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Heavy drinking into older age adds 4 cm to waistline

More than half of drinkers aged 59 and over have been heavy drinkers and this is linked to a significantly larger waistline and increased stroke risk, according to a new UCL study.

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More than half of drinkers aged 59 and over have been heavy drinkers and this is linked to a significantly larger waistline and increased stroke risk, according to a new UCL study.

The study, published in the journal Addiction, examined the association between heavy drinking over a lifetime and a range of health indicators including cardiovascular disease.

The researchers used data from the Whitehall II cohort, which collected information from UK civil servants, aged 34-56 years at study outset, since 1985-88. The final sample for this study was made up of 4,820 older adults, aged between 59 and 83 years. The mean (average) age was 69, and 75% were male.

It found that heavy alcohol consumption over a lifetime is associated with higher blood pressure, poorer liver function, increased stroke risk, larger waist circumferences and body mass index (BMI) in later life, even if you stop drinking heavily before age 50. However, stopping heavy drinking at any point in life is likely to be beneficial for overall health.

Dr Linda Ng Fat (UCL Institute of Epidemiology & Health Care), first author on the study, said: “Alcohol misuse, despite the common perception of young people binge drinking, is common among older adults, with alcohol related hospital admissions in England being the highest among adults aged over 50.

“Previous studies have focused on single snapshots of consumption, which has the potential to mask the cumulative effects of drinking. This study raises awareness of the effect of alcohol consumption over the life-course.”

A heavy drinker was identified using the Alcohol Use Disorders Identification Test for Consumption (AUDIT-C), a standard screening tool for GPs. The screening tool consists of just three questions, and assesses how often you drink, how much you drink, and how often you binge (have six or more drinks). To provide an example a person who has three or four drinks, four or more times a week, would score positive as a hazardous drinker on the AUDIT-C.

Participants were asked on a single occasion to complete the AUDIT-C retrospectively for each decade of their life, from 16-19 to 80 and over. This information was used to categorise their life-time drinking pattern: never hazardous drinker, former early hazardous drinker (stopped before age 50), former later hazardous drinker (stopped at age 50 or after), current hazardous drinker, and consistent hazardous drinker (during every decade of their life).

More than half of drinkers (56%) had been hazardous drinkers at some point in their life, with 21% being current hazardous drinkers and 5% being consistent hazardous drinkers.

Current and consistent heavy drinkers were mainly male (80% and 82%, respectively), predominately white, and likely to be in senior level jobs (61% compared with 52% in the total sample).

Former later, current and consistent hazardous drinkers had significantly higher systolic blood pressure and poorer liver function, than never hazardous drinkers, after adjusting for lifestyle factors. Among current hazardous drinkers, systolic blood pressure was 2.44 mmHG higher and gamma-glutamyl transferase (GGT), a marker of liver disease, was elevated by 22.64 IU/l, compared with never hazardous drinkers.

Current hazardous drinkers had three times greater risk of stroke and former later hazardous drinkers had approximately two times higher risk of non-cardiovascular disease mortality compared with never hazardous drinkers.

Lifetime hazardous drinkers had significantly larger waist circumferences and BMI than never hazardous drinkers, with the magnitude increasing with more current and consistent hazardous drinking.

Former early hazardous drinkers on average had a 1.17 cm larger waist than never hazardous drinkers, whereas former later hazardous drinkers, current hazardous drinkers and consistent hazardous drinkers had a waist circumference that was 1.88 cm, 2.44 cm and 3.85cm larger respectively.

Dr Ng Fat added: “This suggests that the longer adults engage in heavy drinking the larger their waistline in older age. That is why it is beneficial, along with other health benefits, that adults reduce heavy drinking earlier rather than later.”

Professor Annie Britton (UCL Institute of Epidemiology & Health Care), senior author on the study, said: “Despite high prevalence of stroke and liver disease steadily increasing… heavy drinking remains common among older adults.” And so “early intervention and screening for alcohol consumption, as part of regular check-ups, could help reduce hazardous drinking among this demographic.”

The research was carried out with University of Cambridge. It was funded by the UK Medical Research Council/Alcohol Research UK and European Research Council.

