Search Results (461)

The identification of recent HIV infections among newly diagnosed HIV cases is relevant to both implementing targeted prevention measures and estimating HIV incidence. We analyzed data on new HIV diagnoses in Italy from 2012 to 2023. We selected cases that were tested by at least one of three criteria (test for HIV recency, data on HIV seroconversion, clinical signs of acute HIV infection) to assess the rate of recent (<1 year) HIV infections. We analyzed these cases by gender, age group, nationality, and mode of transmission, and revaluated cases that were initially scored as a late diagnosis but then classified as a recent infection. Out of 36,289 new HIV diagnoses, 17,558 (48.8%) were tested for recent infection by at least one criterion and 3772 (21.5%) were classified as recent. At multivariate analysis, the probability of being recently infected was significantly higher among males, people aged 15–44 years, Italians, individuals diagnosed in Northern and Central Italy, heterosexual males, MSM, and people with a CD4 count ≥ 350 cells/uL at diagnosis. Of 8658 cases initially classified as late diagnoses, 979 (11.3%) were reclassified as recent by the aforementioned criteria. Monitoring recent infections among new HIV diagnoses is beneficial to individuals—because it motivates recently infected people to comply with antiretroviral treatment (which is more effective if started early) and to collaborate to partner notification, and to public health, as it provides evidence of epidemiological changes and stresses the need for targeted prevention in well-defined populations at risk. Full article

Proponents of Sexual Script Theory posit that men and women differ in their sexual behaviors/motivations, often due to culturally ingrained expectations. When these expectations are violated, individuals may face stigma, particularly in nontraditional contexts like mixed-sex threesomes (MSTs). This study examined gender differences in heterosexual adults’ anticipated stigma and willingness to accept various sexual offers, including dyadic and MST offers involving same- and other-sex partners, through the lens of the backlash effect (i.e., the anticipation of stigma for participating in sexual behaviors that contradict societal expectations). A total of 540 heterosexual U.S. adults read vignettes depicting hypothetical sexual invitations and completed measures assessing anticipated stigma and willingness to engage. Results revealed that men anticipated less stigma and were more willing to accept sexual offers than women. Participants also anticipated less stigma and reported greater willingness to accept other-sex dyadic offers as compared to same-sex or MST offers. However, men reported the highest anticipated stigma and lowest willingness for same-sex dyadic offers, suggesting a novel backlash effect against men engaging in gender non-conforming behaviors. These findings offer support for the persistence of the sexual double standard and provide evidence for gendered backlash effects, including those impacting heterosexual men. Full article

Sexual and romantic partners tend to match on various dimensions of mate value including physical attractiveness. Men may be motivated to inflate their self-perceived physical attractiveness to justify pursuing highly attractive women. In the present research, heterosexual men (N = 180) received random assignment to a two-way between-participants factorial design that tested the effects of a woman’s physical attractiveness (low vs. high) and the recipient of her ambiguous sexual behavior (the participant himself or another man) on men’s ratings of her sexual intent. Participants rated that attractive women had greater sexual intent compared to unattractive women, but only when the participant himself was the recipient of women’s behavior. Men’s self-perceived physical attractiveness did not vary as a function of the woman’s physical attractiveness except when another man was the recipient of a physically attractive woman’s behavior, which reduced men’s perceptions of their physical attractiveness. Findings suggested that men’s self-perceptions and women’s appearance may bias men’s sexual judgment. Full article

Some studies have shown that the identities of asexual individuals can be devalued and invalidated through processes of dehumanization. However, research examining dehumanization and attitudes toward asexual parents remains scarce. Drawing on the dual model of dehumanization, this experimental study aimed to investigate the denial of traits associated with human nature (HN; denial of basic human emotions) and human uniqueness (HU; denial of a rational mind), as well as perceptions of parenting competence and warmth attributed to different maternal targets. It was hypothesized that asexual mothers would be judged more negatively on the HN dimension, but not on the HU dimension, compared to allosexual mothers. Furthermore, it was hypothesized that perceived behavior toward children, assessed in terms of warmth, would be associated with the denial of HN (but not HU) for asexual mothers. The study involved 298 participants (M_age = 35.97, SD = 15.04), who read one of three scenarios that were identical except for the sexual orientation of the mother: (1) heterosexual allosexual mother; (2) lesbian allosexual mother; and (3) asexual mother. Participants were then asked to evaluate the target with dehumanization measures and perceived parenting behaviors. Results showed that the asexual mother was perceived more negatively than all other targets across all variables. Moreover, parallel mediation analyses revealed that the perception of a lack of warmth in the asexual mother (compared to the other targets) was mediated by the denial of HN, but not HU. In contrast, both HN and HU were found to mediate judgments of parental competence. These findings provide initial evidence of stigma faced by asexual parents, highlighting the need for further research into the attitudes directed toward them. Full article

