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  1. Article ; Online: Classes of Sexual Identity, Homophobia, and Sexual Risk among Black Sexual Minorities in HPTN 061.

    Turpin, Rodman / Dyer, Typhanye / Watson, Lakeshia / Mayer, Kenneth

    Journal of sex research

    2021  Volume 58, Issue 5, Page(s) 638–647

    Abstract: Homophobia is associated with sexual risk among sexual minorities, including Black sexual minority men, though experienced homophobia may differ across sexual identities. We conducted latent class analysis of sexual identities and experienced homophobia ... ...

    Abstract Homophobia is associated with sexual risk among sexual minorities, including Black sexual minority men, though experienced homophobia may differ across sexual identities. We conducted latent class analysis of sexual identities and experienced homophobia associated with sexual risk, and tested mediators of this association. We used longitudinal data from the HIV Prevention Trials Network Study 061 (n = 1,553). We generated rate ratios between baseline latent classes of experienced homophobia and sexual identity and 12-month outcomes: Condomless receptive anal intercourse (CRAI), number of partners, and transactional sex. Mediators included 6-month internalized homophobia, depression, social support, and substance use. We selected the following 7-class model: "Bisexual, rare homophobia" (reference), "Mixed identities, mixed homophobia", "Bisexual, frequent homophobia", "Heterosexual/Same-gender loving, frequent homophobia", "Gay, frequent homophobia", " Gay/Same-gender loving, frequent homophobia," and "Gay, rare homophobia." All other classes had greater CRAI than the reference. For bisexual/mixed/heterosexual classes, approximately 20% of this association was positively mediated through our mediators (
    MeSH term(s) Bisexuality ; Homophobia ; Homosexuality, Male ; Humans ; Male ; Sexual Behavior ; Sexual and Gender Minorities
    Language English
    Publishing date 2021-02-25
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 220889-1
    ISSN 1559-8519 ; 0022-4499
    ISSN (online) 1559-8519
    ISSN 0022-4499
    DOI 10.1080/00224499.2021.1886228
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: An Exploration of Geographic Access to Substance Use Treatment Programs and Violence Against Women.

    St Vil, Noelle M / Haley, Danielle F / Montgomery, Brooke / Williams, Michael / Watson, Lakeshia / Zhang, Shuaiqi / Wingood, Gina M

    Journal of interpersonal violence

    2024  , Page(s) 8862605241246000

    Abstract: Violence against women (VAW) is a significant public health and human rights issue, with an estimated 736 million women globally experiencing VAW. Consistent evidence demonstrates that substance use is associated with VAW and that participation in ... ...

    Abstract Violence against women (VAW) is a significant public health and human rights issue, with an estimated 736 million women globally experiencing VAW. Consistent evidence demonstrates that substance use is associated with VAW and that participation in substance use treatment programs is associated with reduction in substance use-related violence. While evidence demonstrates the ability to address VAW through substance use treatment programs, less attention has been paid to geographic access to substance use programs. If these programs are geographically inaccessible, particularly to marginalized populations, many people will not get the help they need. This study seeks to explore the relationship between geographic access to substance use treatment programs on VAW. Using data from the HIV Prevention Trials Network (HPTN) 064 study, longitudinal multilevel models were used to assess the relationship between neighborhood-level social determinants, with a specific focus on geographic access to Substance Abuse and Mental Health Services Administration (SAMHSA) certified drug and alcohol treatment programs and VAW. The study included 1910 women, ages 18 to 44, living in select geographic areas with high-ranked prevalence of HIV and poverty. The findings of this study indicate that among women who reside in census tracts with high prevalence rates of HIV: (1) substance use increases VAW; (2) VAW decreases as geographic access to SAMHSA-certified drug and alcohol treatment facilities increases; and (3) when looking at specific types of VAW, emotional and physical abuse decreases as geographic access to substance use treatment increases. Policies and programs to increase access to substance use treatment should be explored and evaluated, and more programs are needed that address the intersectionality of substance use and VAW.
    Language English
    Publishing date 2024-04-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2028900-5
    ISSN 1552-6518 ; 0886-2605
    ISSN (online) 1552-6518
    ISSN 0886-2605
    DOI 10.1177/08862605241246000
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Exploring Psychosocial and Structural Syndemic Effects as Predictors of HIV Risk Behaviors Among Black Women (HPTN 064).

    Watson, Lakeshia / Haley, Danielle / Turpin, Rodman / Ma, Tianzhou / Nguyen, Quynh C / Mittal, Mona / Dyer, Typhanye

    Journal of women's health (2002)

    2024  

    Abstract: Background: ...