It is worth noting that alcoholism is an issue for many members of the LGBTQIA community. In 2017, for instance, a study found that bisexual people have higher odds of engaging in alcohol use behaviors when compared with people from the sexual majority. This is according to a study that – also worth highlighting – similarly found that bullying mediated sexual minority status and alcohol use more particularly among bisexual females.

Health & Wellness

Gender harassment and institutional betrayal in high school take toll on mental health

97% of women and 96% of men from a pool of 535 undergraduate college students had endured at least one instance of gender harassment during high school. Experiences of gender harassment, especially for those who encountered it repeatedly, were associated with clinically relevant levels of trauma-related symptoms in college.

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High school students who endure gender harassment in schools that don’t respond well enter college and adulthood with potential mental health challenges, according to a University of Oregon study.

The study, published last month in PLOS ONE, found that 97% of women and 96% of men from a pool of 535 undergraduate college students had endured at least one instance of gender harassment during high school.

Experiences of gender harassment, especially for those who encountered it repeatedly, were associated with clinically relevant levels of trauma-related symptoms in college.

“We found that the more gender harassment and institutional betrayal teens encounter in high school, the more mental, physical and emotional challenges they experience in college,” said lead author Monika N. Lind, a UO psychology doctoral student. “Our findings suggest that gender harassment and institutional betrayal may hurt young people, and educators and researchers should pay more attention to these issues.”

The study, the three-member UO team noted, served to launch academic research into the responses of high schools to gender harassment, beyond media reports of institutional betrayal by schools since the #MeToo movement began.

Gender harassment, a type of sexual harassment, is characterized by sexist remarks, sexually crude or offensive behavior and the enforcement of traditional gender roles.

Institutional betrayal, a label coined previously by the study’s co-author UO psychologist Jennifer Freyd, is the failure of an institution, such as a school, to protect people who depend on it. A high school mishandling a case of gender harassment reported by a student is an example of institutional betrayal.

“The more gender harassment and institutional betrayal teens encounter in high school, the more mental, physical and emotional challenges they experience in college,” said lead author Monika N. Lind.

Participants included 363 females, 168 males, three non-binary and one who did not report gender; they were initially not aware of the study’s focus.

They completed a 20-item gender harassment questionnaire about their high school experiences and a 12-item questionnaire about their schools’ actions or inactions. Trauma symptoms were assessed with a 40-item checklist that explores common posttraumatic symptoms such as headaches, memory problems, anxiety attacks, nightmares, sexual problems and insomnia.

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An analysis that considered gender, race, age, gender harassment, institutional betrayal, and the interaction of gender harassment and institutional betrayal significantly predicted trauma-related symptoms, but, Lind said, a subtle surprise emerged.

“We expected to find an interaction effect showing that the relationship between gender harassment and trauma-related symptoms depends on institutional betrayal, such that people who experience high gender harassment have different levels of symptoms depending on how much institutional betrayal they experience,” she said. “Instead we found that gender harassment and institutional betrayal are independently related to trauma-related symptoms.”

That issue, Lind said, needs to be further explored. It’s possible, she said, that the pool of students wasn’t large enough or that the measures used were not robust enough. Another factor may be that the study focused more on institutional betrayal than impacts of institutional courage.

“This is like measuring mood and only letting respondents report negative to neutral mood – you’re missing a bunch of variability that might be captured if you extended the scale to go from negative to positive,” she said. “Expanding the scale to capture institutional courage might increase the likelihood of identifying a meaningful interaction.”

Experiences of gender harassment, especially for those who encountered it repeatedly, were associated with clinically relevant levels of trauma-related symptoms in college.

How schools might respond to the issues identified in the study should begin with listening to students, Lind said. Asking about problems and listening to responses is an example of institutional courage. Interventions that do not do so often fail.

“Schools should engage in self-study, including interviews, focus groups and anonymous surveys of students, and they should take students’ reports and suggestions seriously,” Lind said. “When you’re trying to intervene in adolescence, you’ll do better if you demonstrate respect for teens’ autonomy and social status.”

Researchers have not focused on such issues in high schools, where students are emerging into early adulthood from the physical, neurological and psychological changes occurring in adolescence, said Freyd, a pioneer in academic research on issues of sexual harassment, institutional betrayal and institutional courage.

