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Smita C Banerjee, Chasity B Walters, Jessica M Staley, Koshy Alexander, Patricia A Parker
Delivery of culturally competent care toward lesbian, gay, bisexual, and transgender (LGBT) patients depends on how health-care providers (HCPs) communicate with them; however, research about knowledge, attitude, and behavior of HCPs toward LGBT patients is scant. The objectives of our study were to describe oncology HCPs' knowledge and examine if beliefs about LGB and transgender patients mediate the effects of LGBT health-care knowledge on open communication behaviors with LGB and transgender patients, respectively...
March 9, 2018: Journal of Health Communication
Oddgeir Synnes, Kirsti Malterud
AIMS: This study aims to explore how minority stress related to sexual orientation is reflected in narratives from lesbian, gay and bisexual (LGB) individuals in Norway, with an impact for national public health policy. METHODS: Arthur Frank's dialogical narrative analysis was applied to personal stories from 65 persons self-referring to different categories of queer identities, submitted online anonymously to a Norwegian national archive for queer history. A purposive sample of three different stories were selected due to their capacity to illuminate how various aspects of minority stress are narrated in diverse interplays between individual voices and resources, and cultural scripts and societal influences...
March 1, 2018: Scandinavian Journal of Public Health
G Campisciano, S Palmisano, C Cason, M Giuricin, M Silvestri, M Guerra, D Macor, N De Manzini, L S Crocé, M Comar
Intestinal microbiota analysis of obese patients after bariatric surgery showed that Proteobacteria decreased after laparoscopic sleeve gastrectomy (SG), while it increased after laparoscopic gastric bypass (LGB). Comparing to normal weight (NW) patients, obese patients that were selected for SG showed an almost equal amount of Firmicutes and Bacteroidetes and the ratio was not affected by the surgery. Obese patients before LGB showed a predominance of Bacteroidetes, whose amount regained a relative abundance similar to NW patients after surgery...
February 27, 2018: Beneficial Microbes
Joseph G L Lee, Paige E Averett, Tiffany Blanchflower, Kyle R Gregory
Purpose: In the U.S., tobacco products are now regulated by the Food and Drug Administration (FDA). Litigation has quickly followed. One area of controversy is when a change to the design of the cigarette pack requires approval through FDA's rigorous premarket review process. In this paper, we examine how adult U.S. smokers view the connection between the design of cigarette packs and the characteristics of the cigarettes within. Methods: Data for this qualitative study came from six focus groups conducted in March 2017 with adult smokers...
March 2018: Journal of Cancer Policy
Suzan M Walters, Alexis V Rivera, Kathleen H Reilly, Bridget J Anderson, Barbara Bolden, Afework Wogayehu, Alan Neaigus, Sarah Braunstein
Exchanging sex for money or drugs is known to increase risk for HIV among persons who inject drugs (PWID). To better understand determinants of exchange sex among PWID we examined factors associated with exchange sex in the New York metropolitan area-defined as New York City (NYC), NY; Newark, NJ; and Long Island, NY-using data from the 2012 National HIV Behavioral Surveillance system cycle on injection drug use. Of the 1160 PWID in this analysis, 24% reported exchange sex, with differences in gender and sexual identity by location...
February 21, 2018: AIDS and Behavior
Karolina Lisy, Micah D J Peters, Penelope Schofield, Michael Jefford
OBJECTIVES: To explore the cancer care experiences and unmet needs of people who identify as a sexual or gender minority. METHODS: A qualitative systematic review and meta-synthesis was undertaken based on a registered protocol. Following literature searching and study selection, study quality was examined using the Critical Appraisal Skill Programme Checklist. Qualitative data were extracted verbatim from included studies and synthesised using thematic analysis...
February 20, 2018: Psycho-oncology
Elodie Charbonnier, Florence Dumas, Adam Chesterman, Pierluigi Graziani
BACKGROUND: Lesbians, gays, and bisexual people (LGB) present high levels of suicidal ideation. The disclosure of sexual orientation is a stressful experience which presents a high suicide risk. Research has not paid sufficient attention to stress during this disclosure in order to understand suicide among LGB people. The aims of this study were to investigate: (1) the characteristics of stress during this revelation, more precisely cognitive appraisal, emotions, and coping; and (2) associations between these characteristics and suicidal ideation...
