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Article ; Online: Gradual improvements in HIV outcomes for African GBMSM.

Graham, Susan M / Harper, Gary W

The lancet. HIV

2023 Volume 10, Issue 8, Page(s) e490–e492

MeSH term(s)	Humans ; Male ; HIV Infections/drug therapy ; HIV Infections/epidemiology ; HIV Infections/prevention & control ; Homosexuality, Male ; Sexual and Gender Minorities
Language	English
Publishing date	2023-07-12
Publishing country	Netherlands
Document type	Journal Article ; Comment
ISSN	2352-3018
ISSN (online)	2352-3018
DOI	10.1016/S2352-3018(23)00149-2
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Article ; Online: Listening to the Voices of Gay and Bisexual Men and Other Men Who Have Sex with Men in Kenya: Recommendations for Improved HIV Prevention Programming.

Lyons, Myla / Harper, Gary W / Jadwin-Cakmak, Laura / Beyer, Adrian / Graham, Susan M

The undergraduate journal of public health at the University of Michigan

2024 Volume 7, Page(s) 84–96

Abstract: Young gay and bisexual men and other men who have sex with men (GBMSM) are a key population at high risk for new human immunodeficiency virus (HIV) infections in Kenya; thus, increased efforts are necessary to reduce their health risks. This qualitative ... ...

Abstract	Young gay and bisexual men and other men who have sex with men (GBMSM) are a key population at high risk for new human immunodeficiency virus (HIV) infections in Kenya; thus, increased efforts are necessary to reduce their health risks. This qualitative study describes recommendations offered by young GBMSM in Kenya regarding the development and delivery of culturally appropriate HIV prevention services. Both young GBMSM Community Members and Peer Educators recommend that future HIV prevention efforts enhance economic empowerment, provide mental health and substance use services, and incorporate arts-based health promotion strategies. In addition, participants recommended that public health professionals increase the ease of access to HIV prevention services for GBMSM and that researchers disseminate findings from HIV prevention research back to the community.
Language	English
Publishing date	2024-06-14
Publishing country	United States
Document type	Journal Article
ISSN	2766-7200
ISSN (online)	2766-7200
DOI	10.3998/ujph.3949
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Article ; Online: Racialized Sexual Discrimination (RSD) in Online Sexual Networking: Moving from Discourse to Measurement.

Wade, Ryan M / Harper, Gary W

Journal of sex research

2020 Volume 58, Issue 6, Page(s) 795–807

Abstract: Young Black gay/bisexual men (YBGBM) are at disproportionate risk for poor health outcomes due to multilevel stressors, such as community- and individual-level discrimination. Racialized Sexual Discrimination (RSD) is an under-examined type of ... ...

Abstract	Young Black gay/bisexual men (YBGBM) are at disproportionate risk for poor health outcomes due to multilevel stressors, such as community- and individual-level discrimination. Racialized Sexual Discrimination (RSD) is an under-examined type of discrimination experienced by gay/bisexual men of color when seeking partners online. RSD may be a driving force behind sexual network restriction (which elevates YBGBM's risk for HIV infection) and may have an adverse impact on YBGBM's psychological wellbeing. Thus, adequate measurement of this phenomenon is essential. Focus groups with young gay/bisexual men of color were conducted to generate survey content that captured RSD experiences; the resultant information was used to develop an RSD scale. The scale, along with other sociodemographic measures, was administered to a sample of 634 YBGBM. An exploratory factor analysis was conducted on the scale. Results revealed an 8-factor structure: 1-White superiority; 2-White inferiority; 3-White rejection; 4-same-race rejection; 5-White physical objectification; 6-same-race physical objectification); 7-degradation; and 8-role assumptions. The scale was psychometrically sound and demonstrated good reliability, providing preliminary support for the scale's utility in social science research. Future research should further refine the scale and examine the association between RSD and sexual/mental health outcomes among YBGBM.
MeSH term(s)	Bisexuality ; HIV Infections ; Homosexuality, Male ; Humans ; Male ; Men ; Reproducibility of Results ; Sexism
Language	English
Publishing date	2020-09-02
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	220889-1
ISSN	1559-8519 ; 0022-4499
ISSN (online)	1559-8519
ISSN	0022-4499
DOI	10.1080/00224499.2020.1808945
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Article: Teaching During a Pandemic: A Model for Trauma-Informed Education and Administration.

