Johnny Michael Wilkerson

Johnny Michael Wilkerson
University of Texas Health Science Center at Houston · Center for Health Promotion and Prevention Research

PhD, MPH

About

66
Publications
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923
Citations

Publications

Publications (66)
Article
Background: The experiences of informal workers are often characterized by homelessness, social isolation, lack of access to health care, mental illness, and substance use. The aim of this study is to conduct an assessment of the health status and needs of informal workers at truck stops. Methods: This study took place at multiple Texas truck st...
Article
Background There is a dearth of literature on sexual and gender minority (SGM) only data that examines the association between tobacco use, co-occurring substance use, and psychological distress. Methods Using SGM-only primary data collected between March 2016 and January 2017, participants were categorized based on recent tobacco use and prevalen...
Article
Introduction Chemsex is the use of methamphetamine or other substances to enhance sexual experiences, and is most often associated with sexual minority men. Within the chemsex literature, questions of sexual violence emerge due, in part, to ambiguity about what constitutes consent within sexualized environments with co-occurring substance use. Met...
Article
Chronic disease management coupled with education may improve outcomes for those with chronic disease. As Human Immunodeficiency Virus (HIV) is now a chronic disease, addressing the needs of as people living with HIV (PLWH) is essential as they experience an accelerated aging process due to the mechanisms of the disease and medications taken. Altho...
Article
Limited research has examined the social network types of older SGM women and gender non-binary adults. To better understand their social network types, 37 semi-structured interviews were conducted with SGM women and gender non-binary adults, ages ranged from 50 to 84 years old. Five previously identified social network types were examined: diverse...
Article
Introduction: Age-related co-morbidities are common among persons living with chronic Human Immunodeficiency Virus (HIV). However, data are largely absent on the relationship between frailty and incontinence as related to falls—common age-related co-morbidities—among people living with chronic HIV (PLWH). Methods: To inform hospital-based Occupatio...
Poster
Examining the application of the model of human occupation to people living with chronic HIV
Poster
Case control study examining ART compliance, ADL function and falls among people living with HIV
Conference Paper
Background and Aims: Despite recommendation of a 2-dose vaccination schedule for early adolescents, Human Papillomavirus (HPV) vaccination rates still trail those of other adolescent vaccines in the US. Social marketing (SM) campaigns have effectively reached audiences using health messaging, including promotion of HPV vaccination. This study aims...
Article
This qualitative data analysis examined adolescents’ thoughts and feelings about difficulties that can emerge during sexual experiences. The sample consisted of 53 sexually experienced, ethnically diverse, predominantly female, nonpregnant adolescents participating in a web-based sexual health intervention. As part of a message board discussion, ad...
Article
Full-text available
Background: India's National AIDS Control Programme calls for, among other things, targeted behavioral interventions that address determinants contributing to new infections among men who have sex with men (MSM) and hijras (transgender women). Aim: To determine if the information-motivation-behavioral skills model was transferable to an Indian c...
Article
Context: Substance use interventions for methamphetamine-using men who have sex with men (MSM) are limited by the assumption that they are a uniform group. We hypothesized that an LCA would identify distinct patterns of substance use and demographic and psychosocial variables associated with different substance-using groups would aid in understand...
Article
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Background As Internet and mobile phone use expands in India, there is an opportunity to develop mobile health (mHealth) interventions for marginalized populations, including men who have sex with men (MSM) and hijras (transgender women), hesitant to access traditional health care systems. Objective The purpose of this study was to determine if an...
Article
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Among 433 men who have sex with men in Maharashtra, India who completed an online survey, 23% reported hazardous drinking, 12% illicit substance, and 9% polysubstance use. The overall prevalence of depression and intimate partner violence (IPV) were 58% and 56%, respectively. Participants engaging in hazardous drinking had more sexual partners and...
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Background: In emerging adulthood, youth often become involved in more serious romantic relationships. However, many lack the skills to avoid an unplanned pregnancy or sexually transmitted infection (STI), and to ensure a healthy dating relationship. Community college students serve nearly half of all undergraduate students in the United States; ye...
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Purpose: Persistent infection with oncogenic human papillomavirus (HPV) is the primary cause of anal cancer, a disease that disproportionately affects men who have sex with men (MSM); however, there is no uniform screening protocol to detect anal cancer. This qualitative study explores whether a self-anal exam (SAE) or partner anal exam (PAE), tha...
