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LGBT Health

Alexis M Koskan, Madeline Fernández-Pineda
PURPOSE: This study explores HIV-positive gay and bisexual men's (GBM) understanding of human papillomavirus (HPV) and the HPV vaccine. METHODS: Researchers conducted 15 in-depth interviews with HIV-positive GBM between the ages of 18-30 years old. RESULTS: Two participants had received a single dose of the HPV vaccine. Otherwise, the majority of participants had either never heard of the HPV vaccine or they perceived it as a resource for women only...
February 7, 2018: LGBT Health
Lauren B Beach, Tom A Elasy, Gilbert Gonzales
PURPOSE: This study aimed to compare the prevalence of self-reported diabetes and diabetes risk factors among adult sexual minority and heterosexual populations in the United States. METHODS: Data from the 2014 Behavioral Risk Factor Surveillance System for 3776 lesbian, gay, and bisexual (LGB) adults and 142,852 heterosexual adults aged 18 years and older were used to estimate the prevalence of diabetes. Binomial logistic regression models were used to compare the odds of diabetes by sexual orientation...
January 29, 2018: LGBT Health
(no author information available yet)
No abstract text is available yet for this article.
January 26, 2018: LGBT Health
Ulrike Boehmer, Melissa A Clark, Timothy C Heeren, Elizabeth Ann Showalter, Lisa Fredman
PURPOSE: The purpose of this study was to determine whether caregiving experiences and their health-related outcomes differ by sexual orientation and gender identity in a representative U.S. caregiver sample. METHODS: A secondary data analysis was performed of the cross-sectional, nationally representative National Alliance for Caregiving online survey that was conducted in 2014. To account for the study design, we used sampling weights and then added propensity score weighting to account for imbalances between LGBT respondents and their heterosexual and cisgender counterparts, that is, non-LGBT caregivers...
January 24, 2018: LGBT Health
Dennis H Li, Brian Mustanski
PURPOSE: Sexual minority men (SMM) are at greater risk than heterosexual men for misusing prescription psychotropic medications. However, community prevalence estimates of prescription drug misuse among young SMM are lacking. The current study described lifetime and past-6-month stimulant, painkiller, and depressant/tranquilizer misuse in a large, racially diverse sample of 967 SMM aged 16-29 in Chicago, Illinois, and investigated demographic and other substance use associations. METHODS: Data came from the baseline visit of the RADAR longitudinal cohort study...
January 23, 2018: LGBT Health
Henry H Ng
No abstract text is available yet for this article.
January 15, 2018: LGBT Health
Julia Raifman, Chris Beyrer, Renata Arrington-Sanders
PURPOSE: Men who have sex with men (MSM) have nearly 80 times the lifetime risk of human immunodeficiency virus (HIV) relative to men who have sex with women only (MSW), and young MSM (YMSM) accounted for 95% of estimated HIV diagnoses among adolescents between 13 and 24 years in 2015. We aimed to evaluate HIV education and sexual risk behaviors among YMSM relative to young MSW (YMSW) and to evaluate the relationship between HIV education and YMSM sexual risk behaviors. METHODS: We used Youth Risk Behavior Surveillance System data from 13 states that collected information on sex of sexual contacts and on HIV education in 2011 and/or 2013...
January 3, 2018: LGBT Health
Jessica N Fish, Tonda L Hughes
PURPOSE: The aim of this study was to examine the associations among alcohol expectancies, heavy episodic drinking (HED), and indicators of alcohol abuse and dependence in a community sample of lesbian and bisexual women. METHODS: We used adjusted logistic regression models to assess associations between alcohol expectancies and alcohol-related outcomes. RESULTS: Drinking expectancies were positively related to outcomes. Expectancies of "forgetting worries when depressed" were positively related to HED, whereas expectancies of increased aggression and ability to express anger were positively related to indicators of alcohol abuse and dependence...
January 3, 2018: LGBT Health
Chelsea L Shover, Matthew R Beymer, Erin M Unger, Marjan Javanbakht, Robert K Bolan
PURPOSE: This study analyzed the accuracy of presumptive gonorrhea treatment in a sexual health clinic serving primarily gay, bisexual, and other men who have sex with men (MSM). Treating suspected gonorrhea before laboratory confirmation can reduce symptoms and transmission; however, this strategy can overtreat uninfected individuals, which may promote antimicrobial resistance. We identified differences in accuracy of gonorrhea presumptive treatment by site of infection and presence of signs or symptoms...
February 2018: LGBT Health
Rupa R Patel, Douglas A Luke, Enola K Proctor, William G Powderly, Philip A Chan, Kenneth H Mayer, Laura C Harrison, Amar Dhand
PURPOSE: The aim of this study was to identify sex venue-based networks among men who have sex with men (MSM) to inform HIV preexposure prophylaxis (PrEP) dissemination efforts. METHODS: Using a cross-sectional design, we interviewed MSM about the venues where their recent sexual partners were found. Venues were organized into network matrices grouped by condom use and race. We examined network structure, central venues, and network subgroups. RESULTS: Among 49 participants, the median age was 27 years, 49% were Black and 86% reported condomless anal sex (ncAS)...
