From Fenway Health…

Press Release: Analysis examines biomedical prevention technology to be reviewed by U.S. Food and Drug Administration by June 15, 2012

Pre-exposure chemoprophylaxis (PrEP) —taking antiretroviral medications to prevent HIV transmission—could be a “game changer” for HIV prevention, according to an analysis released by The Fenway Institute.

PrEP has demonstrated partial efficacy with men who have sex with men (MSM) and heterosexuals in several recent studies. Recent modeling of PrEP implementation coupled with scaled up treatment predicts that PrEP could significantly reduce HIV incidence and prevalence. If PrEP is accompanied by sustained care, behavioral interventions, and safety monitoring, PrEP need not lead to increased sexual risk behavior or drug resistance.

“PrEP has the potential to dramatically reduce HIV incidence among gay men, heterosexual women and men, and other populations,” said Sean Cahill, Director of Health Policy Research at The Fenway Institute and author of the report. “We look forward to action by the U.S. Food and Drug Administration and the World Health Organization this year to make PrEP available to those most vulnerable to HIV. PrEP could prove an invaluable new tool in the fight against HIV.”

To read the full press release go to Fenway Health online.

From PsychCentral.com

When people think about body image or eating disorders, they usually imagine young, impressionable girls who come to hate their own bodies because they don’t match unrealistic advertisements, TV shows and movies. And, in fact, most eating disorder awareness and assistance programs are aimed at women.

However, a 2007 study from Columbia University’s Mailman School of Public Health found that women aren’t the only ones who need such programs, as gay and bisexual men may be just as much at risk (or even higher risk) for poor body image and  eating disorders as women. Thus, instead of just focusing on women, it is imperative that eating disorder programs focus on all groups.

The study was funded by the National Institute of Mental Health and directed by Dr. Ilan H. Meyer, associate professor of clinical Sociomedical Sciences at the Mailman School of Public Health, and Dr. Matthew Feldman, of the National Development and Research Institute. They surveyed 516 New York City residents, including 126 straight men. The rest were gay or bisexual men, or women.

Their findings indicated that less than 5 percent of heterosexual men suffered from eating disorders of any kind, while more than 15 percent of gay or bisexual men had at some point in their life. [...] When questioned about the underlying cause of the high rates of eating disorders among gay men, Dr. Meyer hypothesized that the predominant values and norms propagated in the gay community promoted a very body-centric outlook. He went on to compare the primary drive to engage in eating disorders among gay men to those of heterosexual women: high societal expectations about physical appearance, and pressure from others to maintain an ideal body weight.

Read the full article at psychcentral.com

Michael Reece

From the Indiana University Website:

The study, published online ahead of print in the Journal of Sexual Medicine, tapped the largest sample of its kind in theUnited States to examine the sexual behaviors of gay and bisexual men. In collaboration with the OLB Research Institute at Online Buddies, Inc., researchers were able to include feedback from nearly 25,000 men. While gay study participants reported 1,308 unique combinations of behaviors, the most commonly reported behavior was kissing a partner on the mouth.

From a public health standpoint, say the researchers, this study provides professionals with data on the behavior of men having sex with men (MSM) that was missing from the sexual health discussion.

“Due to the disproportionate impact of HIV among MSM, the majority of research on gay and bisexual men’s sexual behavior is situated within the context of disease. This emphasis has resulted in a body of literature about gay and bisexual men that is risk-focused, with limited understanding of the diversity and complexity of these men’s sexual lives,” said co-author Michael Reece, director of IU’s Center for Sexual Health Promotion.

For a copy of the study or to speak with Reece, contact Tracy James, Indiana University, at 812-855-0084 and traljame@iu.edu.

A post from MedlinePlus.com:

The stigma and inequalities that lesbian, gay and bisexual people face on a daily basis can increase their stress level and affect their well-being, according to a new study.

“Imagine living life anticipating exclusion from your friends, family and professional circles simply because of who you are and who you love — that resulting stress takes a toll on one’s life and health,” said the study’s co-author, Ilan Meyer, of the University of California, Los Angeles School of Law.

The researchers set out to determine how stress resulting from daily, non-traumatic events, such as isolation at work and estrangement from families, affected 57 lesbian, gay or bisexual (LGB) people. The researchers were interested in everyday occurrences,  rather than overt abuse or hate crimes.

Black and Hispanic study participants reported the stress from homophobia, racism and sexism led to certain missed life opportunities, including educational advancement, and less self-confidence.

“For members of minority groups, day-to-day life experiences that may seem minor to others can and do have significant and lasting impact on one’s well-being,” said Meyer. “The idea that simply walking out your door will expose you to societal rejection and stigma creates a climate of stress that can lead to detrimental, long-term consequences.”

To read the full article, go to MedlinePlus.com.

The study was recently published online in Sexuality Research and Social Policy.

Press release from UPMC and the University of Pittsburgh:

PITTSBURGH, June 22, 2011 – Young people who identify themselves as gay, lesbian or bisexual, experience same-sex attractions or engage in same-sex sexual ehaviors are more likely to experience sexual abuse, parental physical abuse and bullying from peers than other youth, according to a University of Pittsburgh Graduate School of Public Health study.

In addition, these adolescents – identified as “sexual minority youth” in the study – are more likely to miss school due to fear. The American Public Health Association recently published the findings online; the study will appear in the August issue of the American Journal of Public Health.

“The higher rates of abuse experienced by sexual minority youths are clearly one of the driving mechanisms underlying higher rates of mental health problems, substance use, risky sexual behavior and HIV by sexual minority adolescents and adults,” said Mark S. riedman, Ph.D., assistant professor of behavioral and community health sciences. “However, I cannot stress enough that these youth experience sexual and physical abuse and bullying because they identify as gay, lesbian or bisexual or experience same-sex attraction; abuse does not ‘cause’ sexual orientation or identification.”

Go to the UPMC Media Relations Website for the full press release.

A recent national study of American high school students finds that those who identify as gay, lesbian or bisexual are more likely than their heterosexual counterparts to take unhealthy risks.

The study, conducted by the U.S. Centers for Disease Control and Prevention, used national survey data from 2001-2009. It found that rates of smoking, drinking or other drug use, risky sexual behaviors, suicidal behaviors and violence were higher among gay or bisexual teens than among their straight peers

“This report should be a wake-up call for families, schools and communities that we need to do a much better job of supporting these young people. Any effort to promote adolescent health and safety must take into account the additional stressors these youth experience because of their sexual orientation, such as stigma, discrimination and victimization,” Howell Wechsler, director of CDC’s Division of Adolescent and School Health (DASH), said in an agency news release. “We are very concerned that these students face such dramatic disparities for so many different health risks.”

The findings were published in the CDC’s journal, Morbidity and Mortality Weekly Report. You can read more about the report on the Advocate.com, Time.com, and  CNN.com.

From the tucsonsentinel.com:

LGBT students who reported high levels of victimization, compared to those who reported low levels of victimization, were 2.6 times more likely to report depression above the clinical cut off, and 5.6 times more likely to report having attempted suicide at least once, and having a suicide attempt that required medical attention, the study showed.

Also, students who reported high levels of victimization were more than twice as likely to having reported a STD diagnosis, and having been at risk for HIV infection.

In comparison, LGBT young adults who reported low levels of victimization reported higher levels of self-esteem, life satisfaction and social integration compared to those who experienced higher levels of victimization.

Go to the tucsonsentinel.com for the full article.