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On December 11, 2013, the Indian Supreme Court recriminalized non-peno-vaginal sex under Sec. 377 of the Indian Penal Code (IPC), overturning a 2009 ruling that deemed IPC Sec. 377 unconstitutional. Similar “sodomy laws” in other countries have been associated with increased violence, harassment, and other discrimination against men who have sex wi...
Article
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This exploratory study examines measures of one drop-in center's efforts to improve health outcomes of gay, lesbian, bisexual, and transgender (GLBT) youth by facilitating out-group secondary social ties. Hatch Youth, located in Houston, Texas, aims to increase self-esteem and decrease negative health outcomes by encouraging GLBT youth to be part o...
Article
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Sexual and gender minority (SGM) youth too often live in nonsupportive environments. This study reports the influence of social support from primary and secondary social ties on confidence and self-esteem among participants in Hatch Youth, a drop-in group-level intervention for SGM youth. Each 3-hour Hatch Youth meeting consists of a social, educat...
Article
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Tanzanian men who have sex with men (MSM) experience HIV disparity and are disproportionately vulnerable to psychosocial health problems together called SAVID (Substance abuse, childhood and adolescent sexual Abuse [CSA], anti-gay Violence, Internalized homonegativity [IH], and Depression). We applied syndemic theory to assess additive effects of t...
Article
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Background: In the extremely homophobic conditions in Tanzania and other countries in sub-Saharan Africa (SSA), men who have sex with men (MSM) experience disproportionate amounts of both HIV infection and psychosocial health problems, but no research has been conducted to examine the synergistic or additive effects of these adversities on their ex...
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Indian men who have sex with men are disproportionately impacted by HIV. While prevention efforts to date have focused on men who visit drop-in centers or physical cruising sites, little is known about men who are meeting sexual partners on virtual platforms. This paper explores issues related to sexual identity and sexual behaviors in an online sa...
Article
Health education specialists in academia and in the workplace must be effective teachers. However, doctoral programs often fail to equip students with effective teaching skills. In this study, we evaluate a first-year doctoral course that provided students the opportunity to learn how to teach health promotion theory, apply behavioral science theor...
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Background Most patients with malaria seek treatment first in retail drug shops. Myriad studies have examined retailer behaviours and characteristics to understand the determinants to these behaviours. Geospatial methods are helpful in discovering if geographic location plays a role in the relationship between determinants and outcomes. This study...
Article
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Background The affordability of smartphones and improved mobile networks globally has increased the popularity of geosocial networking (GSN) apps (eg, Grindr, Scruff, Planetromeo) as a method for men who have sex with men (MSM) to seek causal sex partners and engage with the queer community. As mobile penetration continues to grow in India, it is i...
Article
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Objective: Social support and life chaos have been inversely associated with increased risk of HIV infection. The purpose of this study was to explore among a sample of HIV-negative methamphetamine-using men who have sex with men (MSM) the association between engaging in transactional sex, life chaos, and low social support. Methods: HIV-negativ...
Article
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Evidence-based interventions that increase social support have the potential to improve the health of lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth. Hatch Youth is a group-level intervention that provides services four nights a week to LGBTQ youth between 13 and 20 years of age. Each Hatch Youth meeting is organized into three 1-hour...
Article
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In this manuscript, we report lessons learned from our efforts to recruit Indian men and transgender women/hijras who have sex with men into an online cross sectional study. Between September 2013 and May 2014, we implemented a seven-phased recruitment strategy that included the use of online and offline strategies to enroll a total of 449 particip...
Article
Little research on adolescents has examined developmentally normative facets of sexuality that are not obviously linked to physical health. The purpose of this secondary data analysis was to qualitatively analyze adolescents' thoughts about and experiences with sexual pleasure. The study sample consisted of 56 sexually experienced, ethnically diver...
Article
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Objectives: Sex with more than one gender is associated with higher substance use, and sexual HIV risk. Methods: We examined knowledge, motivation, and self-efficacy to engage in safer substance use and sexual behavior among methamphetamine-using U.S. men who have sex with more than one gender (N=343). Results: Almost half(46.2%) of the men re...
Article
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Background: Efforts to improve malaria case management in sub-Saharan Africa have shifted focus to private antimalarial retailers to increase access to appropriate treatment. Demands to decrease intervention cost while increasing efficacy requires interventions tailored to geographic regions with demonstrated need. Cluster analysis presents an opp...