Objectives: The present study investigated proclivity for non-consensual intimate-image distribution and its related dimensions—enjoyment and acceptance—in relation to key demographic and relational variables, including gender, age, sexual orientation, frequency of dating app use, and current romantic relationship status. Methods: A total of 1735 Greek university students (mean age = 22 years, standard deviation = 6.18; 35.2 percent male) participated in an anonymous online survey. Pearson correlation analyses and multiple linear regression models were conducted to examine the associations and predictive value of the demographic variables on proclivity, enjoyment, and acceptance of non-consensual intimate-image distribution. Results: Men, younger participants, and those who reported more frequent use of dating applications or websites demonstrated higher proclivity for non-consensual intimate-image distribution. Gender and frequency of dating app use were also significant predictors of enjoyment, with men and frequent users reporting greater enjoyment. Regarding acceptance, sexual orientation was the only significant predictor, with non-heterosexual individuals indicating higher levels of acceptance. Romantic relationship status did not significantly predict any of the three outcome variables. Conclusions: These findings highlight the significance of gender, age, sexual orientation, and dating app engagement in understanding the psychological and behavioral dimensions of non-consensual intimate-image distribution. The results support the need for targeted prevention efforts and further research into the contextual and psychosocial factors associated with this form of image-based abuse. Full article

Introduction: Sexual minority men (SMM) are at increased risk for psychosocial stressor exposure, substance use, and poor mental health relative to heterosexual men. While the burden of mental health is growing in the United States, among SMM these trends are increasing at a greater rate, driving health disparities. Methods: Framed within a minority stress framework, these analyses examine how stressors explain substance use and poorer mental health over time. Participants were asked questions on stressor exposure (stigma, discrimination, internalized homophobia, perceived stress), mental health (anxiety, depression, PTSD), and substance use (alcohol to intoxication, club drugs, poly club drugs) over 36 months among 528 SMM in NYC. Results: Perceived stress increased frequency of all substance use, whereas discrimination decreased days of club and poly club drug use. Depression severity predicted increased days of club drug and poly club drug use. PTSD severity predicted increased days of club drug and poly club drug use. Conclusion: We are able to expand on the literature with granular substance use data to highlight associations with stressors and mental health. These findings support an increased need for systematic policy solutions and public health interventions to address drivers of substance use disparities among young SMM. Full article

Though previous studies have demonstrated the protective benefits of sports participation against illicit drug use for a general population, how these findings apply to LGBTQ youth remains unknown. This study specifically looks at the relationship between sports participation and prescription drug misuse among sexual and gender minority youth. Using secondary data from the 2019 YRBS, we analyze associations among sports participation, sexual orientation, gender identity, and prescription drug misuse among a representative sample of U.S. high school students in Florida. Our results show that sexual and gender minority youth are at increased risk for prescription drug misuse compared to their heterosexual and cisgender peers. Moreover, sports participation is associated with higher rates of prescription drug misuse among all students, and the nuances of these trends are discussed with particular attention paid to sexual and gender minority youth. These results challenge conventional wisdom about sports participation. Without the addition of new demographic survey questions and LGBTQ youth participation in the YRBS, common myths about sports might have persisted. Our findings point to the meaningful presence of LGBTQ youth in sports, call for research and programming on LGBTQ athletes’ unique needs regarding substance misuse risk, and encourage LGBTQ-inclusive policies and practices within schools and sports programs in particular. Full article

Background: Connubial melanoma, the occurrence of melanoma in non-consanguineous spouses, is rarely described in the literature. This study aimed to evaluate the prevalence of shared risk factors, preventive behaviors, and the influence of couple dynamics on the early diagnosis of cutaneous melanoma (CM). Methods: We conducted a retrospective observational study at the San Gallicano Dermatological Institute IRCCS, Rome, enrolling 52 heterosexual couples diagnosed with CM between 2010 and 2023. Clinical and anamnestic data, including phototype, history of sun exposure, use of tanning devices, and reason for dermatological evaluation, were collected. Dermatological assessments included dermoscopy, total body photography, and histological examination of excised lesions. Statistical analyses were performed using chi-square and Student’s t-tests. Results: Women reported significantly higher use of artificial ultraviolet sources (51.9% vs. 19.2%, p < 0.001) and more frequent histories of sunburn. Phototype II was associated with higher use of tanning devices and a greater prevalence of sunburns. Although the CM stage did not significantly differ between sexes, husbands exhibited a greater Breslow thickness. Melanoma localization differed by sex, with lower limbs more often affected in women and the trunk in men (p < 0.001). In 86.5% of cases, wives initiated their husband’s dermatological evaluation, leading to earlier diagnosis. Conclusions: Despite shared environmental exposures, men and women differ in preventive behaviors and risk profiles. Women play a crucial role in promoting early detection among couples. Couple-based preventive strategies may be instrumental in improving early melanoma diagnosis and outcomes. Full article

