2024
State of the Science of Structural Stigma and LGBTQ+ Health: Meta-Analytic Evidence, Research Gaps, and Future Directions.
Lattanner M, McKetta S, Pachankis J, Hatzenbuehler M. State of the Science of Structural Stigma and LGBTQ+ Health: Meta-Analytic Evidence, Research Gaps, and Future Directions. Annual Review Of Public Health 2024 PMID: 39531387, DOI: 10.1146/annurev-publhealth-071723-013336.Peer-Reviewed Original ResearchStructural stigmaHealth of disadvantaged groupsManifestations of stigmaPublic health practitionersPublic health interventionsHealth disparitiesLGBTQ+ healthHealth outcomesHealth interventionsPoor healthHealth practitionersLGBTQ+ individualsMarginalized groupsDisadvantaged groupsMeta-analytic evidenceEffect sizeHealthSocial attitudesStigmaMeta-analysisRisk factorsTriangulating evidenceLack of researchMethodological strategiesStructural manifestationsStructural stigma and LGBTQ+ health: a narrative review of quantitative studies
Hatzenbuehler M, Lattanner M, McKetta S, Pachankis J. Structural stigma and LGBTQ+ health: a narrative review of quantitative studies. The Lancet Public Health 2024, 9: e109-e127. PMID: 38307678, DOI: 10.1016/s2468-2667(23)00312-2.Peer-Reviewed Original ResearchConceptsHealth disparitiesLGBTQ+ healthStructural stigmaRisk of poor healthDevelopment of public health interventionsReview of quantitative studiesMeasure of structural stigmaStudy health disparitiesArea-level covariatesPublic health interventionsLGBTQ+ individualsSocietal-level conditionsHealth outcomesHealth interventionsPoor healthHealth burdenHealthComparison groupNarrative reviewTest mediationMultiple outcomesMethodological strengthsNon-LGBTQ+StigmaGender identity
2022
A Relational Framework for Engaging Latino Sexual Minority Men in Sexual and Behavioral Health Research
Harkness A, Rogers BG, Mayo D, Smith-Alvarez R, Pachankis JE, Safren SA. A Relational Framework for Engaging Latino Sexual Minority Men in Sexual and Behavioral Health Research. Archives Of Sexual Behavior 2022, 51: 2399-2412. PMID: 35763160, PMCID: PMC9549688, DOI: 10.1007/s10508-021-02237-9.Peer-Reviewed Original ResearchConceptsLatino sexual minority menBehavioral health researchHealth researchSexual minority menBehavioral health concernsMinority menBehavioral health disparitiesHealth disparitiesHealth concernRecruitment strategiesMenRelational factorsCurrent studyThematic analysisStudy findingsKey informantsFactorsFindingsFacilitatorsSupervision and consultation in the delivery of cognitive behavior therapy to LGBTQ individuals.
Harkness A, Pachankis J. Supervision and consultation in the delivery of cognitive behavior therapy to LGBTQ individuals. 2022, 289-304. DOI: 10.1037/0000314-020.Peer-Reviewed Original ResearchCognitive behavior therapyBehavior therapyEvidence-based cognitive-behavioral treatmentCognitive-behavioral treatmentEvidence-based treatment approachesMental health problemsTransdiagnostic approachMental health disparitiesEmotional disordersBehavioral treatmentUnified ProtocolMinority stressLGBTQ peopleLGBTQ clientsLGBTQ individualsPeople's experiencesStructural stigmaTreatment approachesIndividualsHealth problemsPeopleSupervisorsElevated riskStigmaHealth disparities
2020
“It truly does get better”: Young sexual minority men’s resilient responses to sexual minority stress
Harkness A, Rogers BG, Albright C, Mendez NA, Safren SA, Pachankis JE. “It truly does get better”: Young sexual minority men’s resilient responses to sexual minority stress. Journal Of Gay & Lesbian Mental Health 2020, 24: 258-280. PMID: 32884609, PMCID: PMC7462415, DOI: 10.1080/19359705.2020.1713276.Peer-Reviewed Original Research
2019
Psychosocial Syndemic Risks Surrounding Physical Health Conditions Among Sexual and Gender Minority Individuals
