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Article ; Online: Personality disorders research and social decontextualization: What it means to be a minoritized human.

Rodriguez-Seijas, Craig / Rogers, Brooke G / Asadi, Shayan

2023 Volume 14, Issue 1, Page(s) 29–38

Abstract: ... e.g., sexual/gender minority [SGM] persons for our purposes). Assumptions ...

Abstract	Models of personality disorders have overwhelmingly developed in a socially decontextualized manner. Some historical models of personality pathology formally embraced the interactions between the individual and their environment. However, the field of personality disorder theory, research, and treatment has evolved in a manner that situates dysfunction within intraindividual deficiency processes. By doing so the field limits its applicability to populations that do not represent the norm in clinical psychological science (e.g., sexual/gender minority [SGM] persons for our purposes). Assumptions about personality disorders conflict with evidence-based ways of understanding psychosocial dysfunction among minoritized populations. Using research on SGM populations, and the detrimental impact of minority stress, we demonstrate how sociocultural context is inextricably linked to psychosocial functioning, which remains at odds with personality disorder theory and research. We first briefly review the historical roots of personality disorder theory; explore how sociocultural context is currently instantiated in official nosologies as the
MeSH term(s)	Humans ; Personality Disorders ; Personality ; Sexual Behavior ; Diagnostic and Statistical Manual of Mental Disorders ; Psychosocial Functioning
Language	English
Publishing date	2023-03-08
Publishing country	United States
Document type	Journal Article
ZDB-ID	2540907-4
ISSN	1949-2723 ; 1949-2715
ISSN (online)	1949-2723
ISSN	1949-2715
DOI	10.1037/per0000600
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: A Rapid Environmental Scan of South Florida HIV Organizations' Mpox Messaging During the August 2022 Peak of the U.S. Outbreak.

Atuluru, Pranusha / Weinstein, Elliott R / Serrano, Lorenzo P / Doblecki-Lewis, Susanne / Rogers, Brooke G / Harkness, Audrey

AIDS and behavior

2023

Abstract: The 2022 outbreak of mpox disproportionately impacted men who have sex with men and people living with HIV. As such, HIV organizations were uniquely situated to reach populations affected by mpox. However, the extent to which these organizations pivoted ... ...

Abstract	The 2022 outbreak of mpox disproportionately impacted men who have sex with men and people living with HIV. As such, HIV organizations were uniquely situated to reach populations affected by mpox. However, the extent to which these organizations pivoted to address mpox, and what form mpox messaging took, is unknown. We conducted a rapid environmental scan of 29 HIV or sexual health organizations to assess the frequency and content of mpox messaging in August 2022, the peak of the mpox outbreak in Miami, FL. Approximately half of the organizations provided mpox messaging, most of which was accurate. Only 5% of the messages were in Spanish and 4% in Spanish and Haitian Creole. Our findings suggest HIV organizations' pivot to mpox messaging may have been delayed overall and in reaching Spanish- and Haitian Creole-speaking communities. Results could inform modifications to mpox messaging campaigns and future outbreaks that disproportionately affect minoritized communities.
Language	English
Publishing date	2023-10-23
Publishing country	United States
Document type	Journal Article
ZDB-ID	1339885-4
ISSN	1573-3254 ; 1090-7165
ISSN (online)	1573-3254
ISSN	1090-7165
DOI	10.1007/s10461-023-04176-z
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Article ; Online: Individual, Interpersonal, and Structural Factors That Influence Intentions to Use Pre-exposure Prophylaxis Among Sexual Minority Men in Miami.

Rogers, Brooke G / Harkness, Audrey / Satyanarayana, Satyanand / Pachankis, John / Safren, Steven A

Archives of sexual behavior

2022 Volume 52, Issue 2, Page(s) 741–750

Abstract: Pre-exposure prophylaxis for HIV or "PrEP" holds great promise for reducing HIV incidence. However, in certain geographic settings, like Miami, a US HIV epicenter, uptake of PrEP has been paradoxically very low compared to other areas of the country. The ...

