Don Operario
Dados Biográficos
| ID | 196935 |
|---|---|
| NOME | Don Operario |
| PRENOMES | Don |
| SOBRENOME | Operario |
| ASSINATURA | OPERARIO D |
| AFILIAÇÕES | Brown University |
| ORCID | 0000-0003-2467-5048 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 150 |
| TOTAL DE CITAÇÕES | 308 |
| TOTAL COMO AUTOR | 150 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1998 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 11 |
Mindfulness-Based Queer Resilience (MBQR) to Promote Mental and Sexual Health Among Sexual and Gender Minority Young Adults
The intersectional structural violence that Latinx health students are experiencing and its consequences
Latinx public health students occupy a uniquely vulnerable position at the intersection of racialized, immigrant, and academic identities-one that is increasingly threatened by a rapidly intensifying anti-immigrant, anti-diversity-equity-inclusion, and anti-public health climate. Using an intersectional structural violence framework, this perspective examines how contemporary anti-immigrant, anti-DEI, and anti-public health policies affect Latinx…
Sexualized Drug Use Linked to Higher HIV Testing Frequency Among Men Who Have Sex with Men in Three Chinese Cities with High HIV Prevalence
BACKGROUND: Men who have sex with men (MSM) in China experience high HIV prevalence, yet little is known about the HIV testing behaviors of MSM among those who engage in sexualized drug use (SDU). Clarifying these patterns is essential for designing targeted HIV prevention interventions. METHODS: We analyzed baseline survey data from 1,800 MSM recruited in Chengdu, Suzhou, and Wuhan (2021-2022). Participants reported HIV testing history and SDU, …
Pleasure, shame and harm reduction
This qualitative study explores the sociocultural meanings and harm-reduction practices surrounding poppers use among men who have sex with men (MSM) in China. Twenty in-depth interviews conducted in Guangzhou reveal that poppers are experienced as both a routine facilitator of sexual pleasure and intimacy, and a source of moral tension. Participants valued the physiological and psychological effects that enhanced receptive anal sex and emotional…
“If condoms really aren't an option, then I would maybe push more for considering PrEP”
Cisgender women account for approximately 20% of new HIV diagnoses in the U.S., yet of those indicated for pre-exposure prophylaxis (PrEP) uptake is only 10%. Cisgender women are amenable to PrEP; however, clinicians encounter individual and interpersonal barriers to prescriptions. This research examines clinicians' decision-making processes regarding PrEP provision for cisgender women. Semi-structured individual interviews were conducted with cl…
Health Care Providers’ Reported Barriers to Pre-Exposure Prophylaxis Initiation Among Cisgender Women
8) had ever prescribed it. When asked open-ended questions about their attitudes and experiences, all providers identified barriers to prescribing PrEP to cisgender women. These barriers fell into four categories: (1) knowledge, messaging, and (mis)information; (2) stigma and/or fear of stigma; (3) characteristics of the medication itself; and (4) accessibility of health care services. We discuss the implications for developing interventions to a…
The treatment gap and the HIV care continuum for cisgender men who have sex with men in three South African cities
Background The HIV continuum of care for men who have sex with men (MSM) in South Africa remains inadequately characterised, hindering the tracking of progress towards ending the HIV epidemic. We estimated HIV prevalence and care continuum indicators for MSM in three South African cities. Methods and findings MSM were recruited via respondent-driven sampling (RDS) methods in Cape Town, Johannesburg, and Mahikeng. Eligibility criteria included age…
From policy to practice
Transgender women (TGW) in India face one of the highest HIV prevalence rates among key populations in India, yet data on their engagement in the HIV care cascade is limited. This study investigates barriers and supportive factors for adhering to antiretroviral therapy (ART), which is vital for achieving viral suppression, reducing transmission risk to nearly zero (i.e. undetectable = utransmittable; U = U), and enhancing the quality of life for …
Randomized Controlled Trial of a Couples-Based HIV Intervention for Transgender Women and Their Partners
Integrating PrEP and Sexual Reproductive Health Services for Adolescent Girls and Young Women in South Africa
Pre-exposure Prophylaxis (PrEP) Awareness and Engagement Among MSM at High Risk of HIV Infection in China
Transgender Women in India
