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LGBT Health

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https://www.readbyqxmd.com/read/28891750/acceptability-and-preliminary-efficacy-of-a-lesbian-gay-bisexual-and-transgender-affirmative-mental-health-practice-training-in-a-highly-stigmatizing-national-context
#1
Corina Lelutiu-Weinberger, John E Pachankis
PURPOSE: Lesbian, gay, bisexual, and transgender (LGBT) individuals in Romania encounter pervasive stigma and discrimination and there is a high need for LGBT-competent mental health professionals (MHPs). We tested the impact of a pilot LGBT-affirmative training for MHPs in Romania on these professionals' LGBT-relevant attitudes, knowledge, and perception of clinical skills. METHODS: We conducted a 2-day training for MHPs in Bucharest. Fifty-four attended and 33 provided training evaluation data at baseline and follow-up...
September 11, 2017: LGBT Health
https://www.readbyqxmd.com/read/28880825/transient-elevated-serum-prolactin-in-trans-women-is-caused-by-cyproterone-acetate-treatment
#2
Justine Defreyne, Nienke Nota, Cecilia Pereira, Thomas Schreiner, Alessandra D Fisher, Martin den Heijer, Guy T'Sjoen
PURPOSE: Hormone treatment in trans women in Europe usually consists of the administration of estrogens and antiandrogens, for example, cyproterone acetate (CPA). Mild serum prolactin elevations during follow-up are attributed to estrogen therapy. This analysis evaluates whether CPA contributes to the elevation of prolactin in trans women receiving gender affirming hormones. METHODS: This study is part of the endocrine part of the European Network for the Investigation of Gender Incongruence (ENIGI)...
September 7, 2017: LGBT Health
https://www.readbyqxmd.com/read/28876211/human-papillomavirus-related-cancer-surveillance-prevention-and-screening-among-transgender-men-and-women-neglected-populations-at-high-risk
#3
Brandon Brown, Tonia Poteat, Logan Marg, Jerome T Galea
Researchers and healthcare surveillance systems must clearly disaggregate data for transgender men and women from data for cisgender men and women to identify population-level health disparities and give every person an opportunity for cancer prevention. The limited human papillomavirus (HPV) vaccine recommendations for transgender men and women may be due to the scant literature on cancer prevalence coupled with poor understanding of HPV risks for these populations. Comprehensive cancer screening and prevention initiatives centered on relevant anatomy and sexual risk behaviors that are inclusive of transgender men and women are needed...
September 6, 2017: LGBT Health
https://www.readbyqxmd.com/read/28876170/transgender-women-living-with-hiv-frequently-take-antiretroviral-therapy-and-or-feminizing-hormone-therapy-differently-than-prescribed-due-to-drug-drug-interaction-concerns
#4
Hannan M Braun, Jury Candelario, Courtney L Hanlon, Eddy R Segura, Jesse L Clark, Judith S Currier, Jordan E Lake
PURPOSE: Both hormone therapy (HT) and antiretroviral therapy (ART) can be lifesaving for transgender women (TW) living with HIV, but each has side effects and potential drug-drug interactions (DDI). We assessed how concerns about HT-ART interactions affect treatment adherence. METHODS: This study used a cross-sectional survey of TW (n = 87) in Los Angeles, CA. RESULTS: Fifty-four percent were living with HIV; 64% used HT. Only 49% of TW living with HIV discussed ART-HT DDI with their provider; 40% reported not taking ART (12%), HT (12%), or both (16%) as directed due to DDI concerns...
September 6, 2017: LGBT Health
https://www.readbyqxmd.com/read/28876167/sexual-orientation-based-discrimination-excessive-alcohol-use-and-substance-use-disorders-among-sexual-minority-adults
#5
Megan E Slater, Dionne Godette, Boji Huang, W June Ruan, Bradley T Kerridge
PURPOSE: The purpose of this study was to examine relationships between sexual orientation-based discrimination and excessive alcohol use and substance use disorders and to identify how these relationships differ by sexual identity, sex, race, Hispanic origin, and education among sexual minorities. METHODS: We used logistic regression to analyze associations between discrimination and substance use measures among 1351 gay/lesbian, bisexual, or unsure adults from a nationally representative survey...
