2024
Prepare Romania: study protocol for a randomized controlled trial of an intervention to promote pre-exposure prophylaxis adherence and persistence among gay, bisexual, and other men who have sex with men
Lelutiu-Weinberger C, Filimon M, Zavodszky A, Lixandru M, Hanu L, Fierbinteanu C, Patrascu R, Streinu-Cercel A, Luculescu S, Bora M, Filipescu I, Jianu C, Heightow-Weidman L, Rochelle A, Yi B, Buckner N, Golub S, van Dyk I, Burger J, Li F, Pachankis J. Prepare Romania: study protocol for a randomized controlled trial of an intervention to promote pre-exposure prophylaxis adherence and persistence among gay, bisexual, and other men who have sex with men. Trials 2024, 25: 470. PMID: 38987812, PMCID: PMC11238350, DOI: 10.1186/s13063-024-08313-4.Peer-Reviewed Original ResearchConceptsGBMSM livingPrEP adherenceRandomized controlled trial designMobile health interventionsRollout of PrEPMonths post-randomizationPre-exposure prophylaxisPre-exposure prophylaxis adherenceSelf-report surveyRandomized controlled trialsPromotion interventionsPrescribed PrEPEfficacy of toolsHealth interventionsNational rolloutHealth systemPrEP rolloutDiscussionThe knowledgeIntervention efficacyEffectiveness trialBlood spot testingPost-randomizationHigh-risk groupHIV transmissionDried blood spot testingAn mHealth Intervention for Gay and Bisexual Men’s Mental, Behavioral, and Sexual Health in a High-Stigma, Low-Resource Context (Project Comunică): Protocol for a Randomized Controlled Trial
Leluțiu-Weinberger C, Filimon M, Hoover D, Lixandru M, Hanu L, Dogaru B, Kovacs T, Fierbințeanu C, Ionescu F, Manu M, Mariș A, Pană E, Dorobănțescu C, Streinu-Cercel A, Pachankis J. An mHealth Intervention for Gay and Bisexual Men’s Mental, Behavioral, and Sexual Health in a High-Stigma, Low-Resource Context (Project Comunică): Protocol for a Randomized Controlled Trial. JMIR Research Protocols 2024, 13: e52853. PMID: 38709550, PMCID: PMC11106696, DOI: 10.2196/52853.Peer-Reviewed Original ResearchConceptsINTERNATIONAL REGISTERED REPORT IDENTIFIERRandomized controlled trialsHIV incidenceBisexual menSexually transmitted infection testingHIV transmission risk behaviorsHIV risk reduction strategiesAttention control conditionCognitive behavioral therapy skillsHigh HIV incidenceInformation-motivation-behaviorRisk of HIVTransmission risk behaviorsSexual health communicationParticipant follow-upFollow-upLow-resource contextsLow-resource countriesSexual health goalsBehavioral therapy skillsMHealth interventionsRisk reduction strategiesFinding social supportHeavy alcohol useHIV diagnosis
2022
LGBQ-Affirmative Cognitive-Behavioral Therapy for Young Gay and Bisexual Men’s Mental and Sexual Health: A Three-Arm Randomized Controlled Trial
Pachankis JE, Harkness A, Maciejewski KR, Behari K, Clark KA, McConocha E, Winston R, Adeyinka O, Reynolds J, Bränström R, Esserman DA, Hatzenbuehler ML, Safren SA. LGBQ-Affirmative Cognitive-Behavioral Therapy for Young Gay and Bisexual Men’s Mental and Sexual Health: A Three-Arm Randomized Controlled Trial. Journal Of Consulting And Clinical Psychology 2022, 90: 459-477. PMID: 35482652, PMCID: PMC9446477, DOI: 10.1037/ccp0000724.Peer-Reviewed Original ResearchConceptsHIV transmission risk behaviorsTransmission risk behaviorsHIV testingCognitive behavioral therapyRisk behaviorsSexual healthTransdiagnostic cognitive-behavioral therapyEffect sizeYoung sexual minority menSecondary outcomesPrimary outcomeControl conditionThree-armLarge effect sizesSexual minority menModerate benefitFirst interventionNonsignificant differenceStatistical significanceYoung gayCounselingMonthsGreater reductionTherapyOutcomesIndividual, Interpersonal, and Structural Factors That Influence Intentions to Use Pre-exposure Prophylaxis Among Sexual Minority Men in Miami
