Archive for the ‘Research’ Category

Find out about research concerning health issues of men who have sex with men

Researchers investigate use of PrEP and risk-taking among men who have sex with men

Posted by administrator on May 8, 2013

From U.S. Centers for Disease Control and Prevention (posted on TheBody.com)

Truvada (tenofovir) is used for pre-exposure prophylaxis (PrEP) to reduce risk of HIV infection among risk-taking HIV-negative gay men. Researchers investigated whether use of Truvada as PrEP encouraged risk-taking among men who have sex with men (MSM). The researchers studied 400 gay men for 24 months between 2005 and 2007 in a randomized double-blind placebo study. One group of participants began taking Truvada at the outset of the study and the other began nine months later. Researchers interviewed the men at entry into the study and every three months concerning sexual risk-taking and use of recreational drugs and erectile dysfunction medications.

Participants had an average of 7.25 partners in the three months prior to the study. This number decreased to 6 partners between months 3 and 9 and to 5.71 in the second year. Before baseline, 57 percent of participants reported unprotected anal sex. The number dropped to 48 percent between months 3 and 9, and rose to 52 percent in the second year. Also, at baseline, 29 percent of participants reported unprotected intercourse with a man they knew to be HIV-positive. This number dropped to 21 percent between months 3 and 9 and increased slightly to 22 percent in the second year. Unprotected sex with partners they knew to be HIV-positive decreased from 2 at the beginning of the study to 1.37 during the second year, and unprotected anal intercourse with partners believed to be HIV-negative increased from 2.75 at baseline to 4 during year two.

Findings indicate that the use of Truvada as PrEP did not increase sexual risk-taking among HIV-negative MSM. However, findings are tempered by the fact that the study provided the participants with risk-reduction counseling, condoms and lubricant, routine HIV tests, STD testing, and links to prevention services. The researchers acknowledge that these measures may have affected the observed risk reduction and risk declines.

The full report, “Sexual Risk Behavior Among HIV-Uninfected Men Who Have Sex with Men (MSM) Participating in a Tenofovir Pre-Exposure Prophylaxis (PrEP) Randomized Trial in the United States,” is published online in the Journal of Acquired Immune Deficiency Syndromes.

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Latest HIV vaccine doesn’t work; NIH halts study

Posted by administrator on April 29, 2013

From Seattlepi.com

The latest bad news in the hunt for an AIDS vaccine: The government halted a large U.S. study on Thursday [April 18, 2013] , saying the experimental shots aren’t preventing HIV infection. Nor did the shots reduce the amount of the AIDS virus in the blood when people who’d been vaccinated later became infected, the National Institutes of Health said.

“It’s disappointing,” said Dr. Anthony Fauci, head of NIH’s National Institute of Allergy and Infectious Diseases. But, “there was important information gained from this” study that will help determine what to try next.

Read more: http://www.seattlepi.com/news/

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HIV is still the #1 health concern for gay men

Posted by administrator on March 28, 2013

From queerty.com…

A lot of gay men might talk like they’re not worried about HIV, but it still ranks as our number one health concern, according to a new study out of Hunter College.

“The fear is that gay men are tired of hearing about how to prevent HIV, and because of new treatment options, HIV isn’t seen as a big deal anymore,” says Dr. Christian Grov, a researcher at Hunter’s Center for HIV Educational Studies and Training (CHEST).

With a goal to see if men who sleep with men were experiencing such HIV-prevention fatigue, CHEST interviewed more than 650 gay and bisexual men at clubs, gay bars and bathhouses about their health concerns. Interviewees were asked to rank HIV transmission as compared to  smoking, body-image issues, mental health and drug/alcohol use.

HIV/STDs was ranked as the top concern, with mental health and substance abuse tying for second place. “These findings are promising for HIV prevention providers because they suggest many gay and bisexual men still recognize HIV as a top issue for the gay community,” says Grov.

Full story here: www.queerty.com/

Read more at www.queerty.com/study-gay-men-rank-their-top-five-health-concerns

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Family Acceptance Project

Posted by administrator on January 28, 2013

The Family Acceptance Project, a San Francisco program aimed at reducing familial rejection of transgender, bisexual, lesbian, and gay youth, was named a “Promising Practice” at an October conference sponsored by the Center for Reducing Health Disparities at the University of California, Davis, School of Medicine, and the Latino Mental Health Concilio.

