Randolph D Hubach
Datos Biográficos
| ID | 192479 |
|---|---|
| NOMBRE | Randolph D Hubach |
| NOMBRES | Randolph D |
| APELLIDO | Hubach |
| FIRMA | HUBACH R D |
| AFILIACIONES | Oklahoma State University Center for Health Sciences |
| ORCID | 0000-0001-9376-8075 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 45 |
| TOTAL DE CITAS | 58 |
| TOTAL COMO AUTOR | 45 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2012 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 4 |
Community-Based Interventions (CBIs) for improving quality of life in rural settings in North America
Community-based interventions (CBIs) play a vital role in improving quality of life in rural areas of North America by addressing localized challenges such as healthcare access, economic opportunity, and social inclusion. Despite the growing significance of this field, existing research remains fragmented across disciplines, highlighting the need for a systematic and comprehensive analysis of current trends, gaps, and future directions. This stud…
Doing Good Well in Unethical Times
Since the emergence of the AIDS epidemic, HIV research has been a mirror for humanity's moral choices that transformed biomedical and social science ethics. Four decades after the epidemic the field again faces an ethical reckoning. Once defined by its moral courage and community partnership, HIV research now operates amid political interference, data insecurity, funding contractions, and threats to academic freedom. Drawing on insights from the …
The Weathering and Flaring Processes of Sexual Minority Stressors on Psychological Distress
Determinants of HIV pre‐exposure prophylaxis (PrEP) use among men who have sex with men (MSM) living in rural areas of the United States
Covid-19 Policies and the Impact on STIs
Navigating Access to Pre-exposure Prophylaxis (PrEP)
Pre-exposure prophylaxis (PrEP) has contributed significantly to stabilizing HIV incidence rates across most populations. However, significant disparities in HIV incidence and PrEP uptake persist among Black men who have sex with men (BMSM). This study delved into the individual, sociocultural, and structural factors associated with PrEP access and uptake among 28 BMSM residing in designated HIV hotspots. Participants were recruited from communit…
Generational Differences in Sexual Health Education Experiences Among LGBTQ+ Adolescents and Adults
Few U.S. states require school-based sex education to be representative or inclusive of LGBTQ+ people. Data suggests that adolescents' receipt of necessary topics in sex education has declined in the past 25 years, yet the literature on LGBTQ+ people's sex education experiences in the United States is largely limited to non-probability samples. Data were from a national probability sample of adolescents and adults in the United States. Individual…
The impact of initial social distancing measures on individuals’ anxiety and loneliness depending on living with their romantic/sexual partners
The lived experiences of rural HIV social workers
HIV service providers are the primary implementers of HIV care services, but rural HIV service providers are under researched. We used an interpretative phenomenological analysis to explore rural HIV service providers' lived experiences of working in HIV care, who work in a rural region of a Midwestern state in the United States. From July to August 2019, 15 HIV service providers participated in a one-hour semi-structured telephone interview that…
Rural‐urban differences in monkeypox behaviors and attitudes among men who have sex with men in the United States
PURPOSE: An outbreak of the monkeypox virus has been documented in the United States with most cases occurring among gay, bisexual, and other men who have sex with men (MSM). As monkeypox cases increase among relatively rural states, current public health messaging may not resonate with rural at-risk populations. Given this, there is a need to assess potential rural-urban differences in monkeypox behaviors and attitudes among MSM. METHODS: A tota…
A Comparison of Rural and Urban Primary Care Physicians’ Comfort Level of Providing Sexual Healthcare Practices to Adolescent Patients
The HIV Pre-Exposure Prophylaxis Information-Motivation-Behavioral Skills of Parents of Adolescent Sexual Minority Males and Transgender and Gender Diverse Adolescents
Predicting type of sext message sent in adults 25 and older using motivations to sext and relational attachment
Findings on the Monkeypox Exposure Mitigation Strategies Employed by Men Who Have Sex with Men and Transgender Women in the United States
The Effects of Individual and Dual ACE Domains on Binge Drinking