Abstract	Pre-exposure prophylaxis for HIV or "PrEP" holds great promise for reducing HIV incidence. However, in certain geographic settings, like Miami, a US HIV epicenter, uptake of PrEP has been paradoxically very low compared to other areas of the country. The goal of the current study was to examine factors associated with low uptake of PrEP in young sexual minority men in Miami. Qualitative data were extracted from conversations during voluntary HIV/STI counseling and testing sessions with 24 young sexual minority men, most of whom identified as racial/ethnic minorities. These sessions were completed as part of a baseline visit for a combined mental and sexual health intervention trial. Thematic analysis of transcripts revealed barriers and facilitators associated with PrEP uptake at multiple levels (individual, interpersonal, and economic and healthcare systems barriers). Individual-level themes included concerns about the safety of PrEP, risk compensation, and taking daily oral medication; and potential benefits of PrEP as a backup plan to condom use to reassure and reduce worry about HIV. Interpersonal-level themes included lack of knowledgeable and affirming medical providers, changing norms within the community around "safe sex," and PrEP use in serodiscordant partnerships. Economic and healthcare systems barriers included challenges to accessing PrEP because of a lack of insurance and high out-of-pocket cost. These data can be used to inform the development of interventions aligned with Ending the HIV Epidemic priorities to increase PrEP use among young sexual minority men living in an HIV epicenter.
MeSH term(s)	Male ; Humans ; Pre-Exposure Prophylaxis ; HIV Infections/prevention & control ; HIV Infections/drug therapy ; Intention ; Sexually Transmitted Diseases ; Anti-HIV Agents/therapeutic use ; Sexual and Gender Minorities ; Homosexuality, Male/psychology
Chemical Substances	Anti-HIV Agents
Language	English
Publishing date	2022-05-10
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	184221-3
ISSN	1573-2800 ; 0004-0002
ISSN (online)	1573-2800
ISSN	0004-0002
DOI	10.1007/s10508-021-02263-7
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Article ; Online: Clinical Adjustments During COVID-19 for Outpatient Substance Use Treatment in a Sample of Men Who Have Sex With Men.

Arnold, Trisha / Rogers, Brooke G / Schierberl Scherr, Anna / Pinkston, Megan / Chan, Philip A

Public health reports (Washington, D.C. : 1974)

2021 Volume 136, Issue 4, Page(s) 387–390

MeSH term(s)	Ambulatory Care ; COVID-19 ; Homosexuality, Male ; Humans ; Male ; Rhode Island ; Substance-Related Disorders/therapy ; Telemedicine
Language	English
Publishing date	2021-03-25
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	120953-x
ISSN	1468-2877 ; 0033-3549
ISSN (online)	1468-2877
ISSN	0033-3549
DOI	10.1177/00333549211006984
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Article ; Online: Perspectives of a peer-driven approach to improve pre-exposure prophylaxis and HIV prevention among Black/African American and Hispanic/Latino men who have sex with men.

Tao, Jun / Sosnowy, Collette / Arnold, Trisha / Kapadia, Jhanavi / Parent, Hannah / Rogers, Brooke G / Almonte, Alexi / Chan, Philip A

Sexual health

2023 Volume 20, Issue 5, Page(s) 453–460

Abstract: Background: Black/African American (B/AA) and Hispanic/Latino (H/L) men who have sex with men (MSM) are significantly less likely than white MSM to initiate pre-exposure prophylaxis (PrEP). A peer-driven intervention (PDI) may be an effective approach ... ...

