Sara H. LeGrand

Journal Article BMC public health · October 2023 BackgroundSexual and gender minorities (SGM) experience higher rates of discrimination and violence when compared to cis, heterosexual peers. However, violent crimes and other hate incidents against SGM persons are consistently not reported and pr ... Full text Cite

Sexual Empowerment Among Young Black Men Who Have Sex with Men.

Journal Article Journal of sex research · May 2021 Sexual empowerment represents an important HIV intervention strategy, yet limited attention has examined the multidimensional nature of sexual empowerment in prior studies. Using a sample (n = 465) of young Black men who have sex with men (MSM), we used co ... Full text Cite

'Our life is pointless … ': Exploring discrimination, violence and mental health challenges among sexual and gender minorities from Brazil.

Journal Article Global public health · October 2020 Worldwide, Brazil has the highest prevalence of violence and hate crimes against sexual and gender minorities (SGMs) among countries with available data. To explore the impact of this scenario, we conducted a qualitative study with 50 SGMs from Rio de Jane ... Full text Cite

Predictors of Condomless Anal Intercourse in Young HIV-Positive Men Who Have Sex With Men With Detectable Viral Loads.

Journal Article The Journal of adolescent health : official publication of the Society for Adolescent Medicine · June 2020 PurposeA minority of young, gay, bisexual, and other men who have sex with men (YGBMSM) living with HIV in the U.S. achieve viral suppression, thus increasing the likelihood of viral transmission during condomless anal intercourse (CAI). The purpo ... Full text Cite

Gender-congruent government identification is crucial for gender affirmation.

Journal Article The Lancet. Public health · April 2020 Full text Cite

Public Health, HIV Care and Prevention, Human Rights and Democracy at a Crossroad in Brazil.

Journal Article AIDS and behavior · January 2020 On January 2019, Brazil's new far-right president Jair Bolsonaro was sworn into office. Bolsonaro's administration supports downsizing the Brazilian Unified Health System (SUS), while increasing the size of the private health sector. The new administration ... Full text Cite

Mental health and challenges of transgender women: A qualitative study in Brazil and India.

Journal Article International journal of transgender health · January 2020 Background: Transgender women from low- and middle-income countries (LMICs) are understudied, their coping strategies and struggles underrecognised. Aims: This study aimed to explore the lived experiences of transgender women fr ... Full text Cite

Stigma and Mobile App Use Among Young Black Men Who Have Sex With Men.

Journal Article AIDS education and prevention : official publication of the International Society for AIDS Education · December 2019 Young black men who have sex with men (YBMSM) are disproportionately affected by HIV. Intersectional stigmas are associated with increased HIV vulnerability, and worse outcomes for YBMSM with HIV. YBMSM find sex partners through sexual networking apps, but ... Full text Cite

Abortion in Brazil: the case for women's rights, lives, and choices.

Journal Article The Lancet. Public health · November 2019 Full text Cite

Sexual and gender minorities rights in Latin America and the Caribbean: a multi-country evaluation.

Journal Article BMC international health and human rights · November 2019 BackgroundAlthough the extent of legal inequities experienced by sexual and gender minorities (SGM) has declined during recent decades, this population still enjoys fewer legal protections and benefits than the non-gender-variant, heterosexual pop ... Full text Cite

HIV Testing and Mistaken Beliefs about Immigration Laws.

Journal Article Journal of racial and ethnic health disparities · August 2019 Evidence suggests that migrants may underutilize USA health care because of misconceptions about immigration-related consequences of health care use. This study aimed to explore whether common misconceptions about the immigration consequences of seeking he ... Full text Cite

HIV/AIDS, human rights, and transgender people in Latin America.

Journal Article The Lancet. Public health · June 2019 Full text Cite

HIV and Sexuality Stigma Reduction Through Engagement in Online Forums: Results from the HealthMPowerment Intervention.

Journal Article AIDS and behavior · March 2019 HIV and sexuality stigma impede HIV prevention and care efforts. HealthMpowerment.org (HMP) is an interactive mobile phone- and web-based HIV prevention and care intervention for young Black men who have sex with men (YBMSM; ages 18-30) in the United State ... Full text Cite

The Development and Psychometric Properties of the Immigration Law Concerns Scale (ILCS) for HIV Testing.

