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LGBT Health

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https://www.readbyqxmd.com/read/29130791/the-sexual-health-of-women-in-lebanon-are-there-differences-by-sexual-orientation
#1
Jessica D Gereige, Li Zhang, Ulrike Boehmer
PURPOSE: From studies conducted in Western countries (United States, United Kingdom, and Australia), we know that the sexual health of sexual minority women (SMW) differs in key ways from that of heterosexual women (HSW). To date, the sexual health of SMW living in the Middle East and North Africa region has not been studied. The purpose of this study was to compare the sexual health of SMW and HSW living in Lebanon. METHODS: SMW and HSW living in Lebanon (N = 95) completed an anonymous, self-administered survey...
November 13, 2017: LGBT Health
https://www.readbyqxmd.com/read/29125908/transgender-medicare-beneficiaries-and-chronic-conditions-exploring-fee-for-service-claims-data
#2
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...
November 10, 2017: LGBT Health
https://www.readbyqxmd.com/read/29111876/impact-of-anticipated-bias-from-healthcare-professionals-on-perceived-successful-aging-among-transgender-and-gender-nonconforming-older-adults
#3
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...
November 7, 2017: LGBT Health
https://www.readbyqxmd.com/read/29099666/plan-of-action-for-real-world-translation-of-lgbtq-health-and-aging-research
#4
Karen I Fredriksen-Goldsen, Hyun-Jun Kim, Glenise L McKenzie, Lisa Krinsky, Charles A Emlet
Despite accumulating evidence of health disparities, there exists limited translational research to enhance optimal health and aging of lesbian, gay, bisexual, transgender, and queer-identified (*) (LGBTQ) older adults. Based on the Health Equity Promotion Model that addresses the distinct needs and strengths of LGBTQ older adults, we underscore the important role of collaborations among researchers, practitioners, and communities to build community capacity. Given the rapidly shifting context, we advance principles to guide future work that will enhance translational research and the development of evidence-based practice so that LGBTQ older adults can reach their full health potential...
November 3, 2017: LGBT Health
https://www.readbyqxmd.com/read/29099335/generational-differences-in-internalized-transnegativity-and-psychological-distress-among-feminine-spectrum-transgender-people
#5
Kasey B Jackman, Curtis Dolezal, Walter O Bockting
PURPOSE: This study examined internalized transnegativity and psychological distress in two age groups of transgender individuals who identified their gender identity on the feminine spectrum (rather than congruent with their male sex assigned at birth). Due to greater visibility and acceptance of gender diversity in the United States, we hypothesized that internalized transnegativity would be lower in the younger compared with the older group, and that the younger generation would, therefore, report lower levels of psychological distress than the older generation...
November 3, 2017: LGBT Health
https://www.readbyqxmd.com/read/29099330/military-healthcare-providers-knowledge-and-comfort-regarding-the-medical-care-of-active-duty-lesbian-gay-and-bisexual-patients
#6
Caitlyn M Rerucha, Lloyd A Runser, Juliana S Ee, Elizabeth G Hersey
PURPOSE: This study assessed military healthcare providers' knowledge, clinical practice, and comfort in caring for active duty (AD) lesbian, gay, and bisexual (LGB) patients. METHODS: Primary care providers at Fort Bragg, North Carolina were surveyed anonymously. RESULTS: The response rate was 28% (n = 40). Almost two-thirds of the respondents felt comfortable discussing sexual health with AD patients, but only 5% inquired about same-sex sexual activity...
November 3, 2017: LGBT Health
https://www.readbyqxmd.com/read/29099308/alcohol-use-age-and-self-rated-mental-and-physical-health-in-a-community-sample-of-lesbian-and-bisexual-women
#7
Cindy B Veldhuis, Amelia E Talley, David W Hancock, Sharon C Wilsnack, Tonda L Hughes
PURPOSE: Given that self-perceptions of mental and physical health are important predictors of health outcomes and well-being, particularly among older adults, this study focuses on associations among age, alcohol consumption, and indicators of both self-rated mental health and self-rated physical health in a sample of sexual minority women (SMW). METHODS: This study uses a community sample of SMW to examine the associations among age, drinking, and self-rated mental and physical health...