Rogers BG, Harkness A, Satyanarayana S, Pachankis J, Safren SA. Individual, Interpersonal, and Structural Factors That Influence Intentions to Use Pre-exposure Prophylaxis Among Sexual Minority Men in Miami. Archives Of Sexual Behavior 2022, 52: 741-750. PMID: 35536492, PMCID: PMC10463180, DOI: 10.1007/s10508-021-02263-7.Peer-Reviewed Original ResearchConceptsPre-exposure prophylaxisYoung sexual minority menSexual minority menPrEP useHIV epicenterMinority menSafety of PrEPUptake of PrEPDaily oral medicationHealth intervention trialHealthcare system barriersLack of insuranceInterpersonal level themesOral medicationsSerodiscordant partnershipsBaseline visitDevelopment of interventionsPrEP uptakeHIV incidenceIntervention trialsHIV epidemicSystem barriersIndividual-level themesMedical providersSTI counselingA Pilot Test of a Treatment to Address Intersectional Stigma, Mental Health, and HIV Risk Among Gay and Bisexual Men of Color
Jackson SD, Wagner KR, Yepes M, Harvey TD, Higginbottom J, Pachankis JE. A Pilot Test of a Treatment to Address Intersectional Stigma, Mental Health, and HIV Risk Among Gay and Bisexual Men of Color. Psychotherapy 2022, 59: 96-112. PMID: 35025569, PMCID: PMC9345305, DOI: 10.1037/pst0000417.Peer-Reviewed Original ResearchMeSH KeywordsHIV InfectionsHomosexuality, MaleHumansMaleMental HealthSexual and Gender MinoritiesSkin PigmentationSocial StigmaConceptsStigma copingMental healthMinority stressHIV riskCognitive-behavioral treatmentStigma-related stressorsSexual healthCondom use efficacyCo-occurring health risksSexual minority stressHuman immunodeficiency virusHealth risksGroup therapy treatmentIntersectional stigmaMental health risksSexual health risksGroup treatmentOpen pilotYoung blacksPosttreatment assessmentPartial supportImmunodeficiency virusSexual compulsivityAlcohol useTreatment length
2021
Stigma, displacement stressors and psychiatric morbidity among displaced Syrian men who have sex with men (MSM) and transgender women: a cross-sectional study in Lebanon
Clark K, Pachankis J, Khoshnood K, Bränström R, Seal D, Khoury D, Fouad FM, Barbour R, Heimer R. Stigma, displacement stressors and psychiatric morbidity among displaced Syrian men who have sex with men (MSM) and transgender women: a cross-sectional study in Lebanon. BMJ Open 2021, 11: e046996. PMID: 33986065, PMCID: PMC8126317, DOI: 10.1136/bmjopen-2020-046996.Peer-Reviewed Original ResearchConceptsPsychiatric morbidityPost-traumatic stress disorderTransgender womenStigma-related stressorsStress disorderCross-sectional studyRespondent-driven samplingPsychiatric comorbidityMental health challengesPsychiatric outcomesMorbiditySevere anxietySociodemographic characteristicsHealth challengesMSMGreater BeirutWomenMenLebanese participantsSyrian menTotal sampleDisordersDepressionPerson surveyParticipantsA Pilot Cultural Adaptation of LGB-Affirmative CBT for Young Chinese Sexual Minority Men’s Mental and Sexual Health
Pan S, Sun S, Li X, Chen J, Xiong Y, He Y, Pachankis JE. A Pilot Cultural Adaptation of LGB-Affirmative CBT for Young Chinese Sexual Minority Men’s Mental and Sexual Health. Psychotherapy 2021, 58: 12-24. PMID: 32538644, PMCID: PMC7736310, DOI: 10.1037/pst0000318.Peer-Reviewed Original ResearchConceptsMinority stressEvidence-based interventionsSexual healthChinese YMSMCognitive behavioral therapySexual minority stressHIV epidemic controlHIV risk behaviorsPre-post comparisonPsychological healthSexual health outcomesOpen pilotEffective skillsHIV infectionMental healthHIV epidemicRisk groupsChinese contextHealth outcomesYMSMHealth systemFamily needsEffective manExpert integrationCultural contextWho Aren’t We Reaching? Young Sexual Minority Men’s Non-participation in an HIV-Prevention and Mental Health Clinical Trial
Harkness A, Rogers BG, Balise R, Mayo D, Weinstein ER, Safren SA, Pachankis JE. Who Aren’t We Reaching? Young Sexual Minority Men’s Non-participation in an HIV-Prevention and Mental Health Clinical Trial. AIDS And Behavior 2021, 25: 2195-2209. PMID: 33483898, PMCID: PMC8169533, DOI: 10.1007/s10461-020-03148-x.Peer-Reviewed Original ResearchConceptsUnknown HIV statusLatinx sexual minority menYoung sexual minority menHIV statusSexual minority menClinical trialsMental health clinical trialsHealth clinical trialsMental health trialsHIV prevention trialsHIV prevention interventionsSuccessful clinical trialsMinority menNew York CityHealth trialsHIV preventionBaseline assessmentLogistic regressionTrialsWhite sexual minority menYork CityRegression tree analysisHIVStatusMenSyndemic Profiles and Sexual Minority Men’s HIV-Risk Behavior: A Latent Class Analysis
