Brian A. Feinstein
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Sexual orientation-related victimization and posttrauma reckless and self-destructive behaviors in trauma-exposed sexual minority adults. Open
Trauma symptoms due to discrimination and emotion dysregulation may be important explanatory factors underlying the association between sexual orientation-related victimization and posttrauma RSDBs, suggesting their potential utility as ta…
From rejection by others to affirmation of self: Understanding the dynamics of cissexism-based stress, resilience factors, and suicidal ideation among bi+ transgender and gender diverse adults. Open
Bi+ and transgender and gender diverse (TGD) people experience high rates of suicidal ideation (SI), theorized to result from experiencing oppression-based stress. However, the role of resilience in moderating these effects remains largely…
Preferences for Pre-Exposure Prophylaxis Implementation and Engagement in the HIV Pre-Exposure Prophylaxis Care Continuum Among Patients Receiving Psychiatric Care in an Ending the HIV Epidemic Priority County Open
Introduction: People living with mental illness (PLWMI) experience disproportionate HIV incidence. Research suggests use of HIV pre-exposure prophylaxis (PrEP) is low among PLWMI. This study was conducted to understand self-reported HIV vu…
View article: Exploring Drivers of Binge Eating in Individuals With Food Insecurity and Recurrent Binge Eating: A Qualitative Analysis
Exploring Drivers of Binge Eating in Individuals With Food Insecurity and Recurrent Binge Eating: A Qualitative Analysis Open
Objective This study explored the drivers of binge eating in people with food insecurity and recurrent binge eating. Method Participants were 28 adults, ages 26–69 ( M = 46.22, SD = 11.94; 64.3% female), who endorsed current food insecurit…
Clinical presentations and treatment outcomes between bi+, gay/lesbian, and heterosexual adults with obsessive–compulsive disorder. Open
Sexual minority people are at increased risk of psychopathology, including obsessive-compulsive disorder (OCD), compared with heterosexual people. Prior research has found that sexual minority people are more likely to be diagnosed with or…
Intersectional discrimination, psychological distress, and physical health symptoms among Latine sexual minority adults. Open
Latine sexual minority adults report discrimination related to their minoritized identities (racism, heterosexism) and at the intersection of those identities (racism in the LGBTQ+ community, heterosexism in one's racial/ethnic community).…
Psychiatrists' Experiences, Training Needs, and Preferences Regarding Prescription and Management of HIV Pre‐exposure Prophylaxis (PrEP) Within Psychiatric Care Open
Background People living with mental illness (PLWMI) experience a disproportionate prevalence and incidence of HIV. Preventing HIV among PLWMI is a priority for multiple domestic public health agencies. As key clinicians for this group, ps…
Bi+ Men’s Explanations for Substance Use Disparities in Their Community Open
Bi+ men are more likely to use alcohol and drugs than heterosexual and often gay men. The minority stress model is the predominant framework for understanding these disparities, but it is unknown whether this framework is consistent with b…
Psychiatry and Family Medicine Residents’ Likelihood of Prescribing HIV Pre-exposure Prophylaxis to Patients With Mental Illness and HIV Vulnerability Open
Background: People living with mental illness (PLMI) experience disproportionately high incidence of and vulnerability to HIV. Pre-exposure prophylaxis (PrEP) is an effective and safe HIV prevention method, but data regarding prescription …
View article: Minority stress and relationship satisfaction among bi+ individuals: The roles of partner gender and sexual orientation.
Minority stress and relationship satisfaction among bi+ individuals: The roles of partner gender and sexual orientation. Open
Bi+ individuals face unique stressors such as anti-bisexual discrimination and internalized binegativity. Minority stress is associated with relationship dissatisfaction among sexual minority individuals, but this has rarely been studied a…
Gender nonconformity and rejection sensitivity among sexual minority youth: Examining rejection as an underlying mechanism and differences by sex and age. Open
Some research seems to suggest that gender-nonconforming sexual minority youth report higher levels of rejection sensitivity (RS) because they experience more rejection compared to gender-conforming sexual minority youth. Moreover, there m…
Intersectional effects of sexual orientation and racial/ethnic discrimination on substance use among young adult sexual minority cisgender women and nonbinary people of color: Testing additive, prominence, and multiplicative hypotheses. Open
Studies examining the intersectional effects of sexual orientation and racial/ethnic discrimination among sexual minority people of color have produced mixed results, supporting a range of hypotheses. Some studies find that both types of d…
Bisexuality and Substance Use Open
Purpose of review This article highlights an urgent need to better understand the substance use disparities affecting bisexual people. The National Institutes of Health (NIH) and the National Academy of Medicine (NAM) have made calls for r…
Sexual orientation and mental health in a US cohort of children: a longitudinal mediation study Open
Background Sexual minorities, including children, are at increased risk for adverse mental health outcomes compared to their heterosexual peers, but longitudinal studies are needed to determine the factors that explain the associations bet…
Sexual and Gender Minority Differences in Likelihood of Being a Caregiver and Levels of Caregiver Strain in a Sample of Older Adults Open
Over the next two decades, the number of caregivers is expected to climb dramatically alongside a rise in older adults, particularly sexual and gender minority (SGM) older adults, yet little research has assessed differences between SGM an…
Disparities in depression and anxiety related to sexual orientation and gender identity among older adults: The role of age discrimination. Open
Age discrimination may be a mechanism underlying the mental health disparities affecting SGM older adults and a promising intervention target.
Event-level contextual and motivational risk factors for cannabis use: Evidence for differing associations based on individual-level patterns of cannabis use among sexual minority women and gender diverse individuals. Open
Few studies have examined event-level contextual and motivational risk factors for cannabis use (CU) among sexual minority women and gender diverse individuals (SMWGD). While existing studies assume the same risk factors are relevant for a…
Bi+ identity visibility and well-being in the context of romantic relationships. Open
Bi+ people-those who are attracted to multiple gender groups and who use labels such as bisexual, pansexual, queer, or fluid-encounter challenges related to making their identities visible and experience reduced well-being relative to thei…
Gender differences in attitudes toward bisexual people and bisexuality: A systematic review and meta-analysis. Open
Previous meta-analyses have examined gender differences in people's attitudes toward lesbian/gay sexualities, finding that, overall, men hold more homonegative attitudes than women (Kite et al., 2021; Petersen & Hyde, 2011). Bisexuality sc…
Testing the interpersonal theory of suicide in a sample of sexual minority young adults: Attention to within‐group differences Open
Introduction This study investigated demographic differences in interpersonal theory of suicide factors and their associations with suicide attempts among sexual minority young adults. Methods 784 sexual minority young adults ages 18–29 (4…
Differences in infection and prevention of HIV and other sexually transmitted infections among older adults in Columbus, Ohio Open
Introduction In the United States, rates of sexually transmitted infections (STIs) have increased year after year for the past six consecutive years. Even so, the majority of research has focused on younger populations with little work exa…
Aspects of positive identity buffer the longitudinal associations between discrimination and suicidal ideation among bi+ young adults. Open
Results suggest that promoting positive aspects of bi + identity (community, authenticity, and intimacy), but not general resilience, may help attenuate the effects of antibisexual discrimination on suicidal ideation over time. (PsycInfo D…
Knowledge of human papillomavirus vaccination: A multi-institution, cross-sectional study of allopathic and osteopathic medical students Open
Human papillomavirus (HPV) vaccination is a well-established and successful tool for preventing HPV-related cancers. However, vaccine uptake remains low, influenced by patient hesitancy around safety concerns and little opportunity to disc…