Substance Use, Mental Health, HIV Testing, and Sexual Risk Behavior Among Men Who Have Sex With Men in the State of Maharashtra, India

Wilkerson, J. Michael; Paola, Angela Di; Rawat, Shruta; Patankar, Pallav; Rosser, B. R. Simon

doi:10.1521/aeap.2018.30.2.96

Cited by 23 publications

(18 citation statements)

References 40 publications

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“…In addition to illness representations, mental health may be particularly salient for HCV testing. Associations between mental health problems (ie, depressive and anxiety symptoms) have been shown to be barriers to prevention of HIV and STIs among MSM 24…”

Section: Introductionmentioning

confidence: 99%

Factors predicting first-time hepatitis C virus testing uptake among men who have sex with men in China: an observational prospective cohort study

Wang

Fang

et al. 2020

Sex Transm Infect

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ObjectivesMen who have sex with men (MSM) are at high risk of hepatitis C virus (HCV). This study investigated predictors of first-time HCV testing uptake during a 6-month period among a sample of MSM in Hong Kong.MethodsParticipants were 351 Chinese-speaking MSM who had never received HCV testing. Participants completed two telephone surveys 6 months apart. At baseline, participants reported on sociodemographics, sexual behaviours, risk perception, depressive symptoms and anxiety symptoms. Illness representations, which refers to how people think about HCV, was measured by the Brief Illness Perception Questionnaire (BIPQ) at baseline. The BIPQ assessed identity (identifying symptoms of HCV), timeline (whether HCV is acute/chronic), consequences (severity of HCV), personal control and treatment control (whether HCV is under volitional control), concern, emotions (anger, guilt or shame) and coherence (overall comprehensibility of HCV). Six months later, participants reported on HCV testing uptake. Logistic regression was used to analyse the associations between baseline predictors and HCV testing uptake.ResultsMost participants were aged ≤30 years (55.0%) and had attained college education or above (85.2%). Among 242 participants (68.9%) who completed the month 6 follow-up, 12.4% had tested for HCV during the follow-up period. After adjustment for HIV testing and chemsex in the last year, participants who perceived more severe consequences of HCV reported higher HCV testing uptake (adjusted ORs (AOR): 2.22, 95% CI: 1.65 to 3.00). Belief that treatment can control HCV (AOR: 1.75, 95% CI: 1.35 to 2.26) and having negative emotions related to HCV (AOR: 1.59, 95% CI: 1.25 to 2.03) were also positively associated with HCV testing uptake.ConclusionsTargeted health promotion efforts are needed to increase HCV testing among MSM in Hong Kong. Healthcare workers engaged in HCV-related programming should consider modifying the illness representations of HCV. Integrating HCV and HIV testing services may also be beneficial.

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Section: Introductionmentioning

confidence: 99%

Factors predicting first-time hepatitis C virus testing uptake among men who have sex with men in China: an observational prospective cohort study

Wang

Fang

et al. 2020

Sex Transm Infect

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“…In Gatzweiler and Baumüller’s (2014) terms, this can lead to social marginality that becomes economic, educational, and political, as people may be ostracized from their families and communities (Dasgupta & Gokulsing, 2013). These individuals may feel marginalized both from other LGBTQ+ people as well as their families and the broader population, leading to isolation, shame and risky behavior (Banik et al, 2019; Chakrapani et al, 2017; Ekstrand et al, 2017; Wilkerson et al, 2018).…”

mentioning

confidence: 99%

Layers of Marginality: An Exploration of Visibility, Impressions, and Cultural Context on Geospatial Apps for Men Who Have Sex With Men in Mumbai, India

Birnholtz

Rawat

Vashista

et al. 2020

Social Media + Society

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Some social technologies can reduce marginality by enabling access to individuals and resources through increased visibility and opportunities for social connection, but visibility carries risks that may be outsized for some marginalized populations. This article reports on a study of location-based social apps (LBSA) used by men who have sex with men (MSM) in Mumbai, India, a legally and socially marginalized population. LBSAs, which facilitate interaction and social connection between physically proximate individuals would seem at first to be a valuable resource in reducing marginality for MSM by connecting otherwise isolated individuals with each other. We explored this from a socio-technical perspective through a qualitative study of MSM in Mumbai, India, who use LBSAs. Results suggest that, as in other contexts, using LBSAs presented formidable risks and challenges such as information security and identification by others, but also could serve as a valuable resource for connecting MSM to each other.

