George Ayala

ORCID: 0000-0003-2255-7582
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About
Contact & Profiles
Research Areas
  • HIV/AIDS Research and Interventions
  • LGBTQ Health, Identity, and Policy
  • HIV, Drug Use, Sexual Risk
  • Sex work and related issues
  • Adolescent Sexual and Reproductive Health
  • African Sexualities and LGBTQ+ Issues
  • Homelessness and Social Issues
  • Racial and Ethnic Identity Research
  • Food Security and Health in Diverse Populations
  • Human Rights and Development
  • Reproductive Health and Technologies
  • Obesity and Health Practices
  • Social Policy and Reform Studies
  • Poverty, Education, and Child Welfare
  • Health Policy Implementation Science
  • Herpesvirus Infections and Treatments
  • Sexuality, Behavior, and Technology
  • Poxvirus research and outbreaks
  • Social Media and Politics
  • Migration, Health and Trauma
  • Names, Identity, and Discrimination Research
  • Anthropological Studies and Insights
  • Radioactive Decay and Measurement Techniques
  • Gender, Feminism, and Media
  • Public Health and Environmental Issues

George Washington University
2022-2024

Alameda County Public Health Department
2021-2023

United Nations University Institute for Water, Environment, and Health
2022

University of Toronto
2022

California State University, San Marcos
2021

Global Forum for Health Research
2012-2020

AIDS United
2018

United States Agency for International Development
2018

Zero to Three
2016

APLA Health
2003-2012

OBJECTIVES: This study assessed the relation between experiences of social discrimination (homophobia, racism, and financial hardship) symptoms psychologic distress (anxiety, depression, suicidal ideation) among self-identified gay bisexual Latino men in United States. METHODS: Data were collected from a probability sample 912 (self-identified as both nonheterosexual) recruited venues public spaces identified cities Miami, Los Angeles, New York. RESULTS: The showed high prevalence rates...

10.2105/ajph.91.6.927 article EN American Journal of Public Health 2001-06-01

There is an urgent need to measure the impacts of COVID-19 among gay men and other who have sex with (MSM). We conducted a cross-sectional survey global sample MSM (n = 2732) from April 16, 2020 May 4, 2020, through social networking app. characterized economic, mental health, HIV prevention treatment response, examined whether sub-groups our study population are disproportionately impacted by COVID-19. Many not only reported economic health consequences, but also interruptions testing, care...

10.1007/s10461-020-02969-0 article ES other-oa AIDS and Behavior 2020-07-11

Based on data from a probability sample of 912 Latino gay men in 3 U.S. cities, multivariate model sexual risk was tested, including experiences homophobia, racism, and poverty as predictors. Participants reported multiple instances verbal physical abuse, rude mistreatment, discrimination account their orientation race or ethnicity. Many poverty, such inability to pay for basic necessities food shelter. Men who more social financial hardship were psychologically distressed likely participate...

10.1037/1099-9809.10.3.255 article EN Cultural Diversity & Ethnic Minority Psychology 2004-08-01

We examined the impact of social discrimination and financial hardship on unprotected anal intercourse with a male sex partner serodiscordant or unknown HIV status in past 3 months among 1081 Latino 1154 Black men who have (MSM; n = 2235) residing Los Angeles County, California; New York, York; Philadelphia, Pennsylvania.

10.2105/ajph.2011.300641 article EN American Journal of Public Health 2012-03-08

We examined the associations between specific types and sources of discrimination mental health outcomes among US racial/ethnic minority men who have sex with (MSM) how these varied by race/ethnicity.A chain-referral sample 403 African American, 393 Asian Pacific Islander (API), 400 Latino MSM recruited in Los Angeles County, California completed a standardized questionnaire. Data were obtained from Ethnic Minority Men's Health Study May 2008 to October 2009.Past-year experiences racism...

10.2105/ajph.2012.301052 article EN American Journal of Public Health 2013-03-14

Introduction. Men who have sex with men (MSM) are disproportionately impacted by HIV globally. Easily accessible combination prevention strategies, tailored to the needs of MSM, needed effectively address AIDS pandemic. Methods and Materials. We conducted a cross-sectional study among MSM (n = 3748) from 145 countries April August 2012. Using multivariable random effects models, we examined factors associated acceptability preexposure prophylaxis (PrEP) access condoms, lubricants, testing,...

10.1155/2013/953123 article EN cc-by Journal of Sexually Transmitted Diseases 2013-07-08

We examined the relationship among social discrimination, violence, and illicit drug use an ethnically diverse cohort of young men who have sex with (YMSM) residing in Los Angeles. Five Hundred twenty-six YMSM (aged 18–24 years) were recruited using a venue-based, stratified probability sampling design. Surveys assessed childhood financial hardship, violence (physical assault, sexual intimate partner violence), discrimination (homophobia racism), past 3 months. Analyses main interaction...