Harper, Gary W / Neubauer, Leah C

Pedagogy in health promotion

2020 Volume 7, Issue 1, Page(s) 14–24

Abstract: Coronavirus disease 2019 (COVID-19) realities have demanded that educators move swiftly to adopt new ways of teaching, advising, and mentoring. We suggest the centering of a trauma-informed approach to education and academic administration during the ... ...

Abstract	Coronavirus disease 2019 (COVID-19) realities have demanded that educators move swiftly to adopt new ways of teaching, advising, and mentoring. We suggest the centering of a trauma-informed approach to education and academic administration during the COVID-19 pandemic using the Substance Abuse and Mental Health Services Administration's (SAMHSA) guidance on trauma-informed approaches to care. In our model for trauma-informed education and administration (M-TIEA), SAMHSA's four key organizational assumptions are foundational, including a realization about trauma and its wide-ranging effects; a recognition of the basic signs and symptoms of trauma; a response that involves fully integrating knowledge into programs, policies, and practices; and an active process for resisting retraumatization. Since educators during the pandemic must follow new restrictions regarding how they teach, we have expanded the practice of teaching in M-TIEA to include both academic administrators' decision making about teaching, and educators' planning and implementation of teaching. In M-TIEA, SAMHSA's six guiding principles for a trauma-informed approach are infused into these two interrelated teaching processes, and include the following: safety; trustworthiness and transparency; peer support; collaboration and mutuality; empowerment, voice, and choice; and cultural, historical, and gender issues. M-TIEA's organizational assumptions, processes, and principles are situated within an outer context that acknowledges the potential influences of four types of intersectional traumas and stressors that may occur at multiple socioecological levels: pandemic-related trauma and stressors; other forms of individual, group, community, or mass trauma and stressors; historical trauma; and current general life stressors. This acknowledges that all trauma-informed work is dynamic and may be influenced by contextual factors.
Language	English
Publishing date	2020-10-14
Publishing country	United States
Document type	Journal Article
ZDB-ID	2816758-2
ISSN	2373-3802 ; 2373-3799
ISSN (online)	2373-3802
ISSN	2373-3799
DOI	10.1177/2373379920965596
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Article: Examining HIV Organizational Structures and their Influence on Engagement with Young Black Gay, Bisexual, and other Men who have Sex with Men in Atlanta, Georgia.

Fogarty, Hannah / Jones, Marxavian D / Moore, Shamia J / Harper, Gary W / Camacho-González, Andrés / Del Rio, Carlos / Hussen, Sophia A

Journal of gay & lesbian social services

2024 Volume 36, Issue 1, Page(s) 58–79

Abstract: Young Black gay, bisexual, and other men who have sex with men (YB-GBMSM) are disproportionately impacted by HIV. Structural influences on these disparities, including characteristics of the various organizations that serve YB-GBMSM living with HIV, ... ...

Abstract	Young Black gay, bisexual, and other men who have sex with men (YB-GBMSM) are disproportionately impacted by HIV. Structural influences on these disparities, including characteristics of the various organizations that serve YB-GBMSM living with HIV, remain understudied. We drew on Weick's model of organizing to conduct and analyze qualitative interviews with 28 HIV service providers representing healthcare and community-based organizations in Atlanta, Georgia. Enactment of HIV service provision was described as following simplified and standardized responses-defined as "rules", and/or more dynamic exchanges to formulate responses -otherwise known as "communication behavior cycles" (CBCs). Rules, including patient quotas and limited hours of operation, were viewed as rigid, out-of-touch, and inhibiting engagement with YB-GBMSM. CBCs, such as patient feedback loops and rejection of traditional hierarchies, fostered creative insights to combating the epidemic and increased levels of cultural awareness and community buy-in. Organizations should strive to enact CBCs, to foster culturally congruent approaches to service delivery for YB-GBMSM.
Language	English
Publishing date	2024-04-08
Publishing country	United States
Document type	Journal Article
ISSN	1053-8720
ISSN	1053-8720
DOI	10.1080/10538720.2023.2184438
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Article ; Online: Fluidity in Reporting Gender Identity Labels in a Sample of Transgender and Gender Diverse Adolescents and Young Adults, Los Angeles, California, and New Orleans, Louisiana, 2017-2019.

Ocasio, Manuel A / Fernandez, M Isabel / Ward, Demi H S / Lightfoot, Marguerita / Swendeman, Dallas / Harper, Gary W

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

2024 , Page(s) 333549231223922

Abstract: Objectives: Treating gender identity as a fixed characteristic may contribute to considerable misclassification and hinder accurate characterization of health inequities and the design of effective preventive interventions for transgender and gender ... ...