“Until now, all of the education-focused institutional betrayal research has considered the experiences of undergraduate and graduate-level college students, as well as those of faculty members,” she said. “There also has been work on these issues in the military and workplaces, but we don’t know a lot about gender harassment or institutional betrayal in adolescence.”

UO doctoral student Alexis A. Adams-Clark, a member of Freyd’s lab, was the study’s third co-author.

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Health & Wellness

There are two sides to every story

In the Philippines, one in five people suffers from mental health problems. Between 17% and 20% of Filipino adults experience psychiatric disorders, while 10% to 15% of Filipino children suffer from mental health problems. But addressing mental health is not yet among the priorities in the country.

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It all happened one busy Monday, in between unfinished deadlines and piling up of workload. The conversation suddenly ended, and it left him dumfounded. He kept looking for answers why it happened. He questioned himself; reviewed all his replies. Everything seemed okay.

His name is Andy. He considers himself as an introvert. There may be times when he can be talkative, but “that is different; I am not face-to-face with the person.”

Sometimes, people call him a “player,” claiming that he just wants to hook them into his “game”.

What not everyone knows is that whenever he starts to be close to someone, he (un)consciously builds walls around him, preventing anyone to get through particularly when he feels there is an attempt to make a deeper connection.

Andy said his intentions are always good. But most of the time, “I am read wrong and taken negatively.”

And every time that kind of thing happens, it just contributes to the sound he has been hearing in his head.

Running away

Sometimes it takes on the form of fear… fear of the current situation or the unknown. There are times when it invades his dreams, waking him up in the middle of the night with either a bad headache or heavy breathing. It is usually mistaken as stress.

A glass of warm milk or chilled rosé, a dosage of paracetamol or Valium, counting backwards from 100 while listening to calming music – any of these usually help, but only temporary.

“I found out a few years back that I am dealing with emotional and psychological trauma. I never knew I had one,” Andy said.

A type of mental health condition, trauma is a response to a stressful event. This is usually triggered by a terrifying situation, either experiencing or witnessing it firsthand.

Edgewood Health Network Canada listed down some of the most common symptoms of psychological trauma, i.e.:

  1. Disruptive recollections of the trauma, including flashbacks
  2. Emotional and physical reactions in response to reminders
  3. Negative beliefs about oneself or others
  4. Inability to feel close to others
  5. Being easily startled
  6. Dissociation
  7. Emotional numbness
  8. Inability to remember aspects of, or all of the traumatic event
  9. Avoidance of anything that reminds one of the trauma
  10. Hypervigilance (Always being alert, scanning and assessing for threat)
  11. Difficulty concentrating and focusing on reality
  12. Inability to fall asleep or to remain asleep, frequent and frightening nightmares

“When I am interested with someone, to either date that person or befriend him, after a few days, all of a sudden I will shut down,” Andy said. “There are even times when I would literally run away towards the other direction.”

Studies show that trauma also causes anxiety. When there are frequent occurrence of situations related to what caused the trauma or constant exposure to trigger points – confusion and overwhelming emotional and psychological pain will set in – and these translate into anxiety.

In the Philippines, one in five people suffers from mental health problems. Between 17% and 20% of Filipino adults experience psychiatric disorders, while 10% to 15% of Filipino children suffer from mental health problems.

Dealing with trauma

“Sometimes it is better to be alone because you do not need to explain yourself or adjust to them,” Andy said.

According to the National Institute of Mental Health, there are three common ways to cope with trauma:

  1. Avoiding alcohol and other drugs
  2. Spending time with loved ones and trusted friends who are supportive
  3. Trying to maintain normal routines for meals, exercise and sleep

How long will it last? Unfortunately, there is no way to find out since it is not possible to expedite the healing process of trauma. But the intensity of emotional and psychological pain reduces with time.

“I create distractions whenever I feel I am placed inside a box,” Andy said. “Just recently, when I did something like that, the person suddenly disappeared. I was left hanging, I felt like I was all alone.”

Distractions are created by anyone to give themselves breathing space, a moment to take a step back and look at the big picture.

Knowing the other side of the story

Before dismissing someone who seems “different” in terms of how he/she deals with situations, it is better to look a little longer first.

