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Article ; Online: Quantifying Homeless Populations.

Raymond, Henry F

2022 Volume 112, Issue 4, Page(s) 544

MeSH term(s)	Health Services Needs and Demand ; Ill-Housed Persons ; Humans
Language	English
Publishing date	2022-03-22
Publishing country	United States
Document type	Editorial ; Comment
ZDB-ID	121100-6
ISSN	1541-0048 ; 0090-0036 ; 0002-9572
ISSN (online)	1541-0048
ISSN	0090-0036 ; 0002-9572
DOI	10.2105/AJPH.2022.306755
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Article ; Online: Stigma, HIV Risk, and Access to HIV Prevention and Treatment Services Among Men Who have Sex with Men (MSM) in the United States: A Scoping Review.

Babel, Riddhi A / Wang, Peng / Alessi, Edward J / Raymond, Henry F / Wei, Chongyi

AIDS and behavior

2021 Volume 25, Issue 11, Page(s) 3574–3604

Abstract: In light of recent advances in HIV prevention and treatment, we reviewed the literature to understand how different types of stigma impact HIV risk; access to HIV prevention, care, and treatment services; and related health outcomes among men who have ... ...

Abstract	In light of recent advances in HIV prevention and treatment, we reviewed the literature to understand how different types of stigma impact HIV risk; access to HIV prevention, care, and treatment services; and related health outcomes among men who have sex with men (MSM) in the US. We conducted a scoping literature review of observational and qualitative studies that examined stigma and HIV-related outcomes among MSM. Our search identified 5794 studies, of which 47 met the eligibility criteria and were included in the final analysis. The review suggests that stigma remains a formidable barrier to engaging in HIV prevention and treatment among both HIV-negative and HIV-positive MSM. Among the studies of HIV-positive MSM, internalized stigma was related to lower levels of treatment engagement. HIV-positive MSM in the Southern part of the US were also more likely to engage in risky sexual behavior. Perceived health care discrimination was negatively associated with PrEP awareness, particularly among HIV-negative Black MSM. Among young MSM of color, intersectional stigma compounded the social structural barriers to PrEP adherence. Findings indicate that stigma reduction interventions should be implemented in diverse MSM communities to address the disproportionate burden of HIV along with critical gap in the care continuum. Further research should examine how individual types of stigma, including intersectional stigma, affect viral suppression and PrEP uptake and adherence, especially among MSM of color.
MeSH term(s)	HIV Infections/epidemiology ; HIV Infections/prevention & control ; Homosexuality, Male ; Humans ; Male ; Pre-Exposure Prophylaxis ; Sexual Behavior ; Sexual and Gender Minorities ; Social Stigma ; United States/epidemiology
Language	English
Publishing date	2021-04-18
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	1339885-4
ISSN	1573-3254 ; 1090-7165
ISSN (online)	1573-3254
ISSN	1090-7165
DOI	10.1007/s10461-021-03262-4
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Article ; Online: Age Cohort and Health Service Utilization Among Gay Men.

Green, Daniel C / Goldbach, Jeremy T / Raymond, Henry F

American journal of men's health

2018 Volume 12, Issue 4, Page(s) 1058–1067

Abstract: Gay men report unique health disparities and service utilization trends compared to their heterosexual peers including a lack of health-care participation which may lead to chronic health conditions. Limited research has been conducted analyzing group ... ...

