Farzana Kapadia

Farzana Kapadia
Professor of Epidemiology
Director of Undergraduate Programs
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Professional overview
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Dr. Farzana Kapadia is Professor of Epidemiology and Population Health at the NYU School of Global Public Health and at the NYU Grossman School of Medicine, Department of Population Health. Dr. Kapadia is also affiliated with the Institute of Human Development and Social Change and Population Center at NYU.
Dr. Kapadia has long standing research interests in understanding the social and structural drivers of HIV/STIs as well as sexual and reproductive health outcomes in underserved and marginalized populations. Dr. Kapadia has over 20 years of experience in the design, development, and implementation of observational studies and HIV/STI intervention and prevention trials in underserved and marginalized populations in urban settings, both in the US and in Africa (Ghana and Kenya).
Dr. Kapadia has a passion for teaching and mentoring. She teaches the core Epidemiology for in-coming MPH students and has also taught key epidemiology courses, including Intermediate Epidemiology and Outbreak Epidemiology at GPH as well as an HIV-related course at NYU London. The overarching goal of Dr. Kapadia’s teaching is to train students to become epidemiologists and public health practitioners who are critical and creative thinkers as well as champions and advocates for inclusive solutions to our local and global public health challenges.
In addition to her research and teaching responsibilities, Dr. Kapadia serves as the Deputy Editor for the American Journal of Public Health.
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Education
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BS, Biology and History, SUNY Binghamton, Binghamton, NYMPH, Community Public Health, New York University, New York, NYPhD, Epidemiology, Columbia University, New York, NY
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Honors and awards
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Excellence in Public Health Faculty Award, New York University (2012)Steinhardt Goddard Award (2011)Community Collaborative Award, Steinhardt School of Culture, Education and Human Development (2009)Elected Member, American College of Epidemiology (2007)
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Areas of research and study
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Behavioral Determinants of HealthBehavioral ScienceEpidemiologyHIV/AIDSReproductive HealthSocial BehaviorsSocial Determinants of HealthSocial epidemiologySubstance Abuse
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Publications
Publications
1981-2021 : HIV and Our World
Landers, S., Kapadia, F., & Bowleg, L. (n.d.).Publication year
2021Journal title
American journal of public healthVolume
111Issue
7Page(s)
1180-1182Abstract~50 years after stonewall, the LGBTQ health movement embodies empowerment, expertise, and energy
Landers, S., & Kapadia, F. (n.d.).Publication year
2019Journal title
American journal of public healthVolume
109Issue
6Page(s)
849-850Abstract~A Case of Rectal Ureaplasma Infection and Implications for Testing in Young Men Who Have Sex with Men : The P18 Cohort Study
Abbott, C. E., Greene, R. E., Kapadia, F., & Halkitis, P. N. (n.d.).Publication year
2017Journal title
LGBT healthVolume
4Issue
2Page(s)
161-163AbstractUreaplasma is a significant cause of nongonococcal urethritis. This is a case of rectal Ureaplasma found on culture in a young man who has sex with men not previously reported in the literature. Nucleic acid amplification tests are now standard of care for sexually transmitted infection testing, but they do not test for Ureaplasma and, therefore, may be missing important infections. Ureaplasma could have important implications in urethritis and rectal HIV transmission among men who have sex with men engaging in condomless anal intercourse. Further study of Ureaplasma's role as a rectal pathogen may be warranted.A case of rectal Ureaplasma infection: molecular testing for STIs may be missing important infections in young men who have sex with men (YMSM): the P18 cohort study
Abbott, C., Greene, R. E., Kapadia, F., & Halkitis, P. N. (n.d.).Publication year
2016Journal title
LGBT HealthAbstract~A longitudinal analysis of suicide ideation in emerging adult men who have sex with men
Siconolfi, D. E., Latkin, C., Wilcox, H., Kapadia, F., & Halkitis, P. N. (n.d.).Publication year
2016Journal title
Archives of Suicide ResearchAbstract~A Longitudinal Investigation of Syndemic Conditions Among Young Gay, Bisexual, and Other MSM : The P18 Cohort Study
Halkitis, P. N., Kapadia, F., Bub, K. L., Barton, S., Moreira, A. D., & Stults, C. B. (n.d.).Publication year