The prevalence of HIV among transgender women (TGW) in India is disproportionately high, estimated at 4% to 8% in comparison with the national average of 0.2%. Despite free antiretroviral therapy (ART) provided by the government, TGW encounter multilevel barriers—including stigma, poverty, and lack of gender-affirming care—that hinder HIV care access and retention. Existing behavioral frameworks fail to address the compounded effects of systemic …
Standing Up for Core Principles in Departments of Social and Behavioral Sciences in Public Health
Gender Affirmation Research Is Not Gender Ideology Extremism, It Is Science
The Prevalence and Associated Factors of HIV Self-Testing Among High-Risk Men Who Have Sex with Men in China
A qualitative study of reasons to use substances and substance use treatment experiences among transgender and gender diverse adults in Rhode Island
Motivation for substance use and interest in substance use treatment varied. • Substances were used to self-treat mental health concerns. • Multi-level barriers were experienced across substance use treatment types. • More TGD professionals of color are needed in substance use treatment settings. • Providers need training in care for TGD patients and referral processes
Understanding motivations and resilience-associated factors to promote timely linkage to HIV care
Understanding motivations and resilience-associated factors that help people newly diagnosed with HIV link to care is critical in the context of universal test and treat. We analyzed 30 in-depth interviews (IDI) among adults aged 18 and older in western Kenya diagnosed with HIV during home-based counseling and testing and who had linked to HIV care. A directed content analysis was performed, categorizing IDI quotations into a table based on linka…
Minority stress, mental health, and mindfulness and self-compassion as moderators among young sexual minority men
I am because you are’
African refugee women resettled in the United States are exposed to multiple risk factors for poor mental health. Currently, no comprehensive framework exists on which to guide mental health interventions specific to this population. Through a community-based participatory research partnership, we interviewed N = 15 resettled African refugees living in Rhode Island. Here we (1) describe how meanings of mental health within the African refugee com…
Racial/ethnic differences in the association between transgender-related U.S. state policies and self-rated health of transgender women
The policies included in this analysis do not mitigate racism's effects on access to resources, indicating they may be less impactful for transgender women of color than White transgender women. Future research and policy advocacy efforts promoting transgender women's health must center racial equity as well as transgender people of color's priorities
A Cautionary Tale
Understanding the delivery of substance use treatment services to transgender and gender-diverse people
I'm Gay With an Asterisk
Research attributes health disparities between sexual minority (those whose sexual orientation and/or practices differ from society, [SM]) and heterosexual populations to social marginalization. LGBT strengths (e.g., resiliency derived from LGBT identity) may reduce the impact of social marginalization. However, it is unclear how LGBT strengths are impacted by SMs' other identities (e.g., racial/ethnic and/or gender). To address this knowledge ga…
Bridging the age gap
Trends in HIV incidence and prevalence vary between younger MSM (YMSM) and older MSM (OMSM). HIV prevention was revolutionized with the advent of pre-exposure prophylaxis (PrEP), but uptake of PrEP among OMSM is relatively unknown. Community connectedness among MSM is a strong driver of prevention. This qualitative study sought to explore similarities and differences between YMSM and OMSM’s knowledge, perceptions, and barriers of HIV prevention a…
Internalized homophobia and HIV testing among Korean gay and bisexual men
Limited research has been conducted on factors contributing to HIV testing among sexual minority populations in South Korea (hereafter, Korea), where stigma against homosexuality and HIV/AIDS is pervasive. We used a nationwide cross-sectional survey of 907 Korean cisgender gay and bisexual (GB) men who were HIV-negative or HIV-unknown in 2016. Regarding internalized homophobia (IHP), participants were categorized into tertiles (low, moderate, and…
Perceived Risks and Benefits of Sex Work among Transgender Women of Color in San Francisco
HIV Risk Behaviors Among Male-to-Female Transgender Persons of Color in San Francisco
Objectives. The authors examined HIV risk behaviors among African American, Asian/Pacific Islander (API), and Latina male-to-female (MTF) transgender persons in order to improve HIV prevention programs. Methods. Individual survey interviews with MTF transgender persons of color (n = 332; 112 African Americans, 110 Latinas, and 110 APIs) were conducted. Results. Prevalence and correlates of receptive anal sex and unprotected receptive anal sex (UR…