Scheer J, Clark K, Maiolatesi A, Pachankis J. Syndemic Profiles and Sexual Minority Men’s HIV-Risk Behavior: A Latent Class Analysis. Archives Of Sexual Behavior 2021, 50: 2825-2841. PMID: 33483851, PMCID: PMC8295412, DOI: 10.1007/s10508-020-01850-4.Peer-Reviewed Original ResearchConceptsHIV risk behaviorsSyndemic conditionsSexual minority menLatent class analysisAlcohol misusePolydrug useMinority menHIV acquisitionHIV syndemicClass analysisTransmission riskVulnerable subpopulationsReference groupSocioeconomic distressSyndemic theorySyndemicGroup differencesMenStatus characteristicsSocial status characteristicsLatent classesClass membershipMisuse
2020
Internalized Sexual Minority Stigma is Associated With HIV Testing Behavior Among Chinese Men Who Have Sex With Men: A Cross-Sectional Study
Chi Y, Huang D, Pachankis J, Valimaki M, Shen Y, Li X. Internalized Sexual Minority Stigma is Associated With HIV Testing Behavior Among Chinese Men Who Have Sex With Men: A Cross-Sectional Study. Journal Of The Association Of Nurses In AIDS Care 2020, 32: 578-588. PMID: 35137720, DOI: 10.1097/jnc.0000000000000205.Peer-Reviewed Original ResearchHas depression surpassed HIV as a burden to gay and bisexual men’s health in the United States? A comparative modeling study
Bromberg DJ, Paltiel AD, Busch SH, Pachankis JE. Has depression surpassed HIV as a burden to gay and bisexual men’s health in the United States? A comparative modeling study. Social Psychiatry And Psychiatric Epidemiology 2020, 56: 273-282. PMID: 32785755, PMCID: PMC7870461, DOI: 10.1007/s00127-020-01938-1.Peer-Reviewed Original ResearchConceptsMedical Monitoring ProjectMajor depressive episodeBisexual menDepressive episodeDisability weightsHIV preventionPast-year major depressive episodeMorbidity of HIVPrevalence of HIVHigh-risk groupHigh-risk populationPublic health challengeAdult gayBisexual men’s healthDepression morbidityCalendar year 2015Comprehensive careRisk groupsGlobal burdenHIVSexual minority menAdult menDrug useHealth challengesMen's healthRisk From Within: Intraminority Gay Community Stress and Sexual Risk-Taking Among Sexual Minority Men
Burton CL, Clark KA, Pachankis JE. Risk From Within: Intraminority Gay Community Stress and Sexual Risk-Taking Among Sexual Minority Men. Annals Of Behavioral Medicine 2020, 54: 703-712. PMID: 32206770, PMCID: PMC7459184, DOI: 10.1093/abm/kaaa014.Peer-Reviewed Original ResearchConceptsHIV risk behaviorsHuman immunodeficiency virusSexual minority menCondom useRisk behaviorsMinority menSelf-reported exposureMen's risk behaviorsHIV infectionImmunodeficiency virusClear predictorsGeneral life stressCommunity stressLife stressRecent evidenceMenNational surveyLarge national surveyInfectionRiskSocial stressGay communityOverlooked predictorPredictorsParticipantsAddressing Minority Stress and Mental Health among Men Who Have Sex with Men (MSM) in China
Sun S, Pachankis JE, Li X, Operario D. Addressing Minority Stress and Mental Health among Men Who Have Sex with Men (MSM) in China. Current HIV/AIDS Reports 2020, 17: 35-62. PMID: 31950336, PMCID: PMC7050812, DOI: 10.1007/s11904-019-00479-w.Peer-Reviewed Original ResearchConceptsMinority stress theoryMental health issuesPsychological healthMinority stressPsychological distressMental healthChinese MSMProximal minority stressPrevalent mental health issuesFuture intervention researchMental health interventionsStress theoryHealth issuesElevated riskMental health disparitiesPrejudice eventsStress processIntervention researchHIV/STI riskMental health servicesHIV prevention effortsSexual minoritiesRecent FindingsResultsAlcohol dependenceSuicidal behavior
2019
HIV Risk and Prevention Outcomes in a Probability-Based Sample of Gay and Bisexual Men in the United States.
