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LGBT Health

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https://www.readbyqxmd.com/read/30638436/sexual-orientation-enumeration-in-state-antibullying-statutes-in-the-united-states-associations-with-bullying-suicidal-ideation-and-suicide-attempts-among-youth
#1
Ilan H Meyer, Feijun Luo, Bianca D M Wilson, Deborah M Stone
PURPOSE: The aim was to assess the associations of antibullying U.S. state statutes that enumerate sexual orientation with exposure to bullying and other stressors and with suicidal ideation and suicide attempts in sexual minority and non sexual minority youth. METHODS: We analyzed data from the 2015 national school-based Youth Risk Behavior Survey, representative of 9th through 12th grade students attending public and private schools in the United States. We reviewed each state's antibullying statutes and classified them on enumeration...
January 14, 2019: LGBT Health
https://www.readbyqxmd.com/read/30562128/benefit-of-gender-affirming-medical-treatment-for-transgender-elders-later-life-alignment-of-mind-and-body
#2
Xiang Cai, Jaclyn M W Hughto, Sari L Reisner, John E Pachankis, Becca R Levy
PURPOSE: This study examined whether older age moderates the association between gender-affirming medical treatment and quality of life (QOL) among transgender individuals. METHODS: Transgender men and women from the National Transgender Discrimination Survey who had either recently or never undergone medical treatment were included (n = 2420). A moderation analysis was utilized. RESULTS: As predicted, participants who initiated medical treatment had higher QOL than those who did not...
December 18, 2018: LGBT Health
https://www.readbyqxmd.com/read/30481120/correlates-of-recent-hiv-testing-among-transgender-women-in-greater-kuala-lumpur-malaysia
#3
Ronnye Rutledge, Olga Morozova, Britton A Gibson, Frederick L Altice, Adeeba Kamarulzaman, Jeffrey A Wickersham
PURPOSE: In Malaysia, an estimated 9.7%-12.4% of transgender women (TW) are HIV positive, with higher estimates among those engaged in sex work. According to the 90-90-90 Joint United Nations Programme on HIV/AIDS strategy, HIV testing is the first crucial step in curbing the HIV epidemic. This study examines correlates of recent HIV testing among TW in Greater Kuala Lumpur, Malaysia. METHODS: TW (N = 199) in Greater Kuala Lumpur completed a survey on healthcare access and utilization, including HIV testing history...
November 27, 2018: LGBT Health
https://www.readbyqxmd.com/read/30383473/national-findings-from-an-lgbt-healthcare-organizational-needs-assessment
#4
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
https://www.readbyqxmd.com/read/30383466/pre-exposure-prophylaxis-knowledge-and-perceived-effectiveness-to-prevent-hiv-among-deaf-gay-bisexual-and-queer-men
#5
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
https://www.readbyqxmd.com/read/30379602/sexual-orientation-and-pregnancy-among-adolescent-women-in-the-national-survey-of-family-growth-2002-2015
#6
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
https://www.readbyqxmd.com/read/30650053/examining-partnership-health-associations-among-lesbian-women-and-gay-men-using-population-level-data
#7
Steve N Du Bois, Nicole Legate, Ashley D Kendall
PURPOSE: The aim was to provide the first broad assessment of partnership-health associations across partnership statuses among lesbian and gay individuals. METHODS: Using population-level data from the 2016 U.S. Behavioral Risk Factor Surveillance System, specifically the 26 states/territories that assessed sexual orientation and gender identity, we ran analyses of covariance and logistic regressions to compare lesbian and gay individuals (N = 2963) of different partnership statuses in general health, physical health and health conditions, mental health, health behaviors, and health care access/utilization domains...
January 2019: LGBT Health
https://www.readbyqxmd.com/read/30650052/metabolic-syndrome-and-economic-strain-among-sexual-minority-young-adults
#8
Shoshana K Goldberg, Kerith J Conron, Carolyn T Halpern
PURPOSE: The study tested if sexual orientation is associated with metabolic syndrome (MetS) in young adulthood (ages 24-32), and if economic strain impacts associations. METHODS: Gender-stratified logistic regressions were fit among 11,575 young adults (1644 sexual minority [SM]) in Wave IV of The National Longitudinal Study of Adolescent to Adult Health. RESULTS: MetS was not associated with sexual orientation for either gender, yet economic strain was more prevalent among both SM males and females...
January 2019: LGBT Health
https://www.readbyqxmd.com/read/30650051/testicular-seminoma-in-a-transgender-woman-a-case-report
#9
Elizabeth J Kvach, Jennifer S Hyer, John C Carey, Marci Bowers
No abstract text is available yet for this article.
January 2019: LGBT Health
https://www.readbyqxmd.com/read/30638419/severity-of-alcohol-tobacco-and-drug-use-disorders-among-sexual-minority-individuals-and-their-not-sure-counterparts
#10
Carol J Boyd, Philip T Veliz, Rob Stephenson, Tonda L Hughes, Sean Esteban McCabe
PURPOSE: Sexual minority individuals have heightened risk for substance use; however, previous studies have not assessed severity of alcohol use disorders (AUDs), tobacco use disorders (TUDs), and drug use disorders (DUDs) among lesbian/gay and bisexual individuals and those "not sure" of their sexual identity compared with heterosexual individuals. This study examined how three dimensions of sexual orientation (identity, attraction, and behavior) relate to severity of AUD, TUD, and DUD...
January 14, 2019: LGBT Health
https://www.readbyqxmd.com/read/30334686/the-relationship-between-tobacco-use-and-legal-document-gender-marker-change-hormone-use-and-gender-affirming-surgery-in-a-united-states-sample-of-trans-feminine-and-trans-masculine-individuals-implications-for-cardiovascular-health
#11
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
https://www.readbyqxmd.com/read/30334685/homophobic-bullying-and-sexual-minority-youth-alcohol-use-do-sex-and-race-ethnicity-matter
#12
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
https://www.readbyqxmd.com/read/30280997/use-of-mental-health-services-among-college-students-by-sexual-orientation
#13
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
https://www.readbyqxmd.com/read/30280981/exploring-cross-sectional-predictors-of-suicide-ideation-attempt-and-risk-in-a-large-online-sample-of-transgender-and-gender-nonconforming-youth-and-young-adults
#14
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
https://www.readbyqxmd.com/read/30272493/pre-exposure-prophylaxis-in-trans-populations-providing-gender-affirming-prevention-for-trans-people-at-high-risk-of-acquiring-hiv
#15
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
https://www.readbyqxmd.com/read/30230407/physician-attitudes-toward-homosexuality-and-hiv-the-pathh-iii-survey
#16
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
https://www.readbyqxmd.com/read/30183498/self-reported-physical-and-mental-health-of-gender-nonconforming-transgender-adults-in-the-united-states
#17
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
https://www.readbyqxmd.com/read/30192201/prevalence-and-perceived-acceptability-of-nongenital-sexually-transmitted-infection-testing-in-a-cohort-of-young-transgender-women
#18
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
https://www.readbyqxmd.com/read/30141734/comprehensive-internal-medicine-residency-curriculum-on-primary-care-of-patients-who-identify-as-lgbt
#19
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
https://www.readbyqxmd.com/read/30118399/acceptability-of-injectable-and-on-demand-pre-exposure-prophylaxis-among-an-online-sample-of-young-men-who-have-sex-with-men-in-california
#20
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
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