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LGBT Health

Hilary Goldhammer, Essence D Maston, Laura A Kissock, John A Davis, Alex S Keuroghlian
PURPOSE: LGBT populations require expanded access to healthcare that meets their unique needs. This article presents the primary findings of a training and technical assistance needs assessment conducted with healthcare organizations in geographically diverse areas of the United States to help determine gaps in LGBT health familiarity, preparedness, comfort, and practices. METHODS: A total of 5980 staff members and 638 leaders from 18 healthcare organizations participated in online needs assessment surveys...
November 7, 2018: LGBT Health
Andrew Biskupiak, Scott Smith, Poorna Kushalnagar
PURPOSE: There have been recent advances to the adoption of pre-exposure prophylaxis (PrEP) as an effective human immunodeficiency virus (HIV) preventive treatment among men who have sex with men, but PrEP services and resources are often not accessible to those who are deaf and use American Sign Language (ASL). This article investigates PrEP knowledge among deaf gay, bisexual, and queer (GBQ) men and the contribution of social support to their perceptions regarding the effectiveness of PrEP at preventing HIV...
November 1, 2018: LGBT Health
Margaret M Paschen-Wolff, Elizabeth A Kelvin, Brooke E Wells, Christian Grov
PURPOSE: Given elevated pregnancy rates, fluctuating sexual identity, and varying sexual experience among adolescent sexual minority women (ASMW; lesbian/bisexual identity, attraction to/sex with females), research should assess adolescent pregnancy by sexual attraction with identity and experience. This study examined associations of three aspects of sexuality-identity, attraction, and experience-with pregnancy among ASMW versus non-ASMW. METHODS: Population-weighted data were drawn from the 2002 to 2015 National Survey of Family Growth (NSFG), 15- to 19-year-old female subsample (n = 5481)...
October 31, 2018: LGBT Health
Jeremy D Kidd, Curtis Dolezal, Walter O Bockting
PURPOSE: Transgender individuals smoke tobacco at disproportionately higher rates than the general U.S. population, and concurrent use of gender-affirming hormones (estrogen or testosterone) and tobacco confers greater cardiovascular (CV) risk. This study examines the relationship between tobacco use and legal document gender-marker change, and medical/surgical interventions for gender transition. METHODS: Data came from an Internet-based survey of U.S. trans-feminine (n = 631) and trans-masculine (n = 473) individuals...
October 2018: LGBT Health
Amanda M Pollitt, Allen B Mallory, Jessica N Fish
PURPOSE: Sexual minority youth (SMY) are more likely to use alcohol than their heterosexual peers, yet a lack of research on within-group differences and modifiable mechanisms has hindered efforts to address alcohol use disparities. The purpose of the current study was to examine differences in the mediating role of homophobic bullying on the association between sexual orientation identity and drinking frequency and heavy episodic drinking frequency by sex and race/ethnicity. METHODS: We used data from a subsample of 20,744 youth in seven states from the 2015 Youth Risk Behavior Survey, a population-based data set of 9-12th grade high school students in the United States...
October 2018: LGBT Health
Laura Baams, Susan M De Luca, Chris Brownson
PURPOSE: The current study examines differences between lesbian, gay, bisexual, and questioning (LGBQ) students and heterosexual students in terms of counseling and mental health services received (healthcare utilization), from whom students would seek help, and who contributed positively to students' ability to cope during a stressful period. METHODS: An online survey was administered among 25,844 college students, enrolled in 76 schools (mean age = 25.52)...
October 2018: LGBT Health
Laura E Kuper, Noah Adams, Brian S Mustanski
PURPOSE: Rates of suicide ideation and attempt appear to be particularly high in the transgender and gender nonconforming (TGNC) population, yet little is known about which factors are the most salient contributors for TGNC young people and how these contributors vary across suicide-related outcomes. METHODS: Within the largest sample of TGNC young people to date (N = 1896; ages 14-30), we examined the contribution of demographics (age, assigned sex, gender identity, sexual orientation identity, race/ethnicity, and socioeconomic status), minority stress (gender-related affirmation, gender-related self-concept, victimization, and gender-affirming medical treatment desire/access), social support (from family and friends), and depressive symptoms in the cross-sectional prediction of three suicide-related outcomes: past-year attempt, past-year ideation, and a composite measure of suicide risk...
