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Article ; Online: Chlamydia and gonorrhea screening in the emergency department setting: increasing evidence of utility and need for further research.

Jenkins, Wiley D

The American journal of emergency medicine

2018 Volume 37, Issue 6, Page(s) 1196

MeSH term(s)	Anti-Bacterial Agents ; Chlamydia ; Chlamydia Infections ; Emergency Service, Hospital ; Gonorrhea ; Humans ; Incidence ; Mass Screening
Chemical Substances	Anti-Bacterial Agents
Language	English
Publishing date	2018-10-18
Publishing country	United States
Document type	Letter ; Comment
ZDB-ID	605890-5
ISSN	1532-8171 ; 0735-6757
ISSN (online)	1532-8171
ISSN	0735-6757
DOI	10.1016/j.ajem.2018.10.033
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Article ; Online: Behaviors associated with HIV transmission risk among rural sexual and gender minority and majority residents.

Jenkins, Wiley D / Phillips, Gregory / Rodriguez, Christofer A / White, Megan / Agosto, Stacy / Luckey, Georgia S

AIDS care

2023 Volume 35, Issue 10, Page(s) 1452–1464

Abstract: Multiple rural states and communities experience elevated rates of human immunodeficiency virus (HIV), often associated with diminished healthcare access and increased drug use. Though a substantial proportion of rural populations are sexual and gender ... ...

Abstract	Multiple rural states and communities experience elevated rates of human immunodeficiency virus (HIV), often associated with diminished healthcare access and increased drug use. Though a substantial proportion of rural populations are sexual and gender minorities (SGM), little is known of this group regarding substance use, healthcare utilization, and HIV transmission behaviors. During May-July 2021, we surveyed 398 individuals across 22 rural Illinois counties. Participants included cisgender heterosexual males (CHm) and females (CHf) (
MeSH term(s)	Male ; Female ; Humans ; Sexual and Gender Minorities ; Homosexuality, Male ; HIV ; Rural Population ; HIV Infections/epidemiology ; HIV Infections/prevention & control ; Sexual Behavior ; Transgender Persons ; Substance-Related Disorders ; Pre-Exposure Prophylaxis
Language	English
Publishing date	2023-02-20
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1012651-x
ISSN	1360-0451 ; 0954-0121
ISSN (online)	1360-0451
ISSN	0954-0121
DOI	10.1080/09540121.2023.2179592
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Zs.A 2799: Show issues

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Article ; Online: Healthcare Experiences and Health Outcomes Among Rural LGBTQ+ Individuals.

Jenkins, Wiley D / Miller, Kyle W / Tillewein, Heather / Walters, Suzan / Weatherly, Taryn / Wickham, Hannah / Luckey, Georgia / Fenner, Emma

American journal of health promotion : AJHP

2024 , Page(s) 8901171241240814

Abstract: Purpose: To describe healthcare experiences and health outcomes among rural LGBTQ + individuals.: Design: 2022 cross-sectional survey.: Setting: Southern Illinois.: Sample: 85 individuals.: Measures: Demographics, sexual orientation and ... ...

Abstract	Purpose: To describe healthcare experiences and health outcomes among rural LGBTQ + individuals. Design: 2022 cross-sectional survey. Setting: Southern Illinois. Sample: 85 individuals. Measures: Demographics, sexual orientation and gender identity, healthcare experiences, health outcomes. Analysis: Experiences and outcomes were assessed vs orientation and identity. Distribution comparison was by Results: By orientation, participants were: 35.3% gay, 16.5% lesbian, and 45.8% bisexual plus; and by identity they were: 49.4% cisgender, 25.9% transgender, and 24.8% other identity. Survey item responses ranged from 95%-99%. Compared to gay men, lesbians and bisexual plus individuals more frequently reported medical bill payment difficulty (58.3% and 57.9% vs 25.0%; Conclusions: Our data describes healthcare experience and health outcome disparities among rural lesbian, gay, bisexual, transgender, queer and other sexual and gender minority individuals, and indicate that clinical experiences directly influence health outcomes.
Language	English
Publishing date	2024-03-27
Publishing country	United States
Document type	Journal Article
ZDB-ID	645160-3
ISSN	2168-6602 ; 0890-1171
ISSN (online)	2168-6602
ISSN	0890-1171
DOI	10.1177/08901171241240814
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Zs.A 2531: Show issues

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Article ; Online: Sexually Transmitted Infection Epidemiology and Care in Rural Areas: A Narrative Review.

