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LGBT Health

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https://www.readbyqxmd.com/read/28296563/applying-organizational-change-to-promote-lesbian-gay-bisexual-and-transgender-inclusion-and-reduce-health-disparities
#1
Kristen L Eckstrand, Mitchell R Lunn, Baligh R Yehia
Lesbian, gay, bisexual, and transgender (LGBT) populations face numerous barriers when accessing and receiving healthcare, which amplify specific LGBT health disparities. An effective strategic approach is necessary for academic health centers to meet the growing needs of LGBT populations. Although effective organizational change models have been proposed for other minority populations, the authors are not aware of any organizational change models that specifically promote LGBT inclusion and mitigate access barriers to reduce LGBT health disparities...
March 15, 2017: LGBT Health
https://www.readbyqxmd.com/read/28287877/measuring-sexual-and-gender-minority-populations-in-health-surveillance
#2
Joanne G Patterson, Jennifer M Jabson, Deborah J Bowen
PURPOSE: Sexual and gender minorities (SGMs) are underrepresented and information about SGMs is difficult to locate in national health surveillance data, and this limits identification and resolution of SGM health disparities. It is also not known how measures of sexual orientation and transgender-inclusive gender identity in health surveillance compare with best practice recommendations. This article reviews and summarizes the publicly available, English language, large-scale, rigorously sampled, national, international, and regional data sources that include sexual orientation or transgender-inclusive gender identity and compares measures with best practice guidelines...
March 13, 2017: LGBT Health
https://www.readbyqxmd.com/read/28287875/sexual-orientation-and-health-information-technology-use-a-nationally-representative-study-of-u-s-adults
#3
James M Dahlhamer, Adena M Galinsky, Sarah S Joestl, Brian W Ward
PURPOSE: The purpose of this study was to compare the prevalence and odds of participation in online health-related activities among lesbian, gay, and bisexual adults and straight adults aged 18-64. METHODS: Primary data collected in the 2013 and 2014 National Health Interview Survey, a nationally representative household health survey, were used to examine associations between sexual orientation and four measures of health information technology (HIT) use. Data were collected through face-to-face interviews (some telephone follow-up) with 54,878 adults aged 18-64...
March 13, 2017: LGBT Health
https://www.readbyqxmd.com/read/28263697/in-memoriam-judy-bradford-phd
#4
(no author information available yet)
No abstract text is available yet for this article.
March 6, 2017: LGBT Health
https://www.readbyqxmd.com/read/28221820/risks-benefits-and-importance-of-collecting-sexual-orientation-and-gender-identity-data-in-healthcare-settings-a-multi-method-analysis-of-patient-and-provider-perspectives
#5
Allysha C Maragh-Bass, Maya Torain, Rachel Adler, Eric Schneider, Anju Ranjit, Lisa M Kodadek, Ryan Shields, Danielle German, Claire Snyder, Susan Peterson, Jeremiah Schuur, Brandyn Lau, Adil H Haider
PURPOSE: Research suggests that LGBT populations experience barriers to healthcare. Organizations such as the Institute of Medicine recommend routine documentation of sexual orientation (SO) and gender identity (GI) in healthcare, to reduce LGBT disparities. We explore patient views regarding the importance of SO/GI collection, and patient and provider views on risks and benefits of routine SO/GI collection in various settings. METHODS: We surveyed LGBT/non-LGBT patients and providers on their views on SO/GI collection...
February 21, 2017: LGBT Health
https://www.readbyqxmd.com/read/28221818/intersex-care-development-current-priorities
#6
Heino F L Meyer-Bahlburg
No abstract text is available yet for this article.
February 21, 2017: LGBT Health
https://www.readbyqxmd.com/read/28212056/parenting-intentions-among-transgender-individuals
#7
Samantha L Tornello, Henny Bos
PURPOSE: We know very little about how transgender people create their families and the issues involved in these decisions. This qualitative study explored the parenting intentions and desires of 32 self-identified transgender individuals who want to become parents in the future. METHODS: Data were collected using an open-ended survey with 32 transgender men and transgender women regarding when and how they want to become parents in the future. RESULTS: We found that transgender individuals expressed specific desires for parenthood, such as biological relatedness and barriers to parenthood, such as physical limitations or lack of legal protections, which influence how transgender individuals choose to become parents in the future...
