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Journal of Homosexuality

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https://www.readbyqxmd.com/read/28537845/high-rates-of-access-to-health-care-disclosure-of-sexuality-and-gender-identity-to-providers-among-house-and-ball-community-members-in-new-york-city
#1
Sean Cahill, Sarah Trieweiler, John Guidry, Nelisa Rash, Layla Stamper, Kerith Conron, Nicole Turcotte, Ilana Gratch, Paige Lowry
The House and Ball community is an important cultural manifestation of resiliency for Black and Latino gay and bisexual men and transgender women. Participants at the August, 2013 House of Latex Ball in New York City were surveyed about insurance coverage, health care access, experiences in health care, and housing instability. The sample (n = 367) was 58% Black/African American and 20% Hispanic/Latino, with a mean age of 31. Fifty-five percent were gay and bisexual men. While only 6% identified as transgender, nearly half were gender nonconforming...
May 24, 2017: Journal of Homosexuality
https://www.readbyqxmd.com/read/28537842/-invisible-during-my-own-crisis-responses-of-lgbt-people-of-color-to-the-orlando-shooting
#2
Johanna L Ramirez, Kirsten A Gonzalez, M Paz Galupo
On June 12th, 2016, the Pulse nightclub in Orlando, Florida was the target of one of the country's deadliest mass shootings. Pulse, a gay nightclub, was hosting a Latin Pride Night the evening of the tragedy, resulting in the death of 49 victims and 53 casualties, over 90% of whom were lesbian, gay, bisexual, and transgender (LGBT) Latinx people, specifically. The present research investigates the narrative responses from LGBT people of color (LGBT-POC) following the tragedy. Results included an analysis of 94 participant narrative responses...
May 24, 2017: Journal of Homosexuality
https://www.readbyqxmd.com/read/28537796/coping-with-stress-as-an-lgbtq-healthcare-professional
#3
Michele J Eliason, Carl Streed, Michael Henne
Lesbian, gay, bisexual, transgender, queer, and other sexual/gender minority (LGBTQ+) healthcare providers face both general work-related stresses and working in heteronormative settings with ill-informed or hostile coworkers and patients, yet there has been little study of whether the coping strategies are specific to LGBTQ+ stress. We analyzed qualitative data from 277 healthcare professionals. Sources of stress included religiously and politically conservative coworkers, coworker/patient lack of knowledge, stresses of closeted, and concerns about being out to patients...
May 24, 2017: Journal of Homosexuality
https://www.readbyqxmd.com/read/28537790/lgbtq-women-appearance-negotiations-and-workplace-dress-codes
#4
Kelly L Reddy-Best
The purpose of this study was to explore LGBTQ women's experiences with unwritten or formal dress codes at work. I asked: what are LGBTQ women's experiences in the workplace with appearance management, and what are LGBTQ women's experiences navigating the written and unwritten dress codes in the workplace? To answer the research question, interviews were conducted with 24 self-identifying LGBTQ women. Six key themes emerged from the data. Themes included (1) expressed sexual identity in appearance, (2) unwritten dress codes in work environments did not always allow for expression of sexual identity in appearance, (3) motivations for pressure or desire to conceal expression of sexual identity in appearance at work, (4) negotiations of revealing or concealing sexual identity in appearance in the workplace impacted levels of comfort and confidence (5) verbal and non-verbal negative experiences related to appearance at work, and (6) received compliments about appearance at work...
May 24, 2017: Journal of Homosexuality
https://www.readbyqxmd.com/read/28506202/subtle-and-severe-microaggressions-among-racially-diverse-sexual-minorities
#5
Amanda Weber, Shelly-Ann Collins, Tracy Robinson-Wood, Elda Zeko-Underwood, Bianca Poindexter
In recent years, understanding prejudice and discrimination towards minorities has developed to include the investigation of microaggressions. Microaggressions are brief and commonplace verbal, behavioral or environmental indignities. They are intentional or unintentional and communicate hostile, derogatory, or negative slights towards racial and sexual minorities. The purpose of this phenomenological study is to chronicle the prevalence and type of microaggressions experienced among a sample of 18 highly educated and racially diverse sexual minorities, 24-65 years of age...
May 16, 2017: Journal of Homosexuality
https://www.readbyqxmd.com/read/28506181/intersectionality-in-the-lives-of-lgbtq-youth-identifying-as-lgbtq-and-finding-community-in-small-cities-and-rural-towns
#6
Wendy Hulko, Jessica Hovanes
This paper presents an analysis of the views of younger bisexual and lesbian women and transgender youth living in a Western Canadian small city on their sexual and gender identities. Data were collected through focus groups and interviews and analyzed thematically through an intersectional lens. The purposive sample was comprised of 13 youth who identified as lesbian, gay, bisexual, transgender and/or queer (LGBTQ) and whose average age was 19.8 years. The analytical themes of identifying and being identified, talking intersectionality, and living in a small town indicate that the sexual identities and gender identities and/or expressions of LGBTQ youth change across time and context and are impacted by often overlooked factors including faith, Indigeneity, disability, and class...
