Alex Garner

Alex Garner

About

31
Publications
5,332
Reads
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492
Citations
Citations since 2016
30 Research Items
492 Citations
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Introduction
Skills and Expertise

Publications

Publications (31)
Article
Full-text available
Purpose We aimed to describe the prevalence of IPV victimization, changes of experiencing IPV victimization, and examined factors associated with more severe or frequent IPV victimization since the COVID-19 crisis among a global sample of sexual minority men (SMM). Methods Data were collected between October and November 2020 through a gay social...
Article
Full-text available
As COVID-19 continues to persist, there is a need to examine its impact among sexual and gender minority individuals, especially those with intersecting vulnerabilities. We conducted a cross-sectional survey with a global sample of sexual and gender minority individuals (n = 21,795) from October 25, 2020 to November 19, 2020, through a social netwo...
Article
Full-text available
Pre-exposure prophylaxis (PrEP) has limited availability across Latin America, though access is increasing. We explored PrEP uptake in Mexico via an online survey completed by Spanish-speaking, Hornet geosocial networking application (GSN app) users without HIV (n = 2020). Most (81.3%) had heard of PrEP, 3.5% were current users, and 34.2% intended...
Article
Pre-exposure prophylaxis (PrEP) access is increasing in Latin America. We explored PrEP use among Spanish-speaking, Hornet geosocial networking application users from Latin American countries with limited PrEP data via an online survey completed between December 2018 and February 2019. A total of 718 Hornet users from 10 countries were included, of...
Article
Physical distancing measures, designed to limit the spread of COVID-19, have been implemented globally. We sought to understand how physical distancing impacts gay, bisexual and other men who have sex with men (GBMSM), a group disproportionately affected by poor health outcomes. A cross-sectional online survey on Hornet, a networking application (N...
Article
Full-text available
There is an urgent need to measure the impacts of COVID-19 among gay men and other men who have sex with men (MSM). We conducted a cross-sectional survey with a global sample of gay men and other MSM (n = 2732) from April 16, 2020 to May 4, 2020, through a social networking app. We characterized the economic, mental health, HIV prevention and HIV t...
Article
Background: The coronavirus pandemic has necessitated a range of population-based measures in order to stem the spread of infection. These measures may be associated with disruptions to other health services including for gay, bisexual, and other men who have sex with men (MSM) at risk for or living with HIV. Here, we assess the relationship betwe...
Article
Full-text available
We conducted a web-based survey to understand the impact of social distancing measures on Brazilian MSM and transgender/non-binary lives. A total of 3486 respondents were included in this analysis and the great majority were cismen (98%). The median age was 32 years (IQR: 27–40), 44% non-white, 36% low schooling and 38% low income. Most of particip...
Presentation
Background: Emerging evidence indicates that all stages of the continuum of HIV care and prevention are being upended. As COVID-19 continues to spread across the globe, it leaves people living with and at-risk for HIV, particularly vulnerable Objectives: To characterize the impact of the COVID-19 pandemic on communities living with or at-risk for...
Preprint
Full-text available
Background Globally, the coronavirus pandemic has necessitated a range of population-based measures in order to stem the spread of infection and reduce COVID-19-related morbidity and mortality. These measures may be associated with disruptions to other health services including for gay, bisexual, and other men who have sex with men (MSM) at risk fo...
Article
Full-text available
As of August 12, 2020, there are over 20 million confirmed cases of novel coronavirus disease (COVID-19) worldwide with over 744,000 deaths.[1] Due to existing disparities in health outcomes, the consequences of this pandemic for LGBTQ+ individuals could be magnified in scope and severity.[2] Gay, bisexual, and other men who have sex with men (MSM)...
Preprint
Full-text available
There is an urgent need to measure the impacts of COVID-19 among gay men and other men who have sex with men (MSM). We conducted a cross-sectional survey with a global sample of gay men and other MSM (n= 2732) from April 16, 2020 to May 4, 2020, through a social networking app. We characterized the economic, mental health, HIV prevention and HIV tr...
Poster
Full-text available
COVID-19 pandemic increases socioeconomic vulnerability of LGBTI+ communities and their susceptibility to HIV
Preprint
Full-text available
The term “conversion therapy” is most widely used to describe practices attempting to change, suppress, or divert one’s sexual orientation, gender identity, or gender expression. Such practices are also called: reorientation therapy, reparative therapy, sexual orientation change efforts, ex-gay/ex-trans therapy, gay cure therapy, or more recently,...
Article
Despite new, effective biomedical technologies to prevent the transmission of HIV, social and structural factors still impact the opportunity for gay, bisexual and other men who have sex with men (GBMSM) to access safe sexual health services. Within this paper we describe findings of a pilot analysis that seeks to identify relationships between cou...
Article
