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LGBT Health

Kristin Keglovitz, Andrew D Richardson, Nicola Lancki, Tim Walsh, John A Schneider
PURPOSE: Limited data are available on anal squamous intraepithelial lesions (ASILs) and anal human papillomavirus (HPV) infection in young, black populations. The purpose of this study was to examine the prevalence of and relationships between ASILs and high-risk HPV infection in a young (<30 years of age), predominately black, men who have sex with men (MSM) population. METHODS: Results of anal cytology and HPV DNA were gathered for 83 individuals. RESULTS: Forty-two percent of individuals (35) had atypical squamous cells of undetermined significance and 33% (27) had low-grade intraepithelial lesion by cytology...
September 27, 2016: LGBT Health
Olivier Ferlatte, Travis Salway Hottes, Terry Trussler, Rick Marchand
PURPOSE: Researchers are increasingly using national population surveys (NPS) to understand the health of gay and bisexual men (GBM). However, valid inference from these surveys depends on accurate identification of GBM. METHODS: We asked 8126 GBM in an anonymous, online, community-recruited survey about their willingness to reveal their sexual orientation in NPS. RESULTS: Overall, 30% indicated that they would not reveal their sexual orientation; however, there were differences in frequencies according to sexual orientation, relationship status, age, HIV status, living environment, education, income, and ethnicity...
September 22, 2016: LGBT Health
Alissa Davis, Farnaz Kaighobadi, Rob Stephenson, Christine Rael, Theodorus Sandfort
PURPOSE: Intimate partner violence (IPV) research among men who have sex with men (MSM) has primarily focused on the prevalence of IPV victimization and perpetration. Although alcohol use is a known trigger of IPV in opposite sex relationships, less is known about alcohol use and IPV perpetration and victimization in same-sex couples. The aim of this study was to examine associations between alcohol use and different types of IPV victimization and perpetration among MSM. METHODS: MSM in New York City were recruited at gay-friendly venues and events to participate in an online survey assessing sociodemographics, alcohol use, and victimization/perpetration of IPV with both regular and casual sex partners...
December 2016: LGBT Health
Andrew Tucker, Jose Liht, Glenn de Swardt, Clarissa Arendse, James McIntyre, Helen Struthers
PURPOSE: An urgent need exists for training on men who have sex with men (MSM) health needs at public health clinics across Africa. There is also a need to consider the impact of specific training for clinicians and clinic support staff, both of whom come into contact with MSM. Consideration must also be given to the relationship between two key outcomes of such training: increased knowledge regarding MSM and their health and reductions in homoprejudicial attitudes. METHODS: This article explores the impact of training for clinicians and clinic support staff in the Western Cape, South Africa (n = 196), where some training modules were undertaken by both groups and some modules only by clinicians...
December 2016: LGBT Health
Gregory M Herek
No abstract text is available yet for this article.
December 2016: LGBT Health
Michael R Kauth, Jillian C Shipherd
No abstract text is available yet for this article.
December 2016: LGBT Health
Nancy Lutwak, Deborah J Kayman
No abstract text is available yet for this article.
December 2016: LGBT Health
Danielle German, Lisa Kodadek, Ryan Shields, Susan Peterson, Claire Snyder, Eric Schneider, Laura Vail, Anju Ranjit, Maya Torain, Jeremiah Schuur, Brandyn Lau, Adil Haider
PURPOSE: To identify patient and provider perspectives concerning collection of sexual orientation and gender identity (SO&GI) information in emergency departments (EDs). METHODS: Semistructured interviews were conducted during the period of 2014-2015 with a diverse purposive sample of patients across the spectrum of sexual orientation and gender identities (n = 53) and ED nurses, physician assistants, physicians, and registrars (n = 38) in a major metropolitan area...
December 2016: LGBT Health
Carmen H Logie, Ashley Lacombe-Duncan, Rachel K MacKenzie, Tonia Poteat
PURPOSE: Sexual stigma is a chronic stressor that enhances vulnerability to mental health disparities among lesbian, gay, bisexual, and queer people. Sexual stigma has also been associated with reduced uptake of safer sex practices, such as condom use, among gay and bisexual men. Scant research has examined the relationship between sexual stigma and safer sex practices among sexual minority women (SMW), including lesbian, bisexual, and queer women. METHODS: We explored associations between sexual stigma and safer sex practices among SMW...
December 2016: LGBT Health
Kathryn Macapagal, Ramona Bhatia, George J Greene
PURPOSE: Health services research involving lesbian, gay, bisexual, transgender, queer, and questioning (LGBTQ) individuals has focused on differences in healthcare access, use, and experiences between cisgender, heterosexual adults and LGBTQ adults. Yet these factors may differ within the LGBTQ community and have not been well-studied among emerging adults (18-29 years), a group with unique barriers to healthcare. We sought to characterize healthcare challenges within a sample of LGBTQ emerging adults...