February 17, 2017: LGBT Health
https://www.readbyqxmd.com/read/28207297/measuring-the-influence-of-legally-recognized-partnerships-on-the-health-and-well-being-of-same-sex-couples-utility-of-the-california-health-interview-survey
#8
William N Elwood, Veronica L Irvin, Qiankun Sun, Nancy Breen
PURPOSE: This study explored the utility of the California Health Interview Survey (CHIS) to compare health-related outcomes among gay men, lesbians, and heterosexuals who reported being in a legally recognized partnership. METHODS: We regressed sexual identity and marriage/legally recognized partnership status on seven different outcomes related to health insurance coverage, medical services access and use, and general health and well-being using CHIS data collected between 2009 and 2013...
February 16, 2017: LGBT Health
https://www.readbyqxmd.com/read/28170299/gender-dysphoria-and-co-existing-psychosis-review-and-four-case-examples-of-successful-gender-affirmative-treatment
#9
Julia H Meijer, Guus M Eeckhout, Roy H T van Vlerken, Annelou L C de Vries
PURPOSE: Controversy exists as to if, and when, gender affirmative (GA) treatment should be offered to individuals with gender dysphoria (GD) and co-existing psychosis. Concerns exist regarding a high risk of misdiagnosing, regret afterward due to impulsive decision making, and deterioration of psychotic symptoms. This case series aims at extending the sparse literature on GA treatment in this population by identifying challenges in diagnosis and treatment and offering recommendations to overcome them...
February 7, 2017: LGBT Health
https://www.readbyqxmd.com/read/28170293/development-of-an-interprofessional-collaborative-practice-model-for-older-lgbt-adults
#10
Jeffrey Kwong, Walter Bockting, Sigrid Gabler, Laurel Daniels Abbruzzese, Phyllis Simon, Jane Fialko, Sylvia Bonaparte, Aaron Malark, Maria Towe, Thomas Weber, Porsha Hall
No abstract text is available yet for this article.
February 7, 2017: LGBT Health
https://www.readbyqxmd.com/read/28145800/hiv-and-sexually-transmitted-disease-testing-behavior-among-adolescent-sexual-minority-males-analysis-of-pooled-youth-risk-behavior-survey-data-2005-2013
#11
Akshay Sharma, Li Yan Wang, Richard Dunville, Rachel K Valencia, Eli S Rosenberg, Patrick S Sullivan
PURPOSE: Adolescent sexual minority males (ASMM) comprise a high-risk group that may benefit from expanded human immunodeficiency virus (HIV) and sexually transmitted disease (STD) prevention services. The purpose of this study was to estimate the prevalence of HIV and STD testing among ASMM from pooled high school Youth Risk Behavior Surveys (YRBSs). METHODS: Data came from 26 YRBSs from 2005 to 2013, which included questions on sexual identity and/or sex of sexual contacts and questions on ever being tested for HIV and/or STDs...
February 1, 2017: LGBT Health
https://www.readbyqxmd.com/read/28027001/a-case-of-rectal-ureaplasma-infection-and-implications-for-testing-in-young-men-who-have-sex-with-men-the-p18-cohort-study
#12
Collette E Abbott, Richard E Greene, Farzana Kapadia, Perry N Halkitis
Ureaplasma is a significant cause of nongonococcal urethritis. This is a case of rectal Ureaplasma found on culture in a young man who has sex with men not previously reported in the literature. Nucleic acid amplification tests are now standard of care for sexually transmitted infection testing, but they do not test for Ureaplasma and, therefore, may be missing important infections. Ureaplasma could have important implications in urethritis and rectal HIV transmission among men who have sex with men engaging in condomless anal intercourse...
December 27, 2016: LGBT Health
https://www.readbyqxmd.com/read/28113006/demographic-healthcare-and-contextual-factors-associated-with-smoking-status-among-sexual-minority-women
#13
Alicia K Matthews, Alana Steffen, Tonda Hughes, Frances Aranda, Kelly Martin
PURPOSE: The study purpose was to examine demographic, healthcare, and contextual correlates of smoking among sexual minority women (SMW). METHODS: Data were from the Chicago Health and Life Experiences of Women study (2010-2012, N = 726). RESULTS: The rate of current smoking was 29.6%, with 29.5% and 40.9% former or nonsmokers, respectively. A history of ever smoking was associated with lower educational levels, having a partner who smokes, heavy drinking, illicit drug use, and a bisexual identity...
February 2017: LGBT Health
https://www.readbyqxmd.com/read/28113005/understanding-the-influence-of-stigma-and-medical-mistrust-on-engagement-in-routine-healthcare-among-black-women-who-have-sex-with-women
#14
Alaina Brenick, Kelly Romano, Christopher Kegler, Lisa A Eaton
PURPOSE: For Black women who have sex with women (BWSW), obtaining routine healthcare can be obstructed by a number of psychosocial barriers, including experiences of stigma, related to both sexual orientation and race, and medical mistrust, both race-based and global. Previous research demonstrates that sexual orientation and race-based stigma, as well as global and race-based medical mistrust, each have a negative impact on health outcomes and engagement in care (EIC) independently...