May 16, 2017: Journal of Homosexuality
https://www.readbyqxmd.com/read/28506154/seroadaptive-strategies-of-vancouver-gay-and-bisexual-men-in-a-treatment-as-prevention-environment
#7
Eric Abella Roth, Zishan Cui, Ashleigh Rich, Nathan Lachowsky, Paul Sereda, Kiffer Card, Jody Jollimore, Terry Howard, Heather Armstrong, David Moore, Robert Hogg
British Columbia's Treatment as Prevention policy has provided free access to Highly Active Antiretroviral Therapy (HAART) to all HIV-positive provincial residents since 1996. One outcome is an increase in HIV-positive gay and bisexual men (GBM) with suppressed viral loads. Previous cross-sectional analyses indicated that some Vancouver GBM now recognize condomless anal sex with men on HAART who report a suppressed viral load as a sero-adaptive strategy. To test the hypothesis that this new strategy, termed viral load sorting (VLS), is recognized and used among by GBM in the Momentum Health Study, we analyzed longitudinal data for HIV-negative/unknown (n = 556) and HIV-positive (n = 218) sero-status participants...
May 16, 2017: Journal of Homosexuality
https://www.readbyqxmd.com/read/28506123/jack-d-a-mobile-social-networking-application-and-gender-performance-a-site-of-exclusion-within-a-site-of-inclusion
#8
Michael D Bartone
User-generated smartphone applications have created a new level of virtual connectivity for gay males, one in which users can create profiles and meet other users as nearby or as faraway as possible. For those within close proximity, the other users can be considered their "virtual neighbors." While the applications are theoretically designed to be places of inclusion and not exclusion, where any gay male with economic means can download an application, many profiles have been created, which exclude other users...
May 16, 2017: Journal of Homosexuality
https://www.readbyqxmd.com/read/28481724/what-lesbian-gay-bisexual-transgender-queer-and-intersex-patients-say-doctors-should-know-and-do-a-qualitative-study
#9
Alison B Alpert, Eileen M Cichoskikelly, Aaron D Fox
This qualitative study explored the experiences of lesbian, gay, bisexual, transgender, queer and intersex (LGBTQI) people in health care and their recommendations regarding what physicians should know and do to be able to take care of them. Six focus groups were conducted with LGBTQI people (N = 48) in four U.S. cities between October 2013 and April 2014. Five overarching themes emerged regarding patients' suggestions for providers: be comfortable with LGBTQI patients; share medical decision-making; avoid assumptions; apply LGBTQI-related knowledge; and address the social context of health disparities...
May 8, 2017: Journal of Homosexuality
https://www.readbyqxmd.com/read/28481718/healthcare-needs-and-care-utilization-among-lesbian-gay-bisexual-and-transgender-populations-in-new-jersey
#10
Rubab I Qureshi, Peijia Zha, Suzanne Kim, Patricia Hindin, Zoon Naqvi, Cheryl Holly, William Dubbs, Wendy Ritch
The purpose of this study was to explore prevalent health issues, perceived barriers to seeking healthcare, and utilization of healthcare among lesbian, gay, bisexual and transgender (LGBT) populations in New Jersey. A cross-sectional online survey was administered to 438 self-identified LGBT people. Results identified health needs which included management of chronic diseases, preventive care for risky behaviors, mental health issues and issues related to interpersonal violence. Barriers to seeking healthcare included scarceness of health professionals competent in LGBT health, inadequate health insurance coverage and lack of personal finances, and widely dispersed LGBT inclusive practices making transportation difficult...
May 8, 2017: Journal of Homosexuality
https://www.readbyqxmd.com/read/28471313/coming-out-confessions-negotiating-the-burden-of-lesbian-identity-politics-in-south-africa
#11
Ella Kotze, Brett Bowman
For lesbians, "coming out" or disclosing one's sexual orientation has come to be seen as a marker of self-acceptance, actualisation and the imperative first step in the authentication of a liberated subjectivity and social identity. However, other critical schools of thought, largely informed by Foucault's middle writings, have argued that "coming-out" is merely a confessional response to an incitement to discourse about sex. This study explored constructions of coming-out by a group of self-identified lesbians in South Africa...
May 4, 2017: Journal of Homosexuality
https://www.readbyqxmd.com/read/28467155/contextualizing-competence-language-and-lgbt-based-competency-in-healthcare
#12
Alexis L Rossi, Eliot J Lopez
Changes in the language and terminology used to refer to individuals identifying as lesbian, gay, bisexual and transgender (LGBT), as well as how best to discuss issues of sexual and gender identity, can prove challenging for healthcare providers due to 1) lack of training; 2) interdisciplinary issues; and 3) prejudices on personal and institutional levels. Given the importance of language in the relationship between healthcare provider and patient as well as the myriad ways in which language can reflect knowledge, skills, and attitudes, we contend that language is both a facilitator and inhibitor of competence...