The role of gender affirmation in psychological well-being among transgender women
High prevalence of psychological distress, including greater depression, lower self-esteem, and suicidal ideation, has been documented across numerous samples of transgender women and has been attributed to high rates of discrimination and violence. According to the gender affirmation framework (Sevelius, 2013), access to sources of gender-affirmative support can offset such negative psychological effects of social oppression. However, critical q…
Need for HIV/Aids Education and Intervention for MTF Transgenders
The purpose of this paper is to report on the use of qualitative and quantitative research to develop an HIV/AIDS education intervention for MTF transgenders. Findings revealed that MTF transgenders have high prevalence of adverse health outcomes such as HIV, substance use, and psychological problems. MTF transgenders of color-African American, Latina, and Asian Pacific Islanders-experience heightened risk due to multiple stigmas associated with …
Health Conditions, Outcomes, and Service Access Among Filipino, Vietnamese, Chinese, Japanese, and Korean Adults in California, 2011–2017
Objectives. To determine the impact of data disaggregation on the ability to identify health disparities and needs for future research for Filipino, Vietnamese, Chinese, Japanese, and Korean adults in California. Methods. Using available data from the 2011–2017 California Health Interview Survey, we conducted bivariate and multivariable analyses to assess disparities in health conditions, outcomes, and service access compared with non-Hispanic Wh…
Sexual Minority Health Disparities in Adult Men and Women in the United States
Objectives. We used nationally representative data to investigate health disparities associated with sexual minority status among adults in the United States. Methods. We analyzed data from 11 114 adults who participated in the 2001 to 2010 waves of the National Health and Nutrition Examination Survey. Using multiple logistic regressions, we examined the prevalence of HIV, sexually transmitted infections, mental health problems, cigarette smoking…
Dual identity among gay Asian Pacific Islander men
This paper examines the complexity associated with having two potentially conflicting social identities in the USA: being Asian Pacific Islander and being gay. Twenty-five gay Asian Pacific Islander men completed individual interviews regarding their racial and sexual identities and the intersection between the two. Data analysis revealed diversity in ways by which individuals integrated their dual identities and expressed themselves to others; p…
Health and Social Services for Male-to-Female Transgender Persons of Color in San Francisco
This article presents findings from an investigation of health needs, service utilization, and perceived barriers to services among male-to-female (MtF) transgender persons of color in San Francisco. Focus groups (n = 48) and survey interviews (n = 332) were conducted with convenience samples recruited from the community. Participants reported a range of health and social services needed during the previous year, with African-Americans and Latina…
Situational Power and Interpersonal Dominance Facilitate Bias and Inequality
A model is proposed that describes interpersonal phenomena that maintain inter‐group hierarchies and conflict. Situational control and interpersonal dominance are identified as conditions that promote motives to stereotype, leading to cognitive and judgment biases that cumulatively reinforce the status quo. Three general hypotheses are derived from the model. First, powerholders are predicted to use attention strategies that favor stereotype main…
Commitment, interpersonal stigma, and mental health in romantic relationships between transgender women and cisgender male partners
The goals of this study were to (a) examine associations between interpersonal stigma and psychological distress among a sample of transgender women and their cisgender male partners and (b) identify whether commitment moderates the association between interpersonal stigma and psychological distress. To address these aims, 191 couples consisting of transgender women and their cisgender male partners completed a one-time survey. Actor-partner inte…
Dyadic effects of gender minority stressors in substance use behaviors among transgender women and their non-transgender male partners
Gender minority stressors are critical to understanding substance use among transgender women and their male partners. Integrating socioeconomic status into gender minority stress frameworks is essential. Results have implications for substance use prevention and treatment, including the need to incorporate gender minority stressors into interventions
