2022
Transgender‐based disparities in suicidality: A population‐based study of key predictions from four theoretical models
Bränström R, Stormbom I, Bergendal M, Pachankis JE. Transgender‐based disparities in suicidality: A population‐based study of key predictions from four theoretical models. Suicide And Life-Threatening Behavior 2022, 52: 401-412. PMID: 35067978, PMCID: PMC10138751, DOI: 10.1111/sltb.12830.Peer-Reviewed Original ResearchConceptsPopulation-based studyElevated riskFirst population-based studyPopulation-based sampleRisk of suicidalityGeneral risk factorsTransgender individualsCisgender individualsRisk factorsHigh prevalenceHigh riskDepressive symptomsSuicidalityHealth threatIndividual exposureRiskSocial supportExposureNumerous studiesIndividualsTransgender peopleFactorsSymptomsPrevalenceStudy
2021
Lifecourse-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 ResearchConceptsStructural stigmaSexual minority menMigration experienceMale migrantsSexual minoritiesLife courseMen's mental healthMinority menStructural contextMental healthSexual minority mental healthCountriesStigmaContextPoor mental healthMinority mental healthSwedenHomophobiaMigrantsExperiencePotential implicationsHealthMinoritySurveyImplications
2019
HIV Risk and Prevention Outcomes in a Probability-Based Sample of Gay and Bisexual Men in the United States.
Dodge B, Ford J, Bo N, Tu W, Pachankis J, Herbenick D, Mayer K, Hatzenbuehler ML. HIV Risk and Prevention Outcomes in a Probability-Based Sample of Gay and Bisexual Men in the United States. JAIDS Journal Of Acquired Immune Deficiency Syndromes 2019, 82: 355-361. PMID: 31517706, PMCID: PMC6817401, DOI: 10.1097/qai.0000000000002151.Peer-Reviewed Original ResearchConceptsHIV riskNational HIV/AIDS StrategyUS National HIV/AIDS StrategyPrevention outcomesPrimary health care providersHIV/AIDS StrategyBisexual menHalf of GBMsMajority of HIVUndetectable viral loadPre-exposure prophylaxisHIV-positive GBMRecent male partnersHealth care providersCross-sectional surveySample of gayAntiretroviral treatmentViral loadPrEP usersHIV preventionAIDS StrategyCare providersDaily adherenceGeneral populationHIVPsychosocial Syndemic Risks Surrounding Physical Health Conditions Among Sexual and Gender Minority Individuals
Scheer JR, Pachankis JE. Psychosocial Syndemic Risks Surrounding Physical Health Conditions Among Sexual and Gender Minority Individuals. LGBT Health 2019, 6: 377-385. PMID: 31644383, PMCID: PMC6918840, DOI: 10.1089/lgbt.2019.0025.Peer-Reviewed Original ResearchConceptsPhysical health conditionsPhysical health outcomesGender minority individualsSyndemic riskPhysical healthHealth conditionsMinority individualsIndividual's physical healthPosttraumatic stress disorderHealth outcomesSGM adultsOverall health burdenStress disorderPsychosocial risksSexual assaultDisparate exposuresSGM identitiesSubstance useSyndemic conditionsHealth burdenHigh prevalenceSyndemic frameworkComprehensive interventionHealth disparitiesOnline surveyUntethered lives: barriers to societal integration as predictors of the sexual orientation disparity in suicidality
Bränström R, van der Star A, Pachankis JE. Untethered lives: barriers to societal integration as predictors of the sexual orientation disparity in suicidality. Social Psychiatry And Psychiatric Epidemiology 2019, 55: 89-99. PMID: 31300892, DOI: 10.1007/s00127-019-01742-6.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overChildCommunity IntegrationCross-Sectional StudiesDepressionFemaleHealth Status DisparitiesHeterosexualityHumansMaleMiddle AgedOdds RatioRisk FactorsSexual and Gender MinoritiesSexual BehaviorSocial SupportSubstance-Related DisordersSuicidal IdeationSuicide, AttemptedSwedenYoung AdultConceptsSexual orientation disparitiesSocietal integrationSexual minoritiesOrientation disparitiesGay men/lesbiansNational Public Health SurveyLGB individuals' experiencesSexual orientation differencesSexual minority populationsSexual minority individualsSocial institutionsSexual orientationSocietal normsHeterosexual individualsDisproportionate barriersMinority individualsSupportive attitudesIndividual experiencesMinority populationsLegal protectionInnovative waysDeterminants of suicidalityRecent decadesRole of barriersPublic health surveyPrevalence of Psychiatric Disorders at the Intersection of Race and Sexual Orientation: Results From the National Epidemiologic Survey of Alcohol and Related Conditions-III