BACKGROUND: Adverse Childhood Experiences (ACEs) show predictive utility concerning binge drinking. However, the literature is limited by 1. a focus on cumulative ACEs with little regard to specific domains, 2. a focus on those with the highest ACE scores, and 3. little consideration for gender differences. These approaches are problematic as ACE categories are fundamentally different, yet little distinction is given to specific ACE domains. The …
Perceived Confidentiality Risks of Mobile Technology-Based Ecologic Momentary Assessment to Assess High-Risk Behaviors Among Rural Men Who Have Sex with Men
Recovering from an Epidemic of Teen Pregnancy
Examining Profiles of Latinx Sexual Minority Adolescents Associated with Suicide Risk
Facilitators and Barriers of Pre-exposure Prophylaxis (PrEP) Uptake Among Rural Men who have Sex with Men Living in the Midwestern U.S
Assessing determinants of pre-exposure prophylaxis (PrEP) adherence among a sample of rural Midwestern men who have sex with men (MSM)
Pre-exposure prophylaxis (PrEP) efficacy in preventing HIV among gay, bisexual, and other men who have sex with men (MSM) is dependent upon adherence. Little is known about the PrEP adherence experiences among MSM who live in rural areas of the US. This qualitative study was informed by a modified version of Straussian Grounded Theory. Thirty-four 34 rural Midwestern MSM participated in telephone interviews that assessed their PrEP adherence fact…
Interface of Internalized Homophobia and Community Connectedness on Frequency of Doctor's Visits for Rural and Urban MSM in Oklahoma
PURPOSE: Men who have sex with men (MSM) face persistent risk of stigma, with past studies showing unequal treatments of MSM in health care settings. Contextual factors, such as internalized homophobia and connectedness to one's community, have shown to serve as a barrier or facilitator (respectively) with regard to MSM's decisions to seek preventative treatment. These studies, however, predominately feature urban populations, with less considera…
Rurality, gay-related rejection sensitivity, and mental health outcomes for gay and bisexual men
Introduction Gay and bisexual (GB) men report anxiety about rejection based on sexual identity. The impact rejection has on GB men’s mental health was investigated to understand how rejection impacts positive psychological constructs (hope and self-compassion), as well as anxiety, depression, and internalized homophobia. Rurality was also considered.Methods Data from 154 GB men were analyzed via linear regression.Results Results showed higher lev…
The frequencies and disparities of adverse childhood experiences in the U.S
Findings highlight that childhood adversity is common across sociodemographic, yet higher in certain categories. Identifying at-risk populations for higher ACEs is essential to improving the health outcomes and attainment across the lifespan
Outness amplifies the negative effect of gay related rejection in rural, but not urban sexual minority men
Sexual minority men have consistently shown to be at-risk for adverse mental health outcomes due to minority stress, yet studies show some men successfully navigate these barriers. What is less known are the environmental and social/emotional factors to which minority stress is amplified (or attenuated). We comparatively investigate rural versus urban sexual minority men and how levels of ‘outness’ (the degree to which an individual discloses the…
The Role of State Medicaid Expansions in Integrating Comprehensive Mental Health Services into Opioid Treatment Programs
Hidden Rainbows
Sexual Self-Identification Among Behaviorally Bisexual Men in the Midwestern United States
Sex-Ed without the Stigma
This study highlights the experiences of gay and bisexual men who live in Oklahoma with formalized sex education. Open-ended prompts were provided to individuals (N= 112) who completed an online questionnaire assessing their experience with sex education and what they would like to see offered. The majority of participants did not receive a formalized sex education and they want to see a comprehensive sex education program provided in public scho…
Understanding the Influence of Loneliness on HIV Risk Behavior in Young Men Who Have Sex with Men
In this study we used grounded theory methodology to understand the influence of loneliness in YMSM in terms of HIV risk behavior. Twenty-two YMSM, 18–29 years of age, of HIV-negative/unknown status were interviewed. Results indicated that loneliness is defined in two ways: emotional and social. A cyclical pattern emerged that included negative symptoms, “self-treatment” of loneliness through drug use and sex, temporary relief, remorse related to…