Abstract	Objectives: Treating gender identity as a fixed characteristic may contribute to considerable misclassification and hinder accurate characterization of health inequities and the design of effective preventive interventions for transgender and gender diverse (TGD) adolescents and young adults. We examined changes in how an ethnically and racially diverse sample of TGD adolescents and young adults reported their gender identity over time, the implications of this fluidity on public health, and the potential effects of misclassification of gender identity. Methods: We recruited 235 TGD adolescents and young adults (aged 15-24 y) in Los Angeles, California, and New Orleans, Louisiana, from May 2017 through August 2019 to participate in an HIV intervention study. We asked participants to self-report their gender identity and sex assigned at birth every 4 months for 24 months. We used a quantitative content analysis framework to catalog changes in responses over time and classified the changes into 3 main patterns: consistent, fluctuating, and moving in 1 direction. We then calculated the distribution of gender identity labels at baseline (initial assessment) and 12 and 24 months and described the overall sample by age, race, ethnicity, and study site. Results: Of 235 TGD participants, 162 (69%) were from Los Angeles, 89 (38%) were Latinx, and 80 (34%) were non-Latinx Black or African American. Changes in self-reported gender identity were common (n = 181; 77%); in fact, 39 (17%) changed gender identities more than twice. More than 50% (n = 131; 56%) showed a fluctuating pattern. Conclusions: Gender identity labels varied over time, suggesting that misclassification may occur if data from a single time point are used to define gender identity. Our study lays the foundation for launching studies to elucidate the associations between shifting gender identities and health outcomes.
Language	English
Publishing date	2024-01-29
Publishing country	United States
Document type	Journal Article
ZDB-ID	120953-x
ISSN	1468-2877 ; 0033-3549
ISSN (online)	1468-2877
ISSN	0033-3549
DOI	10.1177/00333549231223922
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Article ; Online: Racialized Sexual Discrimination (RSD) in the Age of Online Sexual Networking: Are Young Black Gay/Bisexual Men (YBGBM) at Elevated Risk for Adverse Psychological Health?

Wade, Ryan M / Harper, Gary W

American journal of community psychology

2019 Volume 65, Issue 3-4, Page(s) 504–523

Abstract: Young Black gay/bisexual men (YBGBM) are a highly marginalized population across multiple health outcomes. Most research on YBGBM health has focused on HIV/sexual health, but there is a demonstrable need for research examining racism and psychosocial ... ...

Abstract	Young Black gay/bisexual men (YBGBM) are a highly marginalized population across multiple health outcomes. Most research on YBGBM health has focused on HIV/sexual health, but there is a demonstrable need for research examining racism and psychosocial functioning among this population. Racialized Sexual Discrimination (RSD), also known as sexual racism, is an important but under-investigated phenomenon that may have implications for the psychological health and well-being of YBGBM. This paper provides an overview of empirical research on RSD as experienced by gay/bisexual men of color in online partner-seeking venues. First, the researchers discuss how racialized experiences are a documented online phenomenon, with a variety of manifestations, and identify the potential effects that this phenomenon may have on the psychosocial health of YBGBM, and gay/bisexual men of color as a whole. Second, the researchers synthesize the RSD literature with a broader literature examining psychological well-being across race and sexual orientation. Third, the researchers present a theoretically grounded conceptual model detailing the pathways between RSD and psychological well-being using a stress and coping framework. The paper concludes with recommendations for future research on this topic, including scale development and hypothesis testing.
MeSH term(s)	African Americans/psychology ; Bisexuality/psychology ; Depression/psychology ; Homosexuality, Male/psychology ; Humans ; Internet ; Male ; Racism/psychology ; Sexism/psychology ; Sexual and Gender Minorities/psychology ; Social Networking ; Stereotyping
Language	English
Publishing date	2019-10-06
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Review
ZDB-ID	222658-3
ISSN	1573-2770 ; 0091-0562
ISSN (online)	1573-2770
ISSN	0091-0562
DOI	10.1002/ajcp.12401
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Article ; Online: Improving HIV prevention and care for African GBMSM.