Researchers found, essentially, that supportive and accepting family members can help reduce health disparities, including HIV risk, among LGBT Latino youth and young adults. For more information on the Family Acceptance Project’s work, visit FamilyProject.SFSU.edu.

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Syphilis and HIV: A dangerous duo affecting gay and bi men

Posted by administrator on December 14, 2012

From the AIDS.gov blog:

Trend data released today in CDC’s 2011 STD Surveillance Report show that primary and secondary syphilis rates are increasing among gay and bisexual men, who now account for more than 70% of all infections.

Annual syphilis surveillance data published in the just released 2011 STD Surveillance Reportcontinue to emphasize the disproportionate burden of disease among gay and bisexual men. While the health problems caused by syphilis in adults are serious in their own right, it has been shown that the genital sores caused by syphilis make it easier to transmit and acquire HIV infection sexually. There is an estimated 2- to 5-fold increased risk of acquiring HIV if exposed to that infection when syphilis is present, and studies have also shown that syphilis will increase the viral load of someone who is already HIV infected. This is especially concerning, as data from several major cities throughout the country indicate that an average of four in 10 MSM with syphilis are also infected with HIV. The stakes are too high to ignore these health disparities. It is critically important that syphilis infections among MSM be promptly diagnosed and treated in order to decrease the rates of subsequent HIV infection.

Read more on AIDS.gov.

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Disproportionate number of new HIV infections occur among youth

Posted by administrator on November 28, 2012

From the CDC:

In a recent report published on the Centers for Disease Control and Prevention (CDC) Website, researchers concluded that a “disproportionate number of new HIV infections occurs among youths, especially blacks/African Americans, Hispanics/Latinos, and men who have sex with men (MSM).”

The report went on to say that although the number of new HIV infections is highest among men, fewer men have been tested for HIV (as compared to women). Routine HIV testing as part of regular medical care was therefore recommended by the CDC for everyone. In addition, the American Academy of Pediatrics recommends testing for all youths by age 16–18. They also recommend testing for all sexually active youths regardless of age.

Better adherence to these guidelines, especially for men, is needed to increase early HIV diagnosis and treatment. Treatment is not only critical for the health of the person infected, it is also critical in reducing the chances of spreading the infection to others.

Other key points from the CDC report:

  • Youths aged 13–24 years account for 7% of the estimated 1.1 million persons living with HIV in the United States.
  • In 2010, 26% of estimated new HIV infections were among youths: 57% among blacks/African Americans, 20% among Hispanic/Latinos, and 20% among whites.
  • Nearly 75% of the 12,200 new HIV infections among youths were attributable to male-to-male sexual contact.
  • Only a low percentage of youths have been tested for HIV, and 60% of youths with HIV are unaware of their infection.
  • Young males who have sex with males are at increased risk for HIV because of high rates of HIV in potential sex partners, and they are more likely to engage in HIV-related risk behaviors (e.g., unprotected sexual intercourse and injection drug use) than other male or female high school students.

The report concludes:

More effort is needed to provide effective school- and community-based interventions to ensure all youths, particularly MSM, have the knowledge, skills, resources, and support necessary to avoid HIV infection. Health-care providers and public health agencies should ensure that youths are tested for HIV and have access to sexual health services, and that HIV-positive youths receive ongoing health-care and prevention services.

To read the full report, you can go to the CDC’s Website: http://www.cdc.gov/vitalsigns.

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Philadelphia FIGHT launches new HIV-prevention project

Posted by administrator on November 2, 2012

From the Philadelphia Gay News:

FIGHT’s Jonathan Lax Treatment Center and Youth-Health Empowerment Project are launching [Philadelphia's] first Pre-Exposure Prophylaxis Program, a prevention initiative aimed at young HIV-negative men who have sex with men. Each participant will also begin a regimen of Truvada, the first-ever drug designed for HIV-prevention, which was originally introduced in 2004. PrEP will consist of in-person group meetings in which the participants will discuss HIV stigma, healthy living, leadership development and other topics. The 15-member group will range in age from 18-29.