Abstract	Gay men report unique health disparities and service utilization trends compared to their heterosexual peers including a lack of health-care participation which may lead to chronic health conditions. Limited research has been conducted analyzing group differences among gay men such as the influence of one's age cohort on disparities. The aim of this study was to examine the association age cohort has on health service utilization among gay men. A sample of 383 self-identified gay men was collected by the San Francisco Department of Public Health. Older men were less likely to have visited a medical provider in the past 12 months compared to middle-aged men (OR = 0.10; 95% CI [2.47, 39.8]) and younger men (OR = 0.35; 95% CI [1.28, 10.42]). However, older men were more likely to have a usual source of medical care compared to younger men (OR = 4.0; 95% CI [.05, .84]). Age cohort differences in health-care service utilization appear to exist among gay men. This study highlights additional areas for exploration including the impact HIV and socioeconomic status have on health-seeking behavior and health service utilization.
MeSH term(s)	Adult ; Age Factors ; Aged ; Cohort Studies ; Cross-Sectional Studies ; Health Services Accessibility/statistics & numerical data ; Health Status Disparities ; Healthcare Disparities/statistics & numerical data ; Homosexuality, Male/statistics & numerical data ; Humans ; Logistic Models ; Male ; Men's Health ; Middle Aged ; Multivariate Analysis ; Needs Assessment ; Patient Safety ; Risk Assessment ; Risk-Taking ; San Francisco ; Sexual and Gender Minorities/statistics & numerical data
Language	English
Publishing date	2018-05-23
Publishing country	United States
Document type	Journal Article ; Research Support, U.S. Gov't, P.H.S.
ZDB-ID	2275106-3
ISSN	1557-9891 ; 1557-9883
ISSN (online)	1557-9891
ISSN	1557-9883
DOI	10.1177/1557988318774994
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Article ; Online: Estimated Population Size of Men Who Have Sex with Men, San Francisco, 2017.

Raymond, Henry F / McFarland, Willi / Wesson, Paul

AIDS and behavior

2018 Volume 23, Issue 6, Page(s) 1576–1579

Abstract: Current population size estimates of communities at risk for HIV are needed to adequately plan interventions and care. We update the estimated number of men who have sex with men (MSM) living in San Francisco. Multiple data sources and approaches, ... ...

Abstract	Current population size estimates of communities at risk for HIV are needed to adequately plan interventions and care. We update the estimated number of men who have sex with men (MSM) living in San Francisco. Multiple data sources and approaches, including population growth, registered HIV cases, wisdom of the crowd, and a published estimate on the proportion of adults who are MSM were used for estimation. The several estimates were synthesized into a final figure with acceptable bounds using a Bayesian method. We project 69,974 (acceptable bounds 65,523-74,323) MSM are living in San Francisco as of the beginning of 2017. The population of MSM in San Francisco has increased by 19.4% since 2014.
MeSH term(s)	Adult ; Bayes Theorem ; Health Surveys ; Homosexuality, Male/statistics & numerical data ; Humans ; Male ; Population Density ; Prevalence ; San Francisco/epidemiology
Language	English
Publishing date	2018-11-01
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	1339885-4
ISSN	1573-3254 ; 1090-7165
ISSN (online)	1573-3254
ISSN	1090-7165
DOI	10.1007/s10461-018-2321-0
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Article ; Online: Transphobia-Based Violence, Depression, and Anxiety in Transgender Women: The Role of Body Satisfaction.

Klemmer, Cary L / Arayasirikul, Sean / Raymond, Henry F

Journal of interpersonal violence

2018 Volume 36, Issue 5-6, Page(s) 2633–2655

Abstract: Psychological processes may mediate the relationship between minority stress and mental health though limited data exist showing this pathway among trans women. Trans women's degree of satisfaction with their body is associated with mental health ... ...

Abstract	Psychological processes may mediate the relationship between minority stress and mental health though limited data exist showing this pathway among trans women. Trans women's degree of satisfaction with their body is associated with mental health outcomes. This study used a model of minority stress to explore for indirect effects on the association between transphobia-based victimization and anxiety and depression through one's degree of body satisfaction. Analysis also explored for racial differences. Transgender women (
MeSH term(s)	Anxiety/epidemiology ; Depression/epidemiology ; Female ; Humans ; Personal Satisfaction ; Transgender Persons ; Violence
Language	English
Publishing date	2018-03-11
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2028900-5
ISSN	1552-6518 ; 0886-2605
ISSN (online)	1552-6518
ISSN	0886-2605
DOI	10.1177/0886260518760015
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Article ; Online: Destination-Specific and Home Environment Condom Norms Influence Sexual Behavior During Travel.