November 3, 2017: LGBT Health
https://www.readbyqxmd.com/read/29091538/assessing-and-meeting-the-needs-of-lgbt-older-adults-via-the-older-americans-act
#8
Michael Adams, Aaron D Tax
SAGE and its partners have been focused on bridging the chasm between the greater need that LGBT older adults have for care, services, and supports, and the lower rate at which they access them, compared with their heterosexual and cisgender counterparts. The chasm is caused by discrimination, social isolation, disproportionate poverty and health disparities, and a lack of access to culturally competent providers. SAGE has used federal administrative and legislative advocacy to encourage the Aging Network to bridge this chasm by assessing and meeting the needs of LGBT older adults that can be addressed via the programs created under the Older Americans Act...
November 1, 2017: LGBT Health
https://www.readbyqxmd.com/read/29072536/hepatitis-b-outbreak-among-men-who-have-sex-with-men-in-the-autonomous-province-of-vojvodina-serbia
#9
Predrag Duric, Smiljana Rajcevic, Svetlana Ilic, Vesna Milosevic, Katharina Hintringer, Milotka Fabri, Maja Ruzic, Vladimir Petrovic, Mladen Petrovic, Gorana Dragovac, Biljana Radosavljevic, Ivana Lazarevic, Maja Stanojevic, Martin Rusnak
No abstract text is available yet for this article.
October 26, 2017: LGBT Health
https://www.readbyqxmd.com/read/29028455/health-indicators-for-older-sexual-minorities-national-health-interview-survey-2013-2014
#10
Christina N Dragon, Alison M Laffan, Erkan Erdem, Sean Cahill, Daniel Kenefick, Jiahui Ye, Samuel C Haffer
PURPOSE: Advances in lesbian, gay, and bisexual (sexual minority [SM]) acceptance and equality have been made in the past decade. However, certain SM subgroups continue to be disadvantaged due to lack of data and, thus, lack of knowledge about these populations. Data for older sexual minorities are especially lacking and will be increasingly important as more sexual minorities enter older age. This research explores results from a nationally representative health survey to elucidate some health indicators for older sexual minorities...
October 13, 2017: LGBT Health
https://www.readbyqxmd.com/read/28937934/an-evaluation-of-new-york-city-s-2015-birth-certificate-gender-marker-regulation
#11
Erica J Lee, Danielle Gurr, Gretchen Van Wye
PURPOSE: In 1971, the New York City (NYC) Department of Health and Mental Hygiene amended Section 207.05 of the NYC Health Code to allow individuals who had undergone "convertive surgery" (interpreted by the code to mean genital surgery) to amend the gender on their birth certificates. This surgery requirement was removed in 2015. In a survey evaluating the regulation change, we sought to characterize the transgender population newly eligible to obtain a gender-congruent NYC birth certificate by comparing respondents with and without genital surgery...
September 22, 2017: LGBT Health
https://www.readbyqxmd.com/read/28880825/transient-elevated-serum-prolactin-in-trans-women-is-caused-by-cyproterone-acetate-treatment
#12
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
#13
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/29022859/a-community-based-study-of-staphylococcus-aureus-nasal-colonization-and-molecular-characterization-among-men-who-have-sex-with-men
#14
Nina S Leung, Michelle L Vidoni, D Ashley Robinson, Paige Padgett, Eric L Brown
PURPOSE: The aims of this cross-sectional study were to determine the prevalence of Staphylococcus aureus nasal colonization, evaluate community-related behavioral risk factors, and utilize staphylococcal protein A (spa) typing for epidemiological surveillance among community-based men who have sex with men from the National HIV Behavioral Surveillance System in Houston, Texas. METHODS: Descriptive methods and logistic analyses were used to determine associations with nasal colonization...
October 2017: LGBT Health
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
#15
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...
October 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
#16
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...
October 2017: LGBT Health
https://www.readbyqxmd.com/read/28876167/sexual-orientation-based-discrimination-excessive-alcohol-use-and-substance-use-disorders-among-sexual-minority-adults
#17
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...
October 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
#18
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...
October 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
#19
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
#20
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
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