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https://www.readbyqxmd.com/read/27900896/sociolegal-and-practice-implications-of-caring-for-lgbt-people-with-dementia
#1
Elizabeth Peel, Helen Taylor, Rosie Harding
The needs of lesbian, gay, bisexual and trans (LGBT) people with dementia are poorly recognised. This is due partly to assumptions that all older people are heterosexual or asexual. One quarter of gay or bisexual men and half of lesbian or bisexual women have children, compared with 90% of heterosexual women and men, which means LGBT older adults are more likely to reside in care homes. Older LGBT people may be unwilling to express their sexual identities in care settings and this can affect their care. Members of older people's informal care networks must be recognised to ensure their involvement in the lives of residents in care settings continues...
November 30, 2016: Nursing Older People
https://www.readbyqxmd.com/read/27889854/do-we-have-a-moral-responsibility-to-compensate-for-vulnerable-groups-a-discussion-on-the-right-to-health-for-lgbt-people
#2
Perihan Elif Ekmekci
Vulnerability is a broad concept widely addressed in recent scholarly literature. Lesbian, gay, bisexual, and transgender (LGBT) people are among the vulnerable populations with significant disadvantages related to health and the social determinants of health. Medical ethics discourse tackles vulnerability from philosophical and political perspectives. LGBT people experience several disadvantages from both perspectives. This article aims to justify the right to health for LGBT people and their particular claims regarding healthcare because they belong to a vulnerable group...
November 26, 2016: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/27865341/bullying-among-lesbian-gay-bisexual-and-transgender-youth
#3
REVIEW
Valerie A Earnshaw, Laura M Bogart, V Paul Poteat, Sari L Reisner, Mark A Schuster
Bullying of lesbian, gay, bisexual, and transgender (LGBT) youth is prevalent in the United States, and represents LGBT stigma when tied to sexual orientation and/or gender identity or expression. LGBT youth commonly report verbal, relational, and physical bullying, and damage to property. Bullying undermines the well-being of LGBT youth, with implications for risky health behaviors, poor mental health, and poor physical health that may last into adulthood. Pediatricians can play a vital role in preventing and identifying bullying, providing counseling to youth and their parents, and advocating for programs and policies to address LGBT bullying...
December 2016: Pediatric Clinics of North America
https://www.readbyqxmd.com/read/27865340/stigma-and-minority-stress-as-social-determinants-of-health-among-lesbian-gay-bisexual-and-transgender-youth-research-evidence-and-clinical-implications
#4
REVIEW
Mark L Hatzenbuehler, John E Pachankis
In this article, we review theory and evidence on stigma and minority stress as social/structural determinants of health among lesbian, gay, bisexual, and transgender (LGBT) youth. We discuss different forms of stigma at individual (eg, identity concealment), interpersonal (eg, victimization), and structural (eg, laws and social norms) levels, as well as the mechanisms linking stigma to adverse health outcomes among LGBT youth. Finally, we discuss clinical (eg, cognitive behavioral therapy) and public health (eg, antibullying policies) interventions that effectively target stigma-inducing mechanisms to improve the health of LGBT youth...
December 2016: Pediatric Clinics of North America
https://www.readbyqxmd.com/read/27865339/development-and-mental-health-of-lesbian-gay-bisexual-or-transgender-youth-in-pediatric-practice
#5
REVIEW
Stewart L Adelson, Oliver M Stroeh, Yiu Kee Warren Ng
Assessing, monitoring, and supporting children and adolescents' mental health are integral parts of comprehensive pediatric primary care. These are especially relevant for LGBT youth, who frequently experience unique stressors, often including having an identity different from family and peer expectations, whether to reveal it, and stigma like peer bullying, family rejection, social intolerance, and self nonacceptance. Pediatricians should know key mental health practice principles for LGBT youth, how to adapt these to various pediatric settings, the continuum of mental health interventions, and their local resources...
December 2016: Pediatric Clinics of North America
https://www.readbyqxmd.com/read/27865336/lesbian-gay-bisexual-and-transgender-families
#6
REVIEW
Cecil R Webster, Cynthia J Telingator
Families headed by sexual minorities encounter unique barriers to care and health equity despite greater cultural acceptance and visibility. Empirical research suggests that children in lesbian, gay, bisexual, and transgender (LGBT) families develop and function comparably to those from traditional families. In helping families, awareness of family structure is important. The health care provider should be familiar with family composition, and their community, social supports, race/ethnic concerns, financial issues, and other vulnerabilities...
December 2016: Pediatric Clinics of North America
https://www.readbyqxmd.com/read/27865334/body-image-and-eating-disorders-among-lesbian-gay-bisexual-and-transgender-youth
#7
REVIEW
Zachary McClain, Rebecka Peebles
Adolescence is a crucial period for emerging sexual orientation and gender identity and also body image disturbance and disordered eating. Body image distortion and disordered eating are important pediatric problems affecting individuals along the sexual orientation and gender identity spectrum. Lesbian, gay, bisexual, transgender (LGBT) youth are at risk for eating disorders and body dissatisfaction. Disordered eating in LGBT and gender variant youth may be associated with poorer quality of life and mental health outcomes...
