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Cathleen E Willging, Amy E Green, Mary M Ramos
BACKGROUND: Reducing youth suicide in the United States (U.S.) is a national public health priority, and lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ) youth are at elevated risk. The Centers for Disease Control and Prevention (CDC) endorses six evidence-based (EB) strategies that center on meeting the needs of LGBTQ youth in schools; however, fewer than 6 % of U.S. schools implement all of them. The proposed intervention model, "RLAS" (Implementing School Nursing Strategies to Reduce LGBTQ Adolescent Suicide), builds on the Exploration, Preparation, Implementation, and Sustainment (EPIS) conceptual framework and the Dynamic Adaptation Process (DAP) to implement EB strategies in U...
October 22, 2016: Implementation Science: IS
Barbara K Snyder, Gail D Burack, Anna Petrova
Despite published guidelines on the need to provide comprehensive care to lesbian, gay, bisexual, transgender, and questioning/queer (LGBTQ) youth, there has been limited research related to the deliverance of primary health care to this population. The goals of this study were to learn about LGBTQ youth's experiences with their primary care physicians and to identify areas for improvement. Youth attending 1 of 5 community-based programs completed a written questionnaire and participated in a focus group discussion regarding experiences at primary care visits, including topics discussed, counselling received, and physician communication...
October 13, 2016: Clinical Pediatrics
Jennifer M Boggs, Jennifer Dickman Portz, Diane K King, Leslie A Wright, Kenneth Helander, Jessica H Retrum, Wendolyn S Gozansky
This qualitative study conducted by a community-research partnership used multiple types of data collection to examine variables relevant for LGBTQ older adults who wished to age in place in their urban Denver neighborhood. Focus groups, interviews, and a town hall meeting were used to identify barriers and supports to aging in place. Participants (N = 73) primarily identified as lesbian or gay, aged 50-69, and lived with a partner. Ageism, heterosexism, and/or cisgenderism emerged as cross-cutting themes that negatively impact access to healthcare, housing, social support, home assistance and legal services...
October 12, 2016: Journal of Homosexuality
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
Maia Mestvirishvili, Tinatin Zurabishvili, Tamar Iakobidze, Natia Mestvirishvili
The purpose of this study is to determine statistical predictors of homophobic attitudes among the residents of Tbilisi, Georgia. We analyze 2013 survey data from a representative sample of the Tbilisi adult population. Residents were asked about their attitudes, beliefs, and political and social values in the context of the 17 May 2013 attack on LGBT activists on the International Day against Homophobia and Transphobia (IDAHOT). Findings show that homophobia is significantly predicted by male gender, lower levels of education, acceptance of social inequality, non-liberal attitudes, and by perceiving homosexuals as a "threat to national security"...
October 4, 2016: Journal of Homosexuality
Alex Kulick, Laura J Wernick, Michael R Woodford, Kristen Renn
LGBTQ people experience health disparities related to multi-level processes of sexual and gender marginalization, and intersections with racism can compound these challenges for LGBTQ people of color. While community engagement may be protective for mental health broadly and for LGBTQ communities in buffering against heterosexism, little research has been conducted on the racialized dynamics of these processes among LGBTQ communities. This study analyzes cross-sectional survey data collected among a diverse sample of LGBTQ college students (n = 460), which was split by racial status...
September 28, 2016: Journal of Homosexuality
Hannah Kia, Kinnon Ross MacKinnon, Melissa Marie Legge
Despite the emergence of research on microaggressions targeting lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) communities in recent years, there remains an insufficiency of theoretical literature in this area. In this article, we draw on the works of Michel Foucault to conceptualize the effects of microaggressive practices on LGBTQ people accessing health and other social services, and generate insight into strategies these groups use to resist these effects. We emphasize the need for social workers, particularly those in health care settings, to support these communities' ongoing attempts at challenging the effects of microaggression, and to this end, outline several implications of our analysis for social work practice...
September 27, 2016: Social Work in Health Care
Emily Colpitts, Jacqueline Gahagan
BACKGROUND: Currently, there is a dearth of baseline data on the health of lesbian, gay, bisexual, transgender, and queer (LGBTQ) populations in the province of Nova Scotia, Canada. Historically, LGBTQ health research has tended to focus on individual-level health risks associated with poor health outcomes among these populations, which has served to obscure the ways in which they maintain their own health and wellness across the life course. As such, there is an urgent need to shift the focus of LGBTQ health research towards strengths-based perspectives that explore the complex and resilient ways in which LGBTQ populations promote their health...
2016: BMC Public Health
Lauren E Duncan, Elizabeth Mincer, Sarah R Dunn
Building on psychological theories of motivation for collective action, we introduce a new individual difference measure of queer consciousness, defined as a politicized collective identity around sexual orientation. The Queer Consciousness Scale (QCS) consists of twelve items measuring five aspects of a politicized queer identity: sense of common fate, power discontent, system blame, collective orientation, and cognitive centrality. In four samples of adult women and men of varied sexual orientations, the QCS showed good test-retest and Cronbach's reliability and excellent known-groups and predictive validity...