Abstract	Background: Black/African American (B/AA) and Hispanic/Latino (H/L) men who have sex with men (MSM) are significantly less likely than white MSM to initiate pre-exposure prophylaxis (PrEP). A peer-driven intervention (PDI) may be an effective approach to addressing this disparity. In this study, we explored community member perspectives of a PDI to promote PrEP uptake among B/AA and H/L MSM. Methods: We conducted semi-structured interviews with B/AA and H/L HIV-negative MSM between August 2018 and October 2019 in Rhode Island, USA. Participants reported their perspectives and recommendations for a PDI. Data from participant responses were thematically analysed. Results: Of 15 MSM, the median age was 25years (interquartile range: 22, 33). The majority identified as B/AA (53.3%), H/L (66.7%), and having a college education or above (53.3%). Most participants viewed a PDI positively and were willing to learn and promote PrEP among their peers. Participants identified and supported several potential intervention components, such as education about the benefit of PrEP, emphasising prevention-effective dosing, and clarifying no prevention effect towards other sexually transmitted infections. They preferred in-person meetings to electronic communication. Preferred characteristics of peer educators included compassion, good communication skills, and enthusiasm about PrEP. Conclusions: This in-depth qualitative interview suggested that a PDI approach is promising in promoting PrEP uptake, as it could deliver culturally appropriate education and encourage PrEP uptake via peer influence among B/AA and H/L MSM.
MeSH term(s)	Adult ; Humans ; Male ; Black or African American ; Hispanic or Latino ; HIV Infections/prevention & control ; HIV Infections/drug therapy ; Homosexuality, Male ; Pre-Exposure Prophylaxis ; Sexual and Gender Minorities ; Young Adult
Language	English
Publishing date	2023-08-03
Publishing country	Australia
Document type	Journal Article
ZDB-ID	2256731-8
ISSN	1449-8987 ; 1448-5028
ISSN (online)	1449-8987
ISSN	1448-5028
DOI	10.1071/SH23072
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Article ; Online: Characterizing Interest in and Uptake of Preexposure Prophylaxis for HIV Prevention Among Men in a US State Correctional System.

Ma, Emily C / Rogers, Brooke G / Chan, Philip A / Toma, Emily / Almonte, Alexi / Napoleon, Siena / Galipeau, Drew / Ahluwalia, Jasjit S / Murphy, Matthew

Sexually transmitted diseases

2023 Volume 51, Issue 3, Page(s) 162–170

Abstract: Background: People experiencing incarceration are disproportionately impacted by HIV and are potential candidates for HIV preexposure prophylaxis (PrEP). We explored factors associated with PrEP interest and PrEP uptake and described barriers to PrEP ... ...

Abstract	Background: People experiencing incarceration are disproportionately impacted by HIV and are potential candidates for HIV preexposure prophylaxis (PrEP). We explored factors associated with PrEP interest and PrEP uptake and described barriers to PrEP uptake among incarcerated men in a state correctional system. Methods: From September 2019 to July 2022, incarcerated men at the Rhode Island Department of Corrections were screened for PrEP eligibility and referred to a PrEP initiation study. We used bivariate analyses and multivariable logistic regression models to explore factors associated with PrEP interest and uptake in the screening sample. Results: Of the men screened and determined to be eligible for PrEP, approximately half (50%) were interested in taking PrEP. Individuals identifying as men who have sex with men (adjusted odds ratio, 4.46; 95% confidence interval, 1.86-11.4) and having multiple female sex partners (adjusted odds ratio, 2.98; 95% confidence interval, 1.47-6.27) were more likely to express interest in PrEP (interested/not interested) than those not reporting these behavioral factors. Preexposure prophylaxis uptake (yes/no) was 38%. Lack of PrEP interest, low self-perceived risk of HIV acquisition, and unpredictable lengths of incarceration were the most frequently encountered barriers to PrEP uptake. Conclusions: Men reporting sexual transmission behaviors were more interested in PrEP and had higher uptake than other men. Preexposure prophylaxis interest and HIV risk factors were both moderately high, which suggests that men experiencing incarceration should be screened for and offered PrEP as part of standard clinical care. Study findings have important implications for research and practice to adapt PrEP care to correctional systems.
MeSH term(s)	Male ; Humans ; Female ; HIV Infections/epidemiology ; HIV Infections/prevention & control ; HIV Infections/drug therapy ; Homosexuality, Male ; Sexual and Gender Minorities ; Anti-HIV Agents/therapeutic use ; Sexual Behavior ; Pre-Exposure Prophylaxis
Chemical Substances	Anti-HIV Agents
Language	English
Publishing date	2023-12-28
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.0000000000001912
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Article ; Online: Engaging Latino sexual minority men in PrEP and behavioral health care: multilevel barriers, facilitators, and potential implementation strategies.

