with respect to gender, age/cohort, and sexual identity, resulting in differential risk for substance use.
    MeSH term(s) Adolescent ; Adult ; Age Factors ; Cross-Sectional Studies ; Female ; Gender Identity ; Humans ; Male ; Middle Aged ; Self Report ; Sex Factors ; Sexual Behavior/psychology ; Sexual and Gender Minorities/psychology ; Smoking/epidemiology ; Smoking/psychology ; Substance-Related Disorders/diagnosis ; Substance-Related Disorders/epidemiology ; Substance-Related Disorders/psychology ; Surveys and Questionnaires ; Young Adult
    Language English
    Publishing date 2018-06-19
    Publishing country Ireland
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 519918-9
    ISSN 1879-0046 ; 0376-8716
    ISSN (online) 1879-0046
    ISSN 0376-8716
    DOI 10.1016/j.drugalcdep.2018.05.008
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  6. Article ; Online: Modeling the social determinants of resilience in health professions students: impact on psychological adjustment.

    Perry, Ross / Sciolla, Andres / Rea, Margaret / Sandholdt, Cara / Jandrey, Karl / Rice, Elizabeth / Yu, Allison / Griffin, Erin / Wilkes, Michael

    Advances in health sciences education : theory and practice

    2023  Volume 28, Issue 5, Page(s) 1661–1677

    Abstract: Stressors inherent to training and stemming from the learning environment are associated with high rates of burnout, depression, and mental health problems in health professions students (HPS). There is evidence that disadvantaged or stigmatized groups ... ...

    Abstract Stressors inherent to training and stemming from the learning environment are associated with high rates of burnout, depression, and mental health problems in health professions students (HPS). There is evidence that disadvantaged or stigmatized groups are particularly affected. These problems not only impact students after graduation but may also have detrimental effects on patient outcomes. Resilience, conceptualized as the process of adapting well in the face of adversity, has inspired an increasing number of interventions aimed at addressing those problems in HPS. These interventions have mostly targeted individual students and their psychological traits while ignoring social and structural factors that may enhance or undermine individual resilience. To address this gap in the literature, the authors reviewed the evidence for psychosocial determinants of resilience and proposed a model inspired by the social determinants of health literature and the "upstream-downstream" metaphor. In this theoretical paper, the authors propose that upstream determinants such adverse childhood experiences and socioeconomic and sociodemographic markers of disadvantage have a direct effect on psychological adjustment and an indirect effect mediated by resilience. Additionally, the authors propose that the institutional downstream drivers of learning environment, social support, and sense of belonging moderate the direct and indirect effects of the upstream determinants on psychological adjustment. Future research should test these hypotheses and gather evidence that may guide the development of interventions. The authors present their model as part of a comprehensive response to recent calls to action to address diversity, equity and inclusion in health professions education.
    MeSH term(s) Humans ; Emotional Adjustment ; Social Determinants of Health ; Students, Health Occupations ; Social Support ; Health Occupations ; Resilience, Psychological
    Language English
    Publishing date 2023-05-16
    Publishing country Netherlands
    Document type Journal Article ; Review
    ZDB-ID 1352832-4
    ISSN 1573-1677 ; 1382-4996
    ISSN (online) 1573-1677
    ISSN 1382-4996
    DOI 10.1007/s10459-023-10222-1
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  7. Article ; Online: Severity of Respiratory Syncytial Virus vs COVID-19 and Influenza Among Hospitalized US Adults.

    Surie, Diya / Yuengling, Katharine A / DeCuir, Jennifer / Zhu, Yuwei / Lauring, Adam S / Gaglani, Manjusha / Ghamande, Shekhar / Peltan, Ithan D / Brown, Samuel M / Ginde, Adit A / Martinez, Amanda / Mohr, Nicholas M / Gibbs, Kevin W / Hager, David N / Ali, Harith / Prekker, Matthew E / Gong, Michelle N / Mohamed, Amira / Johnson, Nicholas J /
    Srinivasan, Vasisht / Steingrub, Jay S / Leis, Aleda M / Khan, Akram / Hough, Catherine L / Bender, William S / Duggal, Abhijit / Bendall, Emily E / Wilson, Jennifer G / Qadir, Nida / Chang, Steven Y / Mallow, Christopher / Kwon, Jennie H / Exline, Matthew C / Shapiro, Nathan I / Columbus, Cristie / Vaughn, Ivana A / Ramesh, Mayur / Mosier, Jarrod M / Safdar, Basmah / Casey, Jonathan D / Talbot, H Keipp / Rice, Todd W / Halasa, Natasha / Chappell, James D / Grijalva, Carlos G / Baughman, Adrienne / Womack, Kelsey N / Swan, Sydney A / Johnson, Cassandra A / Lwin, Cara T / Lewis, Nathaniel M / Ellington, Sascha / McMorrow, Meredith L / Martin, Emily T / Self, Wesley H