2015Journal title
AIDS and BehaviorVolume
19Issue
6Page(s)
970-980AbstractThe persistence of disparities in STI/HIV risk among a new generation of emerging adult gay, bisexual, and other men who have sex with men (YMSM) warrant holistic frameworks and new methodologies for investigating the behaviors related to STI/HIV in this group. In order to better understand the continued existence of these disparities in STI/HIV risk among YMSM, the present study evaluated the presence and persistence of syndemic conditions among YMSM by examining the co-occurrence of alcohol and drug use, unprotected sexual behavior, and mental health burden over time. Four waves of data, collected over the first 18 months of a 7 wave, 36-month prospective cohort study of YMSM (n = 600) were used to examine the extent to which measurement models of drug use, unprotected sexual behavior, and mental health burden remained consistent across time using latent class modeling. Health challenges persisted across time as these YMSM emerged into young adulthood and the measurement models for the latent constructs of drug use and unprotected sexual behavior were essentially consistent across time whereas models for mental health burden varied over time. In addition to confirming the the robustness of our measurement models which capture a more holistic understandings of the health conditions of drug use, unprotected sex, and mental health burden, these findings underscore the ongoing health challenges YMSM face as they mature into young adulthood. These ongoing health challenges, which have been understood as forming a syndemic, persist over time, and add further evidence to support ongoing and vigilant comprehensive health programming for sexual minority men that move beyond a sole focus on HIV.A mixed-methods evaluation of an HIV pre-exposure prophylaxis educational intervention for healthcare providers in a NYC safety-net hospital-based obstetrics and gynecology clinic
Oot, A., Kapadia, F., Moore, B., Greene, R. E., Katz, M., Denny, C., & Pitts, R. (n.d.).Publication year
2024Journal title
AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIVAbstractCisgender women and transgender men are less likely to be assessed for PrEP eligibility, prescribed PrEP, or retained in PrEP care. Thus, this pilot PrEP educational intervention was tailored for healthcare providers (HCPs) in obstetrics/gynecology who provide care to cisgender women and transgender men in an academically-affiliated, public hospital women’s health clinic. The three-lecture educational curriculum designed for HCPs focused on PrEP eligibility and counseling, formulations and adherence, and prescription and payment assistance programs. Pre- and post-intervention surveys assessed HCP knowledge and barriers to PrEP counseling and prescription. Among n = 49 participants (mean age = 32.8 years; 85.7% cisgender women, mean years practicing = 4.2 years) pre-intervention, 8.7% had prior PrEP training and 61.2% felt very/somewhat uncomfortable prescribing PrEP. Post-intervention, knowledge of PrEP contraindications, eligibility, follow-up care, and assistance programs all increased. HCPs identified key barriers to PrEP care including lack of a dedicated PrEP navigator, culturally and linguistically appropriate patient materials on PrEP resources/costs, and PrEP-related content integrated into EHRs. Ongoing PrEP educational sessions can provide opportunities to practice PrEP counseling, including information on financial assistance. At the institutional level, incorporating PrEP screening in routine clinical practice via EMR prompts, facilitating PrEP medication monitoring, and enhancing telehealth for follow-up care could enhance PrEP prescription.A peer-education intervention to reduce injection risk behaviors for HIV and hepatitis C virus infection in young injection drug users
Garfein, R. S., Golub, E. T., Greenberg, A. E., Hagan, H., Hanson, D. L., Hudson, S. M., Kapadia, F., Latka, M. H., Ouellet, L. J., Purcell, D. W., Strathdee, S. A., & Thiede, H. (n.d.).Publication year
2007Journal title
AIDSVolume
21Issue
14Page(s)