Truong, Hong-Ha M / Fatch, Robin / McFarland, Willi / Grasso, Michael / Raymond, Henry F / Holt, Martin / Steward, Wayne T

AIDS education and prevention : official publication of the International Society for AIDS Education

2022 Volume 34, Issue 3, Page(s) 245–255

Abstract: Travelers may adapt HIV risk-reduction practices based on perceived destination-specific norms. We examined the association between perceived condom norms and condomless anal sex (CAS) during international and domestic travel and in the home environment ... ...

Abstract	Travelers may adapt HIV risk-reduction practices based on perceived destination-specific norms. We examined the association between perceived condom norms and condomless anal sex (CAS) during international and domestic travel and in the home environment among men who have sex with men. Men who traveled internationally in the past 12 months were recruited by respondent-driven sampling (
MeSH term(s)	Condoms ; HIV Infections/prevention & control ; Home Environment ; Homosexuality, Male ; Humans ; Male ; Sexual Behavior ; Sexual and Gender Minorities
Language	English
Publishing date	2022-06-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	1075448-9
ISSN	1943-2755 ; 0899-9546
ISSN (online)	1943-2755
ISSN	0899-9546
DOI	10.1521/aeap.2022.34.3.245
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Article ; Online: HIV Prevention Responsibility Beliefs Among Men Who Have Sex With Men in the PrEP Era.

Truong, Hong-Ha M / Fatch, Robin / McFarland, Willi / Raymond, Henry F

Journal of acquired immune deficiency syndromes (1999)

2020 Volume 87, Issue 3, Page(s) e222–e228

Abstract: Background: Beliefs regarding responsibility for preventing HIV transmission may differ between individuals and their sexual partners. We assessed HIV prevention responsibility beliefs among men who have sex with men (MSM) participating in the 2017 ... ...

Abstract	Background: Beliefs regarding responsibility for preventing HIV transmission may differ between individuals and their sexual partners. We assessed HIV prevention responsibility beliefs among men who have sex with men (MSM) participating in the 2017 National HIV Behavioral Surveillance survey. Methods: MSM were recruited using time-location sampling at clubs, bars, and street locations in San Francisco. HIV prevention responsibility beliefs were assessed on a four-point scale (1 = strongly disagree to 4 = strongly agree). Associations were assessed using generalizing estimating equations to adjust for behaviors within multiple partnerships. Results: A total of 316 HIV-negative men and 76 HIV-positive men reported on 1336 partnerships. HIV-negative compared with HIV-positive men had higher endorsement of mutual responsibility (mean 3.7 vs. 3.5; P < 0.01). Both groups had similar levels of endorsing responsibility on the HIV-negative or HIV-positive partner. HIV-positive men endorsing equal responsibility were more likely to know their partner's HIV status (P < 0.01) and less likely to have serodiscordant condomless anal intercourse (CAI) (P < 0.01) than men who did not endorse equal responsibility. HIV-negative men in partnerships with pre-exposure prophylaxis (PrEP) use were more likely to know their partner's HIV status (P = 0.02) and have serodiscordant CAI (P = 0.04) than men not in partnerships with PrEP use. Conclusions: HIV-negative and HIV-positive men accept responsibility for preventing HIV. The finding that HIV-negative men in partnerships with PrEP use who engage in serodiscordant CAI is concerning because they are still at risk for other sexually transmitted infections, which are presently at elevated levels in San Francisco and other US cities.
MeSH term(s)	Adult ; Aged ; Anti-HIV Agents/administration & dosage ; Anti-HIV Agents/therapeutic use ; HIV Infections/epidemiology ; HIV Infections/prevention & control ; HIV Infections/psychology ; HIV-1 ; Health Knowledge, Attitudes, Practice ; Homosexuality, Male ; Humans ; Male ; Middle Aged ; Pre-Exposure Prophylaxis ; Safe Sex ; San Francisco/epidemiology ; Sexual Behavior ; Viral Load ; Young Adult
Chemical Substances	Anti-HIV Agents
Language	English
Publishing date	2020-12-25
Publishing country	United States
Document type	Journal Article ; Research Support, U.S. Gov't, P.H.S.
ZDB-ID	645053-2
ISSN	1944-7884 ; 1077-9450 ; 0897-5965 ; 0894-9255 ; 1525-4135
ISSN (online)	1944-7884 ; 1077-9450
ISSN	0897-5965 ; 0894-9255 ; 1525-4135
DOI	10.1097/QAI.0000000000002659
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Article ; Online: HIV Pre-exposure Prophylaxis Persistence and Adherence Among Men Who Have Sex With Men in Four US Cities.

