Is Being Out About Sexual Orientation Uniformly Healthy? The Moderating Role of Socioeconomic Status in a Prospective Study of Gay and Bisexual Men

McGarrity, Larissa A.; Huebner, David M.

doi:10.1007/s12160-013-9575-6

Cited by 81 publications

(74 citation statements)

References 54 publications

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“…Higher education increases people's health literacy and cognitive skills, enabling them to make better informed health-related choices [4,27], including the importance of appropriate HIV testing and timely initiation of cART with better access to websites and community resources. Finally, education is linked with social and psychological factors, including sense of control, social standing and social support [26], and individuals with higher education may face fewer barriers to access HIV care and be more resilient to stigma [28].…”

Section: Discussionmentioning

confidence: 99%

“…These results indicate that universal HIV screening approaches such as those aiming at all pregnant women, as an alternative to targeted HIV testing policies based on HIV risk perception such as those aimed at MSM, could have the additional benefit to decrease socioeconomic inequities in accessing HIV testing. Whereas the former approach would offer a voluntary HIV test to all pregnant women, for MSM to be offered an HIV test, disclosure of unprotected sex with other men and/or gay identity becomes a prerequisite which is likely to be influenced by socioeconomic position [28,32].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Delayed HIV diagnosis and initiation of antiretroviral therapy

Lodi

Dray‐Spira²,

Touloumi³

et al. 2014

Aids

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Delayed HIV diagnosis and initiation of antiretroviral therapy

Lodi

Dray‐Spira²,

Touloumi³

et al. 2014

Aids

View full text Add to dashboard Cite

show abstract

“…For some MSM, personal experiences of stigma, discrimination, and homophobia regarding their sexual orientation can result in adverse mental health outcomes, including depression, anxiety, elevated stress, and suicidal thoughts and attempts (16)(17)(18)(19)(20)(21). Discrimination by health care providers (22), limited access to gay-friendly health services (23), and barriers to health insurance (23)(24)(25) also can contribute to HIV-related disparities experienced by MSM.…”

Section: Adaptation and National Dissemination Of A Brief Evidence-bmentioning

confidence: 99%

Adaptation and National Dissemination of a Brief, Evidence-Based, HIV Prevention Intervention for High-Risk Men Who Have Sex with Men

Herbst¹,

Raiford²,

Carry³

et al. 2016

MMWR Suppl.

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“…In a longitudinal study of 564 gay and bisexual men, outness predicted physical health benefits for higher socioeconomic (SES) men but health problems for lower SES men. 25 The authors concluded that, for many reasons, being out may be more difficult for lower-SES people.…”

Section: Introductionmentioning

confidence: 99%

Health Differences Among Lesbian, Gay, and Transgender Veterans by Rural/Small Town and Suburban/Urban Setting

et al. 2017

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Purpose: We explored the relationship between geographic location and health indicators for lesbian, gay, and transgender veterans. Methods: We solicited participation in an online survey through national and city LGBT organizations and personal contacts to examine differences in depression, anxiety, alcohol and tobacco use, and body mass index among lesbian, gay, and transgender veterans (n = 252) in suburban/urban and rural/small town locations. Bisexual participants were too few to include in the analyses. Results: As expected, rural/small town lesbian, gay, and transgender veterans spent more time traveling to their primary care provider. Travel time was also positively related to depressive and anxiety symptoms. However, only suburban/urban and rural/small town gay men differed in measures of depression and anxiety and tobacco use. That is, rural/small town gay men reported greater depressive and anxiety symptoms and greater tobacco use than their suburban/urban counterparts. Consistent with this finding, rural/small town gay men reported less community-related identity than suburban/urban men. Suburban/urban lesbian women showed a nonsignificant trend for community identity compared with rural/small town women. Conclusion: Similar to civilian studies, suburban/urban and rural/small town lesbian, gay, and transgender veterans evidenced few health differences, with the exception of suburban/urban gay men. Although rural/small town gay male veterans evidenced more depression and anxiety and less community identity than suburban/urban men, social networks likely differ for lesbian, gay, and transgender subgroups. Lesbian, gay, and transgender veterans may also differ from their civilian counterparts in ways that we do not yet understand.

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Is Being Out About Sexual Orientation Uniformly Healthy? The Moderating Role of Socioeconomic Status in a Prospective Study of Gay and Bisexual Men

Abstract: The common assumption that disclosing one's sexual orientation is uniformly healthy may be less accurate (or inaccurate) for lower status groups. Future research should explore SES as context for minority stress and LGB health disparities.

Cited by 81 publications

References 54 publications

Delayed HIV diagnosis and initiation of antiretroviral therapy

Delayed HIV diagnosis and initiation of antiretroviral therapy

Adaptation and National Dissemination of a Brief, Evidence-Based, HIV Prevention Intervention for High-Risk Men Who Have Sex with Men

Health Differences Among Lesbian, Gay, and Transgender Veterans by Rural/Small Town and Suburban/Urban Setting

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