Here are few ways you can help someone who has experienced trauma, as listed by HuffPost:

  1. Realize that trauma can resurface again and again
  2. Know that little gestures go a long way
  3. Reach out on social media
  4. Ask before you hug someone
  5. Do not blame the victim
  6. Help them relax
  7. Suggest a support group
  8. Give them space
  9. Educate yourself
  10. Do not force them to talk about it
  11. Be patient
  12. Accompany them to the scene of the “crime”
  13. Watch out for warning signs

Keep in mind that it is not your experience/story that you can freely make judgements on, else “attack” it after feeling sour.

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“Some five years ago everything fell apart with my life, in my career and health, my partner at that time chose to fool around and left me alone. It was shit. My friends told me that I was broken for four years,” Andy recalled.

That moment did not leave his mind until now. And it affected his trust issues with anything and everything.

A 2016 report by MIMS Today noted that in the Philippines, one in five people suffers from mental health problems. Between 17% and 20% of Filipino adults experience psychiatric disorders, while 10% to 15% of Filipino children suffer from mental health problems.

Unfortunately, it seems like addressing mental health is not yet among the priorities in the Philippines.

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Health & Wellness

LBG individuals use stimulants at higher rates than heterosexuals

Higher drug use among LGB individuals is likely a result of minority stress – that is, the fact that exposure to stigma and discrimination based on sexual orientation results in health disparities. Structural stigma (e.g. employment or housing discrimination) drives psychological and physical health morbidities among LGB populations, and perceived stigma is associated with cocaine use.

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Lesbian, gay and bisexual (LGB) individuals report higher rates of medical, non-medical, and illegal stimulant use compared to heterosexuals, mirroring patterns seen in other substance use.

The study by Columbia University Mailman School of Public Health researchers provides the most detailed picture to date on stimulant use by LGB subgroups and gender. Findings are published in the American Journal of Preventive Medicine.

The researchers analyzed data from the 2015-2017 National Survey on Drug Use and Health to examine associations between sexual identity and past-year use of medical and non-medical stimulants (i.e., Adderall, Ritalin) and illegal stimulants (i.e. cocaine, crack, methamphetamine). They found that bisexual women’s illegal stimulant use in the past year was fivefold that of heterosexual women (7.8% vs. 1.5%), while gay men’s use was threefold that of heterosexual men (9.2% vs. 3.2%).

Non-medical use of prescription stimulants was higher among gay and bisexual men than heterosexual men (5.4% and 6.6% vs. 2.4%) and among gay/lesbian and bisexual women versus heterosexual women (3.3% and 6.8% vs. 1.6%). Past-year medical use of prescription stimulants was higher among gay men than heterosexual men (6.6% vs. 4.1%) and bisexual women than heterosexual women (7.9% vs. 4.9%). There were no differences between bisexual men and women compared to their gay/lesbian counterparts.

Potential consequences of stimulant include substance use disorder and overdose, particularly given increases in fentanyl contamination in illegally produced pills and cocaine and methamphetamine. As many as half of LGB individuals who reported nonmedical and illegal stimulant use also reported nonmedical prescription opioid use.

“This study highlights the need for future interventions to target stimulant use among LGB populations, with a particular focus on harm reduction approaches,” says first author Morgan Philbin, PhD, assistant professor of sociomedical sciences. “The findings have important implications across sexual identities, and demonstrate the need to disaggregate stimulant use by subgroup and gender, particularly related to polysubstance use.”

Higher drug use among LGB individuals is likely a result of minority stress – that is, the fact that exposure to stigma and discrimination based on sexual orientation results in health disparities. Structural stigma (e.g. employment or housing discrimination) drives psychological and physical health morbidities among LGB populations, and perceived stigma is associated with cocaine use.

Bisexuals can also experience “double discrimination” from heterosexuals and lesbian and gay communities, which the researchers say may account for the particularly high substance use among bisexual individuals.

The paper outlines several avenues to address stimulant use, including by educating healthcare providers who focus on LGB communities to screen for and discuss substance use, including stimulants. Communities and providers can also scale-up access to medication disposal and harm reduction services.

The researchers note that their dataset started assessing sexual identity among adults in 2015, so these relationships could not be examined in earlier years or among adolescents. The options for gender included only “male” or “female” and thus did not allow researchers to differentiate between transgender and cis-gender individuals. The dataset does not assess sexual behavior, so this study only captured associations based on individuals’ sexual identity.

