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https://www.readbyqxmd.com/read/29791273/survivorship-care-needs-among-lgbt-cancer-survivors
#1
Julia Seay, Darryl Mitteldorf, Alena Yankie, William F Pirl, Erin Kobetz, Matthew Schlumbrecht
OBJECTIVE: To better understand survivorship care needs among LGBT cancer survivors. DESIGN: We administered an anonymous online survey. SAMPLE: LGBT cancer survivors living in the United States. METHODS: Participants were recruited via the National LGBT Cancer Project. The survey measured sociodemographic characteristics, social support, posttraumatic stress, and survivorship care needs. RESULTS: Approximately 72% of our 114 participants were cisgender male and 87% were white...
May 23, 2018: Journal of Psychosocial Oncology
https://www.readbyqxmd.com/read/29789985/geographic-and-individual-associations-with-prep-stigma-results-from-the-radar-cohort-of-diverse-young-men-who-have-sex-with-men-and-transgender-women
#2
Brian Mustanski, Daniel T Ryan, Christina Hayford, Gregory Phillips, Michael E Newcomb, Justin D Smith
Increasing the uptake of pre-exposure prophylaxis (PrEP) to prevent HIV acquisition among at-risk populations, such as young men who have sex with men (YMSM), is of vital importance to slowing the HIV epidemic. Stigma and negative injunctive norms, such as the so called "Truvada Whore" phenomenon, hamper this effort. We examined the prevalence and types of PrEP stigma and injunctive norm beliefs among YMSM and transgender women and associated individual and geospatial factors. A newly created measure of PrEP Stigma and Positive Attitudes was administered to 620 participants in an ongoing longitudinal cohort study...
May 22, 2018: AIDS and Behavior
https://www.readbyqxmd.com/read/29769803/gender-dysphoria-assessment-and-action-for-youth-review-of-health-care-services-and-experiences-of-trans-youth-in-manitoba
#3
Jack Heard, Amanda Morris, Nicole Kirouac, Jennifer Ducharme, Simon Trepel, Brandy Wicklow
Objectives: To describe the paediatric transgender population accessing health care through the Manitoba Gender Dysphoria Assessment and Action for Youth (GDAAY) program, and report youth's experiences accessing health care in Manitoba. Methods: Demographic, medical, surgical and mental health information was extracted from the medical records of youth referred to the GDAAY program (n=174). A 77-item online survey was conducted with a subset of those youth (n=25) to identify common health care experiences and perceptions of trans youth in Manitoba...
May 2018: Paediatrics & Child Health
https://www.readbyqxmd.com/read/29763683/sexual-and-gender-minority-cigarette-smoking-disparities-an-analysis-of-2016-behavioral-risk-factor-surveillance-system-data
#4
Leah Hoffman, Janine Delahanty, Sarah E Johnson, Xiaoquan Zhao
We examined the association between lesbian, gay, bisexual, and transgender (LGBT) identity, cigarette and e-cigarette use, and potential risk factors in the United States. Using data from 198,057 adults in 26 states in the 2016 Behavioral Risk Factor Surveillance System (BRFSS), we estimated the prevalence of cigarette use, e-cigarette use, and potential risk factors by gender identity and sexual identity. Overall and sex-stratified bivariate and multivariate logistic regressions examined whether the relationship between sexual and gender identity and cigarette and e-cigarette use persisted after adjusting for demographics, socio-economic status, and other unhealthy behaviors...
May 12, 2018: Preventive Medicine
https://www.readbyqxmd.com/read/29754268/the-role-of-social-relationships-in-prep-uptake-and-use-among-transgender-women-and-men-who-have-sex-with-men
#5
Megha L Mehrotra, K Rivet Amico, Vanessa McMahan, David V Glidden, Patricia Defechereux, Juan V Guanira, Robert M Grant
Qualitative studies suggest that social relationships play an important role in HIV pre-exposure prophylaxis (PrEP) use, but there have been few quantitative assessments of the role of social relationships in PrEP uptake or adherence. We examined the association between disclosure of study participation or LGBT identity and PrEP use in the 1603 HIV-negative participants enrolled in the iPrEx OLE study. We also evaluated the association between LGBT social group involvement and PrEP use. Study participation disclosure to parents and LGBT identity disclosure to anyone in a participant's social network were associated with greater PrEP uptake...