September 15, 2016: Journal of Homosexuality
Natalie Levkovich, Polly Kurtz
This president's column provides the current position of the Collaborative Family Healthcare Association (CFHA) in reference to the law passed in North Carolina on March 23, 2016, limiting the civil rights of LGBTQ people. This law troubles the CFHA deeply. This is an organization that promotes collaborative patient- and family-centered care. It currently celebrates diversity and rejects discrimination in any form. After considerable thought and review of alternative actions, the Board of CFHA determined that our best course is to proceed with plans for an annual conference in Charlotte, a city that has attempted to strengthen legal protection of the rights of its LGBTQ citizens...
September 2016: Families, Systems & Health: the Journal of Collaborative Family Healthcare
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
Alice Fiddian-Green, Aline C Gubrium, Jeffery C Peterson
Public health efforts focused on Latina youth sexuality are most commonly framed by the syndemic of teen pregnancy and sexually transmitted infections, a narrow and often heteronormative focus that perpetuates silences that contribute to health inequities and overlooks the growing need for increased education, awareness, and support for lesbian, gay, bisexual, transgender, and questioning (LGBTQ) youth. This article presents findings from the project Let's Talk About Sex: Digital Storytelling for Puerto Rican Latina Youth, which used a culturally centered, narrative-based approach for analyzing participants' own specifications of sexual values and practices...
August 26, 2016: Health Communication
Tania Israel, Cathleen Willging, David Ley
Lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) people in rural areas experience negative mental health consequences of minority stress, and encounter multiple barriers to accessing mental health and substance use treatment services. As part of a larger intervention study, we developed and piloted a unique training program to prepare peer advocates for roles as paraprofessionals who assist rural LGBTQ people with mental health needs. Thirty-seven people in New Mexico took part in either the initial training or a second revised training to improve their knowledge and skills to address LGBTQ mental health needs...
January 2016: Rural Mental Health
Elizabeth W Klein, Maliheh Nakhai
This article summarizes the components of a curriculum used to teach family medicine residents and faculty about LGBTQ patients' needs in a family medicine residency program in the Pacific Northwest region of the United States. This curriculum was developed to provide primary care physicians and physicians-in-training with skills to provide better health care for LGBTQ-identified patients. The curriculum covers topics that range from implicit and explicit bias and appropriate terminology to techniques for crafting patient-centered treatment plans...
May 2016: International Journal of Psychiatry in Medicine
Nina Barrett, Dorothy Wholihan
Nurses should be familiar with and equipped to address the challenges that arise when caring for lesbian, gay, bisexual, transgender, or queer-identified (LGBTQ) patients. LGBTQ individuals have increased rates of certain physical diseases and are at greater risk of suffering from stress-sensitive mental health issues. Negative social attitudes, widespread discrimination and stigma, physical and psychological victimization, and less social support with aging contribute to the complexity of care for these individuals...
September 2016: Nursing Clinics of North America
Michael E Newcomb, Antonia Clifford, George J Greene, Brian Mustanski
PURPOSE: Lesbian, gay, bisexual, transgender, and other sexual and gender minority (LGBTQ) adolescents and young adults experience health inequities relative to heterosexuals but may be reluctant to participate in research that requires guardian permission. Institutional review boards are often reluctant to approve studies without parental permission because of concerns about parent reactions. There is little to no data from the parent's perspective on these issues. We aimed to understand parent perspectives on parental permission requirements for minimal risk studies of LGBTQ health inequities...
October 2016: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
Cathleen E Willging, Tania Israel, David Ley, Elise M Trott, Catherine DeMaria, Aaron Joplin, Verida Smiley
Lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ) people are affected by mental health disparities, especially in rural communities. We trained peer advocates in rural areas in the fundamentals of mental health, outreach, education, and support for this population. The peer advocates were coached by licensed mental health professionals. We evaluated this process through iterative qualitative analysis of semi-structured interviews and written logs from coaches and advocates. The six major themes comprising the results centered on (1) coaching support, (2) peer advocate skills and preparation, (3) working with help seekers, (4) negotiating diversity, (5) logistical challenges in rural contexts, and (6) systemic challenges...
2016: Journal of Gay & Lesbian Mental Health
Katie M Edwards, Heather L Littleton, Kateryna M Sylaska, Annie L Crossman, Meghan Craig
This paper provides an overview of a conceptual model that integrates theories of social ecology, minority stress, and community readiness to better understand risk for and outcomes of intimate partner violence (IPV) among LGBTQ+ college students. Additionally, online survey data was collected from a sample of 202 LGBTQ+ students enrolled in 119 colleges across the United States to provide preliminary data on some aspects of the proposed model. Results suggested that students generally thought their campuses were low in readiness to address IPV; that is, students felt that their campuses could do more to address IPV and provide IPV services specific to LGBTQ+ college students...
September 2016: American Journal of Community Psychology
Megan A Dean, Elizabeth Victor, Laura Guidry Grimes
In an effort to address healthcare disparities in lesbian, gay, bisexual, transgender, and queer (LGBTQ) populations, many hospitals and clinics institute diversity training meant to increase providers' awareness of and sensitivity to this patient population. Despite these efforts, many healthcare spaces remain inhospitable to LGBTQ patients and their loved ones. Even in the absence of overt forms of discrimination, LGBTQ patients report feeling anxious, unwelcome, ashamed, and distrustful in healthcare encounters...
July 7, 2016: Journal of Bioethical Inquiry
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