Adult entertainment work may be associated with increased vulnerability to sexually transmitted infections, particularly HIV. In Brazil, pre-exposure prophylaxis (PrEP) for HIV infection has been available through the Brazilian Unified Health System (SUS) since November 2017, representing a significant advancement in public sexual health policy. The objective of this study was to understand the individual and social determinants that promote PrEP use among adult entertainment workers. This was a cross-sectional, analytical, and quantitative study. A multivariate modeling approach was employed to identify factors independently associated with PrEP use. The study included 254 adult entertainment workers using oral PrEP through the SUS, predominantly young adults (141; 55.5%), SUS users (248; 97.6%), single (213; 83.9%), non-white (142; 55.9%), cisgender (148; 58.3%), and heterosexual (152; 59.8%). Factors independently associated with greater PrEP use included having adult entertainment as the main source of income (aPR: 2.69; 95% CI: 1.86–3.95), prior use of PEP (aPR: 2.49; 95% CI: 1.63–3.81), undergoing any type of health treatment (aPR: 1.56; 95% CI: 1.15–2.12), and having a history of STIs (aPR: 1.51; 95% CI: 1.10–2.08). Conclusion: PrEP use in this population was strongly influenced by structural and contextual factors, indicating that the availability of the technology alone does not ensure its effectiveness. Full article

This study explored psychological distress and gender differences among couples diagnosed with unexplained infertility (UI) and undergoing evaluation for assisted reproductive treatment at the AOUP Santa Chiara Hospital in Pisa, Italy. A total of 21 heterosexual couples (N = 42) completed the Perceived Stress Scale (PSS), Depression Anxiety Stress Scale (DASS-21), Defeat Scale (DS), and Core-Fertility Quality of Life questionnaire (Core-FertiQol). Women reported significantly higher levels of anxiety and stress compared to men, as confirmed both by DASS-21 and PSS scores. No significant gender differences emerged either in depressive symptoms or defeat. In the Core-FertiQol, women scored higher in the Mind–Body component. Within-couple comparisons mirrored between-gender findings, with women showing higher distress. Despite elevated distress levels, women also demonstrated relatively preserved quality of life, possibly reflecting more adaptive coping strategies. The study provides preliminary support for the development of mindfulness-based interventions tailored to couples coping with UI. Further research with larger samples is needed to clarify gender-specific mechanisms and inform integrated psychological care in fertility settings. Full article

Background: Suicidal ideation among adolescents remains a major public health challenge. Exposure to neighborhood violence is associated with increased risk of mental health distress and school-related vulnerabilities. This study investigates the predictors of suicidal ideation among U.S. adolescents who have witnessed neighborhood violence. Methods: Data were drawn from the 2023 Youth Risk Behavior Survey (YRBS), a nationally representative survey of high school students in the United States. A subsample of 3495 adolescents who reported witnessing neighborhood violence was analyzed. Key variables included sociodemographic characteristics, mental health symptoms, perceived school safety, and experiences of victimization. Multivariable logistic regression was used to identify factors associated with suicidal ideation, defined as seriously considering suicide in the past year. Analyses were conducted using Jamovi (version 2.6), with statistical significance set at p < 0.05. Results: The prevalence of suicidal ideation in the sample was 34.2%. Bisexual adolescents had significantly higher odds of suicidal ideation compared to heterosexual peers (OR = 2.34, p < 0.001). Depressive symptoms were the strongest predictor (OR = 7.51, p < 0.001). Both perceived lack of safety at school and differences in ethnic and population backgrounds were significant. Black and Hispanic/Latino adolescents had lower odds compared to White peers. Conclusions: Findings highlight sexual identity, depressive symptoms, school safety concerns, and ethnic and population background differences as key correlates of suicidal ideation. Culturally responsive, trauma-informed interventions are urgently needed for youth exposed to community violence. Full article

