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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...
September 18, 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...
September 5, 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
Jessica Marsack, Rob Stephenson
End-of-life care has attracted increased attention in recent years due to increases in both the number and mean age of the world's population; however, the experiences of LGBT persons during end-of-life care remain understudied. Given the health disparities and barriers to care experienced throughout the life course of LGBT persons, the frequent involvement of legal spouses in end-of-life care, and the recency of marriage equality, it can be surmised that LGBT persons might experience significantly different barriers to their desired end-of-life care compared to their heterosexual and cisgender counterparts...
July 2018: LGBT Health
Amy L Gower, G Nicole Rider, Eli Coleman, Camille Brown, Barbara J McMorris, Marla E Eisenberg
PURPOSE: As measures of birth-assigned sex, gender identity, and perceived gender presentation are increasingly included in large-scale research studies, data analysis approaches incorporating such measures are needed. Large samples capable of demonstrating variation within the transgender and gender diverse (TGD) community can inform intervention efforts to improve health equity. A population-based sample of TGD youth was used to examine associations between perceived gender presentation, bullying victimization, and emotional distress using two data analysis approaches...
July 2018: LGBT Health
Omar Harfouch, Danielle German
No abstract text is available yet for this article.
July 2018: LGBT Health
Billy A Caceres, Abraham A Brody, Perry N Halkitis, Caroline Dorsen, Gary Yu, Deborah A Chyun
PURPOSE: Despite higher rates of modifiable risk factors for cardiovascular disease (CVD) in gay and bisexual men, few studies have examined sexual orientation differences in CVD among men. The purpose of this study was to examine sexual orientation differences in modifiable risk factors for CVD and CVD diagnoses in men. METHODS: A secondary analysis of the National Health and Nutrition Examination Survey (2001-2012) was conducted. Multiple imputation was performed for missing values...
July 2018: LGBT Health
Angela R Bazzi, Melissa A Clark, Michael R Winter, Al Ozonoff, Ulrike Boehmer
PURPOSE: Resilience could help protect the psychosocial wellbeing of sexual minority women (SMW) experiencing stressors from both breast cancer and sexual minority status; however, little research has assessed resilience among breast cancer survivors of different sexual orientations. METHODS: From 2011 to 2012, we surveyed a national sample of breast cancer survivors matched on sexual orientation, age, and cancer status. RESULTS: Among heterosexual (n = 339) and sexual minority (n = 201) breast cancer survivors (n = 540 overall), multivariable regression analyses revealed that more social support (coefficient: 0...
July 2018: LGBT Health
Carolyn S Wolf-Gould, Moira R Riley, Jeremi M Carswell
The risks of being a cisgender BRCA1/BRCA2 mutation carrier (BRCA1+/BRCA2+) are well documented, and recommendations to mitigate cancer risk in BRCA+ cisgender women are clear. However, there is a lack of guidance for BRCA+ transgender women. In this article, we discuss the case of a trans-feminine youth who presented at a gender clinic for medications for pubertal suppression and was identified as a BRCA1 mutation carrier. We explore principles of bioethics to consider when the potential risks of treatment are unclear...
May 2018: LGBT Health
Carolyn S Wolf-Gould, Moira R Riley, Jeremi M Carswell
No abstract text is available yet for this article.
May 2018: LGBT Health
Evan A Krueger, Ilan H Meyer, Dawn M Upchurch
PURPOSE: Overall, sexual minorities have poorer mental health than heterosexual individuals, and stress is thought to underlie such disparities. However, sexual minorities include both those identifying as lesbian, gay, or bisexual (LGB) and many who do not (e.g., individuals identifying as mostly heterosexual, or as heterosexual but with discordant same-sex attractions or behaviors), and little is known about the mental health or stress experiences of non-LGB identified sexual minorities...
May 2018: LGBT Health
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