Jenkins, Wiley D / Williams, Leslie D / Pearson, William S

Sexually transmitted diseases

2021 Volume 48, Issue 12, Page(s) e236–e240

Abstract: Background: Although rural areas contain approximately 19% of the US population, little research has explored sexually transmitted infection (STI) risk and how urban-developed interventions may be suitable in more population-thin areas. Although STI ... ...

Abstract	Background: Although rural areas contain approximately 19% of the US population, little research has explored sexually transmitted infection (STI) risk and how urban-developed interventions may be suitable in more population-thin areas. Although STI rates vary across rural areas, these areas share diminishing access to screening and limited rural-specific testing of STI interventions. Methods: This narrative review uses a political ecology model of health and explores 4 domains influencing STI risk and screening: epidemiology, health services, political and economic, and social. Articles describing aspects of rural STI epidemiology, screening access and use, and intervention utility within these domains were found by a search of PubMed. Results: Epidemiology contributes to risk via multiple means, such as the presence of increased-risk populations and the at-times disproportionate impact of the opioid/drug use epidemic. Rural health services are diminishing in quantity, often have lesser accessibility, and may be stigmatizing to those needing services. Local political and economic influences include funding decisions, variable enforcement of laws/statutes, and systemic prevention of harm reduction services. Social norms such as stigma and discrimination can prevent individuals from seeking appropriate care, and also lessen individual self-efficacy to reduce personal risk. Conclusions: Sexually transmitted infection in rural areas is significant in scope and facing diminished prevention opportunities and resources. Although many STI interventions have been developed and piloted, few have been tested to scale or operationalized in rural areas. By considering rural STI risk reduction within a holistic model, purposeful exploration of interventions tailored to rural environments may be explored.
MeSH term(s)	Humans ; Mass Screening ; Risk Reduction Behavior ; Rural Population ; Sexually Transmitted Diseases/epidemiology ; Sexually Transmitted Diseases/prevention & control
Language	English
Publishing date	2021-07-06
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Review
ZDB-ID	435191-5
ISSN	1537-4521 ; 0148-5717
ISSN (online)	1537-4521
ISSN	0148-5717
DOI	10.1097/OLQ.0000000000001512
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Article ; Online: Health and Health Care of Sexual Minority Individuals in the Rural United States: A Systematic Review.

Grundy, Stacy A / Brown, Roselind C / Jenkins, Wiley D

Journal of health care for the poor and underserved

2021 Volume 32, Issue 4, Page(s) 1639–1652

Abstract: Lesser health care access and utilization in rural areas are associated with ruralurban health outcome disparities. While some work has examined similar disparities by sexual orientation, little has explicitly explored the combined influences of rural ... ...