September 6, 2017: LGBT Health
https://www.readbyqxmd.com/read/28792886/mediating-effects-of-social-support-and-internalized-homonegativity-on-the-association-between-population-density-and-mental-health-among-gay-and-bisexual-men
#6
Demetria N Cain, Chloe Mirzayi, H Jonathon Rendina, Ana Ventuneac, Christian Grov, Jeffrey T Parsons
PURPOSE: Depression negatively impacts the health and well-being of gay and bisexual men (GBM). However, little is known about the contexts in which rural GBM live relative to those living in urban areas and their overall mental health. The aim of this study was to examine associations between population density and depressive symptoms and the role of internalized homonegativity and social support as potential mediators. METHODS: A nationally representative sample of 1071 GBM (mean age = 40...
August 9, 2017: LGBT Health
https://www.readbyqxmd.com/read/28727950/sociodemographic-characteristics-and-health-outcomes-among-lesbian-gay-and-bisexual-u-s-adults-using-healthy-people-2020-leading-health-indicators
#7
Mitchell R Lunn, Wanjun Cui, Matthew M Zack, William W Thompson, Michael B Blank, Baligh R Yehia
PURPOSE: This study aimed to characterize the sociodemographic characteristics of sexual minority (i.e., gay, lesbian, bisexual) adults and compare sexual minority and heterosexual populations on nine Healthy People 2020 leading health indicators (LHIs). METHODS: Using a nationally representative, cross-sectional survey (National Health Interview Survey 2013-2015) of the civilian, noninstitutionalized population (228,893,944 adults), nine Healthy People 2020 LHIs addressing health behaviors and access to care, stratified using a composite variable of sex (female, male) and sexual orientation (gay or lesbian, bisexual, heterosexual), were analyzed individually and in aggregate...
August 2017: LGBT Health
https://www.readbyqxmd.com/read/28723306/inclusion-of-lesbian-gay-bisexual-transgender-queer-and-intersex-health-in-australian-and-new-zealand-medical-education
#8
Asiel Adan Sanchez, Erica Southgate, Gary Rogers, Robbert J Duvivier
PURPOSE: This study aims at establishing the scope of lesbian, gay, bisexual, transgender, queer, and intersex (LGBTQI) health in Australian and New Zealand medical curricula. METHODS: We sent medical school curriculum administrators an online cross-sectional survey. RESULTS: The response rate was 15 medical schools (71%): 14 Australian schools and 1 New Zealand school. Respondents included program directors (n = 5; 33%), course coordinators (n = 4; 27%), Heads of School (n = 2; 13%), one Dean (7%), and three others (20%)...
August 2017: LGBT Health
https://www.readbyqxmd.com/read/28719246/disparities-in-exposure-to-intimate-partner-violence-among-transgender-gender-nonconforming-and-sexual-minority-primary-care-patients
#9
Sarah E Valentine, Sarah M Peitzmeier, Dana S King, Conall O'Cleirigh, Samantha M Marquez, Cara Presley, Jennifer Potter
PURPOSE: We investigated the odds of intimate partner violence (IPV) among primary care patients across subgroups of transgender and gender nonconforming (TGNC) individuals relative to cisgender women, and cisgender sexual minority men and women relative to cisgender heterosexual men and women. METHODS: Participants completed an IPV screener as part of routine primary care visits at an urban community health center (N = 7572). Electronic medical record data were pooled for all patients who received the IPV screener January 1 to December 31, 2014...
August 2017: LGBT Health
https://www.readbyqxmd.com/read/28708449/promoting-a-policy-and-research-agenda-to-protect-lesbian-gay-bisexual-and-transgender-health-in-the-new-political-era
#10
Oxiris Barbot, Laura E Durso
No abstract text is available yet for this article.