October 2018: LGBT Health
Madeline B Deutsch
Transgender (trans) people, particularly trans women of color, face alarmingly high rates of HIV. HIV pre-exposure prophylaxis (PrEP) with daily coformulated emtricitabine and tenofovir disoproxil fumarate is a promising biomedical HIV prevention modality; however, it has not yet been shown to be efficacious in the transgender population due to data limitations. Initial data suggest that barriers exist to PrEP uptake in the trans community, including lack of access to healthcare and concerns about interactions with hormone therapy...
October 2018: LGBT Health
Robert Marlin, Ankita Kadakia, Brandon Ethridge, William C Mathews
PURPOSE: The aims of this study were (1) to evaluate current physician attitudes toward homosexuality and homosexual, transgender, and HIV-positive individuals and (2) to compare current attitudes of those from prior surveys of the same population, the San Diego County medical community. METHODS: An online survey was conducted during November-December 2017 to assess general attitudes toward homosexuality and medically focused items that addressed homosexual orientation, transgender identity, and HIV...
October 2018: LGBT Health
Carl G Streed, Ellen P McCarthy, Jennifer S Haas
PURPOSE: This study compares the health status of gender nonconforming transgender adults with gender-binary transgender peers (i.e., transgender men and transgender women). METHODS: We performed a retrospective analysis of the 2014-2016 Behavioral Risk Factor Surveillance System. RESULTS: After adjustment for sociodemographic characteristics, proxies for healthcare access, health conditions, and health behaviors, gender nonconforming transgender adults were at increased odds, compared with gender-binary transgender peers, of self-reported poor or fair health and self-reported limitation in any way in any activities because of physical, mental, or emotional problems...
October 2018: LGBT Health
Amy K Johnson, Sari L Reisner, Matthew J Mimiaga, Robert Garofalo, Lisa M Kuhns
PURPOSE: This study documents the prevalence and acceptability of self-reported nongenital sexually transmitted infection (STI) testing among young transgender women (n = 72). METHODS: Bivariate analyses assessed differences in outcomes by demographic and behavioral characteristics. RESULTS: Less than half of participants self-reported nongenital STI testing (43% rectal; 44% pharyngeal). More than half of the sample reported that they would not find self-collection of specimens uncomfortable/unpleasant (53% rectal; 62% pharyngeal)...
August 2018: LGBT Health
Eloho Ufomata, Kristen L Eckstrand, Peggy Hasley, Kwonho Jeong, Doris Rubio, Carla Spagnoletti
PURPOSE: Graduate medical education curricula that provide training on LGBT healthcare are limited. The purpose of this study was to create and evaluate an LGBT curriculum for internal medicine (IM) residents. METHODS: The implicit association test (IAT) measuring implicit bias toward gay individuals was administered as part of a needs assessment. The curriculum was developed by a multidisciplinary team, with objectives derived from the Association of American Medical Colleges' curricular recommendations and the Fenway Guide to Lesbian, Gay, Bisexual, and Transgender Health...
August 2018: LGBT Health
Matthew R Beymer, Jennifer L Gildner, Ian W Holloway, Raphael J Landovitz
PURPOSE: Pre-exposure prophylaxis (PrEP) is an effective strategy to prevent HIV. However, low uptake of daily oral PrEP since Food and Drug Administration approval and low medication adherence among users have stimulated the investigation of other modalities for delivery, such as injectable PrEP and on-demand PrEP. The objective of this study was to determine the demographic and behavioral predictors of willingness to try alternative PrEP delivery mechanisms among young men who have sex with men (YMSM) who stated that they were unwilling to try daily oral PrEP...