Chapin-Bardales, Johanna / Haaland, Richard / Martin, Amy / Holder, Angela / Butts, Virginia A / Sionean, Catlainn / Sey, Ekow Kwa / Brady, Kathleen A / Raymond, Henry F / Opoku, Jenevieve / Kuo, Irene / Paz-Bailey, Gabriela / Wejnert, Cyprian

Journal of acquired immune deficiency syndromes (1999)

2023 Volume 93, Issue 1, Page(s) 34–41

Abstract: Background: HIV pre-exposure prophylaxis (PrEP) persistence and adherence are critical to ending the HIV epidemic in the United States.: Setting: In 2017 National HIV Behavioral Surveillance, HIV-negative men who have sex with men (MSM) in 4 US ... ...

Abstract	Background: HIV pre-exposure prophylaxis (PrEP) persistence and adherence are critical to ending the HIV epidemic in the United States. Setting: In 2017 National HIV Behavioral Surveillance, HIV-negative men who have sex with men (MSM) in 4 US cities completed a survey, HIV testing, and dried blood spots at recruitment. Methods: We assessed 3 PrEP outcomes: persistence (self-reported PrEP use at any time in the past 12 months and had tenofovir, emtricitabine, or tenofovir diphosphate detected in dried blood spots), adherence at ≥4 doses/week (self-reported past-month PrEP use and tenofovir diphosphate concentration ≥700 fmol/punch), and adherence at 7 doses/week (self-reported past-month PrEP use and tenofovir diphosphate concentration ≥1250 fmol/punch). Associations with key characteristics were examined using log-linked Poisson regression models with generalized estimating equations. Results: Among 391 MSM who took PrEP in the past year, persistence was 80% and was lower among MSM who were younger, had lower education, and had fewer sex partners. Of 302 MSM who took PrEP in the past month, adherence at ≥4 doses/week was 80% and adherence at 7 doses/week was 66%. Adherence was lower among MSM who were younger, were Black, and had fewer sex partners. Conclusions: Although persistence and adherence among MSM were high, 1 in 5 past-year PrEP users were not persistent and 1 in 5 past-month PrEP users were not adherent at levels that would effectively protect them from acquiring HIV (ie, ≥4 doses/week). Efforts to support PrEP persistence and adherence should include MSM who are young, are Black, and have less education.
MeSH term(s)	Male ; Humans ; United States ; Homosexuality, Male ; HIV Infections/drug therapy ; Anti-HIV Agents/therapeutic use ; Pre-Exposure Prophylaxis ; Cities ; Sexual and Gender Minorities ; Medication Adherence
Chemical Substances	tenofovir diphosphate ; Anti-HIV Agents
Language	English
Publishing date	2023-01-21
Publishing country	United States
Document type	Journal Article
ZDB-ID	645053-2
ISSN	1944-7884 ; 1077-9450 ; 0897-5965 ; 0894-9255 ; 1525-4135
ISSN (online)	1944-7884 ; 1077-9450
ISSN	0897-5965 ; 0894-9255 ; 1525-4135
DOI	10.1097/QAI.0000000000003160
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Article ; Online: HIV Prevalence, Sexual Partners, Sexual Behavior and HIV Acquisition Risk Among Trans Men, San Francisco, 2014.