December 2016: LGBT Health
Nicole A Sitkin, John E Pachankis
PURPOSE: Sexual and gender minorities (SGMs) in medicine experience unique stressors in training. However, little is known about SGM specialty choice. This study examined predictors of SGM specialty choice, associations between specialty prestige and perceived SGM inclusion, and self-reported influences on specialty choice. METHODS: Medical trainees and practitioners (358 SGM, 1528 non-SGM) were surveyed online. We operationalized specialty choice at the individual level as respondents' specialty of practice; at the specialty level, as a percentage of SGM respondents in each specialty...
December 2016: LGBT Health
Jaclyn M White Hughto, Gabriel R Murchison, Kirsty Clark, John E Pachankis, Sari L Reisner
PURPOSE: To identify geographic and individual-level factors associated with healthcare access among transgender people in the United States. METHODS: Multilevel analyses were conducted to investigate lifetime healthcare refusal using national data from 5831 U.S. transgender adults. Hierarchical generalized linear models examined associations between individual (age, gender, race, income, insurance, and healthcare avoidance) and state-level factors (percent voting Republican, percent same-sex couple households, income inequality, and transgender protective laws) and lifetime refusal of care...
December 2016: LGBT Health
Tyler B Mason
PURPOSE: Lesbians are more likely to be obese compared to heterosexual women, but little research has examined correlates of obesity among lesbians. The purpose of this study was to examine the association of binge eating and overweight and obesity among lesbians. METHODS: Self-identified lesbians (N = 377) between the ages of 18-30 completed an online survey. RESULTS: Binge eating was a salient predictor of both overweight and obesity after controlling for demographic variables, outness, diet, and physical activity...
December 2016: LGBT Health
Harry Jin, Mackey Reuel Friedman, Sin How Lim, Thomas E Guadamuz, Chongyi Wei
PURPOSE: Men who have sex with men and are sex workers (MSMSW) are disproportionately affected by the growing and emerging HIV epidemic. As sex work and same-sex behavior are heavily stigmatized and often illegal in most Asian countries, HIV research focusing on MSMSW has been limited. The goal of this analysis is to examine HIV testing practices and identify correlates of HIV testing among MSMSW in Asia. METHODS: The Asia Internet MSM Sex Survey, an online cross-sectional survey of 10,861 men who have sex with men (MSM), was conducted in 2010...
December 2016: LGBT Health
Steven P Kurtz, Mance E Buttram
PURPOSE: Street markets in antiretroviral medications for HIV have been documented, but sources of demand are not well understood. We report unexpected findings from qualitative research suggesting that some demand is for informal pre-exposure prophylaxis (PrEP). METHODS: Focus groups with young men who have sex with men (N = 31) yielded information on their understanding and use of PrEP. RESULTS: Of those who had heard of it, few understood PrEP to be a physician-prescribed regimen; most believed it to be a pill taken before and/or after sex and acquired on the street or through HIV-positive friends...
December 2016: LGBT Health
Henry H Ng
No abstract text is available yet for this article.
October 2016: LGBT Health
Arshiya A Baig, Fanny Y Lopez, Rachel H DeMeester, Justin L Jia, Monica E Peek, Monica B Vela
Effective shared decision making (SDM) between patients and healthcare providers has been positively associated with health outcomes. However, little is known about the SDM process between Latino patients who identify as lesbian, gay, bisexual, transgender, or queer (LGBTQ), and their healthcare providers. Our review of the literature identified unique aspects of Latino LGBTQ persons' culture, health beliefs, and experiences that may affect their ability to engage in SDM with their healthcare providers. Further research needs to examine Latino LGBTQ patient-provider experiences with SDM and develop tools that can better facilitate SDM in this patient population...
October 2016: LGBT Health
Miriam R Arbeit, Celia B Fisher, Kathryn Macapagal, Brian Mustanski
PURPOSE: The purpose of this study was to analyze bisexual female youth perspectives on their experiences accessing sexual health information and services provided by a doctor, nurse, or counselor. Specifically, we sought to: (1) understand how youth perceptions of providers' attitudes and behaviors affect their seeking and obtaining sexual health information and services; (2) examine how social stigmas within the family context might be associated with barriers to sexual health information and services; and (3) assess school-based sources of sexual health information...
October 2016: LGBT Health
Roger L Scott, Gerri C Lasiuk, Colleen M Norris
PURPOSE: Lesbians, gay men, and bisexuals have been shown to have different risks for mood and anxiety disorders than heterosexuals in population studies, but there is a paucity of research in this area in military populations. This study examined the relationship between sexual orientation and depression in the Canadian Armed Forces (CAF). METHODS: Data were drawn from the Canadian Forces Mental Health Survey 2013 (n = 8165), a representative sample of Regular and Reserve members of the Canadian military...
October 2016: LGBT Health
Tara Lyons, Andrea Krüsi, Leslie Pierre, Adrienne Smith, Will Small, Kate Shannon
PURPOSE: Little is known about trans womens' experiences accessing gender-segregated health and housing services, particularly services for marginalized individuals living in poverty. As such, we conducted a qualitative investigation into experiences of accessing women-specific health and housing services among trans women and two-spirit persons in a downtown neighborhood of Vancouver, Canada. METHODS: Between June 2012 and May 2013 interviews were conducted with 32 trans women and two-spirit individuals who had accessed women-specific health and/or housing services...
October 2016: LGBT Health
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