Scheer JR, Pachankis JE. Psychosocial Syndemic Risks Surrounding Physical Health Conditions Among Sexual and Gender Minority Individuals. LGBT Health 2019, 6: 377-385. PMID: 31644383, PMCID: PMC6918840, DOI: 10.1089/lgbt.2019.0025.Peer-Reviewed Original ResearchConceptsPhysical health conditionsPhysical health outcomesGender minority individualsSyndemic riskPhysical healthHealth conditionsMinority individualsIndividual's physical healthPosttraumatic stress disorderHealth outcomesSGM adultsOverall health burdenStress disorderPsychosocial risksSexual assaultDisparate exposuresSGM identitiesSubstance useSyndemic conditionsHealth burdenHigh prevalenceSyndemic frameworkComprehensive interventionHealth disparitiesOnline surveyProject ESTEEM protocol: a randomized controlled trial of an LGBTQ-affirmative treatment for young adult sexual minority men’s mental and sexual health
Pachankis JE, McConocha EM, Reynolds JS, Winston R, Adeyinka O, Harkness A, Burton CL, Behari K, Sullivan TJ, Eldahan AI, Esserman DA, Hatzenbuehler ML, Safren SA. Project ESTEEM protocol: a randomized controlled trial of an LGBTQ-affirmative treatment for young adult sexual minority men’s mental and sexual health. BMC Public Health 2019, 19: 1086. PMID: 31399071, PMCID: PMC6688287, DOI: 10.1186/s12889-019-7346-4.Peer-Reviewed Original ResearchConceptsCo-occurring health risksYoung gayHIV riskSubstance useHealth disparitiesCommunity mental health treatmentMental healthAbsence of PrEPUndetectable viral loadHigh-risk groupSexual health problemsCondomless anal sexSkills-building interventionMental health treatmentAdult Sexual Minority MenSubstance use problemsBisexual men’s healthSecondary outcomesHIV counselingHIV infectionPrEP uptakePrimary outcomeViral loadEvidence-based practicePsychiatric morbidity
2018
Validating the Syndemic Threat Surrounding Sexual Minority Men's Health in a Population-Based Study With National Registry Linkage and a Heterosexual Comparison
Bränström R, Pachankis JE. Validating the Syndemic Threat Surrounding Sexual Minority Men's Health in a Population-Based Study With National Registry Linkage and a Heterosexual Comparison. JAIDS Journal Of Acquired Immune Deficiency Syndromes 2018, 78: 376-382. PMID: 29940602, DOI: 10.1097/qai.0000000000001697.Peer-Reviewed Original ResearchConceptsHIV infectionSyndemic conditionsElevated riskSexual minority menStockholm Public Health CohortBisexual menPsychosocial health disparitiesHealth threatHealth registry dataTimes higher riskNational health registry dataPopulation-based examinationHIV prevention interventionsHeterosexual menMinority menMinority men's healthRegistry linkageHealth cohortRegistry dataHigh riskAdult menHealth disparitiesMen's healthInfectionMenSocietal-Level Explanations for Reductions in Sexual Orientation Mental Health Disparities: Results From a Ten-Year, Population-Based Study in Sweden
Hatzenbuehler M, Bränström R, Pachankis J. Societal-Level Explanations for Reductions in Sexual Orientation Mental Health Disparities: Results From a Ten-Year, Population-Based Study in Sweden. Stigma And Health 2018, 3: 16-26. DOI: 10.1037/sah0000066.Peer-Reviewed Original ResearchHealth disparitiesMental health disparitiesPsychological distressSexual orientation disparitiesNationwide population-based cross-sectional surveyPopulation-based cross-sectional surveyAdverse mental health outcomesStructural stigmaCross-sectional surveyMental health outcomesSexual orientationOrientation disparitiesGay men/lesbians
2017
A Multilevel Approach for Reducing Mental Health and Substance Use Disparities Affecting Bisexual Individuals
Feinstein BA, Dyar C, Pachankis JE. A Multilevel Approach for Reducing Mental Health and Substance Use Disparities Affecting Bisexual Individuals. Cognitive And Behavioral Practice 2017, 26: 243-253. PMID: 31160876, PMCID: PMC6544045, DOI: 10.1016/j.cbpra.2017.10.003.Peer-Reviewed Original ResearchBisexual health disparitiesBisexual individualsMental healthHealth disparitiesBisexual clientsSubstance use problemsEvidence-based interventionsStriking health disparitiesClinical trainingPopulation-level interventionsUse problemsClinician's abilityMultilevel approachCompetent careSubstance use disparitiesCliniciansMulti-level approachTrainingIndividualsInterventionHealthCareClientsDisparitiesPrejudiceWhat Reduces Sexual Minority Stress? A Review of the Intervention “Toolkit”