Harkness, Audrey / Lozano, Alyssa / Bainter, Sierra / Mayo, Daniel / Hernandez Altamirano, Daniel / Rogers, Brooke G / Prado, Guillermo / Safren, Steven A

Journal of behavioral medicine

2022 Volume 46, Issue 4, Page(s) 655–667

Abstract: ... with most identified determinants being at the relational level (e.g., stigma, discrimination based ... on income and immigration status, personal recommendation for treatment). Individual (e.g., knowledge ... self-efficacy) and structural (e.g., financial stress) determinants were also identified. Accordingly ...

Abstract	Latino sexual minority men (LSMM) are affected by HIV and behavioral health disparities. Evidence-based HIV-prevention and behavioral health (BH) services are not sufficiently scaled up to LSMM. The current study identified multilevel barriers and facilitators to LSMM's use of HIV-prevention and BH services. LSMM (N = 290) in South Florida, a US HIV epicenter, completed a battery of measures potentially associated with pre-exposure prophylaxis (PrEP) and BH treatment use. Stochastic search variable selection (SSVS) followed by multiple linear regression analyses identified variables associated with engagement in PrEP and BH treatment. Multilevel determinants of PrEP and BH treatment engagement were identified, with most identified determinants being at the relational level (e.g., stigma, discrimination based on income and immigration status, personal recommendation for treatment). Individual (e.g., knowledge, self-efficacy) and structural (e.g., financial stress) determinants were also identified. Accordingly, modifiable leverage points to enhance the reach of PrEP and BH treatment to LSMM include educating and enhancing the perceived relevance of services, de-stigmatizing and normalizing via peer examples, bolstering self-efficacy, and building trust.
MeSH term(s)	Male ; Humans ; Homosexuality, Male ; HIV Infections/prevention & control ; HIV Infections/drug therapy ; Anti-HIV Agents/therapeutic use ; Acquired Immunodeficiency Syndrome/drug therapy ; Hispanic or Latino ; Delivery of Health Care
Chemical Substances	Anti-HIV Agents
Language	English
Publishing date	2022-12-06
Publishing country	United States
Document type	Journal Article
ZDB-ID	441827-x
ISSN	1573-3521 ; 0160-7715
ISSN (online)	1573-3521
ISSN	0160-7715
DOI	10.1007/s10865-022-00371-w
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Article ; Online: A Relational Framework for Engaging Latino Sexual Minority Men in Sexual and Behavioral Health Research.

Harkness, Audrey / Rogers, Brooke G / Mayo, Daniel / Smith-Alvarez, Rosana / Pachankis, John E / Safren, Steven A

Archives of sexual behavior

2022 Volume 51, Issue 5, Page(s) 2399–2412

Abstract: ... LSMM's participation in sexual and behavioral health research. Some relational experiences (e.g ... interpersonal stigma) interfered with participation, whereas others (e.g., altruistic desires to contribute ...

Abstract	Latino sexual minority men (LSMM) experience sexual and behavioral health disparities. Yet, LSMM are underrepresented in sexual and behavioral health research, creating scientific inequity. There is, therefore, a need to identify the barriers and facilitators to LSMM's participation in sexual and behavioral health research, which is the gap that the current study sought to fill. We interviewed LSMM (n = 28; age 18-40, 57% US born) and key informants (n = 10) regarding LSMM's barriers and facilitators to participating in sexual and behavioral health research and suggestions for increasing participation. The research team coded the data via thematic analysis. We found that relational factors are central to understanding LSMM's participation in sexual and behavioral health research. Some relational experiences (e.g., interpersonal stigma) interfered with participation, whereas others (e.g., altruistic desires to contribute to community well-being) facilitated participation. The findings are consolidated within a new relational framework for understanding LSMM's participation in sexual and behavioral health research. Study findings highlight the centrality of relational factors in influencing LSMM's participation in sexual and behavioral health research. Relational factors can be used to inform the development of culturally relevant recruitment strategies to improve representation of LSMM in sexual and behavioral health research. Implementing these recommendations may address scientific inequity, whereby LSMM are disproportionately impacted by sexual and behavioral health concerns yet underrepresented in related research.
MeSH term(s)	Adolescent ; Adult ; Behavioral Medicine ; Hispanic or Latino ; Humans ; Male ; Men ; Sexual Behavior ; Sexual and Gender Minorities ; Social Stigma ; Young Adult
Language	English
Publishing date	2022-06-28
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	184221-3
ISSN	1573-2800 ; 0004-0002
ISSN (online)	1573-2800
ISSN	0004-0002
DOI	10.1007/s10508-021-02237-9
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Article ; Online: Implementing testing approaches for SARS-CoV-2 to address health disparities: lessons learned from sexually transmitted infections.

