2024
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
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 diagnosisStructural 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 ResearchMeSH KeywordsFemaleGender IdentityHumansMaleSexual and Gender MinoritiesSexual BehaviorSexually Transmitted DiseasesSocial StigmaConceptsHealth 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
2023
Kept in the Closet: Structural Stigma and the Timing of Sexual Minority Developmental Milestones Across 28 European Countries
Layland E, Bränström R, Murchison G, Pachankis J. Kept in the Closet: Structural Stigma and the Timing of Sexual Minority Developmental Milestones Across 28 European Countries. Journal Of Youth And Adolescence 2023, 52: 2012-2030. PMID: 37410349, DOI: 10.1007/s10964-023-01818-2.Peer-Reviewed Original Research
2022
A Developmental Model of the Sexual Minority Closet: Structural Sensitization, Psychological Adaptations, and Post-closet Growth
Pachankis JE, Jackson SD. A Developmental Model of the Sexual Minority Closet: Structural Sensitization, Psychological Adaptations, and Post-closet Growth. Archives Of Sexual Behavior 2022, 52: 1869-1895. PMID: 35978203, PMCID: PMC9935753, DOI: 10.1007/s10508-022-02381-w.Peer-Reviewed Original ResearchMeSH KeywordsAdaptation, PsychologicalAdolescentDisclosureFemaleHumansMaleSexual and Gender MinoritiesSexual BehaviorSocial StigmaConceptsDevelopmental modelSexual minority identity formationSexual minority individualsMental health effectsPsychological adaptationVicarious learningSources of supportTemporal contextFuture research directionsSensitive periodMinority individualsCentral identityIdentity formationSexual identityMultilevel interventionsSexual orientationResearch directionsTestable hypothesesOrientation awarenessAdolescenceStressorsLearningIdentityClosetIndividualsA 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 informantsFactorsFindingsFacilitatorsAn Expanded Definition of Intersectional Stigma for Public Health Research and Praxis
Sievwright KM, Stangl AL, Nyblade L, Lippman SA, Logie CH, Veras MASM, Zamudio-Haas S, Poteat T, Rao D, Pachankis JE, Kumi Smith M, Weiser SD, Brooks RA, Sevelius JM. An Expanded Definition of Intersectional Stigma for Public Health Research and Praxis. American Journal Of Public Health 2022, 112: s356-s361. PMID: 35763723, PMCID: PMC9241457, DOI: 10.2105/ajph.2022.306718.Peer-Reviewed Original ResearchA 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
Structural 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 effectMenMediatorsA Contextual Approach to the Psychological Study of Identity Concealment: Examining Direct, Interactive, and Indirect Effects of Structural Stigma on Concealment Motivation Across Proximal and Distal Geographic Levels
Lattanner MR, Ford J, Bo N, Tu W, Pachankis JE, Dodge B, Hatzenbuehler ML. A Contextual Approach to the Psychological Study of Identity Concealment: Examining Direct, Interactive, and Indirect Effects of Structural Stigma on Concealment Motivation Across Proximal and Distal Geographic Levels. Psychological Science 2021, 32: 1684-1696. PMID: 34543132, PMCID: PMC8907493, DOI: 10.1177/09567976211018624.Peer-Reviewed Original ResearchMeSH KeywordsFemaleHumansMaleMotivationSexual and Gender MinoritiesSexual BehaviorSocial StigmaSurveys and QuestionnairesConceptsStructural stigmaConcealment motivationGeographic levelsIdentity concealmentGay menSexual orientationStigmatizing environmentsBisexual menContextual approachSocial environmentStigmaImmediate situationPsychological theoriesSurvey itemsMotivationPsychological studiesSubjective perceptionUltimate sourceMenStructural formsPerceptionConcealmentMost studiesIndirect effectsDecisionsLifecourse-varying structural stigma, minority stress reactions and mental health among sexual minority male migrants
van der Star A, Bränström R, Pachankis JE. Lifecourse-varying structural stigma, minority stress reactions and mental health among sexual minority male migrants. European Journal Of Public Health 2021, 31: 803-808. PMID: 34008014, PMCID: PMC8527997, DOI: 10.1093/eurpub/ckab032.Peer-Reviewed Original ResearchMeSH KeywordsAgedHumansMaleMenMental HealthSexual and Gender MinoritiesSocial StigmaStress, PsychologicalTransients and MigrantsConceptsStructural stigmaSexual minority menMigration experienceMale migrantsSexual minoritiesLife courseMen's mental healthMinority menStructural contextMental healthSexual minority mental healthCountriesStigmaContextPoor mental healthMinority mental healthSwedenHomophobiaMigrantsExperiencePotential implicationsHealthMinoritySurveyImplicationsStigma, 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 surveyParticipantsCountry-level structural stigma, identity concealment, and day-to-day discrimination as determinants of transgender people’s life satisfaction
Bränström R, Pachankis JE. Country-level structural stigma, identity concealment, and day-to-day discrimination as determinants of transgender people’s life satisfaction. Social Psychiatry And Psychiatric Epidemiology 2021, 56: 1537-1545. PMID: 33582826, PMCID: PMC8429389, DOI: 10.1007/s00127-021-02036-6.Peer-Reviewed Original Research
2020
Sexual orientation concealment and mental health: A conceptual and meta-analytic review.