Abstract	Lesser health care access and utilization in rural areas are associated with ruralurban health outcome disparities. While some work has examined similar disparities by sexual orientation, little has explicitly explored the combined influences of rural residence and lesbian, gay, and bisexual (LGB) status. This study aims to explore literature specific to rural LGB health care access and utilization, identify gaps, and suggest future research. Several databases were searched to identify studies specific to LGB health care access and utilization, and 18 articles were identified and divided into two categories: barriers and facilitators to health care access. Barriers included provider training, discrimination, distance and physical access, and fewer social supports. The data also indicated that sexual orientation disclosure is associated with better health care. Rural sexual minority individuals undergo health care access and utilization inequities, even in excess of their heterosexual rural peers that may be addressed with training and social interventions. Further research is warranted.
MeSH term(s)	Bisexuality ; Female ; Health Services Accessibility ; Homosexuality, Female ; Humans ; Male ; Rural Population ; Sexual and Gender Minorities ; United States
Language	English
Publishing date	2021-11-11
Publishing country	United States
Document type	Journal Article ; Systematic Review
ZDB-ID	1142637-8
ISSN	1548-6869 ; 1049-2089
ISSN (online)	1548-6869
ISSN	1049-2089
DOI	10.1353/hpu.2021.0157
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Zs.A 3605: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (2.OG) ab Jg. 2022: Lesesaal (EG)
Zs.MO 493: Show issues

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Article ; Online: Cancer screening utilization by residence and sexual orientation.

Lee, Minjee / Jenkins, Wiley D / Adjei Boakye, Eric

Cancer causes & control : CCC

2020 Volume 31, Issue 10, Page(s) 951–964

Abstract: Purpose: Although few studies have examined screening uptake among sexual minorities (lesbian, gay, bisexual, queer), almost none have examined it in the specific context of rural populations. Therefore, our objective was to assess how cancer screening ... ...

Abstract	Purpose: Although few studies have examined screening uptake among sexual minorities (lesbian, gay, bisexual, queer), almost none have examined it in the specific context of rural populations. Therefore, our objective was to assess how cancer screening utilization varies by residence and sexual orientation. Methods: Publicly available population-level data from the 2014 and 2016 Behavioral Risk Factor Surveillance System were utilized. Study outcomes included recommended recent receipt of breast, cervical, and colorectal cancer screening. Independent variables of interest were residence (rural/urban) and sexual orientation (heterosexual/gay or lesbian/bisexual). Weighted proportions and multivariable logistic regressions were used to assess the association between the independent variables and the outcomes, adjusting for demographic, socioeconomic, and healthcare utilization factors. Results: Rates for all three cancer screenings were lowest in rural areas and among sexual minority populations (cervical: rural lesbians at 64.8% vs. urban heterosexual at 84.6%; breast: rural lesbians at 66.8% vs. urban heterosexual at 80.0%; colorectal for males: rural bisexuals at 52.4% vs. urban bisexuals at 81.3%; and colorectal for females: rural heterosexuals at 67.2% vs. rural lesbians at 74.4%). In the multivariate analyses for colorectal screening, compared to urban heterosexual males, both rural gay and rural heterosexual males were less likely to receive screening (aOR = 0.45; 95% = 0.24-0.73 and aOR = 0.79; 95% = 0.72-0.87, respectively) as were rural heterosexual females (aOR = 0.87; 95% = 0.80-0.94) compared to urban heterosexual females. For cervical screening, lesbians were less likely to receive screening (aOR = 0.62; 95% = 0.41-0.94) than heterosexuals, and there were no differences for breast screening. Conclusion: We found that rural sexual minorities may experience disparities in cancer screening utilization associated with the compounding barriers of rural residence and sexual minority status, after adjusting for demographic, socioeconomic, and healthcare utilization factors. Further work is needed to identify factors influencing these disparities and how they might be addressed.
MeSH term(s)	Adolescent ; Adult ; Aged ; Behavioral Risk Factor Surveillance System ; Breast Neoplasms/diagnosis ; Colorectal Neoplasms/diagnosis ; Early Detection of Cancer/statistics & numerical data ; Female ; Humans ; Male ; Mass Screening/statistics & numerical data ; Middle Aged ; Rural Population/statistics & numerical data ; Sexual Behavior ; Uterine Cervical Neoplasms/diagnosis ; Young Adult
Language	English
Publishing date	2020-08-24
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	1064022-8
ISSN	1573-7225 ; 0957-5243
ISSN (online)	1573-7225
ISSN	0957-5243
DOI	10.1007/s10552-020-01339-4
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Zs.A 3375: Show issues

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Article ; Online: Choosing the Emergency Department as an Alternative for STD Care: Potential Disparities in Access.