Chaudoir SR, Wang K, Pachankis JE. What Reduces Sexual Minority Stress? A Review of the Intervention “Toolkit”. Journal Of Social Issues 2017, 73: 586-617. PMID: 29170566, PMCID: PMC5695701, DOI: 10.1111/josi.12233.Peer-Reviewed Original Research
2016
Extending the Minority Stress Model to Incorporate HIV-Positive Gay and Bisexual Men's Experiences: a Longitudinal Examination of Mental Health and Sexual Risk Behavior
Rendina HJ, Gamarel KE, Pachankis JE, Ventuneac A, Grov C, Parsons JT. Extending the Minority Stress Model to Incorporate HIV-Positive Gay and Bisexual Men's Experiences: a Longitudinal Examination of Mental Health and Sexual Risk Behavior. Annals Of Behavioral Medicine 2016, 51: 147-158. PMID: 27502073, PMCID: PMC5299076, DOI: 10.1007/s12160-016-9822-8.Peer-Reviewed Original ResearchConceptsHIV-positive GBMMental healthAnal sexSerodiscordant condomless anal sexInternalized stigmaRole of HIVCondomless anal sexHIV-positive gayDepression/anxietySexual risk behaviorsSexual behavior outcomesDevelopment of interventionsDiverse convenience sampleRisk behaviorsHealth disparitiesMinority stress modelHIVBehavioral interventionsBisexual menConvenience sampleEmotion dysregulationSexual behaviorBisexual men's experiencesBehavior outcomesInterventionSexual Orientation Disparities in Preventable Disease: A Fundamental Cause Perspective.
Bränström R, Hatzenbuehler ML, Pachankis JE, Link BG. Sexual Orientation Disparities in Preventable Disease: A Fundamental Cause Perspective. American Journal Of Public Health 2016, 106: 1109-15. PMID: 26985608, PMCID: PMC4880229, DOI: 10.2105/ajph.2016.303051.Peer-Reviewed Original ResearchConceptsFundamental cause theoryFundamental cause perspectiveSexual orientation health disparitiesSexual orientation differencesHealth-protective resourcesSupportive social connectionsSexual orientation disparitiesHealth disparitiesBisexual womenSexual orientationGeneral population-based studyStockholm Public Health CohortBisexual menPopulation-based studySocial connectionsUnequal distributionHeterosexual menOrientation disparitiesHealth cohortPreventable diseaseMorbidity dataGreater riskOrientation differencesDiseaseDisparities
2015
LGB-Affirmative Cognitive-Behavioral Therapy for Young Adult Gay and Bisexual Men: A Randomized Controlled Trial of a Transdiagnostic Minority Stress Approach
Pachankis JE, Hatzenbuehler ML, Rendina HJ, Safren SA, Parsons JT. LGB-Affirmative Cognitive-Behavioral Therapy for Young Adult Gay and Bisexual Men: A Randomized Controlled Trial of a Transdiagnostic Minority Stress Approach. Journal Of Consulting And Clinical Psychology 2015, 83: 875-889. PMID: 26147563, PMCID: PMC4573250, DOI: 10.1037/ccp0000037.Peer-Reviewed Original ResearchConceptsCo-occurring health problemsStandard evidence-based treatmentBisexual menSignificant greater improvementCo-occurring health risksEvidence-based treatmentsMental health disparitiesMinority stress processesTransdiagnostic cognitive-behavioral treatmentTreatment guidelinesAlcohol use problemsEvidence-based practicePreliminary efficacyImmediate treatmentCognitive-behavioral treatmentCasual partnersCondomless sexDepressive symptomsHealth problemsCondom useFirst interventionRisk behaviorsTreatment adaptationHealth disparitiesHeavy drinkingSexual orientation disparities in physical health: age and gender effects in a population-based study
Bränström R, Hatzenbuehler ML, Pachankis JE. Sexual orientation disparities in physical health: age and gender effects in a population-based study. Social Psychiatry And Psychiatric Epidemiology 2015, 51: 289-301. PMID: 26298574, PMCID: PMC4747986, DOI: 10.1007/s00127-015-1116-0.Peer-Reviewed Original ResearchConceptsPhysical health disparitiesOlder age groupsHealth disparitiesSexual orientation disparitiesPhysical healthAge groupsPopulation-based health surveyYoung adultsWorse self-rated healthPopulation-based studyOrientation disparitiesSelf-rated healthSubstantial health disparitiesGeneral population samplePhysical health symptomsBackgroundRecent studiesHealth SurveyMore physical health symptomsHealth behaviorsBinomial regression analysisGender-specific findingsSexual orientation health disparitiesHealth symptomsNegative binomial regression analysisPotential mechanisms