Authors include Morgan M. Philbin, Emily R. Greene, Silvia S. Martins, and Pia M. Mauro of the Columbia Mailman School; and Natalie LaBossier of Boston University School of Medicine.

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Health & Wellness

Sexual minority men who smoke report worse mental health, more frequent substance use

LGBTQ+ people are more likely to smoke than their cisgender and heterosexual peers to cope with an anti-LGBTQ+ society, inadequate health care access and decades of targeted tobacco marketing. Those social stressors drive the health disparities they face, which are compounded by a lack of LGBTQ-affirming healthcare providers, research shows.

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Cigarette smoking is associated with frequent substance use and poor behavioral and physical health in sexual and gender minority populations, according to Rutgers researchers.

The study, published in the journal Annals of Behavioral Medicine, examined tobacco use by sexual minority men and transgender women to better understand the relationships between smoking, substance use and mental, psychosocial and general health.

The researchers, who are part of the Rutgers School of Public Health’s Center for Health, Identity, Behavior and Prevention Studies, surveyed 665 racially, ethnically and socioeconomically diverse sexual minority men and transgender women, 70 percent of whom reported smoking cigarettes.

They found that smoking was associated with participants’ race/ethnicity, marijuana and alcohol use and mental health. Current smokers were more likely to be white and reported more days of marijuana use in the past month. The study also found that current smoking was associated with more severe anxiety symptoms and more frequent alcohol use.

“Evidence also tells us that smoking is associated with worse mental health and increased substance use, but we don’t know how these conditions are related to each other, exacerbating and mutually reinforcing their effects,” said Perry N. Halkitis, dean of the Rutgers School of Public Health and the study’s senior author.

LGBTQ+ people are more likely to smoke than their cisgender and heterosexual peers to cope with an anti-LGBTQ+ society, inadequate health care access and decades of targeted tobacco marketing. Those social stressors drive the health disparities they face, which are compounded by a lack of LGBTQ-affirming healthcare providers, research shows.

“Our findings underscore the importance of holistic approaches to tobacco treatment that account for psychosocial drivers of substance use and that address the complex relationships between mental health and use of substances like alcohol, tobacco and marijuana,” said Caleb LoSchiavo, a doctoral student at the Rutgers School of Public Health and the study’s first author.

The study recommends further research examining the social determinants of disparities in substance use among marginalized populations and how interpersonal and systemic stressors contribute to poorer physical and mental health for minority populations.

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Health & Wellness

Love hormone also forms important link between stress and digestive problems

Oxytocin, an anti-stress hormone, is released from the hypothalamus in the brain which acts to counteract the effects of stress. For a long time, the actions of oxytocin were believed to occur due to its release into the blood with only minor effects on the nerves within the brain that regulate gastrointestinal functions.

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New research published in The Journal of Physiology shows that oxytocin, known as the love hormone, plays an important role in stress’ disruption of digestion such as bloating, discomfort, nausea and diarrhea.  

Stress disrupts gastrointestinal functions and causes a delay in gastric emptying (how quickly food leaves the stomach). This delay in gastric emptying causes bloating, discomfort, and nausea and accelerates colon transit, which causes diarrhea.  

Oxytocin, an anti-stress hormone, is released from the hypothalamus in the brain which acts to counteract the effects of stress. For a long time, the actions of oxytocin were believed to occur due to its release into the blood with only minor effects on the nerves within the brain that regulate gastrointestinal functions.  

The study used new ways to manipulate the neurons and nerves (neurocircuits) that oxytocin released from the hypothalamus acts upon and measured the effects on the response of gastric emptying to stress. They have shown that, contrary to previous assumptions, these oxytocin circuits play a major role in the response of the stomach to stress.  

Activation of these oxytocin circuits reversed the delay in gastric emptying that occurs normally in response to stress, by increasing muscle contractions (motility) of the stomach, while inhibition of these neurocircuits prevented adaptation to stress.  

The new research, conducted at Penn State University- College of Medicine and was sponsored by a grant from the National Institute of Health, USA, employed cutting-edge tools that allow selective manipulation of the circuits that receive hypothalamic oxytocin inputs together with simultaneous measurements of gastric emptying and motility in response to stress.  