    JAMA network open

    2024  Volume 7, Issue 4, Page(s) e244954

    Abstract: Importance: On June 21, 2023, the Centers for Disease Control and Prevention recommended the first respiratory syncytial virus (RSV) vaccines for adults aged 60 years and older using shared clinical decision-making. Understanding the severity of RSV ... ...

    Abstract Importance: On June 21, 2023, the Centers for Disease Control and Prevention recommended the first respiratory syncytial virus (RSV) vaccines for adults aged 60 years and older using shared clinical decision-making. Understanding the severity of RSV disease in adults can help guide this clinical decision-making.
    Objective: To describe disease severity among adults hospitalized with RSV and compare it with the severity of COVID-19 and influenza disease by vaccination status.
    Design, setting, and participants: In this cohort study, adults aged 18 years and older admitted to the hospital with acute respiratory illness and laboratory-confirmed RSV, SARS-CoV-2, or influenza infection were prospectively enrolled from 25 hospitals in 20 US states from February 1, 2022, to May 31, 2023. Clinical data during each patient's hospitalization were collected using standardized forms. Data were analyzed from August to October 2023.
    Exposures: RSV, SARS-CoV-2, or influenza infection.
    Main outcomes and measures: Using multivariable logistic regression, severity of RSV disease was compared with COVID-19 and influenza severity, by COVID-19 and influenza vaccination status, for a range of clinical outcomes, including the composite of invasive mechanical ventilation (IMV) and in-hospital death.
    Results: Of 7998 adults (median [IQR] age, 67 [54-78] years; 4047 [50.6%] female) included, 484 (6.1%) were hospitalized with RSV, 6422 (80.3%) were hospitalized with COVID-19, and 1092 (13.7%) were hospitalized with influenza. Among patients with RSV, 58 (12.0%) experienced IMV or death, compared with 201 of 1422 unvaccinated patients with COVID-19 (14.1%) and 458 of 5000 vaccinated patients with COVID-19 (9.2%), as well as 72 of 699 unvaccinated patients with influenza (10.3%) and 20 of 393 vaccinated patients with influenza (5.1%). In adjusted analyses, the odds of IMV or in-hospital death were not significantly different among patients hospitalized with RSV and unvaccinated patients hospitalized with COVID-19 (adjusted odds ratio [aOR], 0.82; 95% CI, 0.59-1.13; P = .22) or influenza (aOR, 1.20; 95% CI, 0.82-1.76; P = .35); however, the odds of IMV or death were significantly higher among patients hospitalized with RSV compared with vaccinated patients hospitalized with COVID-19 (aOR, 1.38; 95% CI, 1.02-1.86; P = .03) or influenza disease (aOR, 2.81; 95% CI, 1.62-4.86; P < .001).
    Conclusions and relevance: Among adults hospitalized in this US cohort during the 16 months before the first RSV vaccine recommendations, RSV disease was less common but similar in severity compared with COVID-19 or influenza disease among unvaccinated patients and more severe than COVID-19 or influenza disease among vaccinated patients for the most serious outcomes of IMV or death.
    MeSH term(s) United States/epidemiology ; Adult ; Humans ; Female ; Middle Aged ; Aged ; Male ; Respiratory Syncytial Viruses ; Influenza, Human/epidemiology ; Cohort Studies ; Hospital Mortality ; COVID-19/epidemiology ; SARS-CoV-2 ; Influenza Vaccines/therapeutic use ; Respiratory Syncytial Virus Infections/epidemiology ; Respiratory Syncytial Virus Infections/therapy
    Chemical Substances Influenza Vaccines
    Language English
    Publishing date 2024-04-01
    Publishing country United States
    Document type Journal Article
    ISSN 2574-3805
    ISSN (online) 2574-3805
    DOI 10.1001/jamanetworkopen.2024.4954
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Beyond Anal Sex: Sexual Practices of Men Who have Sex with Men and Associations with HIV and Other Sexually Transmitted Infections.