August 2018: LGBT Health
Celia B Fisher, Adam L Fried, Margaret Desmond, Kathryn Macapagal, Brian Mustanski
PURPOSE: Many transgender youth lack access to transgender affirming care, which may put them at risk for HIV. This study explored transgender youth's perceptions regarding encounters with primary care providers (PCPs) related to gender and sexual minority (GSM) identity and sexual health. METHODS: Youth ages 14-21 (N = 228; 45% trans masculine, 41% trans feminine, 14% gender nonbinary) completed a survey on GSM identity disclosure and acceptance, gender-affirming services, sexual health attitudes and behaviors, and interactions with PCPs involving GSM identity and concerns about stigma and confidentiality...
August 2018: LGBT Health
Rachel C Garthe, Marco A Hidalgo, Jane Hereth, Robert Garofalo, Sari L Reisner, Matthew J Mimiaga, Lisa Kuhns
PURPOSE: Young transgender women (YTW) may experience disparate rates and distinct forms of intimate partner violence (IPV) in comparison with cisgender individuals. YTW also may experience high rates of minority stressors, including transgender-related victimization, discrimination, and mistreatment related to their gender identity and/or expression. The present study examined the prevalence and risk correlates of IPV among a sample of YTW. METHODS: Participants were a racially and ethnically diverse sample of 204 YTW ages 16-29 years from Chicago, Illinois and Boston, Massachusetts...
August 2018: LGBT Health
Marybec Griffin, Kristen D Krause, Farzana Kapadia, Perry N Halkitis
PURPOSE: We used in-depth interviews with a cohort of young adult gay men (YAGM) to provide a more detailed understanding of their current healthcare engagement, including experiences with the healthcare system, provider knowledge of healthcare needs, and desired provider characteristics. METHODS: Qualitative interviews were conducted with a sample of 40 YAGM in New York City. The interview guide examined healthcare engagement across key developmental stages: childhood (birth-12), adolescence (13-18), young adulthood (19-22), and the present (23-26)...
August 2018: LGBT Health
Jessica N Fish, Laura Baams
PURPOSE: The purpose of this study was to assess trends in alcohol-related disparities between heterosexual and sexual minority adolescents in the United States from 2007 to 2015. METHODS: Data were pooled from the 2007, 2009, 2011, 2013, and 2015 Youth Risk Behavior Surveys (N = 207,367) to estimate trends, disparities, and changes in disparities of four alcohol-related behaviors (i.e., lifetime alcohol use, early onset use (<13 years of age), past 30-day use, and past 30-day heavy episodic drinking [HED]) among heterosexual youth and three subgroups of sexual minority youth (SMY) (i...
August 2018: LGBT Health
Paul L Reiter, Mira L Katz, José A Bauermeister, Abigail B Shoben, Electra D Paskett, Annie-Laurie McRee
PURPOSE: The study purpose was to pilot test a web-based human papillomavirus (HPV) vaccination intervention among young gay and bisexual men (YGBM). METHODS: In 2016, we recruited 150 unvaccinated YGBM aged 18-25 years from the United States. We randomized participants to the Outsmart HPV intervention or a control group. RESULTS: HPV vaccine initiation was higher among the intervention group than the control group (45% vs. 26%; odds ratio [OR] = 2...
July 2018: LGBT Health
Suegee Tamar-Mattis, Kristi E Gamarel, Alena Kantor, Arlene Baratz, Anne Tamar-Mattis, Don Operario
PURPOSE: The study purpose was to examine opinions about a single-item assessment of differences of sex development (DSD) to be used in research. METHODS: An online survey was conducted with a convenience sample of 111 adults who self-identified as intersex or having a DSD diagnosis. Participants read and provided feedback on the proposed single-item assessment. RESULTS: The item received general endorsement to represent a population that is often not identified in research; however, participants provided suggestions for improvement...
July 2018: LGBT Health
Jillian C Shipherd, Jill E Darling, Ruth S Klap, Danielle Rose, Elizabeth M Yano
PURPOSE: This study aimed to compare experiences related to healthcare of LGBT women and non-LGBT women in a sample of routine users of Veterans Health Administration (VHA) primary care services and examine the impact of those experiences on delaying or missing appointments for VHA care. METHODS: Women veterans (N = 1391) who had at least three primary care visits in the previous year at 12 VHA facilities were surveyed by phone in January-March 2015 in a baseline wave of a cluster-randomized quality improvement trial...
July 2018: LGBT Health
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