ArticleJournal of acquired immune deficiency syndromes (1999)2020
Trends in State Policy Support for Sexual Minorities and HIV-Related Outcomes Among Men Who Have Sex With Men in the United States, 2008-2014.
Article in Journal of acquired immune deficiency syndromes (1999), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- State of the Science of Structural Stigma and LGBTQ+ Health: Meta-Analytic Evidence, Research Gaps, and Future Directions.Annual review of public health · 2025Pooled it
- A research agenda for understanding how social inequality is linked to brain structure and function.Nature human behaviour · 2024Pooled it
- The role of stigma in impeding implementation of harm reduction services in San Francisco.SSM. Qualitative research in health · 2025Article
- Declines in HIV testing and diagnoses: a policy analysis of the 2019 Title X federal regulations on family planning clinics.Sexual and reproductive health matters · 2025Article
- Subjective social status in relation to the associations between internalized stigmas and missed HIV appointments among MSM who use substances.SSM. Mental health · 2025Article
- Mortgage discrimination at the intersection of race and sexual orientation and its association with HIV incidence among sexual minority men in the U.S.Annals of epidemiology · 2025Article
- Disentangling the Heterogeneity in Minority Stress: A Data Mining Approach.Archives of sexual behavior · 2025Article
- Sexualized drug use factors among rural sexual minority men.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- State-level gender-affirming healthcare policy and depressive symptoms among LGBTQ+ youth.Social science & medicine (1982) · 2025Article
- Systemic White supremacy: U.S. state policy, policing, discrimination, and suicidality across race and sexual identity.Journal of psychopathology and clinical science · 2024Article
- Structural Discrimination against and Structural Support for Lesbian, Gay, and Bisexual People as a Predictor of Late HIV Diagnoses among Black Men who Have Sex with Men.Journal of urban health : bulletin of the New York Academy of Medicine · 2024Article
- State same-sex marriage policies and pre-exposure prophylaxis implementation among men who have sex with men in the United States.Journal of the International AIDS Society · 2023Article
- Impact of the policy environment on substance use among sexual minority women.Drug and alcohol dependence reports · 2022Article
- The impact of stigma on HIV testing decisions for gay, bisexual, queer and other men who have sex with men: a qualitative study.BMC public health · 2022Article
- The stigma system: How sociopolitical domination, scapegoating, and stigma shape public health.Journal of community psychology · 2022Article
- Forty Years of HIV: The Intersection of Laws, Stigma, and Sexual Behavior and Identity.American journal of public health · 2021Article
- Differential Effects of State Policy Environments on Substance Use by Sexual Identity: Findings From the 2000-2015 National Alcohol Surveys.Annals of LGBTQ public and population health · 2021Article
- Long-Term Changes of HIV/AIDS Incidence Rate in China and the U.S. Population From 1994 to 2019: A Join-Point and Age-Period-Cohort Analysis.Frontiers in public health · 2021Article
- Perceived psychosocial impacts of legalized same-sex marriage: A scoping review of sexual minority adults' experiences.PloS one · 2021Article
- Increasing HIV Testing and Viral Suppression via Stigma Reduction in a Social Networking Mobile Health Intervention Among Black and Latinx Young Men and Transgender Women Who Have Sex With Men (HealthMpowerment): Protocol for a Randomized Controlled Trial.JMIR research protocols · 2020Article
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Authors and funding
13 authors.
Funding
Abstract
backgroundTo examine trends in state-level policy support for sexual minorities and HIV outcomes among men who have sex with men (MSM).
methodsThis longitudinal analysis linked state-level policy support for sexual minorities [N = 94 metropolitan statistical areas (MSAs) in 38 states] to 7 years of data (2008-2014) from the Centers for Disease Control and Prevention on HIV outcomes among MSM. Using latent growth mixture modeling, we combined 11 state-level policies (eg, nondiscrimination laws including sexual orientation as a protected class) from 1999 to 2014, deriving the following 3 latent groups: consistently low policy support, consistently high policy support, and increasing trajectory of policy support. Outcomes were HIV diagnoses per 10,000 MSM, late diagnoses (number of deaths within 12 months of HIV diagnosis and AIDS diagnoses within 3 months of HIV diagnosis) per 10,000 MSM, AIDS diagnoses per 10,000 MSM with HIV, and AIDS-related mortality per 10,000 MSM with AIDS.
resultsCompared with MSAs in states with low policy support and increasing policy support for sexual minorities, MSAs in states with the highest level of policy support had lower risks of HIV diagnoses [risk difference (RD) = -37.9, 95% confidence interval (CI): -54.7 to -21.0], late diagnoses (RD = -12.5, 95% CI: -20.4 to -4.7), and AIDS-related mortality (RD = -33.7, 95% CI: -61.2 to -6.2), controlling for time and 7 MSA-level covariates. In low policy support states, 27% of HIV diagnoses, 21% of late diagnoses, and 10% of AIDS deaths among MSM were attributable to the policy climate.
conclusionThe state-level policy climate related to sexual minorities was associated with HIV health outcomes among MSM and could be a potential public health tool for HIV prevention and care.
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