{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T19:38:54Z","timestamp":1783021134467,"version":"3.54.6"},"reference-count":67,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Providence\/Boston Center for AIDS Research","award":["P30AI042853"],"award-info":[{"award-number":["P30AI042853"]}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"crossref","award":["R01DA042805"],"award-info":[{"award-number":["R01DA042805"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["LGBT Health"],"published-print":{"date-parts":[[2026,6,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>This study sought to identify latent classes of psychosocial adversity among men who have sex with men (MSM)\u00a0who\u00a0use\u00a0stimulants, examine sociodemographic correlates of class membership, and assess differences in health service utilization across classes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This secondary analysis used baseline data from 205 MSM who\u00a0use\u00a0stimulants\u00a0in Boston, Massachusetts, and Miami, Florida (March 2018\u2013March 2024). Latent class analysis was applied to identify patterns of psychosocial adversity based on childhood sexual abuse (CSA), four forms of interpersonal violence (IPV), and three types of sexual minority stress. Sociodemographic characteristics included age, sexual orientation, race and ethnicity, and socioeconomic status. Outcomes were binary (any\/none) indicators of mental health care, substance use care, emergency department (ED) encounters, and inpatient admissions in the past 4 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A three-class solution was selected: Low Psychosocial Adversity (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 107; 52.2%), Past-Year IPV-sexual orientation discrimination (SOD;\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 56; 27.3%), and Prior IPV-CSA (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 42; 20.5%). Lower socioeconomic status was associated with higher odds of membership in the Past-Year IPV-SOD class compared with the Low Psychosocial Adversity class (odds ratio = 2.30; 95% confidence interval = 1.04\u20135.23,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.046). In exploratory pairwise comparisons, participants in the Prior IPV-CSA class had a higher prevalence of any ED encounters (47.6%) than those in the Low Psychosocial Adversity class (28.1%; \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      [1,204] = 4.44;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.035).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Among MSM who use stimulants, configurations of psychosocial adversity varied by sociodemographic context, with socioeconomic status distinguishing patterns of adversity, and showed limited differentiation in health service utilization. These findings underscore the role of structural conditions and support syndemic-informed, person-centered approaches to inform more equitable prevention and service strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23258292261444749","type":"journal-article","created":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T09:48:41Z","timestamp":1781603321000},"page":"248-258","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Psychosocial Adversity and Health Service Utilization Among Men Who Have Sex with Men Who Use Stimulants: A Latent Class Analysis"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5826-3589","authenticated-orcid":false,"given":"Daniel","family":"Mayo","sequence":"first","affiliation":[{"name":"Department of Behavioral and Social Sciences, School of Public Health, Brown University, Providence, Rhode Island, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven A.","family":"Safren","sequence":"additional","affiliation":[{"name":"Department of Psychology, College of Arts and Sciences, University of Miami, Coral Gables, Florida, USA."},{"name":"The Fenway Institute, Fenway Health, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew J.","family":"Mimiaga","sequence":"additional","affiliation":[{"name":"The Fenway Institute, Fenway Health, Boston, Massachusetts, USA."},{"name":"Center for LGBTQ Advocacy, Research and Health, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, California, USA."},{"name":"Department of Epidemiology, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, California, USA."},{"name":"Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David W.","family":"Pantalone","sequence":"additional","affiliation":[{"name":"The Fenway Institute, Fenway Health, Boston, Massachusetts, USA."},{"name":"Department of Psychology, College of Liberal Arts, University of Massachusetts Boston, Boston Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth H.","family":"Mayer","sequence":"additional","affiliation":[{"name":"The Fenway Institute, Fenway Health, Boston, Massachusetts, USA."},{"name":"Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie B.","family":"Biello","sequence":"additional","affiliation":[{"name":"Department of Behavioral and Social Sciences, School of Public Health, Brown University, Providence, Rhode Island, USA."},{"name":"The Fenway Institute, Fenway Health, Boston, Massachusetts, USA."},{"name":"Department of Epidemiology, School of Public Health, Brown University, Providence, Rhode Island, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,16]]},"reference":[{"key":"e_1_3_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-0-387-74539-8_1"},{"key":"e_1_3_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2024.107988"},{"key":"e_1_3_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2023.104271"},{"key":"e_1_3_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dadr.2025.100333"},{"key":"e_1_3_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2020.12.023"},{"key":"e_1_3_8_7_1","doi-asserted-by":"publisher","DOI":"10.3109\/01612840.2015.1021938"},{"key":"e_1_3_8_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/emermed-2020-209550"},{"key":"e_1_3_8_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/00952990.2021.1979990"},{"key":"e_1_3_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/dar.13941"},{"key":"e_1_3_8_11_1","first-page":"1","volume-title":"Handbook of substance misuse and addictions","author":"Lodge W","year":"2022","unstructured":"10.LodgeWII, , BielloK, , ValentePK et al. 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