"Moving beyond "the Down Low
Orphanhood and Completion of Compulsory School Education Among Young People in South Africa
We examined the association of orphanhood and completion of compulsory school education among young people in South Africa. In South Africa, school attendance is compulsory through grade 9, which should be completed before age 16. However, family and social factors such as orphanhood and poverty can hinder educational attainment. Participants were 10,452 16–24‐year‐olds who completed a South African national representative household survey. Overa…
Transgender stigma
I Can’t Go to School and Leave Her in So Much Pain”
“I go to the hospital with my mother when she is sick. I can’t go to school and leave her in so much pain. I won’t concentrate.” Millions of adolescents live with AIDS-affected parents or primary caregivers. Little is known about educational impacts of living in an AIDS-affected home, or of acting as a “young carer” in the context of AIDS. This study combined qualitative and quantitative methods to determine educational impacts of household AIDS-…
Promoting Health for Transgender Women
Transgender women are at high risk for HIV, substance abuse, and mental health problems. We describe a health promotion intervention program tailored to transgender women in San Francisco. The program creates a safe space for providing transgender-sensitive education about HIV risk reduction, substance abuse prevention, and general health promotion. Transgender health educators conduct workshops and make referrals to appropriate substance abuse t…
From imperialism to inpatient care
In the United States, nursing is the largest healthcare profession, with over 3.2 million registered nurses (RNs) nationwide and comprised of mostly women. Foreign-trained RNs make up 15 percent of the RN workforce. For over half a century, the U.S. healthcare industry has recruited these RNs in response to nurse shortages in hospitals and nursing homes. Philippines-trained RNs make up 1 out of 20 RNs in this country and continue to be the larges…
Stigma and the Syndemic of Hiv‐related Health Risk Behaviors in a Diverse Sample of Transgender Women
This study examined HIV‐related health risk behaviors–unprotected anal intercourse, alcohol intoxication, and drug use–and their association with stigma in a sample of transgender women. We conducted a cross‐sectional survey of 191 transgender women recruited through purposive sampling in San Francisco, CA. Unprotected anal intercourse, alcohol intoxication, and illicit drug use were significantly intercorrelated, suggesting the presence of a “sy…
Sexual Positioning and Race-Based Attraction by Preferences for Social Dominance Among Gay Asian/Pacific Islander Men in the United States
Caring for Aids-orphaned children
Fifteen million children have been orphaned because of AIDS and these numbers are expected to grow in the coming decade. Individuals providing noninstitutional care for AIDS-orphaned children play a critical role in the capacity of communities to respond to the epidemic. However, a limited body of evidence exists on these carers. Studies are urgently needed to build the evidence base on this population, particularly in South Africa which has the …
Attempted suicide, psychological health and exposure to harassment among Japanese homosexual, bisexual or other men questioning their sexual orientation recruited via the internet
Objective: To investigate the rates of attempted suicide and its association with psychological distress, experiences of bullying and verbal harassment, and demographic characteristics among Japanese homosexual, bisexual or other men questioning their sexual orientation. Design: A cross-sectional design using Japanese participants recruited through the internet. Results: Of the 1025 respondents, 154 (15%) of the men reported a history of attempte…
Risk for HIV and Unprotected Sexual Behavior in Male Primary Partners of Transgender Women
Temporal Fluctuations in Behavior, Perceived HIV Risk, and Willingness to Use Pre-Exposure Prophylaxis (PrEP)
Gradients in Depressive Symptoms by Socioeconomic Position Among Men Who Have Sex With Men in the EXPLORE Study
This study examines gradients in depressive symptoms by socioeconomic position (SEP; i.e., income, education, employment) in a sample of men who have sex with men (MSM). Data were used from EXPLORE, a randomized, controlled behavioral HIV prevention trial for HIV-uninfected MSM in six U.S. cities (n = 4,277). Depressive symptoms were assessed using the Center for Epidemiologic Studies Depression scale (short form). Multiple linear regressions wer…
Young carers in South Africa