May 12, 2018: AIDS and Behavior
https://www.readbyqxmd.com/read/29704979/improving-emergency-health-care-workers-knowledge-competency-and-attitudes-toward-lesbian-gay-bisexual-and-transgender-patients-through-interdisciplinary-cultural-competency-training
#6
Sarah Bristol, Teresa Kostelec, Ryan MacDonald
INTRODUCTION: Emergency staff members have a unique role in providing episodic care to marginalized populations. The lesbian, gay, bisexual, and transgender (LGBT) community is a marginalized population that is routinely encountered by ED staff. Implicit prejudice may influence emergency staff interactions and contribute to distrust of health care providers by some members of the LGBT community. The purpose of our study is to evaluate aggregate ED health care team member's knowledge and attitudes toward lesbian, gay, bisexual, and transgender people pre- and post-cultural competency training education...
April 25, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/29689129/attitudes-towards-and-knowledge-about-lesbian-gay-bisexual-and-transgender-patients-among-italian-nurses-an-observational-study
#7
Carlo Della Pelle, Francesca Cerratti, Pamela Di Giovanni, Francesco Cipollone, Giancarlo Cicolini
PURPOSE: To assess Italian nurses' knowledge and attitudes towards gay and lesbian sexual orientation and lesbian, gay, bisexual, and transgender (LGBT) patients, as there is currently no literature exploring the attitudes of nurses in Italy. METHODS: A multicenter, cross-sectional study was conducted between May 2015 to January 2016, using a data collection tool composed of three validated questionnaires and a sociodemographic form. FINDINGS: Eight hundred twenty-four nurses filled out the questionnaire...
April 24, 2018: Journal of Nursing Scholarship
https://www.readbyqxmd.com/read/29687472/conscience-claims-metaphysics-and-avoiding-an-lgbt-eugenic
#8
Abram Brummett
Novel assisted reproductive technologies (ART) are poised to present our society with strange new ethical questions, such as whether lesbian, gay, bisexual, and transgender (LGBT) couples should be allowed to produce children biologically related to both parents, or whether trans-women who want to experience childbirth should be allowed to receive uterine transplants. Clinicians opposed to offering such technologies to LGBT couples on moral grounds are likely to seek legal shelter through the conscience clauses enshrined in U...
April 23, 2018: Bioethics
https://www.readbyqxmd.com/read/29668148/-adolescence-and-sexuality-a-risky-business-how-best-to-inform-parents
#9
Michal Yaron, Cindy Soroken, Françoise Narring, Céline Brockmann, Arnaud Merglen
Parents are often reluctant to discuss sexuality and romantic relationships with their teenagers. However, these discussions can have a strong impact on their children's health. Care providers can act as a reliable source of information to support parents in this task. Through repeated short interactions with their child over their adolescence, parents can cover most topics related to sexuality, based on teenagers' questions and the situations that they face (e.g. LGBT bullying at school). This article summarizes current best practice on how to facilitate parental dialogue with adolescents about sexuality and offer care providers guidance in transmitting this information to parents...
April 18, 2018: Revue Médicale Suisse
https://www.readbyqxmd.com/read/29659418/enhancing-lesbian-gay-bisexual-and-transgender-cultural-competence-in-a-midwestern-primary-care-clinic-setting
#10
Denise R Felsenstein
The process of initiating lesbian, gay, bisexual, and transgender (LGBT) cultural competencies and educational interventions developed to increase staff knowledge on LGBT culture and health issues is discussed, including a computer-based module and panel discussion. The module intervention showed a statistically significant increase (p = .033) of staff LGBT knowledge from pretest to posttest scores. An evaluation after the panel discussion showed that 72% of staff indicated they were more prepared for LGBT patient care...