Background and Objectives: Women of the LGBTQ+ community, like heterosexual women, face a wide range of health issues and have a right to comprehensive healthcare. Unfortunately, they often do not seek healthcare due to concerns about possible discrimination or prejudice. The aims of this study were to analyze and compare experiences of LGBTQ+ individuals and heterosexual women during OBGYN appointments in Lithuania as well as to analyze the health of individuals whose biological gender is female and their lifestyle’s effect on their health. Materials and Methods: An anonymous online survey was conducted. Respondents answered questions regarding their gender and social identity; obstetrical, gynecological, and general clinical history; sexual life characteristics; and their experiences of visiting OBGYNs in Lithuania. Results: This study revealed that some lifestyle habits of LGBTQ+ respondents are more similar to those of heterosexuals than is often hypothesized. However, it also underscored such issues as the more common consumption of psychotropic substances, higher rates of depression, and more prevalent risky sexual practices among the LGBTQ+ community, as well as some neglected topics of OBGYN care in Lithuania. Conclusions: This study is the first in Lithuania to analyze the characteristics of LGBTQ+ individuals whose biological sex is female in relation to the field of obstetrics and gynecology. It provides important insights for the further improvement of the healthcare system regarding this topic. Full article

Gay and lesbian young adults report worse mental health than their heterosexual counterparts due to social stigma. Nonetheless, factors such as social support may protect them against the negative effects of stigma. The current study compares Italian, Spanish, and Portuguese gay and lesbian young adults on three dimensions of social support (family, friends, and significant others) and on mental health indicators (depression and anxiety). It also explores the associations between social support and mental health among the three countries. To this end, a sample of 687 gay and lesbian young adults filled out an online questionnaire: 345 from Italy (M_age = 25.24, SD = 4.39), 193 from Spain (M_age = 27.44, SD = 5.05), and 149 from Portugal (M_age = 24.45, SD = 5.15). Italian participants reported lower levels of social support from family and friends than Spanish participants. Moreover, Portuguese participants reported higher levels of anxiety than Italian participants. The results of the survey further indicate that only social support from family was significantly and negatively associated with depression and anxiety in the three countries. Overall, the findings suggest that the mental health of gay and lesbian young adults can be improved through non-stigmatising cultures as well as family education. Full article

A preservationist Christian sexual ethic affirms heterosexuality as the only normal and natural expression of wholeness in human intimacy, relationships, and lifestyle. However, revisionist critics would maintain that the central problem of the preservationist perspective is the perceived lack of a compelling verifier. A revisionist Christian ethic embraces homosexuality as an alternative form of wholeness in human relationships and lifestyle. Preservationist critics would maintain that the central problem of the revisionist perspective is the perceived lack of a compelling verifier. They would also identify an additional problem for the revisionist position, namely, the perceived problem of self-contradiction. It may seem to some that problems alleged for a particular side cannot be leveraged to the advantage of the opposing side in this debate. Moreover, even the external judgment that a problem exists for a perspective is disputed within that perspective. This may seem to lead to stalemate between the opposing perspectives. However, it may be that a verifier or vindicator exists for one of these perspectives that would commend that perspective as more acceptable than the other. A vindicator for a perspective need only to reinforce that perspective, while a verifier must be an empirically attested ground for the perspective. In this article, I will compare verifiers and vindicators on each side of the debate and inquire whether there is an ace to be found in any of these arenas. I find that a preservationist Christian sexual ethic speaks for itself when its vehicles of verification and vindication are addressed in dialogue with a revisionist perspective. My aim is to increase the possibility of moving the discussion forward in the debate over normative human sexuality. Full article

Sexual minority men (SMM) experience anti-SMM stressors and have elevated rates of mental health issues compared to heterosexual men, such as depression. Importantly, strengths-based factors may directly increase wellbeing and provide a buffer against the detrimental effects of such stressors. In the present study, we integrated risk and strengths-based models to examine predictors of depression symptoms in a sample of 465 Canadian SMM across three time points using multilevel modeling. Higher scores on a measure of childhood physical abuse at baseline, and greater within-person (i.e., deviation from individual’s average) and between-person (i.e., deviation from group average) internalized homonegativity and heterosexist discrimination were associated with higher depression scores. Higher within- and between-person scores on measures of self-esteem, social support, and hope were associated with lower depression scores. Social support buffered the effects of between-person heterosexist discrimination on depression symptoms: at mean and high levels of social support, heterosexist discrimination was not associated with depression symptoms. This is the first study to disaggregate between-person and within-person effects of both risk factors and strengths-based factors among SMM, which has critical importance for the development of tailored individual-level interventions that target internalized homonegativity, hope, social support, and self-esteem to alleviate symptoms of depression among SMM. Full article