Understanding Patterns of Healthy Aging Among Men Who Have Sex With Men: Protocol for an Observational Cohort Study

Egan, James E.; Haberlen, Sabina; Meanley, Steven; Ware, Deanna; Ae, Brown; Siconolfi, Daniel; Brennan-Ing, Mark; Stall, Ron; Plankey, Michael; Friedman, M. Reuel

doi:10.2196/25750

Cited by 21 publications

(9 citation statements)

References 67 publications

(37 reference statements)

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“…The Healthy Aging substudy included six data collection waves at 6-month intervals from April 2016 to March 2019. Participants enrolled at their respective MACS sites after being screened by program staff (Egan et al, 2021). Participation eligibility included (a) being 40+ years old by the first data collection wave, (b) having attended one or more semiannual MACS visit in the 2 years prior to the first data collection wave, and (c) being a cisgender man who has had sex with a man since enrolling in the MACS.…”

Section: Methodsmentioning

confidence: 99%

Psychometric assessment of a homophobia management scale among cisgender sexual minority men in midlife and older adulthood.

Meanley¹,

Brennan-Ing²,

Cook³

et al. 2024

Psychology of Sexual Orientation and Gender Diversity

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Interpersonal management of homophobic stigma (e.g., selectively constructing one’s social network; confronting stigma) is an understudied area of resilience among sexual minority people. Among a sample of cisgender sexual minority men (SMM; N = 798) in midlife and older adulthood, we assessed the psychometric properties and characterized the sociodemographic differences of our newly developed, theory-informed homophobia management scale. Data come from the Healthy Aging substudy of the Multicenter AIDS Cohort Study, which is a prospective longitudinal study implemented to evaluate the natural trajectories of HIV risk and treatment among sexual minority men. Guided by the proactive coping processes model, the Healthy Aging team proposed eight items to measure homophobia management, which were included at four waves of survey data collection completed at semiannual study visits. Using factor analyses and linear regressions, we assessed our scale’s construct validity, convergent validity, and internal consistency, and characterized scores by age, race/ethnicity, sexual orientation, and HIV status. Factor analyses yielded a six-item scale with adequate construct validity and acceptable internal consistency (Cronbach’s alpha = .69). Our final scale exhibited convergent validity given its statistically significant inverse association with internalized homophobia and positive association with psychological connections to the gay community. Bivariate differences in homophobia management emerged by age, race/ethnicity, and sexual orientation but were not statistically significant in multivariable analyses. Our study provides a validated, unidimensional scale to assess homophobia management among SMM in midlife and older adulthood. We provide recommendations to improve the implementation of our scale in future surveillance.

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Section: Methodsmentioning

confidence: 99%

Psychometric assessment of a homophobia management scale among cisgender sexual minority men in midlife and older adulthood.

Meanley¹,

Brennan-Ing²,

Cook³

et al. 2024

Psychology of Sexual Orientation and Gender Diversity

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“…Our analysis included SMM ( N = 1,071) who participated in visit 69 (2018–2019) of the MACS Healthy Aging substudy (Egan et al, 2021), when the ACP variables of focus were measured. All men provide informed consent.…”

Section: Methodsmentioning

confidence: 99%

Advance Care Planning Among Sexual Minority Men: Sociodemographic, Health Care, and Health Status Predictors

et al. 2023

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Objectives: Advance care planning (ACP) specifies decision-making surrogates and preferences for serious illness or end-of-life medical care. ACP research has largely neglected sexual minority men (SMM), a population that experiences disparities in health care and health status. Methods: We examined formal and informal ACP among SMM ages 40+ in the Multicenter AIDS Cohort Study ( N = 1,071). Results: For informal ACP (50%), younger SMM and men with past cardiovascular events had greater odds of planning; single men had lower odds of planning. For formal ACP (39%), SMM with greater socioeconomic status had greater odds of planning; SMM who were younger, of racial/ethnic minority identities, who were single or in a relationship without legal protections, and who lacked a primary care home had lower odds of planning. Discussion: Findings warrant further exploration of both informal and formal planning. More equitable, culturally-humble engagement of SMM may facilitate access, uptake, and person-centered planning.

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“…To be eligible for the study, participants had to be 40 years of age or older. Further details about the substudy can be found elsewhere [23]. A total of 1318 men participated in the Patterns of Healthy Aging Study between visits 66 (baseline) to 70 from October 2016 to March 2019.…”

Section: Methodsmentioning

confidence: 99%

The role of social support on cognitive function among midlife and older adult MSM

Henderson

Haberlen

Coulter

et al. 2022

Aids

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Objective:This study examines the association between social support and cognitive function among midlife and older MSM living with or without HIV.Design:We analyzed longitudinal data from participants enrolled from October 2016 to March 2019 in the Patterns of Healthy Aging Study, a substudy of the Multicenter AIDS Cohort Study.Methods:We conducted a cross-sectional analysis to estimate the association between social support and three measures of cognitive function [Trail Making Test (TMT) Part A, TMT Part B to A ratio, and Symbol Digit Modalities Tasks (SDMT)]. We also used linear mixed-effects models to estimate the association between baseline social support and cognitive function across four subsequent time points. We evaluated a multiplicative interaction term between baseline social support and time, in order to determine whether cognitive trajectories over time vary by baseline social support.Results:Social support was associated with lower TMT Part A scores at baseline and over the subsequent 2 years, indicating better psychomotor ability. Social support was associated with higher SDMT scores at baseline and across 2 years, indicating better information processing. We observed no association between social support and TMT B to A ratio at baseline or across 2 years, indicating no effect on set-shifting ability. Longitudinal cognition outcome trajectories did not vary by the level of baseline social support.Conclusion:Social support and cognitive function were associated in this sample over a short time period. Further research should explore causal relationships over the lifespan.

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Understanding Patterns of Healthy Aging Among Men Who Have Sex With Men: Protocol for an Observational Cohort Study

Cited by 21 publications

References 67 publications

Psychometric assessment of a homophobia management scale among cisgender sexual minority men in midlife and older adulthood.

Psychometric assessment of a homophobia management scale among cisgender sexual minority men in midlife and older adulthood.

Advance Care Planning Among Sexual Minority Men: Sociodemographic, Health Care, and Health Status Predictors

The role of social support on cognitive function among midlife and older adult MSM

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