Suchergebnisse

Background: Pre-Exposure Prophylaxis (PrEP) significantly lowers HIV transmission; however, uptake remains low. One in five military members are at high risk for HIV, and men who have sex with men (MSM) are disproportionately vulnerable to infection yet are among the least likely to be prescribed PrEP. Understanding patient and provider relationships among these populations is crucial to improving PrEP uptake and decreasing disease burden. Method: A 41-item survey was disseminated to active duty MSM (n=354). A multivariable linear regression explored the effects of perception of equitable and culturally competent care from the Veterans Affairs health system, willingness to take PrEP, and race/ethnicity on the degree of sexual orientation disclosure with providers. Results: Most identified as Caucasian (37.6%), followed by 25.4% identifying as Black, and 20.3% identifying as Latinx. A majority identified as gay (69.5%), with 23.4% and 7.1% who identified as bisexual and straight, respectively. Perception of equitable care was related to increased sexual orientation disclosure (p=.03). Increased willingness to accept PrEP was related to increased sexual orientation disclosure (p=.001). Identifying as Black (p<.001) and Latinx (p<.001) was associated with increased sexual orientation disclosure, whereas identifying as Asian was associated with a lower degree of sexual orientation disclosure (p=.006). Conclusions: Active duty MSM who were more amenable to PrEP and those who perceived their provider as culturally competent demonstrated a higher degree of openness regarding their sexual orientation. Furthermore, active duty MSM who identified as Asian were less open.

On cover: . Unemployment relief legislation, federal and state, 1933. ; "Bibliography of government publications": p. 19. ; Mode of access: Internet.

A new temperament construct based on recent brain physiology literature has been investigated using the Fisher Temperament Inventory (FTI). Four collections of behaviors emerged, each associated with a specific neural system: the dopamine, serotonin, testosterone, and estrogen/oxytocin system. These four temperament suites have been designated: (1) Curious/Energetic, (2) Cautious/Social Norm Compliant, (3) Analytical/Tough-minded, and (4) Prosocial/Empathetic temperament dimensions. Two functional magnetic resonance imaging (fMRI) studies have suggested that the FTI can measure the influence of these neural systems. In this paper, to further the behavioral validation and characterization of the four proposed temperament dimensions, we measured correlations with five variables: (1) gender; (2) level of education; (3) religious preference; (4) political orientation; (5) the degree to which an individual regards sex as essential to a successful relationship. Subjects were 39,913 anonymous members of a US Internet dating site and 70,000+ members in six other countries. Correlations with the five variables characterize the FTI and are consistent with mechanisms using the proposed neuromodulators. We also report on an analysis between the FTI and the NEO-Five Factor Inventory, using a college sample (n = 215), which showed convergent validity. The results provide novel correlates not available in other questionnaires: religiosity, political orientation, and attitudes about sex in a relationship. Also, an Eigen analysis replicated the four clusters of co-varying items. The FTI, with its broad systems and non-pathologic factors complements existing personality questionnaires. It provides an index of some brain systems that contribute to temperament, and may be useful in psychotherapy, business, medicine, and the legal community.

Cover title. ; "Suggestive bibliography": p. 15 ; Mode of access: Internet.