Kyle DeBoy - Academia.edu (original) (raw)

Papers by Kyle DeBoy

Sexually Transmitted Infections

ObjectiveWe sought to quantify the use of person-centred language (PCL) in research journals that... more ObjectiveWe sought to quantify the use of person-centred language (PCL) in research journals that publish high volumes of HIV-related manuscripts.DesignIn this cross-sectional study, we searched PubMed for HIV-related articles published between 1 January 2017 and 7 March 2021. After journal reduction and article randomisation, title and abstract screening was conducted among 500 studies in a masked, duplicate fashion.MethodsStudies that were included were systematically searched for prespecified, stigmatising terms, partial terms and phrases. Prevalence rates of non-person-centred terminology were totalled, and the total number of articles adherent to PCL guidelines were reported. Fisher’s exact tests were used to determine associations between PCL adherence and article funding source, type of article, continent of origin and research, among others.ResultsAmong 237 studies included, 21.52% (51) of HIV-related publications in this cross-sectional analysis were found to be PCL adheren...

AIDS education and prevention : official publication of the International Society for AIDS Education, 2021

Pre-exposure prophylaxis (PrEP) uptake has been suboptimal despite its demonstrated efficacy in r... more Pre-exposure prophylaxis (PrEP) uptake has been suboptimal despite its demonstrated efficacy in reducing the risk of HIV acquisition. Medical education is one distal determinant that shapes medical providers' perceived role in the PrEP care continuum. However, there is limited understanding of how osteopathic medical students and those wanting to practice in rural areas perceive their role in the PrEP care continuum in the domains of PrEP awareness, uptake, and adherence and retention. Twenty-one semistructured interviews were conducted (March 2019-April 2020) to assess what shapes osteopathic medical students' perceived role in the PrEP care continuum. Participants noted a lack of adequate sexual health training, personal perceptions concerning PrEP use, and ambiguity concerning which of the medical specialties should deliver PrEP. Osteopathic medical schools can incorporate more inclusive and holistic sexual health and PrEP curricula to address these barriers and better pr...

Journal of Adolescent Health, 2020

The purpose of the study was to identify profiles of lesbian, gay, and bisexual (LGB) youth who a... more The purpose of the study was to identify profiles of lesbian, gay, and bisexual (LGB) youth who are at risk for suicidal behavior. Method: Data were collected through the Youth Risk Behavior Surveillance System (N ¼ 2,738). We used latent profile analysis to create identity profiles using variables associated with suicide, including bullying, alcohol use, poor grades, electronics use, and sleep hours. Results: The LPA revealed a 6-class solution. Class 6 represented the highest risk profile with the highest scores in alcohol, bullying, poor grades, electronics use, and the least sleep and were 17 times more likely to attempt suicide compared to class 2 (the lowest-risk class). Classes 1, 3, 4, and 5 had a mixture of both high and low risk mean scores across the variables, with class 3 showing the strongest relationship to suicide (7 times more likely than class 2). Conclusion: Because high-risk classes in our study had multiple factors contributing to associations to suicide, programming aimed at attenuating youth suicide among LGB youth may benefit from addressing multiple issues simultaneously (e.g., substance use and bullying). This would be a departure from more traditional programs for LGB youth which are predicated on one specific risk behavior, such as coping with bullying or substance use separately.

Journal of Health Care for the Poor and Underserved, 2020

Research investigating the health care experiences of men who have sex with men (MSM) predominate... more Research investigating the health care experiences of men who have sex with men (MSM) predominately concerns urban populations. Th is study examines the health care experiences of MSM residing in rural Oklahoma. A total of 40 MSM (aged 21 through 66) living in rural areas were interviewed. Data were analyzed using a qualitative approach to identify emerging concepts. Th ree themes emerged from the data: First, participants cited cultural diff erences related to religious conservative ideologies as a central motif of health care experiences. Next, doctor-patient relationship quality was a contributing factor to health care experiences. Last, health care experiences were predicated on the idea of doctors' knowledge of lesbian, gay, bisexual and transgender (LGBT) health issues. Certain health care aspects regarding the rural experiences of MSM that were identifi ed diff ered between rural and urban MSM. Implications include support for programs that bridge the gap between practitioners and patients, while better informing both MSM and health care providers of current LGBT health issues.