December 2016: Pediatric Clinics of North America
https://www.readbyqxmd.com/read/27865333/substance-abuse-prevention-assessment-and-treatment-for-lesbian-gay-bisexual-and-transgender-youth
#8
REVIEW
Romulo Alcalde Aromin
Knowing how to manage substance abuse in all youth is an important aspect of pediatric care, including providing clinically appropriate anticipatory guidance, monitoring, assessment, and treatment. Although most lesbian, gay, bisexual, and transgender (LGBT) youth do not abuse substances, as a group they experience unique challenges in self-identity development that put them at an increased risk for substance abuse. This article addresses prevention and management of substance use in LGBT youth relevant to pediatrics and allied professions as an aspect of their overall health care...
December 2016: Pediatric Clinics of North America
https://www.readbyqxmd.com/read/27865332/human-immunodeficiency-virus-other-sexually-transmitted-infections-and-sexual-and-reproductive-health-in-lesbian-gay-bisexual-transgender-youth
#9
REVIEW
Sarah M Wood, Caroline Salas-Humara, Nadia L Dowshen
Lesbian, gay, bisexual, transgender (LGBT), and questioning youth represent a diverse population who are affected by many sexual health inequities, including increased risk for human immunodeficiency virus (HIV) and sexually transmitted infections (STIs). To provide comprehensive sexual health care for LGBT youth, providers should set the stage with a nonjudgmental, respectful tone. Providers should be competent in recognizing symptoms of STIs and HIV and aware of the most up-to-date screening guidelines for LGBT youth...
December 2016: Pediatric Clinics of North America
https://www.readbyqxmd.com/read/27865331/lesbian-gay-bisexual-and-transgender-youth-and-family-acceptance
#10
REVIEW
Sabra L Katz-Wise, Margaret Rosario, Michael Tsappis
In this article, we address theories of attachment and parental acceptance and rejection, and their implications for lesbian, gay, bisexual, and transgender (LGBT) youths' identity and health. We also provide 2 clinical cases to illustrate the process of family acceptance of a transgender youth and a gender nonconforming youth who was neither a sexual minority nor transgender. Clinical implications of family acceptance and rejection of LGBT youth are discussed.
December 2016: Pediatric Clinics of North America
https://www.readbyqxmd.com/read/27831853/persecution-experiences-and-mental-health-of-lgbt-asylum-seekers
#11
Rebecca A Hopkinson, Eva Keatley, Elizabeth Glaeser, Laura Erickson-Schroth, Omar Fattal, Melba Nicholson Sullivan
INTRODUCTION: Asylum seekers are a unique population, particularly those who have endured persecution for their sexual orientation or gender identity. Little data exist about the specific experiences and needs of asylum seekers persecuted due to lesbian, gay, bisexual or transgender (LGBT) identity. METHODS: Quantitative data were gathered regarding demographics, persecution histories, and mental health of 61 clients from a torture survivors program in New York City who reported persecution due to LGBT identity...
November 10, 2016: Journal of Homosexuality
https://www.readbyqxmd.com/read/27815302/health-equity-and-aging-of-bisexual-older-adults-pathways-of-risk-and-resilience
#12
Karen I Fredriksen-Goldsen, Chengshi Shiu, Amanda E B Bryan, Jayn Goldsen, Hyun-Jun Kim
OBJECTIVES: Bisexual older adults are a growing yet largely invisible, underserved, and understudied population. Utilizing the Health Equity Promotion Model, we examined hypothesized mechanisms accounting for health disparities between bisexual older adults and lesbian and gay older adults. METHOD: Based on data from Caring and Aging with Pride, the largest national survey of LGBT older adults, this study (N = 2,463) utilized structural equation modeling to investigate direct and indirect associations between sexual identity (bisexual vs...
November 4, 2016: Journals of Gerontology. Series B, Psychological Sciences and Social Sciences
https://www.readbyqxmd.com/read/27799139/sexual-preferences-and-presentation-on-geosocial-networking-apps-by-indian-men-who-have-sex-with-men-in-maharashtra
#13
Jayson Rhoton, J Michael Wilkerson, Shruta Mengle, Pallav Patankar, B R Simon Rosser, Maria L Ekstrand
BACKGROUND: The affordability of smartphones and improved mobile networks globally has increased the popularity of geosocial networking (GSN) apps (eg, Grindr, Scruff, Planetromeo) as a method for men who have sex with men (MSM) to seek causal sex partners and engage with the queer community. As mobile penetration continues to grow in India, it is important to understand how self-presentation on GSN app is relevant because it offers insight into a population that has not been largely studied...
October 31, 2016: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/27783889/educational-strategies-to-help-students-provide-respectful-sexual-and-reproductive-health-care-for-lesbian-gay-bisexual-and-transgender-persons
#14
Kelly Walker, Megan Arbour, Justin Waryold
Graduate medical, nursing, and midwifery curricula often have limited amounts of time to focus on issues related to cultural competency in clinical practice, and respectful sexual and reproductive health care for all individuals in particular. Respectful health care that addresses sexual and reproductive concerns is a right for everyone, including those who self-identify as lesbian, gay, bisexual, or transgender (LGBT). LGBT persons have unique reproductive health care needs as well as increased risks for poor health outcomes...