Graham, Susan M / Harper, Gary W

The lancet. HIV

2017 Volume 4, Issue 6, Page(s) e234–e236

MeSH term(s)	Acquired Immunodeficiency Syndrome ; Black or African American ; HIV Infections ; Homosexuality, Male ; Humans
Language	English
Publishing date	2017-03-01
Publishing country	Netherlands
Document type	Journal Article ; Comment
ISSN	2352-3018
ISSN (online)	2352-3018
DOI	10.1016/S2352-3018(17)30020-6
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Article ; Online: Using the Exploration-Preparation-Implementation-Sustainment (EPIS) Framework to prepare for the implementation of evidence-based practices into adolescent HIV settings.

Carcone, April Idalski / Coyle, Karin / Butame, Seyram / Harper, Gary W / Aarons, Gregory A / Naar, Sylvie

AIDS and behavior

2022 Volume 26, Issue 12, Page(s) 4093–4106

Abstract: Despite advances in evidence-based practices (EBP) to support HIV prevention and treatment, youth ages 13-24 experience significant disparities in HIV risk and outcomes. An important factor in this disparity is poor EBP implementation, yet implementation ...

Abstract	Despite advances in evidence-based practices (EBP) to support HIV prevention and treatment, youth ages 13-24 experience significant disparities in HIV risk and outcomes. An important factor in this disparity is poor EBP implementation, yet implementation research is limited, particularly in youth-serving settings. This study used the Exploration, Preparation, Implementation, Sustainment (EPIS) framework to guide the implementation of four Motivational Interviewing (MI) and MI-framed interventions into youth-serving HIV prevention and treatment settings. Key stakeholders (n = 153) across 13 sites completed pre-implementation interviews. Stakeholders' comments identified two critical factors for effective implementation: fit with the patient population and provider receptivity, including concerns about scope of practice, buy-in, and time. Stakeholders recommended strategies for structuring training, fidelity monitoring, and facilitating implementation including engaging informal leaders, collaboratively developing the implementation strategy, and site-wide implementation. Results highlight the importance of pre-implementation contextual assessment and strategic planning for identifying provider concerns and developing responsive implementation strategies.
MeSH term(s)	Adolescent ; Humans ; Young Adult ; Adult ; HIV Infections/prevention & control ; Evidence-Based Practice ; Motivational Interviewing
Language	English
Publishing date	2022-09-06
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/s10461-022-03735-0
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Article ; Online: Pilot Trial of a Critical Consciousness-Based Intervention for Black Young Gay and Bisexual Men Living with HIV: Mobilizing Our Voices for Empowerment (MOVE).

Harper, Gary W / Cherenack, Emily M / Slye, Nicole / Jadwin-Cakmak, Laura / Hudgens, Michael

Journal of racial and ethnic health disparities

2022 Volume 10, Issue 1, Page(s) 64–82

Abstract: HIV in the USA disproportionately affects Black young gay and bisexual men (Y-GBM). This article presents outcomes of a pilot randomized controlled trial comparing Mobilizing our Voices for Empowerment (MOVE), a culturally and developmentally tailored ... ...

Abstract	HIV in the USA disproportionately affects Black young gay and bisexual men (Y-GBM). This article presents outcomes of a pilot randomized controlled trial comparing Mobilizing our Voices for Empowerment (MOVE), a culturally and developmentally tailored critical consciousness-based intervention for Black Y-GBM living with HIV (ages 16-24), with a comparison health promotion intervention. Black Y-GBM (n = 54) from four cities participated. Mixed effects models across four assessment points revealed participants in MOVE showed greater increases over time in perceived stress of HIV disclosure, self-efficacy for limiting HIV risk behavior, and condom use self-efficacy. Examining mean difference scores separately, participants in MOVE demonstrated increases in self-efficacy for HIV disclosure, perceived policy control, and self-efficacy for limiting HIV risk behavior. Immediately post-intervention, MOVE participants reported greater decreases in condomless intercourse with negative/unknown partners. MOVE may have potential to improve the health of Black Y-GBM living with HIV and reduce further transmission.
MeSH term(s)	Male ; Humans ; Adolescent ; Young Adult ; Adult ; Homosexuality, Male ; Consciousness ; Pilot Projects ; Sexual and Gender Minorities ; HIV Infections/prevention & control
Language	English
Publishing date	2022-01-20
Publishing country	Switzerland
Document type	Randomized Controlled Trial ; Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	2760524-3
ISSN	2196-8837 ; 2197-3792
ISSN (online)	2196-8837
ISSN	2197-3792
DOI	10.1007/s40615-021-01197-z
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