Chu, Christina T / Rogers, Brooke G / Maynard, Michaela A / Napoleon, Siena C / Chan, Philip A

Sexually transmitted infections

2020 Volume 97, Issue 2, Page(s) 81–83

MeSH term(s)	African Americans ; COVID-19/diagnosis ; COVID-19/prevention & control ; COVID-19 Testing ; Health Services Accessibility ; Health Status Disparities ; Healthcare Disparities ; Hispanic Americans ; Humans ; Public Health ; Quality Improvement ; SARS-CoV-2 ; Sexual and Gender Minorities ; Sexually Transmitted Diseases/diagnosis ; Sexually Transmitted Diseases/therapy ; Social Determinants of Health
Language	English
Publishing date	2020-11-27
Publishing country	England
Document type	Editorial
ZDB-ID	1420303-0
ISSN	1472-3263 ; 1368-4973
ISSN (online)	1472-3263
ISSN	1368-4973
DOI	10.1136/sextrans-2020-054678
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Article ; Online: Characterizing HIV Syndemics and the Role of Incarceration Among Men Who have Sex with Men Presenting for Care at a Sexually Transmitted Infections Clinic.

Rogers, Brooke G / Murphy, Matthew / Zanowick-Marr, Alexandra / Chambers, Laura / Maynard, Michaela / Galipeau, Drew / Toma, Emily / Almonte, Alexi / Napoleon, Siena / Chan, Philip A

AIDS and behavior

2023 Volume 27, Issue 8, Page(s) 2513–2522

Abstract: Men who have sex with men (MSM) with a history of incarceration experience unique risk factors for HIV acquisition. The current study examined unique risk factors for HIV among MSM with a history of incarceration presenting to a sexually transmitted ... ...

Abstract	Men who have sex with men (MSM) with a history of incarceration experience unique risk factors for HIV acquisition. The current study examined unique risk factors for HIV among MSM with a history of incarceration presenting to a sexually transmitted infections (STI) clinic. We analyzed self-reported behavioral data from clinical encounters among patients attending the clinic between January 2012 and April 2021. There were 17,221 unique visits, of which 5988 were MSM. Of these, 4.34% (N = 206) were MSM with a history of incarceration. MSM with a history of incarceration were significantly more likely to report a range of behavioral risk factors for HIV, yet also were significantly less likely to perceive themselves at risk for HIV. Future research and practice should develop culturally tailored biobehavioral HIV prevention services and consider embedding these programs within criminal justice settings to better reach this at-risk group.
MeSH term(s)	Male ; Humans ; Sexually Transmitted Diseases/epidemiology ; Sexually Transmitted Diseases/prevention & control ; HIV Infections/epidemiology ; HIV Infections/prevention & control ; Homosexuality, Male ; Syndemic ; Sexual and Gender Minorities ; Sexual Behavior
Language	English
Publishing date	2023-01-12
Publishing country	United States
Document type	Journal Article
ZDB-ID	1339885-4
ISSN	1573-3254 ; 1090-7165
ISSN (online)	1573-3254
ISSN	1090-7165
DOI	10.1007/s10461-023-03978-5
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