Article ; Online: Exploring Individual and Contextual Factors Associated With Sexual Risk and Substance Use Among Underserved GBQMSM and Transgender and Nonbinary Persons in South Central Appalachia.
AIDS education and prevention : official publication of the International Society for AIDS Education
2023 Volume 35, Issue 6, Page(s) 495–506
Abstract: Gay, bisexual, queer, and other men who have sex with men (GBQMSM) and transgender and nonbinary persons are at elevated risk for HIV, sexually transmitted infections (STIs), and hepatitis C (HCV); in Appalachia, these communities experience more disease ...
| Abstract | Gay, bisexual, queer, and other men who have sex with men (GBQMSM) and transgender and nonbinary persons are at elevated risk for HIV, sexually transmitted infections (STIs), and hepatitis C (HCV); in Appalachia, these communities experience more disease burden. However, little is known about the factors influencing risk. Sixteen semistructured in-depth interviews were conducted examining factors influencing prevention and care. Data were analyzed using constant comparison methodology. Fifteen themes emerged within four domains: social environment (e.g., microaggressions across gender, sexual orientation, and racial identities), substance use (e.g., high prevalence, use as coping mechanism), sexual health (e.g., misinformation and denial of risk for HIV and STIs), and access to health care (e.g., cost and transportation barriers, lack of local respectful care). Findings highlighted salient barriers and assets influencing prevention and care and suggest that multilevel interventions are needed to improve access to and use of HIV, STI, and HCV prevention and care services. |
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| MeSH term(s) | Humans ; Male ; Female ; Transgender Persons ; Homosexuality, Male ; Sexual and Gender Minorities ; HIV Infections/prevention & control ; Sexual Behavior ; Sexually Transmitted Diseases/epidemiology ; Sexually Transmitted Diseases/prevention & control ; Appalachian Region/epidemiology ; Hepatitis C/epidemiology ; Substance-Related Disorders/epidemiology | |||||
| Language | English | |||||
| Publishing date | 2023-12-13 | |||||
| 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.2023.35.6.495 | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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