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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...
October 11, 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...
October 11, 2016: 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
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...
September 16, 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
Jae A Puckett, Francisco I Surace, Heidi M Levitt, Sharon G Horne
PURPOSE: Research often erases the distinct experiences of bisexual and queer women through collapsing participants with lesbian or gay women. In addition, queer is often not included as a sexual orientation identity in research, therefore limiting the available information about how this group experiences minority stress. Given these limitations, we sought to compare groups, based on their sexual orientation identity, on experiences of minority stress and mental health to further understand between group differences that often go unaccounted for in research...
October 2016: LGBT Health
Trang Quynh Nguyen, Karen Bandeen-Roche, Danielle German, Nam T T Nguyen, Judith K Bass, Amy R Knowlton
PURPOSE: Research linking family rejection and health outcomes in sexual minority people is mostly limited to North America. We assessed the associations between negative treatment by family members and depressive symptoms, life satisfaction, suicidality, and tobacco/alcohol use in sexual minority women (SMW) in Viet Nam. METHODS: Data were from an anonymous internet survey (n = 1936). Latent class analysis characterized patterns of negative treatment by family members experienced by respondents...
October 2016: LGBT Health
Judy Y Tan, Lucy J Xu, Fanny Y Lopez, Justin L Jia, Mai T Pho, Karen E Kim, Marshall H Chin
Shared decision making (SDM) is a model of patient-provider communication. Little is known about the role of SDM in health disparities among Asian American and Pacific Islander (AAPI) sexual and gender minorities (SGM). We illustrate how issues at the intersection of AAPI and SGM identities affect SDM processes and health outcomes. We discuss experiences of AAPI SGM that are affected by AAPI heterogeneity, SGM stigma, multiple minority group identities, and sources of discrimination. Recommendations for clinical practice, research, policy, community development, and education are offered...
October 2016: LGBT Health
Paul A D'Avanzo, Perry N Halkitis, Kalvin Yu, Farzana Kapadia
PURPOSE: Young sexual minority men smoke at higher rates relative to heterosexual peers. The purpose of this study was to examine correlates of smoking in a sample of young gay, bisexual, and other men who have sex with men (MSM) who might differ from more general and age-diverse samples of sexual minority individuals and, thus, inform tailored approaches to addressing tobacco use within this population. METHODS: Data on smoking status were examined in relation to demographics, mental health, substance use behavior, and psychosocial factors...
October 2016: LGBT Health
Ayden I Scheim, Greta R Bauer, Todd A Coleman
PURPOSE: To describe survey mode uptake and sociodemographic differences by mode among respondents to a respondent-driven sampling survey of transgender people in Ontario, Canada. Survey mode was left to participant choice. METHODS: Data were collected from 433 transgender Ontarians in 2009-2010 through a self-administered questionnaire, available online, by paper copy, or by telephone with language interpretation. RESULTS: Paper respondents (9...
October 2016: LGBT Health
Daniel E Shumer, Sari L Reisner, Laura Edwards-Leeper, Amy Tishelman
PURPOSE: There is evolving evidence that children and adolescents with gender dysphoria have higher-than-expected rates of autism spectrum disorder (ASD), yet clinical data on ASD among youth with gender dysphoria remain limited, particularly in North America. This report aims to fill this gap. METHODS: We conducted a retrospective review of patient chart data from 39 consecutive youth ages 8 to 20 years (mean age 15.8 years, natal male: n = 22, natal female: n = 17) presenting for evaluation at a multidisciplinary gender clinic in a large U...
October 2016: LGBT Health
Dan H Karasic
No abstract text is available yet for this article.
August 2016: LGBT Health
Sean R Cahill, Kellan Baker, Madeline B Deutsch, Joanne Keatley, Harvey J Makadon
No abstract text is available yet for this article.
August 2016: LGBT Health
Ji Hyun Lee, Kristi E Gamarel, Kendall J Bryant, Nickolas D Zaller, Don Operario
PURPOSE: Sexual minority (lesbian, gay, bisexual) populations have a higher prevalence of mental health and substance use disorders compared to their heterosexual counterparts. Such disparities have been attributed, in part, to minority stressors, including distal stressors such as discrimination. However, few studies have examined associations between discrimination, mental health, and substance use disorders by gender among sexual minority populations. METHODS: We analyzed data from 577 adult men and women who self-identified as lesbian, gay, or bisexual and participated in Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC)...
August 2016: LGBT Health
Hale M Thompson, Allison L Weathers, Niranjan S Karnik
No abstract text is available yet for this article.
August 2016: LGBT Health
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