Barriers to Accessing Mental Healthcare for Gay and Bisexual Men Living in Oklahoma
Outness amplifies the negative effect of gay related rejection in rural, but not urban sexual minority men
Sexual minority men have consistently shown to be at-risk for adverse mental health outcomes due to minority stress, yet studies show some men successfully navigate these barriers. What is less known are the environmental and social/emotional factors to which minority stress is amplified (or attenuated). We comparatively investigate rural versus urban sexual minority men and how levels of ‘outness’ (the degree to which an individual discloses the…
Multidimensional assessment of sexual orientation and the fraternal birth order effect
Previous research demonstrates that for every older male sibling a male child has, the odds are increased by 33% over the naturally occurring odds that he will be nonheterosexual. This concept is known as the Fraternal Birth Order Effect (FBOE). Although this finding has been duplicated in multiple studies, researchers have not used other dimensions of sexual orientation when measuring the presence of the FBOE. The present study measures the FBOE…
Findings on the Monkeypox Exposure Mitigation Strategies Employed by Men Who Have Sex with Men and Transgender Women in the United States
Factors Associated with Condom Use among a Sample of Men Who Have Sex with Men (MSM) Residing in Rural Oklahoma
Public health literature often neglects populations from rural communities, particularly with men who have sex with men (MSM). Although HIV/STI infections are decreasing slightly, there is an increase within rural MSM, thus opening the door for further research on condom use behavior in a rural context. In-depth interviews were conducted with 40 MSM in rural Oklahoma regarding their condom use and sexual behaviors. A qualitative analysis revealed…
A comparative analysis of rural and urban MSM depressive symptomology
Given the dearth of research exploring mental health differences between rural and urban men who have sex with men (MSM), we sought to examine differences in depressive symptomology and loneliness. Concurrently we examined the mediating effects of loneliness on the link between geographic locale and depressive symptoms via a mediation model. Data were collected from 156 MSM in Oklahoma. Results show urban MSM have significantly higher levels of b…
"What Should Sex Look Like?" Students' Desires for Expanding University Sexual Assault Prevention Programs to Include Comprehensive Sex Education
Rates of sexual assault and sexual violence among college-aged adults are much higher than the national rates of sexual assault and sexual violence. Therefore, reduction and prevention of sexual violence among university students is critical and is consistent with national public health priorities. Often times, messages to students focus only on sexual assault and omit larger notions of sexual health. Four focus groups with a total of 24 particip…
Impact of non-heterosexual impulses on heterosexuals’ attitudes towards monogamy and casual sex
Previous research on sexual practices and commitment to monogamy of individuals has primarily been conducted on populations who endorse traditional sexual orientation labels of heterosexual, bisexual, and homosexual. Recent studies, however, demonstrate 16% of men and 37% women demonstrate some form of non-heterosexual attraction, behaviour, or fantasy although they endorse a heterosexual orientation status. The present study explored the impact …
Gender Matters
A Comparison of Rural and Urban Primary Care Physicians’ Comfort Level of Providing Sexual Healthcare Practices to Adolescent Patients
The HIV Pre-Exposure Prophylaxis Information-Motivation-Behavioral Skills of Parents of Adolescent Sexual Minority Males and Transgender and Gender Diverse Adolescents
Using Sex-Related Alcohol Expectancies to Predict Condom Use Among a General Sample of Men and Women in the United States
Understanding the Influence of Loneliness on HIV Risk Behavior in Young Men Who Have Sex with Men
In this study we used grounded theory methodology to understand the influence of loneliness in YMSM in terms of HIV risk behavior. Twenty-two YMSM, 18–29 years of age, of HIV-negative/unknown status were interviewed. Results indicated that loneliness is defined in two ways: emotional and social. A cyclical pattern emerged that included negative symptoms, “self-treatment” of loneliness through drug use and sex, temporary relief, remorse related to…
From Bias to Bisexual Health Disparities