1923-1932AbstractOBJECTIVES: To evaluate whether a behavioral intervention, which taught peer education skills, could reduce injection and sexual risk behaviors associated with primary HIV and hepatitis C virus infection (HCV) among young injection drug users (IDU). DESIGN: We conducted a randomized controlled trial involving HIV and HCV antibody-negative IDU, aged 15-30 years, recruited in five United States cities. A six-session, small-group, cognitive behavioral, skills-building intervention in which participants were taught peer education skills (n = 431) was compared with a time-equivalent attention control (n = 423). Baseline visits included interviews for sociodemographic, psychosocial, and behavioral factors during the previous 3 months; HIV and HCV antibody testing; and pre/posttest counselling. Procedures were repeated 3 and 6 months postintervention. RESULTS: The intervention produced a 29% greater decline in overall injection risk 6 months postintervention relative to the control [proportional odds ratio 0.71; 95% confidence limit (CL) 0.52, 0.97], and a 76% decrease compared with baseline. Decreases were also observed for sexual risk behaviors, but they did not differ by trial arm. Overall HCV infection incidence (18.4/100 person-years) did not differ significantly across trial arms (relative risk 1.15; 95% CL 0.72, 1.82). No HIV seroconversions were observed. CONCLUSION: Interventions providing information, enhancing risk-reduction skills, and motivating behavior change through peer education training can reduce injection risk behaviors, although risk elimination might be necessary to prevent HCV transmission.A qualitative investigation of healthcare engagement among young adult gay men in New York City : A P18 cohort substudy
Griffin, M., Krause, K. D., Kapadia, F., & Halkitis, P. N. (n.d.).Publication year
2018Journal title
LGBT healthVolume
5Issue
6Page(s)
368-374AbstractPurpose: We used in-depth interviews with a cohort of young adult gay men (YAGM) to provide a more detailed understanding of their current healthcare engagement, including experiences with the healthcare system, provider knowledge of healthcare needs, and desired provider characteristics. Methods: Qualitative interviews were conducted with a sample of 40 YAGM in New York City. The interview guide examined healthcare engagement across key developmental stages: Childhood (birth-12), adolescence (13-18), young adulthood (19-22), and the present (23-26). All transcripts were coded using a consensual qualitative research approach to identify crosscutting topics. The interviews were conducted between September and October 2015. Results: The following topics were identified: Experiences with the healthcare system, provider knowledge of healthcare needs, and desired provider characteristics. Common barriers to healthcare access were financial concerns, lack of insurance, and dissatisfaction with the care provided. Reasons for dissatisfaction with care were based on perceptions of providers' anti-gay attitudes, judgment of same-sex sexual behavior, and lack of provider knowledge about YAGM's health needs. This often led men in this study to seek sexual healthcare from providers other than their primary care provider. When asked about desired provider characteristics, participants noted that basic demographics were of less importance than skills-based characteristics such as rapport, comfort discussing sexual health issues, and knowledge of YAGM's health. Conclusion: YAGM have unique challenges to engaging in healthcare, including provider stigma and lack of provider knowledge of YAGM's health needs, which are not faced by other young adult populations. The results from this study highlight the need for more extensive and standardized training in medical school and as part of continuing medical education for healthcare providers.A randomized intervention trial to reduce the lending of used injection equipment among injection drug users infected with hepatitis C
Latka, M. H., Hagan, H., Kapadia, F., Golub, E. T., Bonner, S., Campbell, J. V., Coady, M. H., Garfein, R. S., Pu, M., Thomas, D. L., Thiel, T. K., & Strathdee, S. A. (n.d.).Publication year
2008Journal title
American journal of public healthVolume
98Issue
5Page(s)
853-861AbstractObjectives. We evaluated the efficacy of a peer-mentoring behavioral intervention designed to reduce risky distributive injection practices (e.g., syringe lending, unsafe drug preparation) among injection drug users with hepatitis C virus (HCV) infection. Methods. A randomized trial with a time-equivalent attention-control group was conducted among 418 HCV-positive injection drug users aged 18 to 35 years in 3 US cities. Participants reported their injection-related behaviors at baseline and at 3- and 6-month follow-ups. Results. Compared with the control group, intervention-group participants were less likely to report distributive risk behaviors at 3 months (odds ratio [OR]=0.46; 95% confidence interval [CI]=0.27, 0.79) and 6 months (OR=0.51; 95% CI=0.31, 0.83), a 26% relative risk reduction, but were no more likely to cite their HCV-positive status as a reason for refraining from syringe lending. Effects were strongest among intervention-group participants who had known their HCVpositive status for at least 6 months. Peer mentoring and self-efficacy were significantly increased among intervention-group participants, and intervention effects were mediated through improved self-efficacy. Conclusions. This behavioral intervention reduced unsafe injection practices that may propagate HCV among injection drug users.Abortion Care Is Health Care : A Public Health of Consequence, September 2022