Article
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In this study, we investigated if a single-item indicator measured the degree to which people were open about their same-sex attraction (“out”) as accurately as a multi-item scale. For the multi-item scale, we used the Outness Inventory, which includes three subscales: family, world, and religion. We examined correlations between the single- and mu...
Article
Sexually explicit media (SEM) have been used in HIV-prevention advertisements to engage men who have sex with men (MSM), and to communicate content. These advertisements exist within larger discourses, including a dominant heternormative culture, and a growing homonormative culture. Cognizant of these hegemonic cultures, this analysis examined the...
Article
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Research indicates that men who have sex with men (MSM), use methamphetamine, and inject drugs are at high risk of HIV infection and they employ multiple harm reduction strategies simultaneously to reduce that risk. In this study, we identified substances most commonly injected and harm reduction strategies most often employed by methamphetamine-us...
Article
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Objectives: Sexual health discussions between parents and their preadolescent youth can delay sexual debut and increase condom and contraceptive use. However, parents frequently report being uncomfortable talking with their youth about sex, often reporting a lack of self-efficacy and skills to inform and motivate responsible decision making by yout...
Article
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Researchers use protocols to screen for suspicious survey submissions in online studies. We evaluated how well a de-duplication and cross-validation process detected invalid entries. Data were from the Sexually Explicit Media Study, an Internet-based HIV prevention survey of men who have sex with men. Using our protocol, 146 (11.6 %) of 1254 entrie...
Article
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The purpose of this study was to investigate consumption patterns of gay-oriented sexually explicit media (SEM) among men who have sex with men (MSM) in Norway, with a particular emphasis on a possible relationship between gay SEM consumption and HIV risk behavior. Participants included 529 MSM living in Norway recruited online to complete a SEM co...
Conference Paper
Background: How does what we see influence what we do? This study sought to study consumption patterns of gay-oriented sexually explicit media (SEM) by men who have sex with men (MSM); and to investigate a hypothesized relationship between gay SEM consumption and HIV risk behavior. Methods: Participants were 1391 MSM living in the US recruited on...
Conference Paper
Background: Substance using men who have sex with men (MSM) employ various harm reduction strategies. This study classified MSM who reported recent methamphetamine and injection drug use according to self-reported injection and sex strategies. Methods: MSM (N=284) who reported recent sexual behavior, methamphetamine use, and injection drug use we...
Conference Paper
Background: The application of technology for adolescent sexual health education is increasing, though few studies have examined the use of health games for HIV/STI and pregnancy prevention and less still that focus on parent-child communication. The Secret of Seven Stones (SSS) is a home-based online adventure game designed to transcend the “sex t...
Article
Abstract Objective: Determine the extent to which personal, behavioral, and environmental factors are associated with HIV/STI testing and disclosure. Participants: 930 HIV-negative collegiate men who have sex with men (MSM) who completed an online survey about alcohol use and sexual behavior. Methods: Correlates of testing and disclosure significan...
Article
Researchers new to online qualitative health research frequently have questions about how to transfer knowledge of offline data collection to an online environment. In this article, we present best-practice guidelines derived from the literature and our experience to help researchers determine if an online qualitative study design is appropriate fo...
Article
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Recruiting hidden populations into online research remains challenging. In this manuscript, we report lessons learned from our efforts to recruit methamphetamine-using men who have sex with men. Between July and October 2012, we implemented a four-phase recruitment strategy to enroll a total of 343 methamphetamine-using MSM into an online survey ab...
Article
To inform HIV/STI prevention messaging, the authors used cross-sectional data from 1,231 men who have sex with men (MSM) to examine the acceptability of strategies for delivering prevention messages in sexually explicit media (SEM). The majority of participants (83%) found it acceptable to include prevention messages in SEM. A latent profile analys...
Article
Full-text available
This study sought to study consumption patterns of gay-oriented sexually explicit media (SEM) by men who have sex with men (MSM); and to investigate a hypothesized relationship between gay SEM consumption and HIV risk behavior. Participants were 1,391 MSM living in the US, recruited online to complete a SEM consumption and sexual risk survey. Almos...
Article
We sought to 1) describe the settings or groups of settings where men who have sex with men (MSM) consume alcohol in 16 U.S. metropolitan statistical areas (MSA); and 2) investigate whether certain drinking settings or groups of settings are associated with higher levels of alcohol consumption, problem drinking, and sexual risk behavior. Latent cla...
Article