‘Young carers’ are children who take on adult responsibility in response to familial illness. South Africa’s high disease burden, limited health care capacity and cultural notions of children’s familial duty suggest a large population of ‘young carers’ in this country. This study aims to explore the nature of responsibility among children affected by illness in deprived South African communities. A total of 349 children and adolescents aged 10–18…
Situational Power and Interpersonal Dominance Facilitate Bias and Inequality
A model is proposed that describes interpersonal phenomena that maintain inter‐group hierarchies and conflict. Situational control and interpersonal dominance are identified as conditions that promote motives to stereotype, leading to cognitive and judgment biases that cumulatively reinforce the status quo. Three general hypotheses are derived from the model. First, powerholders are predicted to use attention strategies that favor stereotype main…
Ethnic Identity Moderates Perceptions of Prejudice
Two studies investigate the association between ethnic identity and perceptions of prejudice. Study 1 examined the relationship between ethnic identity and the personal-group discrimination discrepancy (PGD) among ethnic minority and White respondents. High-identified minorities reported increased personal vulnerability to discrimination and less PGD, whereas less-identified minorities conformed more to the PGD phenomenon. Whites also reported mo…
Subjective social status
This article examines the test–retest reliability and predictive utility of a new self-report measure of subjective socioeconomic status (SES) with a large, multiethnic national sample. The measure showed adequate test–retest reliability, and was associated with self-reported health even after controlling for traditional measures of SES. Negative affect did not appear to confound the association between subjective status and health, but may opera…
Social context of HIV risk behaviours among male-to-female transgenders of colour
To explore the social context of drug use and sexual behaviours that put male-to-female (MTF) transgenders at risk for HIV, focus groups were conducted consisting of African American, Latina and Asian and Pacific Islander MTF transgenders (N = 48) who reside or work in San Francisco, California. Participants were likely to report having unprotected sex with primary partners to signify love and emotional connection, as well as to receive gender va…
Social Factors Related to Risk for Violence and Sexually Transmitted Infections/HIV Among Asian Massage Parlor Workers in San Francisco
HIV Risk Behaviors Among Male-to-Female Transgender Persons of Color in San Francisco
Objectives. The authors examined HIV risk behaviors among African American, Asian/Pacific Islander (API), and Latina male-to-female (MTF) transgender persons in order to improve HIV prevention programs. Methods. Individual survey interviews with MTF transgender persons of color (n = 332; 112 African Americans, 110 Latinas, and 110 APIs) were conducted. Results. Prevalence and correlates of receptive anal sex and unprotected receptive anal sex (UR…
The Impact of Exposure to Transphobia on HIV Risk Behavior in a Sample of Transgendered Women of Color in San Francisco
Health and Social Services for Male-to-Female Transgender Persons of Color in San Francisco
This article presents findings from an investigation of health needs, service utilization, and perceived barriers to services among male-to-female (MtF) transgender persons of color in San Francisco. Focus groups (n = 48) and survey interviews (n = 332) were conducted with convenience samples recruited from the community. Participants reported a range of health and social services needed during the previous year, with African-Americans and Latina…
Promoting Health for Transgender Women
Transgender women are at high risk for HIV, substance abuse, and mental health problems. We describe a health promotion intervention program tailored to transgender women in San Francisco. The program creates a safe space for providing transgender-sensitive education about HIV risk reduction, substance abuse prevention, and general health promotion. Transgender health educators conduct workshops and make referrals to appropriate substance abuse t…
Attempted suicide, psychological health and exposure to harassment among Japanese homosexual, bisexual or other men questioning their sexual orientation recruited via the internet
Objective: To investigate the rates of attempted suicide and its association with psychological distress, experiences of bullying and verbal harassment, and demographic characteristics among Japanese homosexual, bisexual or other men questioning their sexual orientation. Design: A cross-sectional design using Japanese participants recruited through the internet. Results: Of the 1025 respondents, 154 (15%) of the men reported a history of attempte…