Rodriguez-Seijas C, Eaton NR, Pachankis JE. Prevalence of Psychiatric Disorders at the Intersection of Race and Sexual Orientation: Results From the National Epidemiologic Survey of Alcohol and Related Conditions-III. Journal Of Consulting And Clinical Psychology 2019, 87: 321-331. PMID: 30883161, DOI: 10.1037/ccp0000377.Peer-Reviewed Original ResearchConceptsPrevalence of disordersDisorder prevalenceRace/ethnicityLow prevalenceMental healthMinority mental healthPrevalence of psychopathologySubstance use disordersNational Epidemiologic SurveyRelated Conditions-IIISexual minority individualsSimilar prevalenceSexual minority statusHigh prevalencePsychiatric disordersUse disordersEpidemiologic SurveyEthnic minority mental healthMinority individualsPrevalenceProtective factorsSimilar findingsMinority statusDisordersWhite individuals
2018
Benefit of Gender-Affirming Medical Treatment for Transgender Elders: Later-Life Alignment of Mind and Body
Cai X, Hughto JMW, Reisner SL, Pachankis JE, Levy BR. Benefit of Gender-Affirming Medical Treatment for Transgender Elders: Later-Life Alignment of Mind and Body. LGBT Health 2018, 6: 34-39. PMID: 30562128, PMCID: PMC6909671, DOI: 10.1089/lgbt.2017.0262.Peer-Reviewed Original ResearchValidating the Syndemic Threat Surrounding Sexual Minority Men's Health in a Population-Based Study With National Registry Linkage and a Heterosexual Comparison
Bränström R, Pachankis JE. Validating the Syndemic Threat Surrounding Sexual Minority Men's Health in a Population-Based Study With National Registry Linkage and a Heterosexual Comparison. JAIDS Journal Of Acquired Immune Deficiency Syndromes 2018, 78: 376-382. PMID: 29940602, DOI: 10.1097/qai.0000000000001697.Peer-Reviewed Original ResearchConceptsHIV infectionSyndemic conditionsElevated riskSexual minority menStockholm Public Health CohortBisexual menPsychosocial health disparitiesHealth threatHealth registry dataTimes higher riskNational health registry dataPopulation-based examinationHIV prevention interventionsHeterosexual menMinority menMinority men's healthRegistry linkageHealth cohortRegistry dataHigh riskAdult menHealth disparitiesMen's healthInfectionMenHidden From Happiness: Structural Stigma, Sexual Orientation Concealment, and Life Satisfaction Across 28 Countries
Pachankis JE, Bränström R. Hidden From Happiness: Structural Stigma, Sexual Orientation Concealment, and Life Satisfaction Across 28 Countries. Journal Of Consulting And Clinical Psychology 2018, 86: 403-415. PMID: 29683698, DOI: 10.1037/ccp0000299.Peer-Reviewed Original ResearchSexual orientation disparities in the co-occurrence of substance use and psychological distress: a national population-based study (2008–2015)
Bränström R, Pachankis JE. Sexual orientation disparities in the co-occurrence of substance use and psychological distress: a national population-based study (2008–2015). Social Psychiatry And Psychiatric Epidemiology 2018, 53: 403-412. PMID: 29450600, PMCID: PMC5862943, DOI: 10.1007/s00127-018-1491-4.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overComorbidityCrime VictimsCross-Sectional StudiesDiagnosis, Dual (Psychiatry)Discrimination, PsychologicalFemaleHealth Status DisparitiesHeterosexualityHumansMaleMiddle AgedPrevalenceSexual and Gender MinoritiesSexual BehaviorSocial IsolationSocial StigmaStress, PsychologicalSubstance-Related DisordersSwedenYoung AdultConceptsSubstance usePsychological distressElevated prevalenceSexual orientation disparitiesNational population-based studyHigh-risk alcohol useDaily tobacco smokingPopulation-based studyOverall response rateSocial isolationPublic health surveyNational Public Health SurveyMental health problemsOrientation disparitiesSexual minoritiesCo-occurring problemsTobacco smokingHealth SurveyElevated riskMultiple mediation analysisStigma-related stressResponse rateHealth problemsAlcohol useConclusionsThis study