Background: We evaluated the prevalence of sexualized drug use (Chemsex) and its association with moderate/high risk for substance use disorders and HIV sexual risk behavior among men who have sex with men (MSM). Methods: We conducted a cross-sectional web-based survey among MSM from Rio de Janeiro (Brazil). The Alcohol, Smoking and Substance In...
Article
Brazil has the largest population of individuals living with HIV/AIDS in Latin America with a disproportional prevalence of infection among men who have sex with men (MSM). This study evaluated PrEP awareness by age (18–24, 25–35, ≥36 years), its associated factors and the willingness to use HIV prevention technologies among MSM using a GSN app in...
Poster
Full-text available
TITLE Latent class analysis of current use and willingness of adopting pre-exposure prophylaxis in men who have sex with men in Taiwan: Subgroup analysis from 2017 Hornet/HEART Survey PRESENTER Stephane Wen-Wei Ku AUTHORS S.W.-W. Ku1, A. Bourne2, P. Huang3, A. Garner4, S. Howell4, C.-W. Li5, N.-Y. Ko5, C. Strong5 INSTITUTIONS 1Taipei City Hospital...
Article
Full-text available
Objective Currently, seven European countries provide HIV pre-exposure prophylaxis (PrEP) through public health services, although there are numerous reports of off-licence use. The objective of this study was to examine current use of PrEP, likelihood of future use and indicators of potential PrEP candidacy among an opportunistic sample of men who...
Article
Full-text available
Introduction Gay social networking apps have grown in popularity among men who have sex with men offering opportunities for rapid and confidential collection of vital data as well as social connection. The goal of our study was to explore factors associated with utilization of pre‐exposure prophylaxis (PrEP) and antiretroviral treatment (ART), and...
Presentation
Full-text available
Using a large data set for general USA population; this paper re-examines the framework for determining LGBT and the Q populations. For years many top brands have believed the population of “Q+” or queer people, those who lay somewhere on an increasingly fluid LGBTQ spectrum, is too small to provide a worthwhile return on their investment. But th...
Poster
Full-text available
Our results suggest that the use of GNS apps seems to have spread across younger and less educated MSM in 2017, which may explain the lower PrEP awareness in this year. As this population stratum is at highest risk of HIV acquisition in Brazil, mobile health tools are a promising means to reach these individuals in order to increase awareness and d...
Article
Full-text available
Background: Gay, bisexual, and other cisgender men who have sex with men (GBMSM) are disproportionately affected by the HIV pandemic. Traditionally, GBMSM have been deemed less relevant in HIV epidemics in low- and middle-income settings where HIV epidemics are more generalized. This is due (in part) to how important population size estimates rega...
Poster
Full-text available
Background: Condom distribution coverage should be increased among men having sex with men (MSM) in Eastern Europe and Central Asia (EECA) region. There is evidence that internalized homonegativity (negative attitudes on own same-sex attractions, IH) can be a significant predictor of a lower coverage. We test a link between IH and receiving free co...
Presentation
Full-text available
Data from the Facebook analysis were recently used to reevaluate the population size of gay and bisexual men in Tanzania. In meetings with Tanzanian civil society groups and others, the Tanzanian government tripled the MSM population size estimate from 49,000 to 150,000. This was viewed as a success story by many advocates on the ground and abroad....
Article
Full-text available
Background Achieving the 90-90-90 is essential to keep people alive and to end AIDS. Men who have sex with men (MSM) often have the least access to HIV services. Purpose Estimates for key populations are often unavailable, dated or have very wide confidence intervals and more accurate estimates are required. Methods We compared registered users fro...
Poster
Full-text available
Background: Men who have sex with men (MSM) remain the most affected population by HIV infection in Taiwan. Taiwan CDC implemented the first pre-exposure prophylaxis (PrEP) demonstration project in 4 major cities from October 2016 to December 2017. However the willingness and actual use of PrEP in the MSM community since PrEP implementation in Taiw...

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Projects

Projects (6)
Project
As in all emergencies, LGBT+ individuals are among the most vulnerable, and the current COVID-10 crisis is no different; the pandemic’s economic, health, and social consequences on this community will likely be severe. We seek to identify the ensuing disparities both amidst, and in the wake of, this crisis. The Covid Disparities Working Group is a multi-institution, multidisciplinary coalition acting to reduce overlap in research and speed the publication of findings.
Project
Goal: This project looks to monitor and map where so-called sexual orientation change therapy (aka conversion therapy) is happening. Countless professional associations and multinational organizations – the American Medical Association (AMA), American Psychological Association (APA), and the Pan American Health Organization (PAHO)/World Health Organization (WHO) – have publicly announced opposition to the practice, as it lacks medical and scientific justification, and have condemned its use around the world. Additionally, 24 countries have taken steps towards limiting the use of this intervention, from complete bans to those that only prohibit the practice for minors. But to date, no analysis has looked at the burden of conversion therapy globally. This project looks to measure: 1) Where conversion therapy is happening 2) Who are the perpetrators 3) What elements of harm occur because of the therapy.