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https://www.readbyqxmd.com/read/28641046/exploring-the-health-needs-of-aging-lgbt-adults-in-the-cape-fear-region-of-north-carolina
#1
Noell L Rowan, Kelsey Beyer
This study explored issues of culturally sensitive health care practice and needs among lesbian, gay, bisexual and transgender aging adults in coastal North Carolina. Survey data from 2013 to 2015 were analyzed using frequencies and logistic regression on concerns with culturally sensitive health needs for the LGBT aging adult population. Results indicated that the largest problem was a history of being verbally harassed (n = 115; 51.57%) and a need for more culturally sensitive health care provisions. A large majority of participants requested an improvement in offering of LGBT specific social activities (n = 149), recreational activities (n = 116), and art and cultural activities (n = 112)...
June 22, 2017: Journal of Gerontological Social Work
https://www.readbyqxmd.com/read/28638747/health-care-disparities-among-lesbian-gay-bisexual-and-transgender-youth-a-literature-review
#2
REVIEW
Hudaisa Hafeez, Muhammad Zeshan, Muhammad A Tahir, Nusrat Jahan, Sadiq Naveed
About 3.5% Americans identify themselves as lesbian, gay, or bisexual while 0.3% identify themselves as transgender. The LGBT (lesbian, gay, bisexual, and transgender) community belongs to almost every race, ethnicity, religion, age, and socioeconomic group. The LGBT youth are at a higher risk for substance use, sexually transmitted diseases (STDs), cancers, cardiovascular diseases, obesity, bullying, isolation, rejection, anxiety, depression, and suicide as compared to the general population. LGBT youth receive poor quality of care due to stigma, lack of healthcare providers' awareness, and insensitivity to the unique needs of this community...
April 20, 2017: Curēus
https://www.readbyqxmd.com/read/28637322/predicting-perceived-isolation-among-midlife-and-older-lgbt-adults-the-role-of-welcoming-aging-service-providers
#3
Jie Yang, Yoosun Chu, Mary Anne Salmon
Background and Objectives: Older lesbian, gay, bisexual, and transgender (LGBT) adults are more likely to live alone and less likely to have children compared with their heterosexual counterparts. The lack of immediate family system can render older LGBT adults particularly vulnerable to social isolation and its consequences. The current study utilizes social exclusion theory, which asserts that not only material resources but also engagement with and inclusion into the society are necessary for marginalized people to be integrated into the mainstream...
June 16, 2017: Gerontologist
https://www.readbyqxmd.com/read/28623053/lgbt-healthcare-disparities-what-progress-have-we-made
#4
Kathleen A Bonvicini
Nearly fifteen years have passed since this author's publication which examined the depth of education and training for medical students and practicing physicians specific to clinical competence in the care of lesbian and gay patients in the United States. Since then, there has been an explosion of research gains which have shed a steady light on the needs and disparities of lesbian and gay healthcare. This rich literature base has expanded to include bisexual and transgender (LGBT) healthcare in peer-reviewed journals...
June 10, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28610758/the-everyday-food-practices-of-community-dwelling-lesbian-gay-bisexual-and-transgender-lgbt-older-adults
#5
Nevin Cohen, Kristen Cribbs
Malnutrition during old age is a significant public health issue. Prevailing behavioral and structural senior malnutrition interventions have had marginal success, largely failing to reflect the realities of people's daily lives. This novel study employed Social Practice Theory (SPT) to explore the food practices of an under-researched, yet highly vulnerable, segment of the older adult population-Lesbian, Gay, Bisexual, and Transgender (LGBT) seniors. Four focus groups were conducted with 31 older adult clients and volunteers at a national LGBT social service and advocacy organization...
April 2017: Journal of Aging Studies
https://www.readbyqxmd.com/read/28579417/lesbian-gay-bisexual-transgender-content-on-reproductive-endocrinology-and-infertility-clinic-websites
#6
Harold Y Wu, Ophelia Yin, Brent Monseur, Jessica Selter, Lillian J Collins, Brandyn D Lau, Mindy S Christianson
OBJECTIVE: To assess geographical distribution and practice characteristics of fertility clinics inclusive of lesbian, gay, bisexual, and transgender (LGBT) patients. DESIGN: Cross-sectional analysis. SETTING: Not applicable. PATIENT(S): None. INTERVENTION(S): None. MAIN OUTCOME MEASURE(S): Prevalence and geographical distribution of fertility clinic websites with LGBT-specific content, indicated by keywords and home page cues specific to the LGBT patient population...