10.1521/aeap.2010.22.4.286 article EN AIDS Education and Prevention 2010-08-01

Despite widespread recognition that experiences of social discrimination can lead to poor physical and mental health outcomes for members minority groups, little is known about how U.S. ethnic men who have sex with (MSM) manage their racism homophobia. We conducted six focus group discussions (n = 50) 35 in-depth interviews African American, Latino, Asian Pacific Islander MSM (aged 18 or older) recruited in Los Angeles. This process revealed five strategies color employed order mitigate the...

10.1521/aeap.2011.23.2.145 article EN AIDS Education and Prevention 2011-04-01

We evaluated the relationship among syndemic conditions (defined as a cluster of interconnected psychosocial health conditions), sexual behaviours and self-reported HIV infection in global sample men who have sex with (MSM).We used generalised estimating equations logistic regression models robust SEs to assess relationships cumulative number conditions--including depression, substance use, violence, stigma homelessness--and unprotected anal intercourse (UAI) infection, while accounting for...

10.1136/sextrans-2013-051318 article EN Sexually Transmitted Infections 2014-01-15

The explosive growth in Internet use by men who have sex with (MSM) to find sexual partners has been noted the research literature. However, little attention given impact of participating this online marketplace for MSM color, despite race and ethnicity as frequently used selection criterion personal ads or profiles. Six focus group discussions (n = 50) 35 in-depth qualitative interviews were conducted African American, Latino, Asian Pacific Islander Los Angeles, which included discussion...

10.1080/00224490903244575 article EN The Journal of Sex Research 2009-09-30

Although previous research has examined barriers and facilitators of HIV testing among men who have sex with (MSM) in China, few studies focused on social factors, including homophobia internalized homophobia. This study utilized data from a global online survey to determine correlates as part subanalysis Chinese MSM. Controlling for age, knowledge, number sexual partners, other covariates, ever having tested was significantly correlated lower suggests that stigma associated orientation may...

10.1177/1010539514524434 article EN Asia Pacific Journal of Public Health 2014-02-18

Introduction Free or low‐cost HIV testing, condoms, and lubricants are foundational prevention strategies, yet often inaccessible for men who have sex with (MSM). In the global context of stigma poor healthcare access, transgender (trans) MSM may face additional barriers to services. Drawing on data from a survey MSM, we aimed describe perceived access services among trans examine associations between compare cisgender (non‐transgender) MSM. Methods The 2014 Global Men's Health Rights online...

10.7448/ias.19.3.20779 article EN cc-by Journal of the International AIDS Society 2016-07-01

This article examines the sociodemographic/behavioral variables associated with low peer support of condom use and relation between unprotected anal sex for Black Latino MSM in cities heavily impacted by HIV/AIDS epidemic. Our findings indicate that perceived is increased odds recent intercourse (UAI) among MSM, regardless male partner type. Although many participants reported having high use, this analysis highlights a considerable subgroup 21% 30%, respectively, who report condoms. Given...

10.1521/aeap.2010.22.5.430 article EN AIDS Education and Prevention 2010-10-01

Gay, bisexual, and other cisgender men who have sex with (GBMSM) are disproportionately affected by the HIV pandemic. Traditionally, GBMSM been deemed less relevant in epidemics low- middle-income settings where more generalized. This is due (in part) to how important population size estimates regarding number of individuals identify as informing development monitoring prevention, treatment, care programs coverage. However, pervasive stigma criminalization same-sex practices relationships...

10.2196/publichealth.9321 article EN cc-by JMIR Public Health and Surveillance 2018-02-08

Abstract There is an urgent need to measure the impacts of COVID-19 among gay men and other who have sex with (MSM). We conducted a cross-sectional survey global sample MSM (n= 2732) from April 16, 2020 May 4, 2020, through social networking app. characterized economic, mental health, HIV prevention treatment response, examined whether subgroups our study population are disproportionately impacted by COVID-19. Many not only reported economic health consequences, but also interruptions...

10.21203/rs.3.rs-33958/v1 preprint EN cc-by Research Square (Research Square) 2020-06-09

Gay and bisexual men are 26 times more likely to acquire HIV than other adult represent nearly 1 in 4 new infections worldwide. There is concern that the COVID-19 pandemic may be complicating efforts prevent infections, reduce AIDS-related deaths, expand access services. The impact of on gay men's ability services not fully understood.

10.2196/33538 article EN cc-by JMIR Public Health and Surveillance 2022-04-01
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