Distress and Depression in Men Who Have Sex With Men: The Urban Men’s Health Study

Mills, Thomas C.; Paul, Jay P.; Stall, Ron; Pollack, Lance M.; Canchola, Jesse; Chang, Yu‐Kai; Moskowitz, Judith T.; Catania, Joseph A.

doi:10.1176/appi.ajp.161.2.278

Cited by 258 publications

(188 citation statements)

References 43 publications

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“…Interviews covered a range of social, psychological, and behavioral phenomena related to HIV. Major sections of the survey instrument included questions about the gay community (involvement, services used, attitudes toward) (Barrett & Pollack, 2005), demographic characteristics (Catania et al, 2006), attendance at gay venues ("places where men go to meet and socialize with other men") Woods et al, 2003), sexual behavior (both a "global" and partner-by-partner assessment), sexual development, including the "coming out" process (Barrett, Pollack, & Tilden, 2002), experiences with harassment and violence (including adverse familial events, anti-gay victimization, sexual coercion, and partner violence) (Arreola, Neilands, Pollack, Paul, & Catania, 2005;Greenwood et al, 2002;Relf, Huang, Campbell, & Catania, 2004),sexual problems, depression, and suicidal ideation (Mills et al, 2004;Paul et al, 2002), substance use (Klitzman, Greenberg, Pollack, & Dolezal, 2002;Stall et al, 2001aStall et al, , 2003, HIV testing and serostatus (Osmond et al, 2000;Stall et al, 2001b), and AIDS care-giving.…”

Section: Methodsmentioning

confidence: 99%

Measuring Sexual Risk for HIV: A Rasch Scaling Approach

et al. 2008

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In this study, we developed an HIV transmission risk scale and examined its psychometric properties using data on sexual behavior obtained from a probability sample of adult men who have sex with men living in Chicago. We used Messick's (Am Psychol 50:741-749, 1995) conceptualization of unified validity theory to organize the psychometric properties of data. Evidence related to scale content was investigated via Rasch item fit statistics, point-measure correlations, and expert evaluation. The substantive aspect of validity was addressed by interpreting the meaningfulness of the item difficulty hierarchy (continuum of risky behaviors) and assessment of person fit. The structural aspect of validity was assessed using Rasch item fit statistics, principal component analysis of standardized residuals, and other residual analyses. The generalizability aspect of validity was investigated via internal consistency reliability estimates for both items and persons, and aspects of external validity were addressed by examining betweengroup differences with respect to levels of risky behavior. Applications and suggested future studies are discussed.

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Section: Methodsmentioning

confidence: 99%

Measuring Sexual Risk for HIV: A Rasch Scaling Approach

et al. 2008

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“…Participants themselves explained the relatively high number of gay people within Buddhism as due to it being less homophobic and more inclusive than other religions, as others have also reported (Schalow, 1992).) The censure of homosexuality in society as a marginalized form of masculinity has been linked to higher rates of mental illness among gay people (Mills et al, 2004). Thus it is possible that gay meditators -and heterosexuals who display qualities seen as feminine, which are also policed by the same censure (Schippers, 2007) -were particularly susceptible to psychological issues, which meditation subsequently uncovered.…”

Section: Recommendations and Limitationsmentioning

confidence: 99%

A Qualitative Analysis of Experiential Challenges Associated with Meditation Practice

et al. 2014

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This is the accepted version of the paper.This version of the publication may differ from the final published version. In-depth interviews were conducted with 30 male meditators in London, UK, recruited using principles of maximum variation sampling, and analysed using a modified constant comparison approach. Having originally set out simply to inquire about the impact of various meditation practices (including but not limited to mindfulness) on men's wellbeing, we uncovered psychological challenges associated with its practice. While meditation was generally reported to be conducive to wellbeing, substantial difficulties accounted for approximately one quarter of the interview data. Our paper focuses specifically on these issues in order to alert health professionals to potential challenges associated with meditation. Permanent repository linkFour main problems were uncovered, of increasing severity: meditation was a difficult skill to learn and practise; participants encountered troubling thoughts and feelings which were hard to manage; meditation reportedly exacerbated mental health issues, such as depression and anxiety; and in a few cases, meditation was associated with psychotic episodes. Our paper raises important issues around safeguarding those who practise meditation, both within therapeutic settings and in the community.

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“…Hence, in spite of the prevalence and impact of syndemic conditions on the health of MSM, synthesis of the evidence has shown that some MSM are resilient, especially in stopping tobacco use, overcoming internalized homonegativity (IH) and avoiding drug use [14,17,31,53]. This suggests that not all MSM who reside in a hostile environment and are exposed to multiple psychosocial health problems and their syndemic effects develop negative health outcomes.…”

Section: Resilience: a Corollary Of Syndemic Theorymentioning

confidence: 99%

Resilience Factors as a Buffer against the Effects of Syndemic Conditions on HIV Risk and Infection among Tanzanian MSM

Adeboye¹,

Ross²,

Wilkerson³

et al. 2017

J Health Edu Res Dev

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Background: In the extremely homophobic conditions in Tanzania and other countries in sub-Saharan Africa (SSA), men who have sex with men (MSM) experience disproportionate amounts of both HIV infection and psychosocial health problems, but no research has been conducted to examine the synergistic or additive effects of these adversities on their experiences. While the predominantly deficit-based research approach has identified various HIV risks and vulnerabilities, any naturally occurring protective and resilience factors that these men naturally employ to these health-related adversities remain undetermined.

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Distress and Depression in Men Who Have Sex With Men: The Urban Men’s Health Study

Abstract: Rates of distress and depression are high in men who have sex with men. These high rates have important public health ramifications. The predictors of distress and depression suggest prevention efforts that might be effective when aimed at men who have sex with men.

Cited by 258 publications

References 43 publications

Measuring Sexual Risk for HIV: A Rasch Scaling Approach

Measuring Sexual Risk for HIV: A Rasch Scaling Approach

A Qualitative Analysis of Experiential Challenges Associated with Meditation Practice

Resilience Factors as a Buffer against the Effects of Syndemic Conditions on HIV Risk and Infection among Tanzanian MSM

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