May 2018: Journal for Nurses in Professional Development
https://www.readbyqxmd.com/read/29658846/tobacco-free-policies-and-tobacco-cessation-systems-at-health-centers-serving-lesbian-gay-bisexual-and-transgender-clients
#11
Joseph G L Lee, Megan E DeMarco, Matthew R Beymer, Chelsea L Shover, Robert K Bolan
PURPOSE: LGBT populations have high rates of tobacco use. Health centers serving LGBT clients are an important source of care. The researchers aimed to assess the implementation of recommended systems-level tobacco cessation interventions at these health centers. METHODS: Using systematic searching, directories, and expert review, we identified health centers serving LGBT clients that provide primary care. We conducted phone-based, semi-structured interviews with administrators (n = 11) between September 2016 and March 2017 regarding implementation of the Clinical Practice Guideline, Treating Tobacco Use and Dependence: 2008 Update (the Guideline)...
April 16, 2018: LGBT Health
https://www.readbyqxmd.com/read/29642460/turning-the-co-production-corner-methodological-reflections-from-an-action-research-project-to-promote-lgbt-inclusion-in-care-homes-for-older-people
#12
Paul Willis, Kathryn Almack, Trish Hafford-Letchfield, Paul Simpson, Barbara Billings, Naresh Mall
Background : Older lesbian, gay, bisexual and trans (LGBT) residents are often invisible in long-term care settings. This article presents findings from a community-based action research project, which attempted to address this invisibility through co-produced research with LGBT community members. Particular Question: What conditions enable co-produced research to emerge in long-term residential care settings for older people? Aims of Project: To analyse outcomes and challenges of action-oriented, co-produced research in the given context...
April 7, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29611778/before-and-after-i-do-marriage-processes-for-mid-life-gay-and-lesbian-married-couples
#13
Emma R Bosley-Smith, Corinne Reczek
This qualitative study examines how mid-life gay and lesbian married individuals articulate their decision to marry. Using 2013 data from 30 mid-life couples in Massachusetts, this study challenges previous literature that conceptualized marriage as entirely positive or negative for same-sex individuals. Mid-life individuals' unique social and historical context influence their experiences of marriage, as mid-life individuals have witnessed the rise and feasibility of marriage equality, have formed relationships outside of the bounds of marriage, and have been in committed relationships long before they married...
April 3, 2018: Journal of Homosexuality
https://www.readbyqxmd.com/read/29601292/treatment-experiences-among-lgbt-veterans-with-discrimination-based-trauma-exposure-a-pilot-study
#14
Jillian C Shipherd, Mollie A Ruben, Nicholas A Livingston, Andrew Curreri, Avy A Skolnik
Past research suggests that rates of trauma exposure and Posttraumatic Stress Disorder (PTSD) are elevated among lesbian, gay, bisexual, and transgender (LGBT) veterans compared to heterosexual and cisgender veterans. Given higher rates of trauma exposure and PTSD, and the culture associated with the Department of Defense's history of policies excluding LGBT people, it is important to understand if LGBT veterans are seeking PTSD treatment following discrimination-based traumatic events, where they seek care, and if they are satisfied with treatment...
July 2018: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/29589481/exploring-the-potential-of-participatory-theatre-to-reduce-stigma-and-promote-health-equity-for-lesbian-gay-bisexual-and-transgender-lgbt-people-in-swaziland-and-lesotho
#15
Carmen H Logie, Lisa V Dias, Jesse Jenkinson, Peter A Newman, Rachel K MacKenzie, Tampose Mothopeng, Veli Madau, Amelia Ranotsi, Winnie Nhlengethwa, Stefan D Baral
Stigma and discrimination affecting lesbian, gay, bisexual, and transgender (LGBT) people compromise health and human rights and exacerbate the HIV epidemic. Scant research has explored effective LGBT stigma reduction strategies in low- and middle-income countries. We developed and pilot-tested a participatory theatre intervention (PTI) to reduce LGBT stigma in Swaziland and Lesotho, countries with the world's highest HIV prevalence. We collected preliminary data from in-depth interviews with LGBT people in Lesotho and Swaziland to enhance understanding of LGBT stigma...