February 7, 2018: International Journal of Environmental Research and Public Health
B Jachimska, S Świątek, J I Loch, K Lewiński, T Luxbacher
Bovine β-lactoglobulin (LGB) is a transport protein that can bind to its structure hydrophobic bioactive molecules. Due to the lack of toxicity, high stability and pH-dependent molecular binding mechanism, lactoglobulin can be used as a carrier of sparingly soluble drugs. Dynamic light scattering has confirmed LGB's tendency to create oligomeric forms. The hydrodynamic diameter of LGB molecules varies from 4 nm to 6 nm in the pH range of 2-10 and ionic strength I = 0.001-0.15 M, which corresponds to the presence of mono or dimeric LGB forms...
January 29, 2018: Bioelectrochemistry
Lauren B Beach, Tom A Elasy, Gilbert Gonzales
PURPOSE: This study aimed to compare the prevalence of self-reported diabetes and diabetes risk factors among adult sexual minority and heterosexual populations in the United States. METHODS: Data from the 2014 Behavioral Risk Factor Surveillance System for 3776 lesbian, gay, and bisexual (LGB) adults and 142,852 heterosexual adults aged 18 years and older were used to estimate the prevalence of diabetes. Binomial logistic regression models were used to compare the odds of diabetes by sexual orientation...
January 29, 2018: LGBT Health
Marc Marti-Pastor, Gloria Perez, Danielle German, Angels Pont, Olatz Garin, Jordi Alonso, Mercè Gotsens, Montse Ferrer
BACKGROUND: Studies on health-related quality of life (HRQoL) inequalities according to sexual orientation are scarce. The aim of this study was to assess HRQoL inequalities between lesbian, gay, and bisexual (LGB) people and heterosexuals in the 2011 Barcelona population, to describe the extent to which sociodemographic characteristics, health-related behaviors, and chronic conditions could explain such inequalities, and to understand if they are sexual orientation inequities. METHODS: In the 2011 Barcelona Health Interview Survey 3277 adults answered the EQ-5D, which measures five dimensions of HRQoL summarized into a single utility index (1 = perfect health, 0 = death)...
2018: PloS One
Ahmed Jamal, Elyse Phillips, Andrea S Gentzke, David M Homa, Stephen D Babb, Brian A King, Linda J Neff
The U.S. Surgeon General has concluded that the burden of death and disease from tobacco use in the United States is overwhelmingly caused by cigarettes and other combusted tobacco products (1). Cigarettes are the most commonly used tobacco product among U.S. adults, and about 480,000 U.S. deaths per year are caused by cigarette smoking and secondhand smoke exposure (1). To assess progress toward the Healthy People 2020 target of reducing the proportion of U.S. adults aged ≥18 years who smoke cigarettes to ≤12...
January 19, 2018: MMWR. Morbidity and Mortality Weekly Report
Meghan K Halbrook, Jack C Watson, Dana K Voelker
Despite reports that there has been a positive trend in perception and treatment of lesbian, gay, and bisexual (LGB) individuals in recent years (Griffin, 2012; Loftus, 2001), sport, in general, is still an uncertain, and sometimes even hostile, environment for LGB athletes (Anderson, 2005; Beylin, 2006; Waldron & Krane, 2005). To gain more information on coach understanding and perceptions of the team environment, ten high school head coaches in the United States were interviewed to explore their experiences coaching openly LGB athletes...
January 17, 2018: Journal of Homosexuality
Lezhou Wu, Randy L Sell, Alexis M Roth, Seth L Welles
BACKGROUND: Little is known about cardiovascular health disparities for lesbian, gay, or bisexual (LGB) persons and whether these disparities are mediated by mental health disorders due to sexual minority stress. We hypothesize LGB identity is associated with an increased risk of cardiovascular disease (CVD) and that major depressive disorder (MDD) and generalized anxiety disorders (GAD) may mediate this association. METHODS: The National Epidemiologic Survey on Alcohol and Related Conditions is a longitudinal, nationally-representative study of non-institutionalized U...