    Rice, Cara E / Maierhofer, Courtney / Fields, Karen S / Ervin, Melissa / Lanza, Stephanie T / Turner, Abigail Norris

    The journal of sexual medicine

    2016  Volume 13, Issue 3, Page(s) 374–382

    Abstract: Introduction: Unprotected anal intercourse is often used as a single indicator of risky behavior in men who have sex with men (MSM), yet MSM engage in a variety of behaviors that have unknown associations with sexually transmitted infection (STI) and ... ...

    Abstract Introduction: Unprotected anal intercourse is often used as a single indicator of risky behavior in men who have sex with men (MSM), yet MSM engage in a variety of behaviors that have unknown associations with sexually transmitted infection (STI) and HIV.
    Aim: To assess the prevalence of a wide range of sexual behaviors and their associations with prevalent STI and HIV.
    Methods: We used a standardized, self-administered survey to collect behavioral data for this cross-sectional study of 235 MSM seeking care in a public clinic for sexually transmitted diseases.
    Mean outcome measures: Using modified Poisson regression, we generated unadjusted and adjusted prevalence ratios (PRs) to characterize associations between recent participation in each behavior and prevalent STI and HIV.
    Results: Participants' median age was 26 years. One third (35%) were positive for STI. STI prevalence was significantly associated with using sex slings (adjusted PR [aPR] = 2.35), felching (aPR = 2.22), group sex (aPR = 1.86), fisting (aPR = 1.78), anonymous sex (aPR = 1.51), and sex toys (aPR = 1.46). HIV prevalence was 17% and was significantly associated with fisting (aPR = 4.75), felching (aPR = 4.22), enemas (aPR = 3.65), and group sex (aPR = 1.92).
    Conclusion: Multiple behaviors were significantly associated with prevalent STI and HIV in adjusted analyses. To provide a more comprehensive understanding of sexual risk in MSM, prospective studies are needed to examine whether these behaviors are causally associated with HIV and STI acquisition.
    MeSH term(s) Adult ; Cross-Sectional Studies ; Health Knowledge, Attitudes, Practice ; Homosexuality, Male/psychology ; Homosexuality, Male/statistics & numerical data ; Humans ; Male ; Prevalence ; Prospective Studies ; Risk-Taking ; Sexual Behavior/psychology ; Sexual Behavior/statistics & numerical data ; Sexually Transmitted Diseases/epidemiology ; Sexually Transmitted Diseases/psychology ; Young Adult
    Language English
    Publishing date 2016-03
    Publishing country Netherlands
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 2251959-2
    ISSN 1743-6109 ; 1743-6095
    ISSN (online) 1743-6109
    ISSN 1743-6095
    DOI 10.1016/j.jsxm.2016.01.001
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  9. Article ; Online: Lubricant Use and Rectal Chlamydial and Gonococcal Infections Among Men Who Engage in Receptive Anal Intercourse.

    Maierhofer, Courtney / Rice, Cara E / Wang, Shu-Hua / Fields, Karen S / Ervin, Melissa / Turner, Abigail Norris

    Sexually transmitted diseases

    2016  Volume 43, Issue 7, Page(s) 423–428

    Abstract: Background: Use of lubricants during anal intercourse is very common among men who have sex with men. However, few studies have evaluated associations between specific lubricants and rectal sexually transmitted infections (STIs).: Methods: Between ... ...