February 2017: LGBT Health
https://www.readbyqxmd.com/read/28075699/outcome-and-impact-evaluation-of-a-transgender-health-course-for-health-profession-students
#15
Hannan M Braun, Ilana R Garcia-Grossman, Andrea Quiñones-Rivera, Madeline B Deutsch
PURPOSE: Being transgender is associated with numerous health disparities, and transgender individuals face mistreatment and discrimination in healthcare settings. At the same time, healthcare professionals report inadequate preparation to care for transgender people, and patients often have to teach their own medical providers about transgender care. Our study aimed to evaluate the impact of an elective course for health profession students in transgender health that was implemented to address these gaps in provider knowledge...
February 2017: LGBT Health
https://www.readbyqxmd.com/read/28068208/a-qualitative-study-of-the-barriers-to-and-facilitators-of-smoking-cessation-among-lesbian-gay-bisexual-and-transgender-smokers-who-are-interested-in-quitting
#16
Alicia K Matthews, John Cesario, Raymond Ruiz, Natalie Ross, Andrea King
PURPOSE: Lesbian, gay, bisexual, and transgender (LGBT) individuals are significantly more likely to smoke compared with their heterosexual and cisgender counterparts. The purpose of this study was to explore barriers to and facilitators of smoking cessation readiness among LGBT smokers. METHODS: This descriptive study used a qualitative approach. Four 90-minute focus groups (eligibility criteria: age ≥21, self-identify as LGBT, current smoker, interest in quitting smoking) were conducted...
February 2017: LGBT Health
https://www.readbyqxmd.com/read/28051348/sustaining-progress-toward-lgbt-health-equity-a-time-for-vigilance-advocacy-and-scientific-inquiry
#17
William Byne
No abstract text is available yet for this article.
February 2017: LGBT Health
https://www.readbyqxmd.com/read/28045573/disparities-in-retention-in-hiv-care-among-hiv-infected-young-men-who-have-sex-with-men-in-the-district-of-columbia-2013
#18
Mercedes M Morales-Alemán, Jenevieve Opoku, Ashley Murray, Yzette Lanier, Michael Kharfen, Madeline Y Sutton
PURPOSE: Among young men who have sex with men (YMSM), aged 13-24 years, Blacks/African Americans and Hispanics/Latinos are disproportionately affected by HIV, accounting for 58% and 21%, respectively, of diagnoses of HIV infection in the United States. In the District of Columbia (DC), YMSM of color are also disproportionately affected by HIV. National goals are that 80% of HIV-infected persons be retained in HIV care. We analyzed DC surveillance data to examine retention among YMSM living with HIV infection in DC...
February 2017: LGBT Health
https://www.readbyqxmd.com/read/28005497/impact-of-sexual-orientation-identity-on-medical-morbidities-in-male-to-female-transgender-patients
#19
Thomas W Gaither, Mohannad A Awad, E Charles Osterberg, Angelita Romero, Marci L Bowers, Benjamin N Breyer
PURPOSE: We aim to describe the relationship between sexual orientation identity and medical morbidities in a large sample of male-to-female (MTF) transgender patients. METHODS: We reviewed medical records of patients presenting for MTF sex reassignment surgery (SRS) by a single, high-volume surgeon from 2011 to 2015. Sexual attraction to men (heterosexual), women (lesbian), or both (bisexual) was asked of each patient. We examined 16 medical morbidities for this analysis...
February 2017: LGBT Health
https://www.readbyqxmd.com/read/27996379/the-affordable-care-act-and-health-insurance-coverage-for-lesbian-gay-and-bisexual-adults-analysis-of-the-behavioral-risk-factor-surveillance-system
#20
Gilbert Gonzales, Carrie Henning-Smith
PURPOSE: This study compares uninsurance rates for lesbian, gay, and bisexual (LGB) adults by state Medicaid expansion decisions under the Affordable Care Act. METHODS: Data come from nonelderly adults in the 2014 Behavioral Risk Factor Surveillance System. Prevalence estimates and logistic regression models identified LGB adults most likely to be uninsured. RESULTS: Approximately 15.7% of LGB adults lack health insurance, but the uninsurance rate is lower among LGB adults in Medicaid expansion states (12...
February 2017: LGBT Health
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