Kapadia, F. (n.d.).Publication year
2022Journal title
American journal of public healthVolume
112Issue
9Page(s)
1242-1244Abstract~Abortion Reform in South Africa : A Case Study of the 1996 Choice on Termination of Pregnancy Act
Guttmacher, S., Kapadia, F., Naude, J. T., & De Pinho, H. (n.d.).Publication year
1998Journal title
International Family Planning PerspectivesVolume
24Issue
4Page(s)
191-194Abstract~Acceptability of ecological momentary assessment among young men who have sex with men
Duncan, D. T., Kapadia, F., Kirchner, T. R., Goedel, W. C., Brady, W. J., & Halkitis, P. N. (n.d.).Publication year
2017Journal title
Journal of LGBT YouthVolume
14Issue
4Page(s)
436-444AbstractThe study evaluated the acceptability of text message– and voice-based ecological momentary assessment (EMA) methods among a sample (N = 74) of young men who have sex with men (MSM). We assessed the acceptability of text message– and voice-based EMA methods. Almost all participants (96%) reported that they would be willing to accept texts on their smartphone to answer questions about their current mood, surroundings, or feelings. A large majority (89%) also reported being willing to accept phone calls to answer these questions. This work suggests that different EMA methods are acceptable for use among young MSM.Acceptability of prep uptake among racially/ethnically diverse young men who have sex with men : The p18 study
Pérez-Figueroa, R. E., Kapadia, F., Barton, S. C., Eddy, J. A., & Halkitis, P. N. (n.d.).Publication year
2015Journal title
AIDS Education and PreventionVolume
27Issue
2Page(s)
112-125AbstractPre-exposure prophylaxis (PrEP) is considered an effective biomedical approach for HIV prevention. However, there is limited understanding of PrEP uptake among racially/ethnically and socioeconomically diverse young men who have sex with men (YMSM). This study examined attitudes and perceptions toward PrEP uptake among YMSM by conducting semistructured interviews with a sample (N 100) of YMSM in New York City. Thematic analysis was employed to explore key issues related to attitudes and perceptions toward PrEP utilization. Findings suggest that self-perceived risk for HIV transmission, enjoying unprotected sex, and being in a romantic relationship were associated with PrEP uptake. The most prominent barriers to PrEP uptake included costs, adherence regimen, and access. In summary, these findings underscore the importance of addressing behavioral and structural factors in maximizing the effectiveness of PrEP. In addition, PrEP implementation programs ought to consider the role of social and structural challenges to PrEP uptake and adherence among YMSM.Access to and experiences with healthcare in urban-dwelling young adult lesbian women in the United States
Griffin-Tomas, M., Jaiswal, J., Krause, K. D., Kapadia, F., & Halkitis, P. N. (n.d.).Publication year
2018Journal title
Culture, Health and SexualityAbstract~Access to Health Services Among Young Adult Gay Men in New York City
Griffin-Tomas, M., Cahill, S., Kapadia, F., & Halkitis, P. N. (n.d.).Publication year
2019Journal title
American Journal of Men's HealthVolume
13Issue
1AbstractThis research is a cross-sectional study of young adult gay men (YAGM), ages 18 to 29, that aims to understand their health-care access including: having a primary care provider (PCP), frequency of health-care visits, and instances of foregone health care. Surveys were conducted with a modified time-space sample of 800 YAGM in New York City (NYC). Surveys were conducted between November 2015 and June 2016. This study examined associations between sociodemographic characteristics and health-care access using multivariable logistic regression models. In multivariable logistic regression models, there were higher odds of having a PCP among participants enrolled in school (Adjusted Odds Ratio [AOR] = 1.85, 95% CI [1.18, 2.91], pACCULTURATION, PERCEPTIONS ABOUT SEEKING MENTAL HEALTH CARE, AND UTILIZATION OF MENTAL HEALTH SERVICES AMONG US-BASED SOUTH ASIANS
Kapur, R., Badsa, K., & Kapadia, F. (n.d.).Publication year
2024Journal title
Ethnicity and DiseaseVolume
34Issue
4Page(s)