The authors used a rat model of different types of stress – acute stress, appropriate adaptation to stress, and inappropriate adaptation to stress. The authors infected the neurons controlling the oxytocin nerves and neurocircuits with novel viruses that allowed them to be activated or inhibited and measured muscle activity in the stomach, as well as gastric emptying (the time for food to leave the stomach).  

The researchers have shown that these oxytocin neural circuits play a major role in the gastric response to stress loads. Indeed, their activation reversed the delayed gastric emptying observed following acute or chronic responses to stress, thus increasing both gastric tone and motility. Conversely, inhibition of these neurocircuits prevented adaptation to stress thus delaying gastric emptying and decreasing gastric tone.   

These data indicate that oxytocin influences directly the neural pathways involved in the stress response and plays a major role in the gastric response to stressors. ​ 

The ability to respond appropriately to stress is important for normal physiology functions. Inappropriate responses to stress, or the inability to adapt to stress, triggers and worsens the symptoms of many gastrointestinal disorders including delayed gastric emptying and accelerated colon transit.  

Previous studies have shown that the nerves and neurocircuits that regulate the function of gastric muscle and emptying respond to stress by changing their activity and responses.  

In order to identify targets for more effective treatments of disordered gastric responses to stress, it is important to first understand how stress normally affects the functions of the stomach. Their study provided new information about the role that oxytocin plays in controlling these nerves and circuits during stress and may identify new targets for drug development. 

Commenting on the study R Alberto Travagli said: “Women are more vulnerable to stress and stress-related pathologies, such as anxiety and depression, and report a higher prevalence in gastrointestinal disorders. Our previous studies showed that vagal neural circuits are organized differently in males versus females. We are now finalizing a series of studies that investigate the role and the mechanisms through which oxytocin modulates gastric functions in stressed females. This will help to develop targeted therapies to provide relief for women with gastrointestinal disorders.”

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Health & Wellness

Notable percentage of trans men who have sex with men never got tested for HIV, bacterial and viral STIs

When considering screening for HIV and sexually transmitted infections (STIs), transgender men who have sex with men (TMSM) represent an understudied population. A study found that a notable percentage of TMSM had never tested for HIV and bacterial and viral STIs.

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When considering screening for HIV and sexually transmitted infections (STIs), transgender men who have sex with men (TMSM) represent an understudied population. A study found that a notable percentage of TMSM had never tested for HIV and bacterial and viral STIs.

In “Sociodemographic and behavioural factors associated with testing for HIV and STIs in a US nationwide sample of transgender men who have sex with men” – done by Nadav Antebi-Gruszka, Ali J. Talan, Sari L. Reisner and Jonathon Rendina, and published in BMJ Journals – researchers tried to examine HIV and STI testing prevalence among TMSM along with the factors associated with testing in a diverse sample of TMSM. They used data from a cross-sectional online convenience sample of 192 TMSM, analyzed using multivariable binary logistic regression models to examine the association between sociodemographic and behavioral factors and lifetime testing for HIV, bacterial STIs and viral STIs, as well as past year testing for HIV.

The researchers found that more than two-thirds of TMSM reported lifetime testing for HIV (71.4%), bacterial STIs (66.7%), and viral STIs (70.8%), and 60.9% had received HIV testing in the past year. Engaging in condomless anal sex with a casual partner whose HIV status is different or unknown and having fewer than two casual partners in the past six months were related to lower odds of lifetime HIV, bacterial STI, viral STI and past year HIV testing.

Being younger in age was related to lower probability of testing for HIV, bacterial STIs and viral STIs.

The domiciles of the TMSM also affected their health-seeking behaviors. In this study, those residing in the South of the US were less likely to be tested for HIV and viral STIs in their lifetime, and for HIV in the past year.

Finally, lower odds of lifetime testing for viral STIs was found among TMSM who reported no drug use in the past six months.

According to the researchers, these findings indicate that a notable percentage of TMSM had never tested for HIV and bacterial and viral STIs, though at rates only somewhat lower than among cisgender MSM despite similar patterns of risk behavior.

They recommend for “efforts to increase HIV/STI testing among TMSM, especially among those who engage in condomless anal sex.”

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