PUROPSE: A newly emergent literature suggest that bisexual men and women face profound health disparities in comparison to both heterosexual and homosexual individuals. Additionally, bisexual individuals often experience prejudice, stigma, and discrimination from both gay/lesbian and straight communities, termed "biphobia." However, only limited research exists that empirically tests the extent and predictors of this double discrimination. The Bi…
Gender Matters
Social Milieu and Mediators of Loneliness Among Gay and Bisexual Men in Rural Indiana
Extant research on quality of life in gay, bisexual, and other men who have sex with men (MSM) primarily capture the social milieu and psychosocial outcomes of those living in urban rather than rural settings. Much of this can be attributed to the high demand for services in areas with greater concentrations of sexual minorities. As MSM in rural communities are both underrepresented in research and susceptible to social estrangement from each oth…
Experiences of HIV-positive gay, bisexual and other men who have sex with men residing in relatively rural areas
Most previous studies of the sexual behaviour of gay, bisexual and other men who have sex with men living with HIV are based on samples of men recruited within relatively urban and suburban areas of the USA. The aim of the present study was to explore the potential challenges associated with HIV-related stigma and residing in a relatively rural area. We conducted a qualitative study based in south-central Indiana, a relatively rural area of the U…
Multidimensional assessment of sexual orientation and the fraternal birth order effect
Previous research demonstrates that for every older male sibling a male child has, the odds are increased by 33% over the naturally occurring odds that he will be nonheterosexual. This concept is known as the Fraternal Birth Order Effect (FBOE). Although this finding has been duplicated in multiple studies, researchers have not used other dimensions of sexual orientation when measuring the presence of the FBOE. The present study measures the FBOE…
Sexual Self-Identification Among Behaviorally Bisexual Men in the Midwestern United States
Impact of non-heterosexual impulses on heterosexuals’ attitudes towards monogamy and casual sex
Previous research on sexual practices and commitment to monogamy of individuals has primarily been conducted on populations who endorse traditional sexual orientation labels of heterosexual, bisexual, and homosexual. Recent studies, however, demonstrate 16% of men and 37% women demonstrate some form of non-heterosexual attraction, behaviour, or fantasy although they endorse a heterosexual orientation status. The present study explored the impact …
Using Sex-Related Alcohol Expectancies to Predict Condom Use Among a General Sample of Men and Women in the United States
How gay and bisexual men compensate for the lack of meaningful sex education in a socially conservative state
The information shared in schools on sex education in the USA is highly variable depending on the state and sometimes city in which a student lives. Gay and bisexual students living in a socially conservative, primarily rural state such as Oklahoma often receive little information about sexual health information that pertains to their behaviours unless it is discussing the dangers of sex. Using a qualitative approach, 20 gay and bisexual men curr…
Hidden Rainbows
Baked Sex
Predicting disclosure of MSM status to providers in a primarily socially conservative state
Purpose: This study aimed to determine what predicts a man who identifies as MSM living in a conservative state to inform his provider of his sexual behaviors and/or his sexual orientation. Methods: We administered an anonymous online survey to 148 men who reported seeing a general medical provider in the last 12 months. All participants resided in Oklahoma. Results: When controlling for HIV status, previous STI diagnosis, and age, logistic regre…
Barriers to Accessing Mental Healthcare for Gay and Bisexual Men Living in Oklahoma
Experiences of Stigma by Gay and Bisexual Men in Rural Oklahoma
Purpose: The unique experiences of men who have sex with men (MSM) residing in culturally conservative rural areas are not well represented in the scientific literature. The human immunodeficiency virus (HIV) epidemic in the United States has shifted toward rural areas where populations are dispersed and health care resources are limited. Methods: We recruited 40 sexual minority men, ages 22–66, residing in rural Oklahoma for in-depth, qualitativ…
Navigating disclosure of sexual minority identity for men in socio-politically conservative areas