August 2017: LGBT Health
https://www.readbyqxmd.com/read/28708447/coverage-for-gender-affirming-care-making-health-insurance-work-for-transgender-americans
#11
William V Padula, Kellan Baker
Many transgender Americans continue to remain uninsured or are underinsured because of payers' refusal to cover medically necessary, gender-affirming healthcare services-such as hormone therapy, mental health counseling, and reconstructive surgeries. Coverage refusal results in higher costs and poor health outcomes among transgender people who cannot access gender-affirming care. Research into the value of health insurance coverage for gender-affirming care for transgender individuals shows that the health benefits far outweigh the costs of insuring transition procedures...
August 2017: LGBT Health
https://www.readbyqxmd.com/read/28665783/cervical-cancer-screening-preferences-among-trans-masculine-individuals-patient-collected-human-papillomavirus-vaginal-swabs-versus-provider-administered-pap-tests
#12
Michal McDowell, Dana J Pardee, Sarah Peitzmeier, Sari L Reisner, Madina Agénor, Natalie Alizaga, Ida Bernstein, Jennifer Potter
PURPOSE: Trans-masculine (TM, i.e., persons who have a masculine spectrum gender identity, but were assigned female sex at birth) individuals face disparities in cervical cancer screening rates compared to cisgender women. Some unique barriers to screening in this population are specific to Pap tests. Introduction of self-collected frontal (i.e., vaginal) swabs for human papillomavirus (HPV) testing as a screening strategy may obviate these barriers. This study elucidates cervical cancer screening preferences among TM individuals...
August 2017: LGBT Health
https://www.readbyqxmd.com/read/28631999/adapting-healthcare-quality-measures-to-transgender-individuals
#13
Landon D Hughes, Olivia K G Berzin, Musetta Leung, Catherine Hersey, Sarah Grallert
The healthcare system's rapid shift toward value-based payment poses unique quality measurement challenges and new foci for researchers and policy makers. Quality measures that use sex-specific criteria may inappropriately include or exclude transgender individuals. More large-scale studies must be conducted to incorporate transgender individuals into measures that use sex-specific criteria, and "measure stewards" should consider the existing clinical guidelines and recommendations regarding transgender individuals when developing measures...
August 2017: LGBT Health
https://www.readbyqxmd.com/read/28514200/culturally-competent-sexual-healthcare-as-a-prerequisite-for-obtaining-preexposure-prophylaxis-findings-from-a-qualitative-study
#14
Kevin M Maloney, Douglas S Krakower, Dale Ziobro, Joshua G Rosenberger, David Novak, Kenneth H Mayer
PURPOSE: Men who have sex with men (MSM) experience stigma in healthcare settings, which impedes disclosure of sexual behavior, potentially limiting uptake of preexposure prophylaxis (PrEP). The purpose of this study was to describe the context of this limitation and explore geographical variability. METHODS: To understand how discomfort in healthcare settings affects PrEP utilization, we conducted two online focus groups with geographically diverse samples of MSM...
August 2017: LGBT Health
https://www.readbyqxmd.com/read/28498023/physical-and-or-sexual-abuse-is-associated-with-increased-psychological-and-emotional-distress-among-transgender-women
#15
Alexandra L Kussin-Shoptaw, Jesse B Fletcher, Cathy J Reback
PURPOSE: Transgender women have consistently reported elevated rates of lifetime physical and sexual abuse. This study examined the associations between reported physical and/or sexual abuse and symptoms of psychological and emotional distress among a sample of urban, high-risk transgender women. METHODS: From June 2005 through July 2012, 99 transgender women enrolled in a Comprehensive Risk Counseling and Services program in Hollywood, CA. Seemingly unrelated regression equations (SURE) were used to simultaneously regress psychiatric symptom reports on participant sociodemographic characteristics and self-reported history of physical/sexual abuse...