In this research study of 153 college-bound students, perceived sexual benefits of alcohol use were associated with greater drinking and related consequences during the senior year of high school and freshman year of college. Perceived benefits predicted drinking outcomes during fall after adjustment for gender, sensation seeking, parental educatio...
Article
Full-text available
While the effects of sexually explicit media (SEM) on heterosexuals' sexual intentions and behaviors have been studied, little is known about the consumption and possible influence of SEM among men who have sex with men (MSM). Importantly, conceptual models of how Internet-based SEM influences behavior are lacking. Seventy-nine MSM participated in...
Article
When exposed to their congregations' negative views of homosexuality, Christian men who have sex with men frequently struggle to reconcile their religious and sexual identities, possibly contributing to negative emotional states and behaviors associated with HIV/STI infection. To examine the influence of religiousity on internalized homonegativity...
Article
Technology is an increasingly necessary tool for therapists to maintain a successful practice. Studies have not examined how decisions about the content and format of health-related websites are made, which may help providers direct clients to more credible online resources and provide suggestions of how to most efficiently develop a professional w...
Article
Religiosity is associated with behaviors that reduce the risk of HIV/STI infection among general-population and heterosexual-specific samples. Whether this association is similar to homosexual persons is unknown. Measures of religiosity have not been evaluated psychometrically among men who have sex with men (MSM), a population who, because of stig...
Article
Full-text available
Although research has been conducted over the last half century to test the hypothesis that pornography, or sexually explicit media (SEM), influences behavior, information regarding usage and its effect on men who have sex with men (MSM) is limited. It is important for researchers studying online risk factors for HIV to consider the relationship be...
Article
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HIV prevention educators frequently encourage gay and bisexual men (GBM) to negotiate condom use prior to sexual engagement. Identifying groups of GBM based on their presexual agreements can aid efforts to tailor interventions. Using cross-sectional data from 1,188 GBM who reported having sex with a nonprimary sex partner in the 90 days prior to th...
Article
Health administrators and educators working in clinical settings are often charged with cultivating a culturally competent clinical environment for lesbian, gay, bisexual, and transgender (LGBT) patients. To better understand what constitutes such an environment, we conducted seven focus groups with health care providers and LGBT patients living in...
Article
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"Until recently sexuality and technology have been seen in the social sciences as two distinct and unrelated realms. This has meant that the ways in which technology has produced or configured sexuality, how technology has become sexualized and how sexuality has in tum configured technology in society and history have, to date, largely remained une...
Article
Full-text available
The Men's INTernet Study II included a randomized controlled trial to develop and test an Internet-based HIV prevention intervention for U.S men who use the Internet to seek sex with men. In 2008, participants (n = 560) were randomized to an online, interactive, sexual risk-reduction intervention or to a wait list null control. After 3 months, part...
Article
Full-text available
To inform health information targeting, we used cross-sectional data from 2577 HIV-negative MSM to identify groups of men who access similar sources. Offline, more men reported talking to a physician about HIV than about having sex with men; fewer than half attended a safer sex workshop. Online, men sought information primarily through Internet sea...
Conference Paper
Background: The study of sexual risk behavior among men who have sex with men (MSM) has focused largely on individual-level variables. In contrast, macrosocial factors, such as laws, remain largely unstudied. Methods: The Structural Interventions to Lower Alcohol-related HIV/STI Risk (SILAS) is a five-year study of men who reside in sixteen US ci...
Article
Previous research conducted in the USA and Africa has identified human immunodeficiency virus (HIV) infection as a risk factor for women developing squamous intraepithelial lesion (SIL) diagnosis. This study was conducted to compare the odds of a diagnosis of atypical squamous cells (ASCUS) or SIL in a sample of mostly African-born and US-born wome...
Article
How collegiate gay and bisexual men acquire a sociosexual identity appears to affect their sexual health. Analysis of interview data from 25 self-identified collegiate gay or bisexual men resulted in the development of a collective sexual script for men acquiring a sociosexual identity. Changes in an individual’s acting out of a cultural scenario...
Article
This article reports on a study that employed ethnographic methods to understand how social constructions influence the social identity development of collegiate gay and bisexual men (CGBM) in the United States. Data included 15 weeks of participant observations at a large southwestern university; the review of university documents, including 69 ne...
Article
Full-text available
This dissertation presents a sociocultural model of how collegiate gay and bisexual men developed a sociosexual identity as they gain sexual experience, how the sociosexual identity development affected their sexual health, and how university and community sexual health education programs missed opportunities to influence the men's sociosexual iden...

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