October 26, 2016: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/27775410/from-awareness-to-action-examining-predictors-of-lesbian-gay-bisexual-and-transgender-lgbt-activism-for-heterosexual-people
#15
K Nicole Jones, Melanie E Brewster
In recent history, heterosexual allies have played an integral role in promoting change for lesbian, gay, bisexual, and transgender (LGBT) populations in the United States; however, questions have been raised as to what drives heterosexual allies to promote change via activism. To delineate factors important in engagement in activism, 207 self-identified heterosexual allies completed an online survey measuring components associated with LGBT activism using Bandura's (1986) model of triadic reciprocal determinism: personal factors (ally identity, social justice self-efficacy and outcome expectations, empathetic perspective taking, and gender) and environmental factors (social justice related supports and barriers, positive marginality, and education level) to predict behaviors (LGBT activism)...
October 24, 2016: American Journal of Orthopsychiatry
https://www.readbyqxmd.com/read/27729400/cognitive-impairment-alzheimer-s-disease-and-other-dementias-in-the-lives-of-lesbian-gay-bisexual-and-transgender-lgbt-older-adults-and-their-caregivers-needs-and-competencies
#16
Karen I Fredriksen-Goldsen, Sarah Jen, Amanda E B Bryan, Jayn Goldsen
Cognitive impairment, Alzheimer's disease, and other dementias are important health concerns for older adults. As a marginalized and growing segment of the older adult population, lesbian, gay, bisexual, and transgender (LGBT) older adults face distinct risk factors related to cognitive impairment and dementias, including social isolation, discrimination, barriers to health care access, limited availability of and support for caregivers, and higher rates of certain chronic illnesses. We examine cognitive impairment and dementias among LGBT older adults, describe their unique risk factors, and outline key competencies for health care and human service providers to ensure culturally relevant care for LGBT older adults experiencing cognitive impairment, Alzheimer's disease, or other dementias, as well as their caregivers, families, and communities...
October 10, 2016: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/27728830/-it-s-how-we-deal-perceptions-of-lgb-peers-use-of-alcohol-and-other-drugs-to-cope-and-sexual-minority-adults-own-coping-motivated-substance-use-following-the-pulse-nightclub-shooting
#17
Sarah C Boyle, Joseph W LaBrie, Lauren D Costine, Yong D Witkovic
Sexual minority stress experiences (e.g. prejudice, victimization, etc.) and peer substance use norms (e.g. peers' frequency of use and quantity consumed) are important correlates of alcohol and drug use in sexual minority populations. The current study incorporates both of these by examining LGB individuals' perceptions of peers' use of alcohol and other drugs to cope with a sexual minority stressor, and whether perceptions of peer coping norms relate to one's own coping-motivated substance use in response to the stressor...
February 2017: Addictive Behaviors
https://www.readbyqxmd.com/read/27707515/families-matter-social-support-and-mental-health-trajectories-among-lesbian-gay-bisexual-and-transgender-youth
#18
Elizabeth A McConnell, Michelle Birkett, Brian Mustanski
PURPOSE: Lesbian, gay, bisexual, and transgender (LGBT) adolescents are at greater risk for mental health problems than their heterosexual peers, in part due to victimization. Social support, particularly from families, has been identified as an important promotive factor. However, little is known about how LGBT youth experience multiple forms of support or how early support predicts mental health across adolescence and into young adulthood. METHODS: In an analytic sample of 232 LGBT youth aged 16-20 years at baseline across 5...
October 1, 2016: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/27706875/patient-perspectives-on-answering-questions-about-sexual-orientation-and-gender-identity-an-integrative-review
#19
R I Bjarnadottir, W Bockting, D Dowding
AIMS AND OBJECTIVES: To examine patients' perceptions of being asked about their sexual orientation and gender identity in the health care setting. BACKGROUND: Health disparities exist in the lesbian, gay, bisexual and transgender (LGBT) population but further research is needed to better understand these disparities. To address this issue experts recommend the routine collection of sexual orientation and gender identity data in healthcare. Nurses on the front line of patient care play a key role in the collection of this data...
October 5, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27704368/development-and-implementation-of-a-novel-hiv-primary-care-track-for-internal-medicine-residents
#20
David A Fessler, Grace C Huang, Jennifer Potter, Joseph J Baker, Howard Libman
BACKGROUND: Declining mortality has led to a rising number of persons living with HIV (PLWH) and concerns about a future shortage of HIV practitioners. AIM: To develop an HIV Primary Care Track for internal medicine residents. SETTING: Academic hospital and community health center with a history of caring for PLWH and lesbian, gay, bisexual, and transgender (LGBT) patients. PARTICIPANTS: Internal medicine residents. PROGRAM DESCRIPTION: We enrolled four residents annually in a 3-year track with the goal of having each provide continuity care to at least 20 PLWH...
October 4, 2016: Journal of General Internal Medicine
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