January 2018: LGBT Health
Christopher W Wheldon, Annette R Kaufman, Karin A Kasza, Richard P Moser
PURPOSE: The aim of this study was to characterize lifetime tobacco use across two measures of sexual orientation and six types of tobacco products. METHODS: We conducted a cross-sectional analysis of the Population Assessment of Tobacco and Health (Wave 1, 2013-2014, USA) to estimate the prevalence of tobacco use (cigarettes, e-cigarettes, cigars, pipes, hookah, and smokeless) stratified by gender (men/women), age (< 25/≥ 25 years old), and sexual orientation...
January 2018: LGBT Health
William Byne
No abstract text is available yet for this article.
January 2018: LGBT Health
Aishwarya Vijay, Valerie A Earnshaw, Ying Chew Tee, Veena Pillai, Jaclyn M White Hughto, Kirsty Clark, Adeeba Kamarulzaman, Frederick L Altice, Jeffrey A Wickersham
PURPOSE: Transgender people are frequent targets of discrimination. Discrimination against transgender people in the context of healthcare can lead to poor health outcomes and facilitate the growth of health disparities. This study explores factors associated with medical doctors' intentions to discriminate against transgender people in Malaysia. METHODS: A total of 436 physicians at two major university medical centers in Kuala Lumpur, Malaysia, completed an online survey...
January 2018: LGBT Health
Michelle M Johns, Nicole Liddon, Paula E Jayne, Oscar Beltran, Riley J Steiner, Elana Morris
Sexual minority youth (SMY) experience elevated rates of adverse sexual health outcomes. Although risk factors driving these outcomes are well studied, less attention has been paid to protective factors that potentially promote health and/or reduce negative effects of risk. Many factors within interpersonal relationships have been identified as protective for the sexual health of adolescents generally. We sought to systematically map the current evidence base of relationship-level protective factors specifically for the sexual health of SMY through a systematic mapping of peer-reviewed observational research...
December 22, 2017: LGBT Health
Catherine N Rasberry, D Susanne Condron, Catherine A Lesesne, Susan Hocevar Adkins, Ganna Sheremenko, Elizabeth Kroupa
PURPOSE: With HIV and sexually transmitted disease (STD) rates disproportionately high among adolescent sexual minority males (ASMM), it is important to understand how school-based sexual health education may relate to sexual risk-related behavior among this population. This analysis explores reported HIV/AIDS- and condom-related education and sexual risk-related behaviors among ASMM and their adolescent non-sexual-minority male (non-ASMM) peers. METHODS: Students (n = 11,681) from seven Florida high schools completed paper-and-pencil questionnaires...
December 14, 2017: LGBT Health
Stuart Michaels, Carolina Milesi, Michael Stern, Melissa Heim Viox, Heather Morrison, Paul Guerino, Christina N Dragon, Samuel C Haffer
PURPOSE: The goal of this research is to advance the study of health disparities faced by older sexual and gender minorities by assessing comprehension of and improving measures of sexual and gender identity in surveys. METHODS: Cognitive interviews were conducted by expert interviewers with 48 non-lesbian, gay, bisexual, and transgender (non-LGBT) and 9 LGBT older English and Spanish speakers. RESULTS: All respondents were able to answer questions about their sex assigned at birth and current gender identity successfully despite some cisgender respondents' lack of clear understanding of the transgender response option...
December 2017: LGBT Health
Sandra A Kupprat, Kristen D Krause, Danielle C Ompad, Perry N Halkitis
PURPOSE: Substance use has been linked to the sexual transmission of HIV among gay, bisexual, and other men who have sex with men (MSM) across the lifespan. Among older, HIV-positive, MSM populations, cognitive dysfunction associated with age and HIV disease progression also may play a role in sexual risk-taking. People aged 50 years and older represent a growing proportion of the overall HIV-positive population. This study aimed to explore relationships between substance use and cognitive function, and their impact on condomless anal sex (CAS) among HIV-positive gay, bisexual, and other MSM aged 50 years and older...
December 2017: LGBT Health
Sean R Cahill
No abstract text is available yet for this article.
December 2017: LGBT Health
Christina N Dragon, Paul Guerino, Erin Ewald, Alison M Laffan
PURPOSE: Data on the health and well-being of the transgender population are limited. However, using claims data we can identify transgender Medicare beneficiaries (TMBs) with high confidence. We seek to describe the TMB population and provide comparisons of chronic disease burden between TMBs and cisgender Medicare beneficiaries (CMBs), thus laying a foundation for national level TMB health disparity research. METHODS: Using a previously validated claims algorithm based on ICD-9-CM codes relating to transsexualism and gender identity disorder, we identified a cohort of TMBs using Medicare Fee-for-Service (FFS) claims data...
December 2017: LGBT Health
Ruth V Walker, Sara M Powers, Tarynn M Witten
PURPOSE: Transgender and gender nonconforming (TGNC) persons have routinely experienced high rates of violence and discrimination. Discrimination in healthcare can affect the ability of TGNC persons to age successfully as it often deters them from seeking care. The purpose of this study was to determine if anticipation of bias from healthcare professionals, as well as other variables, predicted perceived successful aging in a sample of TGNC adults. METHODS: A total of 384 (of the original 1963) participants older than 50 years completed the relevant parts of an 83-item online survey as part of the Trans MetLife Survey on Later-Life Preparedness and Perceptions in Transgender-Identified Individuals...
December 2017: LGBT Health
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