McFarland, Willi / Wilson, Erin C / Raymond, Henry F

AIDS and behavior

2017 Volume 21, Issue 12, Page(s) 3346–3352

Abstract: We surveyed 122 trans men using a hybrid sampling method that included randomly selected physical and online venues and peer referral to measure HIV prevalence and risk behaviors. HIV prevalence was 0% (one-sided 97.5% confidence interval 0-3.3%). Of 366 ...

Abstract	We surveyed 122 trans men using a hybrid sampling method that included randomly selected physical and online venues and peer referral to measure HIV prevalence and risk behaviors. HIV prevalence was 0% (one-sided 97.5% confidence interval 0-3.3%). Of 366 partnerships described, 44.8% were with cisgender women, 23.8% with cisgender men, 20.8% with trans men, and 10.7% with trans women. Condomless receptive anal and front hole/vaginal sex averaged one to three episodes per six months. HIV prevalence in trans men is likely closer to heterosexual cisgender men and women in San Francisco than trans women or MSM. Prevention prioritizing trans women and MSM, coupled with individualized and relevant sexual health education for trans men with partners from these populations, may best address the HIV prevention needs of trans men. Systematic collection of transgender status in Census and health data is needed to understand other health disparities among trans men.
MeSH term(s)	Adult ; Female ; HIV Infections/epidemiology ; HIV Infections/prevention & control ; Homosexuality, Male/psychology ; Homosexuality, Male/statistics & numerical data ; Humans ; Male ; Prevalence ; Risk-Taking ; San Francisco/epidemiology ; Sexual Behavior ; Sexual Partners ; Transgender Persons/psychology ; Transgender Persons/statistics & numerical data ; Young Adult
Language	English
Publishing date	2017-02-02
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/s10461-017-1735-4
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Article ; Online: Examining the Effects of Transphobic Discrimination and Race on HIV Risk Among Transwomen in San Francisco.

Arayasirikul, Sean / Wilson, Erin C / Raymond, Henry F

AIDS and behavior

2017 Volume 21, Issue 9, Page(s) 2628–2633

Abstract: Transwomen, in particular transwomen of color (TWOC), are among the most vulnerable populations at risk for HIV. This secondary analysis is organized using a gender minority stress framework to examine the effects of transphobic discrimination and race ... ...

Abstract	Transwomen, in particular transwomen of color (TWOC), are among the most vulnerable populations at risk for HIV. This secondary analysis is organized using a gender minority stress framework to examine the effects of transphobic discrimination and race on HIV risk factors. We describe the sample of 149 HIV- adult transwomen in San Francisco and use binary logistic regression to examine the relationship between levels of transphobic discrimination and TWOC status on binge drinking and condomless receptive anal intercourse (CRAI), controlling for potential confounders. Those with high levels of transphobic discrimination had 3.59 fold greater odds of engaging in binge drinking compared to those who reported a low level of transphobic discrimination (95% CI 1.284-10.034; P = 0.015). TWOC had nearly threefold greater odds of CRAI compared to white transwomen (95% CI 1.048-8.464; P = 0.040). We discuss implications for gender minority stress research and future interventions for this population.
MeSH term(s)	Adult ; Alcohol Drinking/epidemiology ; Alcoholism/ethnology ; Alcoholism/psychology ; Continental Population Groups/psychology ; Continental Population Groups/statistics & numerical data ; Cross-Sectional Studies ; Female ; HIV Infections/complications ; HIV Infections/ethnology ; HIV Infections/psychology ; Humans ; Logistic Models ; Male ; San Francisco/epidemiology ; Sexual Behavior ; Substance-Related Disorders/complications ; Substance-Related Disorders/ethnology ; Substance-Related Disorders/psychology ; Transgender Persons/psychology
Language	English
Publishing date	2017-02-15
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/s10461-017-1728-3
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