Pearson, William S / Tromble, Erin / Jenkins, Wiley D / Solnick, Rachel / Gift, Thomas L

Journal of health care for the poor and underserved

2022 Volume 33, Issue 3, Page(s) 1163–1168

Abstract: This analysis was designed to determine if there existed differences by race in seeking sexually transmitted disease (STD) care in an emergency department (ED).: Methods: Data were collected from 4,138 patients attending 26 STD clinics across the ... ...

Abstract	This analysis was designed to determine if there existed differences by race in seeking sexually transmitted disease (STD) care in an emergency department (ED). Methods: Data were collected from 4,138 patients attending 26 STD clinics across the United States (U.S.). The questionnaire asked where the patient would have sought care if the STD clinic had not been available that day. Responses were stratified by race and differences were tested for statistical significance. Results: Black/African American patients chose hospital emergency room as an alternative for STD clinic care at a rate approximately 2.5 times that of White patients (15.5% v. 5.8%, p < .05). This difference persisted among Black/African American patients after controlling for demographic variables (adjusted OR 2.91; 2.21-3.82 95% CI). Discussion: Receiving appropriate care is key to stemming the increases in sexually transmitted infections in the U.S. These findings suggest that disparities in access to STD care exist for Black/African American people.
MeSH term(s)	Emergency Service, Hospital ; Humans ; Sexually Transmitted Diseases/therapy ; Surveys and Questionnaires ; United States
Language	English
Publishing date	2022-10-16
Publishing country	United States
Document type	Journal Article
ZDB-ID	1142637-8
ISSN	1548-6869 ; 1049-2089
ISSN (online)	1548-6869
ISSN	1049-2089
DOI	10.1353/hpu.2022.0103
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Article ; Online: The relationship between felt stigma and non-fatal overdose among rural people who use drugs.

Sibley, Adams L / Klein, Emma / Cooper, Hannah L F / Livingston, Melvin D / Baker, Robin / Walters, Suzan M / Gicquelais, Rachel E / Ruderman, Stephanie A / Friedmann, Peter D / Jenkins, Wiley D / Go, Vivian F / Miller, William C / Westergaard, Ryan P / Crane, Heidi M

Harm reduction journal

2024 Volume 21, Issue 1, Page(s) 77

Abstract: Background: Drug overdose deaths in the United States exceeded 100,000 in 2021 and 2022. Substance use stigma is a major barrier to treatment and harm reduction utilization and is a priority target in ending the overdose epidemic. However, little is ... ...

Abstract	Background: Drug overdose deaths in the United States exceeded 100,000 in 2021 and 2022. Substance use stigma is a major barrier to treatment and harm reduction utilization and is a priority target in ending the overdose epidemic. However, little is known about the relationship between stigma and overdose, especially in rural areas. We aimed to characterize the association between felt stigma and non-fatal overdose in a multi-state sample of rural-dwelling people who use drugs. Methods: Between January 2018 and March 2020, 2,608 people reporting past 30-day opioid use were recruited via modified chain-referral sampling in rural areas across 10 states. Participants completed a computer-assisted survey of substance use and substance-related attitudes, behaviors, and experiences. We used multivariable logistic regression with generalized estimating equations to test the association between felt stigma and recent non-fatal overdose. Results: 6.6% of participants (n = 173) reported an overdose in the past 30 days. Recent non-fatal overdose was significantly associated with felt stigma after adjusting for demographic and substance use-related covariates (aOR: 1.47, 95% CI: 1.20-1.81). The association remained significant in sensitivity analyses on component fear of enacted stigma items (aOR: 1.48, 95% CI: 1.20-1.83) and an internalized stigma item (aOR: 1.51, 95% CI: 1.07-2.14). Conclusions: Felt stigma related to substance use is associated with higher risk of non-fatal overdose in rural-dwelling people who use drugs. Stigma reduction interventions and tailored services for those experiencing high stigma are underutilized approaches that may mitigate overdose risk.
MeSH term(s)	Humans ; Drug Overdose/epidemiology ; Opioid-Related Disorders/epidemiology ; Fear ; Harm Reduction ; Social Stigma ; Analgesics, Opioid
Chemical Substances	Analgesics, Opioid
Language	English
Publishing date	2024-04-06
Publishing country	England
Document type	Journal Article
ZDB-ID	2146691-9
ISSN	1477-7517 ; 1477-7517
ISSN (online)	1477-7517
ISSN	1477-7517
DOI	10.1186/s12954-024-00988-x
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Article ; Online: How the evolving epidemics of opioid misuse and HIV infection may be changing the risk of oral sexually transmitted infection risk through microbiome modulation.