2017
Anti-LGBT and Anti-immigrant Structural Stigma
Pachankis JE, Hatzenbuehler ML, Berg RC, Fernández-Dávila P, Mirandola M, Marcus U, Weatherburn P, Schmidt AJ. Anti-LGBT and Anti-immigrant Structural Stigma. JAIDS Journal Of Acquired Immune Deficiency Syndromes 2017, 76: 356-366. PMID: 28787329, PMCID: PMC5659919, DOI: 10.1097/qai.0000000000001519.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overCultural CharacteristicsDirective CounselingEmigrants and ImmigrantsEuropeHIV InfectionsHumansInternal-External ControlInternetMaleMiddle AgedPatient Acceptance of Health CarePrevalenceRisk FactorsRisk-TakingSexual and Gender MinoritiesSexual BehaviorSocial EnvironmentSocial StigmaSocial SupportYoung AdultConceptsStructural stigmaSexual minoritiesHIV preventionIntersectional populationHIV prevention outcomesHome countryNational attitudesHIV prevention knowledgeUnequal treatmentMigrantsImmigrantsNational lawEuropean countriesHIV riskEuropean MSM Internet SurveyCountriesStigmaPrecautionary behaviorLinguistic statusGlobal HIV epidemicStructural determinantsMinorityService coverageDiverse sampleInternet surveyDepression and Substance Use: Towards the Development of an Emotion Regulation Model of Stigma Coping
Wang K, Burton CL, Pachankis JE. Depression and Substance Use: Towards the Development of an Emotion Regulation Model of Stigma Coping. Substance Use & Misuse 2017, 53: 859-866. PMID: 29125383, PMCID: PMC5884706, DOI: 10.1080/10826084.2017.1391011.Peer-Reviewed Original ResearchConceptsDepression-related stigmaEmotion dysregulationStigma copingSubstance useEmotion regulation modelSelf-report measuresSample of individualsRole of stigmaSubstance use problemsPrevention intervention effortsPsychological distressRemitted depressionIntervention effortsInitial supportUse problemsRegulation modelCopingLittle researchCurrent studyDepressionStigmaDrug useGreater tendencyDysregulationDistressImproving correctional healthcare providers' ability to care for transgender patients: Development and evaluation of a theory-driven cultural and clinical competence intervention
Hughto J, Clark KA, Altice FL, Reisner SL, Kershaw TS, Pachankis JE. Improving correctional healthcare providers' ability to care for transgender patients: Development and evaluation of a theory-driven cultural and clinical competence intervention. Social Science & Medicine 2017, 195: 159-169. PMID: 29096945, PMCID: PMC5712271, DOI: 10.1016/j.socscimed.2017.10.004.Peer-Reviewed Original ResearchConceptsCorrectional healthcare providersGender-affirming careTransgender patientsHealthcare providersClinical competenceTransgender careTransgender cultural competenceFuture efficacy testingLinear mixed-effects regression modelsHealthcare providers' abilityQualitative exit interviewsMixed effects regression modelsGroup-based interventionHormone therapyPatientsProviders' willingnessTransgender womenStudy outcomesExit interviewsCareEfficacy testingInterventionProviders' abilityEffects regression modelsConfidential surveyVictimization and Depressive Symptomology in Transgender Adults: The Mediating Role of Avoidant Coping
Hughto J, Pachankis JE, Willie TC, Reisner SL. Victimization and Depressive Symptomology in Transgender Adults: The Mediating Role of Avoidant Coping. Journal Of Counseling Psychology 2017, 64: 41-51. PMID: 28068130, PMCID: PMC5226079, DOI: 10.1037/cou0000184.Peer-Reviewed Original ResearchConceptsDepressive symptomologyDepressive symptomsPublic health problemBehavioral health costsMental health sequelaeUseful intervention targetsOne-time surveyHealth sequelaeAvoidant copingHealth problemsDistress symptomsSymptomsIntervention targetsVulnerable populationsHealth costsTransgender adultsCommunity sampleSymptomologyCopingSequelaeTransgender communityClinicians
2016