January 9, 2018: Preventive Medicine
Emily Kazyak, Mathew Stange
Following Obergefell v. Hodges, same-sex marriage remains controversial and anti-LGBT state legislation has been passed, which raises questions about whether the Supreme Court's ruling may have created a backlash. We use data from two waves of a general population survey of Nebraskans conducted before and after the decision to answer three questions. First, we test three theories of how the Court decision influenced public opinion. We find that support for same-sex marriage was significantly higher following the ruling, suggesting that there was not a backlash to it...
January 10, 2018: Journal of Homosexuality
Jess Lee
The 2015 SCOTUS ruling legalizing same-sex marriage was hailed as a universal victory for the lesbian, gay, and bisexual (LGB) community, but the pervasive support mobilized to achieve this goal may mask important dissension and inequality within the community. Specifically, how race may shape or perpetuate inequalities in the LGB community through same-sex marriage has largely been absent from the discussion. Focusing on the perceived impact of same-sex marriage in respondents' lives, I investigate the relationship between black LGBs' perception of same-sex marriage legalization and their intersectional identities and community membership...
January 10, 2018: Journal of Homosexuality
Jessamyn Bowling, Brian Dodge, Elizabeth Bartelt, Megan Simmons, J Dennis Fortenberry
Bisexual parents have been notably absent from prior research on parenting, despite comprising the largest proportion of parents among "lesbian, gay, and bisexual" (LGB) individuals. Indeed, recent national probability data indicate that young bisexual women are more likely than their heterosexual counterparts to report having at least one child. Intentions to have children, patterns of family planning and contraception use, and related issues have important implications for health and healthcare-related decisions and priorities among bisexual parents...
January 8, 2018: Archives of Sexual Behavior
Kris Tunac De Pedro, Holly Shim-Pelayo
BACKGROUND: In addition to the challenges associated with military life, lesbian, gay, bisexual, and transgender (LGBT) youth in military families may face stressors associated with having a stigmatized sexual orientation and/or gender identity or expression, placing them at risk of substance use. To the authors' knowledge, this is the first study exploring substance use outcomes among LGBT youth in military families. OBJECTIVES: This study assessed the role of military connection, LGB identity, and transgender identity on lifetime and past 30-day substance use...
January 5, 2018: Substance Use & Misuse
Timothy Hildebrandt
Lesbian, gay and bisexual (LGB) people in China consistently report family pressure as the greatest challenge they face in their daily lives. This problem has been primarily explained by highlighting sociocultural factors. While such explanations are important to understanding family pressure, they do not easily lead to actionable policy interventions to relieve it. This article suggests a new way of looking at family pressure by positing a social policy explanation. In particular, it reveals how both the one-child policy and eldercare reforms have strong heteronormative biases which negatively and disproportionately affect LGB people and explores social policy interventions that may help address them...
January 3, 2018: Journal of Homosexuality
Jeremy T Goldbach, Henry Fisher Raymond, Claire M Burgess
Bullying has a long-lasting effect on both victims and their perpetrators; however, there is little literature dedicated to understanding the roles of sexual minority adolescents beyond being a victim or the specific types of bullying behaviors (verbal, relational, physical) in which sexual minority adolescents engage. Even less is known about the experiences of mostly heterosexual youth, as distinct from their lesbian, gay, and bisexual (LGB) peers. This exploratory study sought to identify sexual orientation differences in bullying behavior participation using a random cluster sample obtained from a county school district in the Southeastern United States...
November 1, 2017: Journal of Interpersonal Violence
Meredith G F Worthen
Although there is a wealth of existing research on various correlates and patterns of rape myth acceptance (RMA), including how RMA relates to homophobia (i.e., antigay and antilesbian perspectives) and negativity toward lesbian, gay, and bisexual (LGB) men and women rape victims, no research to date has specifically focused on RMA among LGB and "mostly heterosexual" men and women. The current study examines how gender, sexual identity, personal experiences with rape (i.e., knowing/being a survivor), feminist identity, patriarchal gender norms, attitudes toward lesbian, gay, bisexual, and transgender (LGBT) people, and the interactions among these relate to LGB college students' ( n = 389; 24% gay/lesbian, 19% bisexual, 57% mostly heterosexual) RMA using the Illinois Rape Myth Acceptance Scale-Short Form...
September 1, 2017: Journal of Interpersonal Violence
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