Jenkins, Wiley D / Beach, Lauren B / Rodriguez, Christofer / Choat, Lesli

Critical reviews in microbiology

2020 Volume 46, Issue 1, Page(s) 49–60

Abstract: The epidemiology of sexually transmitted infections (STI) is constantly evolving, and the mechanisms of infection risk in the oral cavity (OC) are poorly characterized. Evidence indicates that microbial community (microbiota) compositions vary widely ... ...

Abstract	The epidemiology of sexually transmitted infections (STI) is constantly evolving, and the mechanisms of infection risk in the oral cavity (OC) are poorly characterized. Evidence indicates that microbial community (microbiota) compositions vary widely between the OC, genitalia and the intestinal and rectal mucosa, and microbiome-associated STI susceptibility may also similarly vary. The opioid misuse epidemic is at an epidemic scale, with >11 million US residents misusing in the past 30 days. Opioids can substantially influence HIV progression, microbiota composition and immune function, and these three factors are all mutually influential via direct and indirect pathways. While many of these pathways have been explored independently, the supporting data are mostly derived from studies of gut and vaginal microbiotas and non-STI infectious agents. Our purpose is to describe what is known about the combination of these pathways, how they may influence microbiome composition, and how resultant oral STI susceptibility may change. A better understanding of how opioid misuse influences oral microbiomes and STI risk may inform better mechanisms for oral STI screening and intervention. Further, the principles of interaction described may well be applied to other aspects of disease risk of other health conditions which may be impacted by the opioid epidemic.
MeSH term(s)	Bacteria/metabolism ; Bacterial Physiological Phenomena ; HIV Infections/epidemiology ; Humans ; Microbiota/physiology ; Mouth Diseases/microbiology ; Mouth Mucosa/microbiology ; Mouth Mucosa/pathology ; Opioid-Related Disorders/epidemiology ; United States/epidemiology
Language	English
Publishing date	2020-01-30
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	1053620-6
ISSN	1549-7828 ; 1040-841X
ISSN (online)	1549-7828
ISSN	1040-841X
DOI	10.1080/1040841X.2020.1716683
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Article ; Online: Incentivized Screening to Reduce Sexually Transmitted Infection Risk and Prevalence.

Jenkins, Wiley D / Vohra, Sameer / Grundy, Stacy / Choat, Lesli

Sexually transmitted diseases

2019 Volume 46, Issue 10, Page(s) 654–656

MeSH term(s)	Female ; Humans ; Male ; Prevalence ; Sexually Transmitted Diseases/diagnosis ; Sexually Transmitted Diseases/epidemiology ; Sexually Transmitted Diseases/prevention & control ; United States/epidemiology
Language	English
Publishing date	2019-09-26
Publishing country	United States
Document type	Editorial
ZDB-ID	435191-5
ISSN	1537-4521 ; 0148-5717
ISSN (online)	1537-4521
ISSN	0148-5717
DOI	10.1097/OLQ.0000000000001049
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