Food insecurity as a social determinant of sexual health and substance use independent of poverty status among men who have sex with men in the United States

Zlotorzynska, María; Sanchez, Travis

doi:10.1016/j.annepidem.2022.06.037

Cited by 4 publications

(2 citation statements)

References 44 publications

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“…Our observed prevalence of food insecurity (29.2%) was higher than that of other studies reported among MSM [18] and other sexual minorities like transgender, female sex workers [9]. Evidently, food insecurity among Nepali at the national level is comparatively higher than that of other countries, because Nepal is predominantly reliant on agriculture and is facing a growing trade deficit [19].…”

Section: Plos Onecontrasting

confidence: 57%

Mediating role of food insecurity in the relationship between perceived MSM related stigma and depressive symptoms among men who have sex with men in Nepal

Paudel,

Bhandari,

Gautam

et al. 2024

PLoS ONE

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Background Previous studies have indicated the association between stigma and depressive symptoms among frequently stigmatized groups, such as men who have sex with men (MSM). While this association has been suggested in the literature, there is a dearth of evidence that examines whether food insecurity statistically mediates the relationship between stigma and depressive symptoms. Methods This cross-sectional study conducted between October and December 2022 among a sample of 250 MSM in Kathmandu, Nepal, recruited through respondent-driven sampling. An unadjusted model including the exposure (stigma), mediator (food insecurity), and outcome variables (depressive symptoms) and an adjusted model that controlled for sociodemographic, behavioral, and health-related confounders were used. Bootstrapping was utilized to estimate the coefficients of these effects and the corresponding 95% confidence intervals. Via bootstrap approach, we find out the mediating role of food insecurity in the association between stigma and depressive symptoms. Results Depressive symptoms, stigma, and food insecurity were 19.6%, 24.4%, and 29.2%, respectively, among MSM. Food insecurity was associated with higher age (b = 0.094; 95% CI = 0.039, 0.150) and monthly income (b = -1.806; 95% CI = -2.622, -0.985). Depressive symptoms were associated with condom-less sex in past six months (b = -1.638; 95% CI = -3.041, -0.092). Stigma was associated with higher age (b = 0.196; 95% CI = 0.084, 0.323) and PrEP uptake (b = 2.905; 95% CI = 0.659. 5.248). Food insecurity statistically mediated 20.6% of the indirect effect of stigma in depressive symptoms. Conclusion Our findings show that food insecurity affects the relationship between stigma and depressive symptoms in this population. Reducing food insecurity and addressing the stigma surrounding sexual orientation should be a priority when addressing mental health concerns among MSM in Nepal and other resource-limited countries with similar socio-cultural settings.

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Section: Plos Onecontrasting

confidence: 57%

Mediating role of food insecurity in the relationship between perceived MSM related stigma and depressive symptoms among men who have sex with men in Nepal

Paudel,

Bhandari,

Gautam

et al. 2024

PLoS ONE

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“…Status ekonomi rendah menyebabkan kurangnya akses ke makanan yang cukup untuk hidup aktif dan sehat yang dapat menghasilkan kesehatan seksual yang buruk. Beberapa penelitian telah menemukan bukti bahwa kerawanan pangan meningkatkan kerentanan untuk menderita dan menularkan HIV dan penyakit Infeksi Menular Seksual (17).…”

Section: Status Ekonomiunclassified

Faktor Risiko Infeksi Menular Seksual : Literature Review

Dini Agustini,

Rita Damayanti

2023

Media Publ. Promosi Kesehat. Indones

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Latar belakang: Infeksi Menular Seksual (IMS) merupakan penyakit yang ditularkan melalui hubungan seksual baik melalui vagina, mulut, maupun anus yang disebabkan oleh bakteri, virus, atau protozoa. WHO memperkirakan pada tahun 2020 setidaknya terdapat 374 juta infeksi baru infeksi menular seksual diantaranya yaitu infeksi bakteri Chlamydia trachomatis (129 juta), Neisseria gonorrhoeae (82 juta), sifilis (7,1 juta), dan Trichomonas vaginalis (156 juta). Infeksi menular seksual memiliki dampak besar di luar dampak langsung dari infeksi itu sendiri seperti dapat menyebabkan penyakit radang panggul, infertilitas, kanker, meningkatkan risiko penularan HIV serta komplikasi pada kehamilan. Penularan IMS dari ibu ke anak dapat mengakibatkan lahir mati, kematian neonatus, berat badan lahir rendah dan kelahiran prematur, sepsis, konjungtivitis neonatus, dan kelainan bentuk bawaan. Tujuan: Untuk mengetahui faktor risiko terjadinya infeksi menular seksual. Metode: Metode menggunakan pendekatan literature review dari database Google Scholar dan Scopus. Hasil: Hasil penelitian menunjukkan bahwa usia muda lebih berisiko mengalami Infeksi Menular Seksual. Perilaku seksual berisiko dapat meningkatkan meningkatkan insiden IMS/HIV untuk wanita etnis minoritas meliputi karakteristik pasangan, faktor lingkungan, negosiasi kondom dan penggunaan kontrasepsi dan alkohol serta penggunaan zat terlarang. Pengetahuan rendah meningkatkan risiko terjadinya IMS. Status ekonomi rendah menyebabkan kurangnya akses ke makanan yang cukup untuk hidup aktif dan sehat yang dapat menghasilkan kesehatan seksual yang buruk. Kesimpulan: Faktor risiko infeksi menular seksual yaitu usia, perilaku seksual berisiko, pengetahuan dan status ekonomi.

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Sexuality-Based Stigma, Other Painful and Provocative Events, and Suicide Attempt Among Cisgender Sexually Minoritized Men in the United States

Wiginton,

Baral,

Sanchez

et al. 2024

Archives of Suicide Research

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Food insecurity as a social determinant of sexual health and substance use independent of poverty status among men who have sex with men in the United States

Cited by 4 publications

References 44 publications

Mediating role of food insecurity in the relationship between perceived MSM related stigma and depressive symptoms among men who have sex with men in Nepal

Mediating role of food insecurity in the relationship between perceived MSM related stigma and depressive symptoms among men who have sex with men in Nepal

Faktor Risiko Infeksi Menular Seksual : Literature Review

Sexuality-Based Stigma, Other Painful and Provocative Events, and Suicide Attempt Among Cisgender Sexually Minoritized Men in the United States

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