Dodge B, Ford J, Bo N, Tu W, Pachankis J, Herbenick D, Mayer K, Hatzenbuehler ML. HIV Risk and Prevention Outcomes in a Probability-Based Sample of Gay and Bisexual Men in the United States. JAIDS Journal Of Acquired Immune Deficiency Syndromes 2019, 82: 355-361. PMID: 31517706, PMCID: PMC6817401, DOI: 10.1097/qai.0000000000002151.Peer-Reviewed Original ResearchConceptsHIV riskNational HIV/AIDS StrategyUS National HIV/AIDS StrategyPrevention outcomesPrimary health care providersHIV/AIDS StrategyBisexual menHalf of GBMsMajority of HIVUndetectable viral loadPre-exposure prophylaxisHIV-positive GBMRecent male partnersHealth care providersCross-sectional surveySample of gayAntiretroviral treatmentViral loadPrEP usersHIV preventionAIDS StrategyCare providersDaily adherenceGeneral populationHIVPsychosocial 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 surveySexual risk behaviors in the internet age: the case of Chinese men who have sex with men
Sun S, Hoyt WT, Pachankis JE. Sexual risk behaviors in the internet age: the case of Chinese men who have sex with men. AIDS Care 2019, 32: 302-309. PMID: 31533450, PMCID: PMC6980990, DOI: 10.1080/09540121.2019.1668525.Peer-Reviewed Original ResearchConceptsSexual identity stigmaSocial lifeAnal intercourse partnersIdentity stigmaSexual minority stigmaSocial mediaIntercourse partnersInternet ageInternet useSafer sexCondomless anal intercourseMinority stressMore condom useFrequent useLess condom useCondom useLifeSexual riskChinese menHierarchical regression analysis
2018
The Role of Gay-Related Stigma in HIV-Risk Behavior Among Sexual Minority Men in Europe
Leluţiu-Weinberger C, Rendina HJ, Mirandola M, Gios L, Folch C, Rafila A, Pachankis JE. The Role of Gay-Related Stigma in HIV-Risk Behavior Among Sexual Minority Men in Europe. AIDS And Behavior 2018, 23: 684-694. PMID: 30302655, PMCID: PMC6452636, DOI: 10.1007/s10461-018-2306-z.Peer-Reviewed Original ResearchConceptsSexual orientation stigmaSexual minority menOdds of sexMinority menSocial contextLast sexual encounterSexual encountersSexual orientation-related stigmaSexual minority stigmaHIV risk-related behaviorsCross-sectional survey sampleHIV-negative sexual minority menHIV contractionEastern EuropeEuropean countriesCasual partnersStructural interventionsHIV infectionStigmatized individualsHIV risk behaviorsCondomless sexStigmaSexual riskContextEuropeValidating 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 healthInfectionMen
2017
Anti-LGBT and Anti-immigrant Structural Stigma
Pachankis JE, Hatzenbuehler ML, Berg RC, Fernández-Dávila P, Mirandola M, Marcus U, Weatherburn P, Schmidt AJ. Anti-LGBT and Anti-immigrant Structural Stigma. JAIDS Journal Of Acquired Immune Deficiency Syndromes 2017, 76: 356-366. PMID: 28787329, PMCID: PMC5659919, DOI: 10.1097/qai.0000000000001519.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overCultural CharacteristicsDirective CounselingEmigrants and ImmigrantsEuropeHIV InfectionsHumansInternal-External ControlInternetMaleMiddle AgedPatient Acceptance of Health CarePrevalenceRisk FactorsRisk-TakingSexual and Gender MinoritiesSexual BehaviorSocial EnvironmentSocial StigmaSocial SupportYoung AdultConceptsStructural stigmaSexual minoritiesHIV preventionIntersectional populationHIV prevention outcomesHome countryNational attitudesHIV prevention knowledgeUnequal treatmentMigrantsImmigrantsNational lawEuropean countriesHIV riskEuropean MSM Internet SurveyCountriesStigmaPrecautionary behaviorLinguistic statusGlobal HIV epidemicStructural determinantsMinorityService coverageDiverse sampleInternet surveySocio-demographic Characteristics, Sexual and Test-Seeking Behaviours Amongst Men Who have Sex with Both Men and Women: Results from a Bio-behavioural Survey in 13 European Cities
Mirandola M, Gios L, Sherriff N, Pachankis J, Toskin I, Ferrer L, Dias S, Velicko I, Staneková D, Caplinskas S, Naseva E, Niedźwiedzka-Stadnik M, the Sialon II Network. Socio-demographic Characteristics, Sexual and Test-Seeking Behaviours Amongst Men Who have Sex with Both Men and Women: Results from a Bio-behavioural Survey in 13 European Cities. AIDS And Behavior 2017, 21: 3013-3025. PMID: 28643241, DOI: 10.1007/s10461-017-1831-5.Peer-Reviewed Original ResearchConceptsMulti-level analysisEuropean citiesAmongst MenSocio-demographic factorsSocio-demographic characteristicsBio-behavioural surveyHigh-risk groupCross-sectional studyStigmaHIV testingMSMWSexual behavioral patternsMSM populationEducational statusHomonegativityMenSexualRelevant factorsSexWomenCityBehavioral patternsEuropeVulnerabilityWide spectrum