Previous models of sexual minority orientation identity development have theorized disclosure of current orientation as important in accepting one’s sexual minority identity. Furthermore, research into disclosure of sexual orientation highlights positive outcomes for disclosure and negative outcomes for concealment of sexual minority identity. These models, however, fail to incorporate the socio-cultural context of the individual. Using a grounde…
A comparative analysis of rural and urban MSM depressive symptomology
Given the dearth of research exploring mental health differences between rural and urban men who have sex with men (MSM), we sought to examine differences in depressive symptomology and loneliness. Concurrently we examined the mediating effects of loneliness on the link between geographic locale and depressive symptoms via a mediation model. Data were collected from 156 MSM in Oklahoma. Results show urban MSM have significantly higher levels of b…
"What Should Sex Look Like?" Students' Desires for Expanding University Sexual Assault Prevention Programs to Include Comprehensive Sex Education
Rates of sexual assault and sexual violence among college-aged adults are much higher than the national rates of sexual assault and sexual violence. Therefore, reduction and prevention of sexual violence among university students is critical and is consistent with national public health priorities. Often times, messages to students focus only on sexual assault and omit larger notions of sexual health. Four focus groups with a total of 24 particip…
Facilitators and Barriers of Pre-exposure Prophylaxis (PrEP) Uptake Among Rural Men who have Sex with Men Living in the Midwestern U.S
Assessing determinants of pre-exposure prophylaxis (PrEP) adherence among a sample of rural Midwestern men who have sex with men (MSM)
Pre-exposure prophylaxis (PrEP) efficacy in preventing HIV among gay, bisexual, and other men who have sex with men (MSM) is dependent upon adherence. Little is known about the PrEP adherence experiences among MSM who live in rural areas of the US. This qualitative study was informed by a modified version of Straussian Grounded Theory. Thirty-four 34 rural Midwestern MSM participated in telephone interviews that assessed their PrEP adherence fact…
Interface of Internalized Homophobia and Community Connectedness on Frequency of Doctor's Visits for Rural and Urban MSM in Oklahoma
PURPOSE: Men who have sex with men (MSM) face persistent risk of stigma, with past studies showing unequal treatments of MSM in health care settings. Contextual factors, such as internalized homophobia and connectedness to one's community, have shown to serve as a barrier or facilitator (respectively) with regard to MSM's decisions to seek preventative treatment. These studies, however, predominately feature urban populations, with less considera…
Rurality, gay-related rejection sensitivity, and mental health outcomes for gay and bisexual men
Introduction Gay and bisexual (GB) men report anxiety about rejection based on sexual identity. The impact rejection has on GB men’s mental health was investigated to understand how rejection impacts positive psychological constructs (hope and self-compassion), as well as anxiety, depression, and internalized homophobia. Rurality was also considered.Methods Data from 154 GB men were analyzed via linear regression.Results Results showed higher lev…
The frequencies and disparities of adverse childhood experiences in the U.S
Findings highlight that childhood adversity is common across sociodemographic, yet higher in certain categories. Identifying at-risk populations for higher ACEs is essential to improving the health outcomes and attainment across the lifespan
Outness amplifies the negative effect of gay related rejection in rural, but not urban sexual minority men
Sexual minority men have consistently shown to be at-risk for adverse mental health outcomes due to minority stress, yet studies show some men successfully navigate these barriers. What is less known are the environmental and social/emotional factors to which minority stress is amplified (or attenuated). We comparatively investigate rural versus urban sexual minority men and how levels of ‘outness’ (the degree to which an individual discloses the…
The Role of State Medicaid Expansions in Integrating Comprehensive Mental Health Services into Opioid Treatment Programs
Psychology (35 obras) · Medicine (32 obras) · Social Psychology (26 obras) · Sociology (25 obras) · HIV/AIDS Research and Interventions (24 obras) · LGBTQ Health, Identity, and Policy (24 obras) · Clinical Psychology (19 obras) · Demography (15 obras) · Men who have sex with men (15 obras) · Social Psychology (15 obras)