“You Can’t Just Walk Down the Street and Meet Someone”: The Intersection of Social–Sexual Networking Technology, Stigma, and Health Among Gay and Bisexual Men in the Small City
Hughto J, Pachankis JE, Eldahan AI, Keene DE. “You Can’t Just Walk Down the Street and Meet Someone”: The Intersection of Social–Sexual Networking Technology, Stigma, and Health Among Gay and Bisexual Men in the Small City. American Journal Of Men's Health 2016, 11: 726-736. PMID: 27885147, PMCID: PMC5393935, DOI: 10.1177/1557988316679563.Peer-Reviewed Original ResearchConceptsSmall citiesBisexual menGay communityHealth of gaySexual minority stigmaGay spacesSocial networking technologiesProduction of healthCommunity visibilityDiverse gayGaySemistructured interviewsCitySexual riskLittle researchParticipants' useCommunityPhysical spaceStigmaArticleIntersectionNetworking technologiesSexual partnersTechnology usePsychosocial benefitsOlder Age Associated with Mental Health Resiliency in Sexual Minority US Veterans
Monin JK, Mota N, Levy B, Pachankis J, Pietrzak RH. Older Age Associated with Mental Health Resiliency in Sexual Minority US Veterans. American Journal Of Geriatric Psychiatry 2016, 25: 81-90. PMID: 27769835, PMCID: PMC5291307, DOI: 10.1016/j.jagp.2016.09.006.Peer-Reviewed Original ResearchConceptsMental health problemsLGB veteransHealth problemsU.S. veteransDifferent mental health challengesMental health needsMental health indicatorsMental health resiliencyUS veteransYoung sexual minoritiesMental health challengesLifetime depressionCurrent depressionAge AssociatedHealth needsGreater riskTrauma exposureHealth challengesSmaller social support networksPotential mechanismsHealth indicatorsVeteransMilitary characteristicsSocial isolationHeterosexual veteransGeographic and Individual Differences in Healthcare Access for U.S. Transgender Adults: A Multilevel Analysis
Hughto J, Murchison GR, Clark K, Pachankis JE, Reisner SL. Geographic and Individual Differences in Healthcare Access for U.S. Transgender Adults: A Multilevel Analysis. LGBT Health 2016, 3: 424-433. PMID: 27636030, PMCID: PMC5165678, DOI: 10.1089/lgbt.2016.0044.Peer-Reviewed Original Research‘The big ole gay express’: sexual minority stigma, mobility and health in the small city
Keene DE, Eldahan AI, Hughto J, Pachankis JE. ‘The big ole gay express’: sexual minority stigma, mobility and health in the small city. Culture Health & Sexuality 2016, 19: 381-394. PMID: 27604293, PMCID: PMC5300938, DOI: 10.1080/13691058.2016.1226386.Peer-Reviewed Original ResearchConceptsSexual minority stigmaSmall citiesBisexual menBisexual men's experiencesForms of mobilitySmall US citiesSexual health risksContext of stigmaSemi-structured interviewsPoint of departureGay enclavesGay lifeMen's experiencesDistinct experiencesUS citiesGeographic contextUnderstudied settingCityHIV preventionStigmaRelated health consequencesIdentityContextImportant siteNew HavenImportance of substance use and violence in psychosocial syndemics among women with and at-risk for HIV
Batchelder A, Lounsbury DW, Palma A, Carrico A, Pachankis J, Schoenbaum E, Gonzalez JS. Importance of substance use and violence in psychosocial syndemics among women with and at-risk for HIV. AIDS Care 2016, 28: 1316-1320. PMID: 27110841, PMCID: PMC5025025, DOI: 10.1080/09540121.2016.1173637.Peer-Reviewed Original ResearchConceptsSexual risk behaviorsSyndemic conditionsRisk behaviorsPsychosocial syndemicsSubstance useHIV statusChildhood sexual abuseCohort of womenHigh-risk sexHeterosexual contactPsychosocial factorsHIVIntervention studiesPoisson regressionWomenSyndemicBaseline dataMonthsMore typesRiskFinancial hardshipSexual abuseStatus
2015
Daily minority stress and affect among gay and bisexual men: A 30-day diary study
Eldahan AI, Pachankis JE, Rendina H, Ventuneac A, Grov C, Parsons JT. Daily minority stress and affect among gay and bisexual men: A 30-day diary study. Journal Of Affective Disorders 2015, 190: 828-835. PMID: 26625095, PMCID: PMC4684999, DOI: 10.1016/j.jad.2015.10.066.Peer-Reviewed Original Research