Journal Article Journal of immigrant and minority health · October 2018 To develop, pilot test, and conduct psychometric analyses of an innovative scale measuring the influence of perceived immigration laws on Latino migrants' HIV-testing behavior. The Immigration Law Concerns Scale (ILCS) was developed in three phases: Phase ... Full text Cite

Stigma Diminishes the Protective Effect of Social Support on Psychological Distress Among Young Black Men Who Have Sex With Men.

Journal Article AIDS education and prevention : official publication of the International Society for AIDS Education · October 2018 Addressing stigma remains a pressing HIV priority globally. Young Black men who have sex with men (YBMSM, ages 18-30; N = 474) completed an in-person baseline survey and reported their experiences of externalized stigma (i.e., racial and sexuality discrimi ... Full text Cite

"Stay strong! keep ya head up! move on! it gets better!!!!": resilience processes in the healthMpowerment online intervention of young black gay, bisexual and other men who have sex with men.

Journal Article AIDS care · August 2018 Overlapping stigmas related to sexual minority-, race/ethnicity-, and HIV-status pose barriers to HIV prevention and care and the creation of supportive social networks for young, Black, gay, bisexual, and other men who have sex with men (GBMSM). A risk-ba ... Full text Cite

Epic Allies, a Gamified Mobile Phone App to Improve Engagement in Care, Antiretroviral Uptake, and Adherence Among Young Men Who Have Sex With Men and Young Transgender Women Who Have Sex With Men: Protocol for a Randomized Controlled Trial.

Journal Article JMIR research protocols · April 2018 BackgroundIn the United States, young men who have sex with men (YMSM) and transgender women who have sex with men (YTWSM) bear a disproportionate burden of prevalent and incident HIV infections. Once diagnosed, many YMSM and YTWSM struggle to eng ... Full text Cite

Correlates of Self-Reported Viral Suppression Among HIV-Positive, Young, Black Men Who Have Sex With Men Participating in a Randomized Controlled Trial of An Internet-Based HIV Prevention Intervention.

Journal Article Sexually transmitted diseases · February 2018 BackgroundYoung, black men who have sex with men are disproportionately impacted by the US HIV epidemic, and HIV-positive, young, black men who have sex with men face stark disparities in HIV clinical outcomes.MethodsWe performed an obser ... Full text Cite

Using technology to assess and intervene with illicit drug-using persons at risk for HIV.

Journal Article Current opinion in HIV and AIDS · September 2017 Purpose of reviewThis review describes recent literature on novel ways technology is used for assessment of illicit drug use and HIV risk behaviours, suggestions for optimizing intervention acceptability, and recently completed and ongoing technol ... Full text Cite

Epic Allies: Development of a Gaming App to Improve Antiretroviral Therapy Adherence Among Young HIV-Positive Men Who Have Sex With Men.

Journal Article JMIR serious games · May 2016 BackgroundIn the United States, the human immunodeficiency virus (HIV) disproportionately affects young men who have sex with men (YMSM). For HIV-positive individuals, adherence to antiretroviral therapy (ART) is critical for achieving optimal hea ... Full text Cite

A Review of Recent Literature on Trauma Among Individuals Living with HIV.

Journal Article Current HIV/AIDS reports · December 2015 Persons living with HIV (PLWH) report disproportionately high levels of exposure to traumatic events in childhood and adulthood. Traumatic experiences are associated with negative health and behavioral outcomes. Current research in this area seeks to furth ... Full text Cite

Youth, Technology, and HIV: Recent Advances and Future Directions.

Journal Article Current HIV/AIDS reports · December 2015 Technology, including mobile technologies and social media, offers powerful tools to reach, engage, and retain youth and young adults in HIV prevention and care interventions both in the USA and globally. In this report, we focus on HIV, technology, and yo ... Full text Cite

The Glory of God is a Human Being Fully Alive: Predictors of Positive Versus Negative Mental Health Among Clergy

Journal Article Journal for the Scientific Study of Religion · December 1, 2015 Clergy fulfill vital societal functions as meaning makers and community builders. Partly because of their important roles, clergy frequently encounter stressful situations. Further, studies suggest that clergy experience high rates of depression. Despite t ... Full text Cite

HealthMpowerment.org: Building Community Through a Mobile-Optimized, Online Health Promotion Intervention.