May 3, 2017: Journal of Homosexuality
https://www.readbyqxmd.com/read/28463093/an-interdisciplinary-approach-to-lesbian-gay-bisexual-and-transgender-clinical-competence-professional-training-and-ethical-care-introduction-to-the-special-issue
#13
Markus P Bidell, Lara M Stepleman
There are exigent reasons to foster lesbian, gay, bisexual, and transgender (LGBT) competence, training, and ethical care for health professionals within an interdisciplinary paradigm. LGBT individuals experience serious health and psychosocial disparities; moreover, these inequalities can be amplified when other aspects of diversity such as race, ethnicity, age, gender, religion, disability, and socioeconomic status intersect with sexual orientation and gender identity (Institute of Medicine [IOM], 2011). While the origins of LGBT health and psychosocial disparities are manifold, deficiencies in professional training, ethical care, and clinical competence are underlying contributors (IOM, 2011)...
May 2, 2017: Journal of Homosexuality
https://www.readbyqxmd.com/read/28463070/lesbian-gay-bisexual-and-transgender-healthcare-a-clinical-guide-to-preventive-primary-and-specialist-care
#14
Jacob Mayfield, Edward Fancovic
No abstract text is available yet for this article.
May 2, 2017: Journal of Homosexuality
https://www.readbyqxmd.com/read/28459380/advancing-lgbt-healthcare-policies-and-clinical-care-within-a-large-academic-healthcare-system-a-case-study
#15
Mollie A Ruben, Jillian C Shipherd, David Topor, Christopher G Ahnallen, Colleen A Sloan, Heather M Walton, Alexis R Matza, Glenn R Trezza
Culturally competent healthcare is especially important among sexual and gender minority patients as poor cultural competence contributes to health disparities. There is a need to understand how to improve healthcare quality and delivery for lesbian, gay, bisexual, and transgender (LGBT) Veterans in particular, because they bring unique physical and mental health needs as both LGBT individuals and Veterans. The following paper is a case study that focuses on the policy and clinical care practices related to LGBT clinical competency, professional training, and ethical provision of care for Veteran patients in the VA Boston Healthcare System...
May 1, 2017: Journal of Homosexuality
https://www.readbyqxmd.com/read/28459379/a-qualitative-study-examining-young-adults-experiences-of-disclosure-and-non-disclosure-of-lgbtq-identity-to-healthcare-providers
#16
Kinton Rossman, Paul Salamanca, Kathryn Macapagal
Shifting cultural attitudes and legislation have increased focus on the healthcare needs of lesbian, gay, bisexual, transgender, and queer (LGBTQ) patients. However, patient non-disclosure of LGBTQ identity creates a barrier to accessing care. This qualitative study examined a diverse sample of LGBTQ young adults and their experiences of disclosure and non-disclosure to medical providers. Participants (n = 206, age range 18-27) completed questionnaires assessing healthcare access and use as part of a larger study...
May 1, 2017: Journal of Homosexuality
https://www.readbyqxmd.com/read/28459378/the-lesbian-gay-bisexual-and-transgender-development-of-clinical-skills-scale-lgbt-docss-establishing-a-new-interdisciplinary-self-assessment-for-health-providers
#17
Markus P Bidell
These three studies provide initial evidence for the development, factor structure, reliability, and validity of the Lesbian, Gay, Bisexual, and Transgender Development of Clinical Skills Scale (LGBT-DOCSS), a new interdisciplinary LGBT clinical self-assessment for health and mental health providers. Research participants were voluntarily recruited in the United States and United Kingdom and included trainees, clinicians, and educators from applied psychology, counseling, psychotherapy, and primary care medicine...
May 1, 2017: Journal of Homosexuality
https://www.readbyqxmd.com/read/28459361/the-palgrave-handbook-of-the-psychology-of-sexuality-and-gender
#18
Martin Milton
No abstract text is available yet for this article.
May 1, 2017: Journal of Homosexuality
https://www.readbyqxmd.com/read/28459307/sexual-and-gender-minority-health-curricula-and-institutional-support-services-at-us-schools-of-public-health
#19
Ali J Talan, Carolyn B Drake, Jennifer L Glick, Camilla Scott Claiborn, David Seal
Limited research has examined the ways in which public health training programs equip students to address health disparities affecting the lesbian, gay, bisexual, and transgender (LGBT) community and other sexual and gender minority (SGM) populations. This study outlines the availability of public health curricula on SGM health topics, and the prevalence of LGBT and SGM-inclusive institutional support services across CEPH-accredited US schools of public health. Content analysis of all course offerings related to gender and sexuality revealed a limited focus on sexual and gender minority health: just 4...
May 1, 2017: Journal of Homosexuality
https://www.readbyqxmd.com/read/28441107/coping-with-sexual-orientation-related-minority-stress
#20
Russell B Toomey, Caitlin Ryan, Rafael M Diaz, Stephen T Russell
Little is known about how adolescents cope with minority stressors related to sexual orientation. This study examined 245 lesbian, gay, and bisexual (LGB) young adult's (ages 21-25) retrospective reports of coping in response to LGB minority stress during adolescence (ages 13-19) to test the reliability and validity of a measure of minority stress coping. Further, the study examined associations between LGB minority stress coping and young adult psychosocial adjustment and high school attainment. Validation and reliability was found for three minority stress coping strategies: LGB-specific strategies (e...
April 25, 2017: Journal of Homosexuality
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