Dr. Helen Koenig, physician at the Jonathan Lax Center, along with Noel Ramirez, health-education program coordinator at the Dorothy Mann Center, will spearhead the project. Koenig noted that the center has seen an influx of young men of color coming in, newly diagnosed with HIV. She hopes that PrEP will help stymie this trend.

Read more: PGN-The Philadelphia Gay News

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“That’s so gay” can have real, negative consequences

Posted by administrator on August 30, 2012

From thinkprogress.org:

A new study from the University of Michigan has found that simply overhearing the expression “that’s so gay” used to describe something in a disparaging way can have negative consequences for gay, lesbian, or bisexual students. Practically every college student interviewed for the study had heard “that’s so gay” at least once in the past year, with more than half hearing it with much more frequency. Those who heard it more frequently were more likely to report feelings of isolation, as well as negative health symptoms, such as headaches, poor appetite, or eating problems.

Study author Michael Woodford, assistant professor of social work at U-M, describes the results: “Given the nature of gay-lesbian-bisexual stigma, sexual minority students could already perceive themselves to be excluded on campus and earing “that’s so gay” may elevate such perceptions. “That’s so gay” conveys that there is something wrong with being gay.  And, hearing such messages about one’s self can cause stress, which can manifest in headaches and other health concerns.”

Read the full post on thinkprogress.org.

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CDC Creates Sex Survey for Gay and Bi Men

Posted by administrator on August 16, 2012

From the The Advocate:

The Centers for Disease Control has launched the largest survey ever conducted by a federal agency for gay and bisexual men in the United States at SexistheQuestion.org. According to HRC, Sex in the Question will also make a monetary donation to the It Gets Better Project for every survey complete.

The survey is aimed at understanding men’s sexual behaviors and health and finding ways to deal with STD and HIV transmission among men who have sex with men.

A quick online survey, Sex Is the Question is also one of the first surveys to provide immediate feedback based on participants answers so you know how you compare to other men who are taking the survey as well.

To take the survey and send money to It Gets Better, click here.

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Research may explain the connection between substance use and sexual risk taking in gay men

Posted by administrator on July 24, 2012

From GoodTherapy.org:

Several associations between substance use and risk taking have been clearly established in psychological and behavioral research. Among them is the trend for sexual risk taking in individuals who misuse substances, including alcohol and drugs. The negative health consequences of both substance use and sexually risky behavior are significant. For gay and bisexual men, the risk of sexually transmitted diseases and HIV are especially high. One theory for uninhibited sexual activity is the alcohol myopia theory, which suggests that alcohol intoxication creates a short-range outlook relying on immediate stimulation. In other words, intoxicated individuals don’t always look at a person’s morals or personality when considering sex. Instead, they look for instant gratification.

Some experts believe that drug and alcohol misuse and addiction impair executive functioning (EF), resulting in higher rates of impulsivity and skewed reward motivation processes. In an effort to determine if EF contributes to sexual risk taking, Sarit A. Golub of the Department of Psychology at Hunter College of the City University of New York led a study examining the EF of 104 bisexual and gay men, all of whom had a history of substance misuse and were HIV negative. Golub conducted neurological and psychological tests on the participants and evaluated their levels of substance use and sexual activity in the 30 days preceding the interview.

She discovered three unique classifications of EF. They included poor performing, indicated by impairment in some, but not all tasks, low performing, indicated by impairment across all tasks, and high performing as evidenced by successful performance on all tasks. Although all three classes had the same levels of substance misuse, substance dependency was highest among the low performing group. These individuals also reported the highest levels of sexual risk taking. In contrast, the poor performing group, which only exhibited EF deficits on the Iowa Gambling Task, had the lowest levels of risky sexual behavior. The results from the high-performing group suggested that the link between substance misuse and sexually risky behavior was episodic and not chronic. Golub added, “These findings underscore the importance of identifying different EF subtypes—rather than simply examining specific EF tasks individuals—in the development of interventions to reduce risk behavior among substance users.”

GoodTherapy.org is an association of mental health professionals from over 30 countries worldwide who support efforts to reduce harm in therapy.

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