March 1, 2018: Health Education & Behavior: the Official Publication of the Society for Public Health Education
https://www.readbyqxmd.com/read/29581304/identifying-psychological-responses-of-stigmatized-groups-to-referendums
#16
Andrew R Flores, Mark L Hatzenbuehler, Gary J Gates
Public votes and referendums on the rights of marginalized communities are utilized in 27 states and occur with some regularity. However, research has only recently begun to examine the psychological consequences of these voter referendums for members of stigmatized groups, and a number of important questions remain regarding the internal validity and generalizability of the existing evidence. The current study advances this literature by combining survey data from a large probability-based sample conducted in 2012 [lesbian, gay, bisexual, and/or transgender (LGBT) n = 939; non-LGBT n = 31,067] with media market ad-buy data in states where marriage equality was on the ballot...
April 10, 2018: Proceedings of the National Academy of Sciences of the United States of America
https://www.readbyqxmd.com/read/29565622/affirmative-lgbt-psychotherapy-outcomes-of-a-therapist-training-protocol
#17
Christopher A Pepping, Anthony Lyons, Eric M J Morris
Lesbian, gay, bisexual, and transgender (LGBT) people seek psychotherapy at high rates, and the importance of providing culturally appropriate and LGBT-affirmative psychotherapy has been widely acknowledged. Despite this, remarkably little research has investigated the effects of therapist training in LGBT-affirmative psychotherapy. Here we examined the effectiveness of a training protocol for LGBT-affirmative psychotherapy with 96 mental health professionals, ranging in therapeutic experience from <1 year to 37 years (M = 6...
March 2018: Psychotherapy
https://www.readbyqxmd.com/read/29553004/supporting-lesbian-gay-bisexual-transgender-inclusivity-in-long-term-care-homes-a-canadian-perspective
#18
Tamara Sussman, Shari Brotman, Heather MacIntosh, Line Chamberland, Judith MacDonnell, Andrea Daley, Jean Dumas, Molly Churchill
ABSTRACTIt is critical to ensure that long-term care (LTC) homes are sensitive to the needs of lesbian, gay, bisexual, and transgender (LGBT) older adults. However, the extent to which the LTC home sector has adopted recommended strategies is unknown. This qualitative study reports findings from two initiatives: Semi-structured telephone interviews with Canadian LTC home administrators on strategies adopted to support LGBT inclusivity (n = 32), and discussions with participants attending a 2-day meeting on supporting LGBT inclusivity in LTC (n = 25)...
June 2018: Canadian Journal on Aging, la Revue Canadienne du Vieillissement
https://www.readbyqxmd.com/read/29546337/lesbian-gay-bisexual-and-transgender-lgbt-view-it-differently-than-non-lgbt-exposure-to-tobacco-related-couponing-e-cigarette-advertisements-and-anti-tobacco-messages-on-social-and-traditional-media
#19
Kristen Emory, Francisco O Buchting, Dennis R Trinidad, Lisa Vera, Sherry L Emery
Background: LGBT populations use tobacco at disparately higher rates nationwide, compared to national averages. The tobacco industry has a history targeting LGBT with marketing efforts, likely contributing to this disparity. This study explores whether exposure to tobacco content on traditional and social media is associated with tobacco use among LGBT and non-LGBT. Methods: This study reports results from LGBT (N=1,092) and non-LGBT (N=16,430) respondents to a 2013 nationally representative cross-sectional online survey of US adults (N=17,522)...
March 12, 2018: Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
https://www.readbyqxmd.com/read/29546228/multiple-minority-stress-and-lgbt-community-resilience-among-sexual-minority-men
#20
Elizabeth A McConnell, Patrick Janulis, Gregory Phillips, Roky Truong, Michelle Birkett
Minority stress theory has widespread research support in explaining health disparities experienced by sexual and gender minorities. However, less is known about how minority stress impacts multiply marginalized groups, such as lesbian, gay, bisexual, and transgender people of color (LGBT POC). Also, although research has documented resilience in the face of minority stress at the individual level, research is needed that examines macro-level processes such as community resilience (Meyer, 2015). In the current study, we integrate minority stress theory and intersectionality theory to examine multiple minority stress (i...
March 2018: Psychology of Sexual Orientation and Gender Diversity
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