199-206AbstractObjectives: To examine the relationship between acculturation, cultural perceptions surrounding mental health (MH) burden and utilization of MH services among South Asian (SA) adults in the United States. Design: Cross-sectional study. Setting: Online survey. Participants: Four hundred five SA adults (≥18 years old) residing in the United States. Methods: Cross-sectional study of acculturation, attitudes toward MH burden, and MH service utilization was conducted via online survey. Multivariate logistic regression models were employed to understand how these factors were associated with MH service utilization. Main outcome measure: Utilization of MH services. Results: Among the 405 participants, 49.0% identified as immigrants (75.1% Indian, 8% Bangladeshi, 5.5% Pakistani, and 3.8% from other SA countries). Current utilization of MH services was associated with comfort conversing in English (odds ration [OR]¼5.99; 95% confidence interval [CI]¼1.63, 27.02), having English-speaking peers (OR¼3.80; 95% CI¼1.12, 12.93), and having family (OR¼2.37; 95% CI¼1.21, 4.64) and peers (OR¼5.64; 95% CI¼1.71, 18.66) who used MH services. Participants with mostly SA peers (OR¼0.48; 95% CI¼0.23, 0.97) reported lower lifetime MH service utilization, and those with positive perceptions about MH burden reported higher lifetime utilization (OR¼1.04; 95% CI¼1.01, 1.09). Conclusions: Comfort expressing emotions in English, knowledge of family/peer MH service use, and type of social connections were associated with MH service utilization among SA immigrants. Interventions should aim to increase SA languages in which MH services are offered and to engage with SA communities to increase acceptance of MH service utilization. Ethn Dis.Adolescent Mental Health and Well-Being : A Public Health of Consequence, February 2024
Kapadia, F. (n.d.).Publication year
2024Journal title
American journal of public healthVolume
114Issue
2Page(s)
158-160Abstract~Adult Attachment Anxiety Is Protective Against the Effects of Internalized Homophobia on Condomless Sex Among Young Sexual Minority Men : The P18 Cohort Study
Kapadia, F., Cook, S. H., Wood, E. P., Kapadia, F., & Halkitis, P. N. (n.d.).Publication year
2023Journal title
Journal of Sex ResearchAbstractInternalized homophobia, or the internalization of negative attitudes toward one’s sexual minority identity, is associated with sexual risk behaviors among young sexual minority men (YSMM). However, the formation and maintenance of secure or insecure socio-emotional bonds with friends, family members, and intimate partners (i.e., adult attachment) may mitigate or exacerbate the negative effects of exposure to internalized homophobia. Nevertheless, little is known about how adult attachment influences the association between internalized homophobia and sexual risk behaviors (e.g., condomless anal sex) among YSMM. Thus, this study examined the potential moderating effect of adult attachment on the association between internalized homophobia and condomless anal sex (CAS) behaviors (i.e., insertive CAS and receptive CAS) among a sample of N = 268 YSMM who participated in the study between June 2015-March 2017 using zero-inflated Poisson regression models. We found that adult attachment anxiety, but not adult attachment avoidance, significantly moderated the association between internalized homophobia and receptive CAS behaviors such that those higher on adult attachment anxiety and internalized homophobia had fewer receptive CAS events over the preceding 30 days as compared to those lower on adult attachment anxiety and internalized homophobia. Research efforts should focus on unpacking the complex associations between adult attachment, internalized homophobia, and sexual risk behaviors among YSMM.All Not Quiet (but Quite Well) on the AJPH Bibliometric Front
Costanza, M. C., & Kapadia, F. (n.d.).Publication year
2021Journal title
American journal of public healthVolume
111Issue
2Page(s)
173Abstract~Assessing Gaps in the HIV Care Continuum in Young Men Who Have Sex With Men : The P18 Cohort Study
Greene, R. E., Luong, A., Barton, S. C., Kapadia, F., & Halkitis, P. N. (n.d.).Publication year
2018Journal title
Journal of the Association of Nurses in AIDS CareVolume
29Issue
3Page(s)
475-478Abstract~Assessing how frailty and healthcare delays mediate the association between sexual and gender minority status and healthcare utilization in the All of Us Research Program
Wong, C. N., Smith, L. H., Cavanaugh, R., Kim, D. H., Streed, C. G., Kapadia, F., & Olivieri-Mui, B. (n.d.).Publication year
2024Journal title
Journal of the American Medical Informatics Association : JAMIAVolume
31Issue
12Page(s)