    Abstract Background: Use of lubricants during anal intercourse is very common among men who have sex with men. However, few studies have evaluated associations between specific lubricants and rectal sexually transmitted infections (STIs).
    Methods: Between July 2012 and October 2013, we conducted a cross-sectional study of men who have sex with men recruited from an urban, public sexual health clinic. In a self-administered survey, participants identified the lubricants used and frequency of lubricant use in the previous three months. Among men reporting any receptive anal intercourse (RAI) in the previous 3 months, we used multivariable binomial regression models to analyze associations between recent use of 9 specific lubricants and prevalent rectal chlamydia, rectal gonorrhea, and either rectal infection.
    Results: Twenty-five percent of the 146 participants had rectal chlamydial infection and 21% had rectal gonococcal infection; 37% had either (chlamydial or gonococcal) infection. Three-quarters reported always or almost always using lubricant during recent receptive anal intercourse. After adjustment for age, race, human immunodeficiency virus status, and condom use, Gun Oil (adjusted prevalence ratio [aPR], 1.99; 95% confidence interval [CI], 1.04-3.80) and Slick (aPR, 3.55; 95% CI, 1.38-9.12) were significantly associated with prevalent gonococcal infection. No lubricants were significantly associated with prevalent rectal chlamydia, but in analyses of either rectal infection, precum (aPR, 1.68; 95% CI, 1.06-2.66), Vaseline (aPR, 1.70; 95% CI, 1.10-2.64), and baby oil (aPR, 2.26; 95% CI, 1.43-3.57) were all significantly associated with prevalent rectal infection.
    Conclusions: Several lubricants were significantly associated with increased prevalence of rectal STI. Longitudinal studies are needed to examine any causal relationship between specific lubricants and STI acquisition.
    Language English
    Publishing date 2016-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 435191-5
    ISSN 1537-4521 ; 0148-5717
    ISSN (online) 1537-4521
    ISSN 0148-5717
    DOI 10.1097/OLQ.0000000000000463
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  10. Article ; Online: Examination of the Interaction between Parental Military-Status and Race among Non-Hispanic Black and Non-Hispanic White Adolescents with Overweight/Obesity.

    Higgins Neyland, M K / Shank, Lisa M / Lavender, Jason M / Burke, Natasha L / Rice, Alexander / Gallagher-Teske, Julia / Markos, Bethelhem / Faulkner, Loie M / Djan, Kweku G / Kwarteng, Esther A / LeMay-Russell, Sarah / Parker, Megan N / Schvey, Natasha A / Sbrocco, Tracy / Wilfley, Denise E / Ford, Brian / Ford, Caitlin / Haigney, Mark / Klein, David A /
    Olsen, Cara H / Quinlan, Jeffrey / Jorgensen, Sarah / Brady, Sheila / Shomaker, Lauren B / Yanovski, Jack A / Tanofsky-Kraff, Marian

    Journal of pediatric psychology

    2022  Volume 47, Issue 7, Page(s) 743–753

    Abstract: Objectives: Adolescent military-dependents experience distinct risk and protective factors, which may necessitate additional clinical considerations. In civilian youth, overweight/obesity is associated with eating, internalizing, and externalizing ... ...

    Abstract Objectives: Adolescent military-dependents experience distinct risk and protective factors, which may necessitate additional clinical considerations. In civilian youth, overweight/obesity is associated with eating, internalizing, and externalizing difficulties, with some studies reporting more difficulties among non-Hispanic White (vs. non-Hispanic Black) youth. It is unknown if these disparities exist among adolescent military-dependents, or between civilian and military-dependent youth.
    Methods: Non-Hispanic Black (187 civilian, 38 military-dependent) and non-Hispanic White (205 civilian, 84 military-dependent) adolescents with overweight/obesity (14.7 ± 1.6 years; 73.9% girls; body mass index adjusted for age and sex 1.9 ± 0.5) completed a disordered-eating interview; parents completed a measure assessing their child's internalizing and externalizing difficulties. Multiple linear regressions examined parental military-status as a moderator of the relationship of participant race with eating, internalizing, and externalizing difficulties.
    Results: White civilian youth with overweight/obesity reported significantly greater disordered-eating than their Black peers (p < .001); there were no other significant racial differences. In all regressions, parental military-status significantly moderated the association between race and each dependent variable (ps < .047). Black military-dependents (vs. civilians) reported more disordered-eating and internalizing difficulties (ps = .01). White military-dependents (vs. civilians) reported fewer externalizing difficulties (p = .01).
    Conclusions: Black adolescent military-dependents with overweight/obesity may experience more eating and internalizing difficulties (vs. civilians), a pattern not observed among White participants. Future work should examine if being a military-dependent and a historically marginalized racial group member accounts for these findings. Such data may inform providers of youth with intersecting minority identities.
    MeSH term(s) Adolescent ; Body Mass Index ; Child ; Feeding and Eating Disorders ; Female ; Humans ; Male ; Military Personnel ; Obesity ; Overweight ; Parents
    Language English
    Publishing date 2022-02-25
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, N.I.H., Intramural ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 625329-5
    ISSN 1465-735X ; 0146-8693
    ISSN (online) 1465-735X
    ISSN 0146-8693
    DOI 10.1093/jpepsy/jsac008
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