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
2023
Incorporating Macro-Social Contexts into Emotion Research: Longitudinal Associations Between Structural Stigma and Emotion Processes Among Gay and Bisexual Men
Hollinsaid N, Pachankis J, Mair P, Hatzenbuehler M. Incorporating Macro-Social Contexts into Emotion Research: Longitudinal Associations Between Structural Stigma and Emotion Processes Among Gay and Bisexual Men. Emotion 2023, 23: 1796-1801. PMID: 36595384, PMCID: PMC10314958, DOI: 10.1037/emo0001198.Peer-Reviewed Original ResearchMeSH KeywordsEmotionsFemaleHomosexuality, MaleHumansLongitudinal StudiesMaleSexual and Gender MinoritiesSexual BehaviorSocial EnvironmentConceptsEmotion regulationMacro-social contextBisexual menEmotion regulation researchMacro-social environmentEmotion processesEmotional clarityEmotion researchIndividual differencesRegulation researchLevel of stigmaInterpersonal levelLongitudinal associationsImmediate situationSocial inequalitiesSexual minoritiesStructural stigmaLongitudinal studyMore suppressionLongitudinal increaseU.S. countiesStigmaContextResearchGay
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
Mental health, potential minority stressors and resilience: evidence from a cross-sectional survey of gay, bisexual and other men who have sex with men within the Celtic nations
McGarty A, McDaid L, Flowers P, Riddell J, Pachankis J, Frankis J. Mental health, potential minority stressors and resilience: evidence from a cross-sectional survey of gay, bisexual and other men who have sex with men within the Celtic nations. BMC Public Health 2021, 21: 2024. PMID: 34742262, PMCID: PMC8572060, DOI: 10.1186/s12889-021-12030-x.Peer-Reviewed Original ResearchMeSH KeywordsBisexualityCross-Sectional StudiesHomosexuality, MaleHumansMaleMental HealthSexual and Gender MinoritiesConceptsLogistic regression analysisCross-sectional surveyProtective effectMental healthSevere depressionSevere anxietyHealth problemsBinary logistic regression analysisOdds of anxietyCross-sectional studyOnline cross-sectional surveyRegression analysisMental health problemsFinancial worriesMen's mental healthResultsThe prevalenceSense of coherenceSelf-report online surveyGreater riskGBMSMDepressionMinority stressorsRole of resilienceOddsMenStructural Stigma and Sexual Minority Men’s Depression and Suicidality: A Multilevel Examination of Mechanisms and Mobility Across 48 Countries
Pachankis JE, Hatzenbuehler ML, Bränström R, Schmidt AJ, Berg RC, Jonas K, Pitoňák M, Baros S, Weatherburn P. Structural Stigma and Sexual Minority Men’s Depression and Suicidality: A Multilevel Examination of Mechanisms and Mobility Across 48 Countries. Journal Of Psychopathology And Clinical Science 2021, 130: 713-726. PMID: 34780228, DOI: 10.1037/abn0000693.Peer-Reviewed Original ResearchMeSH KeywordsDepressionGlobal HealthHomosexuality, MaleHumansMaleMultilevel AnalysisSocial StigmaSuicideConceptsMental healthAdverse mental health outcomesSocial isolationMen's Internet SurveyMental health outcomesStructural stigmaCountry of birthRisk factorsLower oddsLower riskSexual minority menHealth outcomesPsychosocial mediatorsGreater riskSuicidalityMen's depressionDepressionEuropean menSociocultural determinantsHealthMinority menStigmaSmall indirect effectMenMediatorsDevelopment and Validation of Two Abbreviated Intraminority Gay Community Stress Scales
Maiolatesi AJ, Satyanarayana S, Bränström R, Pachankis JE. Development and Validation of Two Abbreviated Intraminority Gay Community Stress Scales. Assessment 2021, 30: 84-101. PMID: 34496672, PMCID: PMC10431943, DOI: 10.1177/10731911211042933.Peer-Reviewed Original ResearchStigma, 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 ResearchMeSH KeywordsCross-Sectional StudiesFemaleHIV InfectionsHomosexuality, MaleHumansLebanonMaleSexual and Gender MinoritiesSocial StigmaSyriaTransgender PersonsConceptsPsychiatric 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 ResearchMeSH KeywordsChinaCognitive Behavioral TherapyHIV InfectionsHomosexuality, MaleHumansMaleSexual and Gender MinoritiesSexual HealthUnited StatesConceptsMinority 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 contextMinority stress, psychosocial health, and survival among gay and bisexual men before, during, and after incarceration
Harvey TD, Keene DE, Pachankis JE. Minority stress, psychosocial health, and survival among gay and bisexual men before, during, and after incarceration. Social Science & Medicine 2021, 272: 113735. PMID: 33561571, DOI: 10.1016/j.socscimed.2021.113735.Peer-Reviewed Original ResearchMeSH KeywordsBisexualityHomosexuality, MaleHumansMaleNew York CitySexual and Gender MinoritiesSexual BehaviorUnited StatesConceptsMinority stressBisexual menTerms of raceIdentity management techniquesUnique social stressorsPsychosocial health risksSuch incarcerationHegemonic masculinityDepth interviewsRisk of incarcerationUnited States male populationSexual expressionDominant themesIncarcerationReentry supportPublic health policyNew York CityQualitative studyHealth policyYork CityFirst placePsychosocial healthStigmaExperiencePsychosocial risksSyndemic 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 ResearchMeSH KeywordsChinaCross-Sectional StudiesHIV InfectionsHIV TestingHomosexuality, MaleHumansMaleSexual and Gender MinoritiesSexual BehaviorSocial StigmaSex, status, competition, and exclusion: Intraminority stress from within the gay community and gay and bisexual men’s mental health.
Pachankis JE, Clark KA, Burton CL, Hughto JMW, Bränström R, Keene DE. Sex, status, competition, and exclusion: Intraminority stress from within the gay community and gay and bisexual men’s mental health. Journal Of Personality And Social Psychology 2020, 119: 713-740. PMID: 31928026, PMCID: PMC7354883, DOI: 10.1037/pspp0000282.Peer-Reviewed Original ResearchConceptsBisexual men's mental healthMen's mental healthStatus concernsGay communityBisexual menCommunity stressMinority stress theorySociological accountsQualitative interviewingCommunity exclusionSexual orientationGayCommunity focusSexual relationshipsMen's feelingsMinority stressorsMental healthSocial statusCommunity statusCompetitive pressureExclusionCommunityMultistage studyPartial supportStress theoryHas 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 ResearchMeSH KeywordsAdultChinaDepressionHIV InfectionsHomophobiaHomosexuality, MaleHumansMaleMental HealthPrevalencePsychological DistressSexual and Gender MinoritiesConceptsMinority 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 populationHIVSexual 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