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“…38, 42, 44 One study reported higher risk for substance use amongst those who were out, and also those who had more sexual partners, or had experiences of intimate partner violence. 46…”

Section: Resultsmentioning

confidence: 99%

“…38,42,44 One study reported higher risk for substance use amongst those who were out, and also those who had more sexual partners, or had experiences of intimate partner violence. 46 Social support satisfaction was associated with lower risk of anxiety, depression, and suicidal ideation. 41 Higher self-esteem was associated with lower risk for depression and suicide.…”

Section: Risk and Protective Factors For Mental Health Conditionsmentioning

confidence: 96%

“…A qualitative study with sexual minority women found that isolation, anxiety, high substance use, and suicidal thoughts were common themes in these women's experiences. 35 Prevalence rates for depression, substance abuse and dependence, anxiety, and other psychiatric conditions from varied studies [36][37][38][39][40][41][42][43][44][45][46][47][48][49] are described in Table 1. Badgett 25 stated that in the absence of studies providing a comparable estimate for non-LGBTQIA+ people in India, the population prevalence of a condition can be used as a benchmark.…”

Section: Prevalence Of Mental Health Conditionsmentioning

confidence: 99%

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What Do We Know About LGBTQIA+ Mental Health in India? A Review of Research From 2009 to 2019

Wandrekar¹,

Nigudkar²

2020

Journal of Psychosexual Health

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Background: The period from 2009 to 2019 has seen a lot of conversation about issues of LGBTQIA+ (lesbian, gay, bisexual, transgender, queer/ questioning, intersex, asexual, and others) individuals in India, but they continue to be a group showing poor health equity. Objective: This descriptive content review attempted to explore 5 questions: what is the nature of existing research on mental health of LGBTQIA+ individuals, what are the pathways that contribute to mental health issues, whether the existing health facilities mitigate or facilitate these pathways, what are the interventions proposed for this group, and what are the gaps in research that can be addressed in the next decade. Method: “Mental health aspects” were described as variables relevant to understanding individuals’ cognitions, emotions, and behavior. We searched for literature in online journal databases, in archives of the most prominent journals, on websites of prominent LGBTQIA+ organizations, and through cross-referencing of papers obtained. The data were abstracted and coded into themes and subthemes. We found 22 reviews and reports, 4 viewpoints and comments, 7 editorials, 1 conference proceeding, and 60 original articles. Conclusions: Prevalence studies reveal that LGBTQIA+ individuals were found to show high rates of mental health concerns, and that the adapted minority stress model may be a crucial pathway for the same. Lived experiences, factors related to mental well-being, and societal attitudes have also been studied. Intervention studies are relatively fewer, and certain subgroups of LGBTQIA+ identities are less represented in research. Gaps in research were identified and recommendations for research in the coming decade were proposed.

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Substance Use, Mental Health, HIV Testing, and Sexual Risk Behavior Among Men Who Have Sex With Men in the State of Maharashtra, India

Cited by 23 publications

References 40 publications

Factors predicting first-time hepatitis C virus testing uptake among men who have sex with men in China: an observational prospective cohort study

Factors predicting first-time hepatitis C virus testing uptake among men who have sex with men in China: an observational prospective cohort study

Layers of Marginality: An Exploration of Visibility, Impressions, and Cultural Context on Geospatial Apps for Men Who Have Sex With Men in Mumbai, India

What Do We Know About LGBTQIA+ Mental Health in India? A Review of Research From 2009 to 2019

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