    Abstract Background:
    Language English
    Publishing date 2024-03-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1139774-3
    ISSN 1931-843X ; 1059-7115 ; 1540-9996
    ISSN (online) 1931-843X
    ISSN 1059-7115 ; 1540-9996
    DOI 10.1089/jwh.2023.0458
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Latent profiles of stigma and HIV pre-exposure prophylaxis among Black sexual minority men: an exploratory study.

    Turpin, Rodman / Smith, Jamil / Watson, Lakeshia / Heine, Bridgette / Dyer, Typhanye / Liu, Hongjie

    SN social sciences

    2022  Volume 2, Issue 9, Page(s) 192

    Abstract: Black sexual minority men (BSMM) are a priority population for HIV prevention efforts, including pre-exposure prophylaxis (PrEP) promotion. Intersectional stigma can be associated with deterrence from PrEP utilization among BSMM; this stigma has a novel ... ...

    Abstract Black sexual minority men (BSMM) are a priority population for HIV prevention efforts, including pre-exposure prophylaxis (PrEP) promotion. Intersectional stigma can be associated with deterrence from PrEP utilization among BSMM; this stigma has a novel context in the COVID-19 pandemic. To examine this, we investigated latent profiles of racial, sexuality-based, and related stigmas among HIV-negative BSMM in the COVID-19 pandemic and tested their association with PrEP use. We analyzed cross-sectional data from a pilot sample of HIV-negative BSMM (
    Supplementary information: The online version contains supplementary material available at 10.1007/s43545-022-00490-w.
    Language English
    Publishing date 2022-09-14
    Document type Journal Article
    ISSN 2662-9283
    ISSN (online) 2662-9283
    DOI 10.1007/s43545-022-00490-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Exploring Social Determinants of Health as Predictors of Mortality During 2012-2016, Among Black Women with Diagnosed HIV Infection Attributed to Heterosexual Contact, United States.

    Watson, Lakeshia / Gant, Zanetta / Hu, Xiaohong / Johnson, Anna Satcher

    Journal of racial and ethnic health disparities

    2019  Volume 6, Issue 5, Page(s) 892–899

    Abstract: Background: In 2016, black women with HIV infection attributed to heterosexual contact accounted for 47% of all women living with diagnosed HIV, and 41% of deaths that occurred among women with diagnosed HIV in the USA that year. Social determinants of ... ...

    Abstract Background: In 2016, black women with HIV infection attributed to heterosexual contact accounted for 47% of all women living with diagnosed HIV, and 41% of deaths that occurred among women with diagnosed HIV in the USA that year. Social determinants of health have been found to be associated with mortality risk among people with HIV. We analyzed the role social determinants of health may have on risk of mortality among black women with HIV attributed to heterosexual contact.
    Methods: Data from the Center for Disease Control and Prevention's National HIV Surveillance System were merged at the county level with three social determinants of health (SDH) variables from the U.S. Census Bureau's American Community Survey for black women aged ≥ 18 years with HIV infection attributed to heterosexual contact that had been diagnosed by 2011. SDH variables were categorized into four empirically derived quartiles, with the highest quartile in each category serving as the reference variable. For black women whose deaths occurred during 2012-2016, mortality rate ratios (MRR) were calculated using age-stratified multivariate logistic regressions to evaluate associations between SDH variables and all-cause mortality risk.
    Results: Risk of mortality was lower for black women aged 18-34 years and 35-54 years who lived in counties with the lowest quartile of poverty (adjusted mortality rate ratio aMRR = 0.56, 95% confidence interval CI [0.39-0.83], and aMRR = 0.67, 95% CI [0.58-0.78], respectively) compared to those who lived in counties with the highest quartile of poverty (reference group). Compared to black women who lived in counties with the highest quartile of health insurance coverage (reference group), the mortality risk was lower for black women aged 18-34 years and black women aged 35-54 who lived in counties with the lowest 2 quartiles of health insurance coverage. Unemployment status was not associated with mortality risk.
    Conclusions: This ecological analysis found poverty and lack of health insurance to be predictors of mortality, suggesting a need for increased prevention, care, and policy efforts targeting black women with HIV who live in environments characterized by increased poverty and lack of health insurance.
    MeSH term(s) Adolescent ; Adult ; African Americans/statistics & numerical data ; Female ; HIV Infections/ethnology ; HIV Infections/mortality ; Heterosexuality/ethnology ; Humans ; Medically Uninsured/ethnology ; Middle Aged ; Poverty/ethnology ; Risk Factors ; Social Determinants of Health/ethnology ; United States/epidemiology ; Young Adult
    Language English
    Publishing date 2019-04-12
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2760524-3
    ISSN 2196-8837 ; 2197-3792
    ISSN (online) 2196-8837
    ISSN 2197-3792
    DOI 10.1007/s40615-019-00589-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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