Journal Article Health education & behavior : the official publication of the Society for Public Health Education · August 2015 BackgroundBoth young Black men who have sex with men as well as young Black transgender women (YBMSM/TW) continue to experience a significant increase in HIV incidence. HealthMpowerment.org (HMP) is a mobile phone-optimized, online intervention fo ... Full text Cite

HIV/AIDS in the Southern USA: A disproportionate epidemic

Journal Article AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV · March 4, 2014 This research synthesis examined HIV/AIDS surveillance and health care financing data and reviewed relevant research literature to describe HIV epidemiology, outcomes, funding, and contributing factors to the HIV epidemic in the Southern USA with particula ... Full text Cite

If you build it will they come? Addressing social isolation within a technology-based HIV intervention for young black men who have sex with men

Journal Article AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV · 2014 Cite

If you build it will they come? Addressing social isolation within a technology-based HIV intervention for young black men who have sex with men.

Journal Article AIDS care · January 2014 The rate of HIV infections among young black men who have sex with men (YBMSM) continues to rise at an alarming pace. YBMSM are particularly vulnerable to social isolation and a lack of social support due to experiences with racism and homophobia, which ma ... Full text Cite

HIV/AIDS in the Southern USA: A Disproportionate Epidemic

Journal Article AIDS Care: Psychological and Socio-medical Aspects of AIDS/HIV · 2014 Cite

Putting prevention in their pockets: developing mobile phone-based HIV interventions for black men who have sex with men.

Journal Article AIDS patient care and STDs · April 2013 Young black men who have sex with men (MSM) bear a disproportionate burden of HIV. Rapid expansion of mobile technologies, including smartphone applications (apps), provides a unique opportunity for outreach and tailored health messaging. We collected elec ... Full text Cite

Mobile phone applications for the care and prevention of HIV and other sexually transmitted diseases: a review.

Journal Article Journal of medical Internet research · January 2013 BackgroundMobile phone applications (apps) provide a new platform for delivering tailored human immunodeficiency virus (HIV) and sexually transmitted disease (STD) prevention and care.ObjectiveTo identify and evaluate currently available ... Full text Cite

Patterns of HIV disclosure and condom use among HIV-infected young racial/ethnic minority men who have sex with men.

Journal Article AIDS and behavior · January 2013 Recent findings highlight the continued rise in cases of HIV infection among racial/ethnic minority young men who have sex with men (YMSM). In adults, disclosure of HIV status has been associated with decreased sexual risk behaviors but this has not been e ... Full text Cite

In-home mental health treatment for individuals with HIV.

Journal Article AIDS Patient Care STDS · November 2012 Mental health problems are highly prevalent among individuals with HIV and are consistently associated with negative health outcomes. However, mental illness often remains untreated due to significant psychosocial and physical barriers to treatment partici ... Full text Link to item Cite

Physical health functioning among United Methodist clergy.

Journal Article Journal of religion and health · September 2012 United Methodist clergy have been found to have higher than average self-reported rates of obesity, diabetes, asthma, arthritis, and high blood pressure. However, health diagnoses differ from physical health functioning, which indicates how much health pro ... Full text Cite

Health Programming for Clergy: An Overview of Protestant Programs in the United States

Journal Article Pastoral Psychology · February 1, 2012 The health of clergy is important, and clergy may find health programming tailored to them more effective. Little is known about existing clergy health programs. We contacted Protestant denominational headquarters and searched academic databases and the In ... Full text Open Access Cite

Tailoring health programming to clergy: findings from a study of United Methodist clergy in North Carolina.

Journal Article Journal of prevention & intervention in the community · January 2012 Research indicating high rates of chronic disease among some clergy groups highlights the need for health programming for clergy. Like any group united by similar beliefs and norms, clergy may find culturally tailored health programming more accessible and ... Full text Cite

Healthy leaders: Multilevel health promotion considerations for diverse United Methodist Church pastors

Journal Article Journal of Community Psychology · 2012 Community psychologists often work with institutions and leaders, such as clergy, to bring about social change. Studies finding high rates of chronic disease among clergy have called for the design of clergy health interventions. However, among clergy ther ... Cite

A theoretical model of the holistic health of United Methodist clergy.

Journal Article J Relig Health · September 2011 Culturally competent health interventions require an understanding of the population's beliefs and the pressures they experience. Research to date on the health-related beliefs and experiences of clergy lacks a comprehensive data-driven model of clergy hea ... Full text Link to item Cite

High rates of obesity and chronic disease among United Methodist clergy.

Journal Article Obesity (Silver Spring) · September 2010 We used self-reported data from United Methodist clergy to assess the prevalence of obesity and having ever been told certain chronic disease diagnoses. Of all actively serving United Methodist clergy in North Carolina (NC) 95% (n = 1726) completed self-re ... Full text Link to item Cite