We examined individual- and community-level influences on domestic violence in Uttar Pradesh, North India.Multilevel modeling was used to explore outcomes among a sample of 4520 married men.Recent physical sexual associated with the individual-level variables childlessness, economic pressure, intergenerational transmission violence. A community environment violent crime elevated risks both Community-level norms concerning wife beating were significantly related only violence.Important...

Prior studies have noted significant health disadvantages experienced by LGBT (lesbian, gay, bisexual, and transgender) populations in the US. While several identified that fears or experiences of stigma disclosure sexual orientation and/or gender identity to care providers are barriers utilization for people, these concentrated almost exclusively on urban samples. Little is known about impact specifically rural populations, who may less access quality, LGBT-sensitive than people centers.

Online focus group discussions (FGDs) are becoming popular as a qualitative research method. Methodological examinations regarding the data quality of online versus more traditional in-person FGDs limited. We compared two with conducted gay and bisexual men using sensitive topic (the experience intimate partner violence) to examine differences in between methods. The resulted larger word count but were shorter time than FGDs. There was high overlap themes generated across groups; however,...

This paper presents data from a recent cross-sectional survey of gay, bisexual and other men who have sex with (GBMSM) in the US, to understand changes sexual behavior access HIV prevention options (i.e. condoms pre-exposure prophylaxis (PrEP)) during COVID-19 lockdown period. The Love Sex Time was conducted online April May, 2020. GBMSM were recruited through advertisements featured on social networking platforms, recruiting sample size 518 GBMSM. Analysis considers three self-reported...

Previous studies of maternal health-seeking behavior focused on individual- and household-level factors. We examined community-level influences the decision to deliver a child in health facility across 6 African countries.

We examined the role of community-level factors in explaining geographic variations modern contraceptive use 6 African countries.We analyzed Demographic and Health Survey contextual data sources with multilevel modeling techniques to identify contributing women's contraceptives.We found significant associations between several reported methods. also identified pathways influence community individual.Aspects a community's sociocultural economic environment appear woman's

This paper uses data collected using in-depth, semi-structured interviews to examine utilization of maternal health care services among two rural and urban populations Pune Mumbai in Maharashtra, India. The study aims identify key social, economic cultural factors influencing women’s decisions use the places used for child delivery, whilst considering accessibility facilities available local area. Socioeconomic status was not found be a barrier service when women perceived benefits outweigh...

We examined the effect of physical violence during pregnancy on perinatal and early-childhood mortality.

This study examines the relationship between male-to-female physical domestic violence and unwanted pregnancy among women in three economically culturally diverse areas of India. A central methodological focus is examination retrospective prospective measures unwantedness, contrasting their usefulness for specifying levels its with violence. Data from India's 1998-99 National Family Health Survey a 2002-03 follow-up survey which four states were reinterviewed are analyzed, factors associated...

Men who have sex with men (MSM) are the group most impacted by human immunodeficiency virus (HIV) epidemic and only subgroup in United States among which new HIV diagnoses not decreasing. To achieve US National HIV/AIDS (acquired syndrome) Strategy goals of reducing 25%, high (eg, 30-50%) coverage multiple prevention interventions is needed both urban rural areas. Mobile phone "apps" an important channel through services could be provided at scale low marginal cost.

Research on sexual violence and related support services access has mainly focused female victims; there is still a remarkable lack of research men who experience violence. demonstrates that people both self-identify as are members sexual-orientation minority populations at higher risk They also less likely to either report or seek such experiences. The present study an exploratory one aimed filling the gap in literature better understanding how men, straight gay well cisgender transgender,...

Purpose: Although transgender people may be at increased risk for a range of health problems, they have been the subject relatively little research. An important step toward expanding evidence base is to understand and address reasons nonparticipation dropout. The aim this study was explore perceptions barriers facilitators participation in research among sample San Francisco, CA, Atlanta, GA. Methods: Twelve in-person focus groups (FGs) were conducted; six (three with transwomen, three...

Social stress resulting from stigma, prejudice, and discrimination-"minority stress"-negatively impacts sexual minority individuals' health relational well-being. The present study examined how being in a same-sex couple can result exposure to unique stressors not accounted for at the individual level. Relationship timeline interviews were conducted with 120 couples equally distributed across two sites (Atlanta San Francisco), gender (male female), relationship duration (at least six months...

Purpose: Sexual minority individuals have heightened risk for substance use; however, previous studies not assessed severity of alcohol use disorders (AUDs), tobacco (TUDs), and drug (DUDs) among lesbian/gay bisexual those "not sure" their sexual identity compared with heterosexual individuals. This study examined how three dimensions orientation (identity, attraction, behavior) relate to AUD, TUD, DUD. Methods: used cross-sectional national data (N = 36,309) from the National Epidemiologic...

Despite investment in family planning programs and education, unmet need for remains high among young women (aged 15–24) low middle-income countries, increasing the risk unwanted pregnancies adverse social reproductive health outcomes. There is a dearth of cross-national research that identifies differential impact community level factors youth countries (LMICs), which imperative design structural interventions aimed at use. Grounded socio-ecological framework, this paper utilizes...

HIV prevalence remains high among men who have sex with (MSM) in the United States, yet majority of research has focused on MSM as individuals, not dyads, and discussed risks primarily context casual sex. Nexus is an online prevention program that combines home-based testing couples counseling (CHTC). It allows partners dyadic relationships to receive care comfort their designated residence, via video-based chat. By using technologies (eg, VSee video chat), male support from a remote...

Importance: While the literature documenting health disparities has advanced in recent decades, less is known about pattern of racial/ethnic emergency care United States. Objective: To describe trends and differences outcomes resource utilization among groups US for adult patients over a 12-year period. Design, Setting, Participants: This cross-sectional study department (ED) data from nationally representative National Hospital Ambulatory Medical Survey (NHAMCS) examined multiple dimensions...