Need for HIV/Aids Education and Intervention for MTF Transgenders
The purpose of this paper is to report on the use of qualitative and quantitative research to develop an HIV/AIDS education intervention for MTF transgenders. Findings revealed that MTF transgenders have high prevalence of adverse health outcomes such as HIV, substance use, and psychological problems. MTF transgenders of color-African American, Latina, and Asian Pacific Islanders-experience heightened risk due to multiple stigmas associated with …
Psychological distress amongst Aids‐orphaned children in urban South Africa
Background: South Africa is predicted to have 2.3 million children orphaned by Acquired Immune Deficiency Syndrome (AIDS) by 2020 (). There is little knowledge about impacts of AIDS‐related bereavement on children, to aid planning of services. This study aimed to investigate psychological consequences of AIDS orphanhood in urban township areas of Cape Town, South Africa, compared to control groups of children and adolescents orphaned by other cau…
Men Who Have Sex with Transgender Women
Perceived Risks and Benefits of Sex Work among Transgender Women of Color in San Francisco
Sex Work and HIV Status Among Transgender Women
BACKGROUND: Transgender women are a key risk group for HIV, and epidemiologic studies have attributed high rates of HIV infection to behaviors associated with sex work in this population. This systematic review compared HIV prevalence among transgender female sex workers (TFSWs) with prevalence among transgender women who do not engage in sex work, male sex workers, and biologically female sex workers. METHODS: We conducted systematic searches of…
Effects of Stigma on the Mental Health of Adolescents Orphaned by Aids
Orphanhood and Completion of Compulsory School Education Among Young People in South Africa
We examined the association of orphanhood and completion of compulsory school education among young people in South Africa. In South Africa, school attendance is compulsory through grade 9, which should be completed before age 16. However, family and social factors such as orphanhood and poverty can hinder educational attainment. Participants were 10,452 16–24‐year‐olds who completed a South African national representative household survey. Overa…
Inter-generational Linkages of Aids
Dual identity among gay Asian Pacific Islander men
This paper examines the complexity associated with having two potentially conflicting social identities in the USA: being Asian Pacific Islander and being gay. Twenty-five gay Asian Pacific Islander men completed individual interviews regarding their racial and sexual identities and the intersection between the two. Data analysis revealed diversity in ways by which individuals integrated their dual identities and expressed themselves to others; p…
Intervention to train physicians in rural China on HIV/STI knowledge and risk reduction counseling
We evaluated an intervention to train physicians in rural China on knowledge of HIV/STI prevention, diagnosis, treatment options, and HIV/STI behavioral risk reduction counseling. This paper reports preliminary findings related to feasibility and acceptability of the program. Using a pre-post design, 69 physicians were recruited from rural county hospitals and participated in a 10-day group training program, followed by two months of clinical fie…
Poverty and psychological health among Aids-orphaned children in Cape Town, South Africa
This study examined associations between AIDS-orphanhood status, poverty indicators, and psychological problems (depression, anxiety, post-traumatic stress, peer problems, delinquency, conduct problems) among children and adolescents in townships surrounding Cape Town, South Africa. One thousand and twenty-five children and adolescents completed standardized and culturally sensitive cross-sectional surveys. Children orphaned by AIDS had more psyc…
Caring for Aids-orphaned children
Sexual Risk and Substance Use Behaviors Among African American Men Who Have Sex with Men and Women
"Moving beyond "the Down Low
HIV in Transgender Communities
Transgender communities are among the groups at highest risk for HIV infection in the United States. Using syndemic theory, we examine how HIV risk in transgender communities is embedded in multiple co-occurring public health problems, including poor mental health, substance use, violence and victimization, discrimination, and economic hardship. Although safer sex counseling and testing programs are essential platforms for HIV intervention, these…
Medicine (120 obras) · Psychology (101 obras) · HIV/AIDS Research and Interventions (84 obras) · Family medicine (66 obras) · Psychiatry (66 obras) · Public health (58 obras) · Environmental health (57 obras) · Men who have sex with men (56 obras) · Sociology (56 obras) · LGBTQ Health, Identity, and Policy (55 obras)