Pachankis JE, Mahon CP, Jackson SD, Fetzner BK, Bränström R. Sexual orientation concealment and mental health: A conceptual and meta-analytic review. Psychological Bulletin 2020, 146: 831-871. PMID: 32700941, PMCID: PMC8011357, DOI: 10.1037/bul0000271.Peer-Reviewed Original ResearchInternalized 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 ResearchBrief Online Interventions for LGBTQ Young Adult Mental and Behavioral Health: A Randomized Controlled Trial in a High-Stigma, Low-Resource Context
Pachankis JE, Williams SL, Behari K, Job S, McConocha EM, Chaudoir SR. Brief Online Interventions for LGBTQ Young Adult Mental and Behavioral Health: A Randomized Controlled Trial in a High-Stigma, Low-Resource Context. Journal Of Consulting And Clinical Psychology 2020, 88: 429-444. PMID: 32271053, PMCID: PMC7153536, DOI: 10.1037/ccp0000497.Peer-Reviewed Original ResearchConceptsLow-resource settingsSexual minority young adultsMinority young adultsMental healthYoung adultsAppalachian TennesseePopulation-level implementationYoung adult sexual minoritiesHealth risk behaviorsAdult sexual minoritiesControlled TrialsGeneral psychological distressDepressive symptomsBrief online interventionSuicidal ideationScalable interventionsBehavioral healthDrug abuseExpressive writing interventionHigh stigmaPsychological distressMinority mental healthOnline interventionInterventionNeutral controlRisk 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 predictorPredictorsParticipants
2019
Sexual 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 analysisHow many sexual minorities are hidden? Projecting the size of the global closet with implications for policy and public health
Pachankis JE, Bränström R. How many sexual minorities are hidden? Projecting the size of the global closet with implications for policy and public health. PLOS ONE 2019, 14: e0218084. PMID: 31194801, PMCID: PMC6564426, DOI: 10.1371/journal.pone.0218084.Peer-Reviewed Original Research
2018
The Scientific Pursuit of Sexual and Gender Minority Mental Health Treatments: Toward Evidence-Based Affirmative Practice
Pachankis JE. The Scientific Pursuit of Sexual and Gender Minority Mental Health Treatments: Toward Evidence-Based Affirmative Practice. American Psychologist 2018, 73: 1207-1219. PMID: 30525805, PMCID: PMC6291842, DOI: 10.1037/amp0000357.Peer-Reviewed Original ResearchMeSH KeywordsEvidence-Based PracticeHumansMental HealthPsychosocial Support SystemsSexual and Gender MinoritiesSocial StigmaConceptsMental health treatmentPsychological scienceHealth treatmentMental healthFuture mental healthMinority mental healthEvidence-based treatmentsMental health professionsProgram of researchPsychotherapy process researchTreatment moderatorsComparison conditionAffirmative treatmentClear treatment targetsFuture research directionsAffirmative practiceTreatment studiesEvidence-based practiceEmpirical researchProcess researchTreatment targetsSexual orientationResearch directionsSGM populationsSurest routeThe 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 riskContextEurope