2916-2923AbstractOBJECTIVES: To understand how frailty and healthcare delays differentially mediate the association between sexual and gender minority older adults (OSGM) status and healthcare utilization. MATERIALS AND METHODS: Data from the All of Us Research Program participants ≥50 years old were analyzed using marginal structural modelling to assess if frailty or healthcare delays mediated OSGM status and healthcare utilization. OSGM status, healthcare delays, and frailty were assessed using survey data. Electronic health record (EHR) data was used to measure the number of medical visits or mental health (MH) visit days, following 12 months from the calculated All of Us Frailty Index. Analyses adjusted for age, race and ethnicity, income, HIV, marital status ± general MH (only MH analyses). RESULTS: Compared to non-OSGM, OSGM adults have higher rates of medical visits (adjusted rate ratio [aRR]: 1.14; 95% CI: 1.03, 1.24) and MH visits (aRR: 1.85; 95% CI: 1.07, 2.91). Frailty mediated the association between OSGM status medical visits (Controlled direct effect [Rcde] aRR: 1.03, 95% CI [0.87, 1.22]), but not MH visits (Rcde aRR: 0.37 [95% CI: 0.06, 1.47]). Delays mediated the association between OSGM status and MH visit days (Rcde aRR: 2.27, 95% CI [1.15, 3.76]), but not medical visits (Rcde aRR: 1.06 [95% CI: 0.97, 1.17]). DISCUSSION: Frailty represents a need for medical care among OSGM adults, highlighting the importance of addressing it to improve health and healthcare utilization disparities. In contrast, healthcare delays are a barrier to MH care, underscoring the necessity of targeted strategies to ensure timely MH care for OSGM adults.Associations Between Neurocognitive Impairment and Biomarkers of Poor Physiologic Reserve in a Clinic-Based Sample of Older Adults Living with HIV
Yu, K. C., D'Avanzo, P. A., Nesheiwat, L., Greene, R. E., Urbina, A., Halkitis, P. N., & Kapadia, F. (n.d.).Publication year
2017Journal title
Journal of the Association of Nurses in AIDS CareVolume
28Issue
1Page(s)
55-66AbstractData from a cross-sectional study of a clinic-based sample of older people living with HIV (PLWH; n = 100) were used to examine associations between biomarkers of physical health and neurocognitive impairment (NCI). In this sample, anemia, chronic kidney disease (CKD) stages 4-5, and hypocalcemia were associated with impairment in executive functioning or processing speed. Furthermore, participants with anemia were more likely to have CD4+ T cell countsAssociations Between Perceived Partner Support and Relationship Dynamics With Timing of Pregnancy Termination
Kapadia, F., Finer, L. B., & Klukas, E. (n.d.).Publication year
2011Journal title
Women's Health IssuesVolume
21Issue
3Page(s)
S8-S13AbstractBackground Little is known about partner- and relationship-level characteristics that may affect the timing of pregnancy termination. The present study sought to address this issue by examining women's perceptions of social support and relationship-level dynamics for their association with timing of pregnancy termination. Methods Data on partner characteristics and relationship dynamics were collected from 373 women receiving abortions at clinics in two large East Coast cities via a brief, self-administered survey. These surveys collected information on individual and partner characteristics as well as perceived emotional, financial, and material support and relationship dynamics. Results Forty-six percent of women (mean age, 25 years; 52% African American, 27% Latina, 9% White; 34% currently in school; 37% employed full time) in this study were terminating a pregnancy at more than 9 weeks’ gestation (mean, 9.6; median, 8; interquartile range, 6–12). On bivariate analysis, we found that women terminating early (Associations Between Social Support Network Characteristics and Receipt of Emotional and Material Support Among a Sample of Male Sexual Minority Youths
Kapadia, F., Halkitis, P. N., Barton, S., Siconolfi, D., & Perez Figueroa, R. (n.d.).Publication year
2014Journal title
Journal of Gay and Lesbian Social ServicesVolume
26Issue
3Page(s)
279-302AbstractFew studies have examined how social support network characteristics are related to perceived receipt of social support among male sexual minority youths. Using egocentric network data collected from a study of male sexual minority youths (N = 592), multivariable logistic regression analyses examined distinct associations between individual and social network characteristics with receipt of (1) emotional and (2) material support. In multivariable models, frequent communication and having friends in one's network yielded a twofold increase in the likelihood of receiving emotional support whereas frequent communication was associated with an almost threefold higher likelihood of perceived material support. Finally, greater internalized homophobia and personal experiences of gay-related stigma were inversely associated with perceived receipt of emotional and material support, respectively. Understanding the evolving social context and social interactions of this new generation of male sexual minority youths is warranted in order to understand the broader, contextual factors associated with their overall health and well-being.