August 2017: LGBT Health
https://www.readbyqxmd.com/read/28422558/understanding-transgender-men-s-experiences-with-and-preferences-for-cervical-cancer-screening-a-rapid-assessment-survey
#16
Julia Seay, Atticus Ranck, Roy Weiss, Christopher Salgado, Lydia Fein, Erin Kobetz
PURPOSE: Transgender men are less likely than cisgender women to receive cervical cancer screening. The purpose of the current study was to understand experiences with and preferences for cervical cancer screening among transgender men. METHODS: Ninety-one transgender men ages 21-63 completed the survey. The survey evaluated experiences with and preferences for screening, including opinions regarding human papillomavirus (HPV) self-sampling as a primary cervical cancer screening...
August 2017: LGBT Health
https://www.readbyqxmd.com/read/28498011/factors-associated-with-antiretroviral-therapy-adherence-among-transgender-women-receiving-hiv-medical-care-in-the-united-states
#17
Yuko Mizuno, Linda Beer, Ping Huang, Emma L Frazier
PURPOSE: We examined factors associated with antiretroviral therapy (ART) adherence among transgender women living with HIV (TWLWH). METHODS: We used combined data from the 2009 to 2013 cycles of Medical Monitoring Project, an HIV surveillance system designed to produce nationally representative estimates of the characteristics of HIV-infected adults receiving HIV medical care in the United States. Rao-Scott chi-square tests and multivariable logistic regression were used to identify factors associated with dose adherence (defined as taking 100% of prescribed ART doses in the past 3 days)...
June 2017: LGBT Health
https://www.readbyqxmd.com/read/28498005/school-protective-factors-and-substance-use-among-lesbian-gay-and-bisexual-adolescents-in-california-public-schools
#18
Kris Tunac De Pedro, Monica Christina Esqueda, Tamika D Gilreath
PURPOSE: The majority of studies examining substance use among lesbian, gay, and bisexual (LGB) youth have focused on a wide array of risk factors (e.g., victimization). Few studies have explored the protective role of schools. This study aims to fill this gap in the literature and inform programs aimed at reducing substance use among LGB youth. More specifically, this study explores the extent to which school connectedness and support from teachers and other adults at school are associated with substance use among LGB youth in school and within the past 30 days...
June 2017: LGBT Health
https://www.readbyqxmd.com/read/28467238/sexual-orientation-disparities-in-human-papillomavirus-vaccination-in-a-longitudinal-cohort-of-u-s-males-and-females
#19
Brittany M Charlton, Sari L Reisner, Madina Agénor, Allegra R Gordon, Vishnudas Sarda, S Bryn Austin
PURPOSE: This study sought to examine how human papillomavirus (HPV) vaccination may differ across sexual orientation groups (e.g., bisexuals compared to heterosexuals)-particularly in boys and men, about whom little is known. METHODS: Data were from a prospective cohort of 10,663 U.S. females and males enrolled in the Growing Up Today Study followed from 1996 to 2014. Participants were aged 11-24 years when the vaccine was approved for females in 2006 and 14-27 years when approved for males in 2009...
June 2017: LGBT Health
https://www.readbyqxmd.com/read/28453387/if-they-don-t-count-us-we-don-t-count-trump-administration-rolls-back-sexual-orientation-and-gender-identity-data-collection
#20
Sean R Cahill, Harvey J Makadon
The Trump Administration recently removed sexual orientation and gender identity (SOGI) questions from a national aging survey, and decided not to add a sexual orientation category and a transgender identity field to a national disability survey as planned. These actions have raised concerns that the major expansion of SOGI data collection on surveys and in clinical settings, which has occurred in recent years, may be under threat. SOGI data collection is essential to understand lesbian, gay, bisexual, and transgender (LGBT) health and the extent to which LGBT people access critical social services, including elder and disability services essential for living in community...
June 2017: LGBT Health
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