Journal of Gay & Lesbian Mental Health, 2019

Previous models of sexual minority orientation identity development have theorized disclosure of ... more Previous models of sexual minority orientation identity development have theorized disclosure of current orientation as important in accepting one's sexual minority identity. Furthermore, research into disclosure of sexual orientation highlights positive outcomes for disclosure and negative outcomes for concealment of sexual minority identity. These models, however, fail to incorporate the socio-cultural context of the individual. Using a grounded theory approach, we conducted 40 interviews with individuals who identified with a sexual minority identity living in rural areas in Oklahoma, a primarily socio-politically conservative state in the U.S. Data collection continued until thematic saturation was reached. Three main themes were identified by participants in regards to navigating disclosure of sexual orientation: (1) assessment of consequences to disclosure; (2) situational disclosure of sexual orientation; and (3) disclosure of current sexual orientation. Rural sexual minority men navigate disclosing their sexual orientation by considering the socio-cultural environment where they live and the acceptance and/or rejection of important individuals in their lives. This consideration demonstrates the importance of considering disclosure as a step in sexual minority identity development, not actual disclosure of sexual minority identity. A preliminary model of navigating disclosure is proposed and implications are discussed.

Psychology & Sexuality, 2019

Given the dearth of research exploring mental health differences between rural and urban men who ... more Given the dearth of research exploring mental health differences between rural and urban men who have sex with men (MSM), we sought to examine differences in depressive symptomology and loneliness. Concurrently we examined the mediating effects of loneliness on the link between geographic locale and depressive symptoms via a mediation model. Data were collected from 156 MSM in Oklahoma. Results show urban MSM have significantly higher levels of both depressive symptomology and loneliness. Mediation analyses revealed that the link between urban/rural locale and depressive symptomology was mediated by loneliness. In other words, identifying as urban MSM may result in higher levels of depressive symptomology through feelings of loneliness. The rationale for this includes the possibility that rural MSM may have strong online social support 'networks' which act as a protective factor against loneliness and depressive symptomology, or that elements of urban environments increase stress in urban MSM. It is also possible that the urban landscape of Oklahoma does not provide the same level of acceptance as other urban areas in more liberal parts of the country. Interventions at the individual or community level should consider geographic location as a mesosystem factor that impacts the mental health of MSM.

Health Equity, 2019

Purpose: The unique experiences of men who have sex with men (MSM) residing in culturally conserv... more Purpose: The unique experiences of men who have sex with men (MSM) residing in culturally conservative rural areas are not well represented in the scientific literature. The human immunodeficiency virus (HIV) epidemic in the United States has shifted toward rural areas where populations are dispersed and health care resources are limited. Methods: We recruited 40 sexual minority men, ages 22-66, residing in rural Oklahoma for in-depth, qualitative sexual health interviews that sought to understand how cultural and social environments impacted health behaviors. Findings: Participants described a stigmatizing social environment and less access to quality, sexual minority medical care within rural communities and perceived these as substantial barriers to enhancing health. Structural issues, including lack of sexual minority-affirming policies, institutional practices, and hostile cultural norms, were noted. Conclusions: Results indicate the need to develop greater awareness of stigma as an etiologic factor that contributes to the health of rural sexual minority populations, specifically when it relates to provision of culturally appropriate care.

Journal of HIV/AIDS & Social Services, 2019

Rural men who have sex with men (MSM) are particularly vulnerable to HIV/STI infections, though m... more Rural men who have sex with men (MSM) are particularly vulnerable to HIV/STI infections, though most outreach efforts to reach MSM have been focused on urban populations. More attention is needed to study effective ways of reaching/ recruiting rural MSM, yet little is known about their preferences; particularly as studies show significant differences in the behaviors and perceptions of rural versus urban MSM. Our study uses a qualitative instrument to gauge what outreach methods are most effective from the perspective of 40, rural MSM. Outreach facilitators included online marketing, emphasizing rural areas, while outreach barriers included traditional forms of print media/advertising, or anything that may jeopardize anonymity. Implications for future outreach in rural areas and limitations are also discussed.