June 1, 2017: Fertility and Sterility
https://www.readbyqxmd.com/read/28574774/differing-experiences-with-pre-exposure-prophylaxis-in-boston-among-lesbian-gay-bisexual-and-transgender-specialists-and-generalists-in-primary-care-implications-for-scale-up
#7
Douglas S Krakower, Norma C Ware, Kevin M Maloney, Ira B Wilson, John B Wong, Kenneth H Mayer
The Centers for Disease Control and Prevention estimates that one in four sexually active men who have sex with men (MSM) could decrease their HIV risk by using HIV pre-exposure prophylaxis (PrEP). Because many MSM access healthcare from primary care providers (PCPs), these clinicians could play an important role in providing access to PrEP. Semistructured qualitative interviews were conducted with 31 PCPs in Boston, MA, to explore how they approach decisions about prescribing PrEP to MSM and their experiences with PrEP provision...
June 2, 2017: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/28569121/military-lesbian-gay-bisexual-and-transgender-lgbt-awareness-training-for-health-care-providers-within-the-military-health-system
#8
Angela Shrader, Kellie Casero, Bethany Casper, Mary Kelley, Laura Lewis, Jess Calohan
BACKGROUND AND SIGNIFICANCE: Lesbian, gay, bisexual, and transgender (LGBT) individuals serving within the U.S. military and their beneficiaries have unique health care requirements. Department of Defense Directive 1304.26 "Don't Ask, Don't Tell" created a barrier for service members to speak candidly with their health care providers, which left specific health care needs unaddressed. There are no standardized cultural education programs to assist Military Health System (MHS) health care providers in delivering care to LGBT patients and their beneficiaries...
May 1, 2017: Journal of the American Psychiatric Nurses Association
https://www.readbyqxmd.com/read/28561257/recommendations-for-use-of-affirmative-psychotherapy-with-lgbt-older-adults
#9
Kate L M Hinrichs, Weston Donaldson
Affirmative therapy is a type of psychotherapy used to validate and advocate for the needs of sexual and gender minority clients. Therapists use verbal and nonverbal means to demonstrate an affirming stance toward lesbian, gay, bisexual, and transgender (LGBT) clients. Although this therapeutic approach can be used with LGBT individuals across the lifespan, the case presented in this paper highlights the benefit of using this approach with older LGBT individuals. Discussion of the unique challenges faced by older LGBT people will be followed with an illustrative case that shows ways that affirmative therapy can help individuals achieve greater self-actualization...
May 31, 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28558693/scrambling-for-access-availability-accessibility-acceptability-and-quality-of-healthcare-for-lesbian-gay-bisexual-and-transgender-people-in-south-africa
#10
Alex Müller
BACKGROUND: Sexual orientation and gender identity are social determinants of health for people identifying as lesbian, gay, bisexual and transgender (LGBT), and health disparities among sexual and gender minority populations are increasingly well understood. Although the South African constitution guarantees sexual and gender minority people the right to non-discrimination and the right to access to healthcare, homo- and transphobia in society abound. Little is known about LGBT people's healthcare experiences in South Africa, but anecdotal evidence suggests significant barriers to accessing care...
May 30, 2017: BMC International Health and Human Rights
https://www.readbyqxmd.com/read/28538922/the-national-policy-for-comprehensive-health-of-lesbians-gays-bisexuals-and-transgender-lgbt-and-access-to-the-sex-reassignment-process-in-the-brazilian-unified-health-system-sus-progress-and-challenges
#11
Gianna Schreiber Popadiuk, Daniel Canavese Oliveira, Marcos Claudio Signorelli
This study aimed to analyze how the Brazilian Ministry of Health (MS) is implementing the Sex Reassignment Process (SRP) in the Unified Health System (SUS), through research of public domain official documents, systematization of surgery's quantitative data and analysis of meeting reports of the LGBT Health Technical Committee (CTSLGBT) of the MS. We conducted exploratory research combining quantitative and qualitative methods, using as methodological basis the normative proposal of health programs and systems evaluation study...
May 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28537842/-invisible-during-my-own-crisis-responses-of-lgbt-people-of-color-to-the-orlando-shooting
#12
Johanna L Ramirez, Kirsten A Gonzalez, M Paz Galupo
On June 12, 2016, the Pulse nightclub in Orlando, Florida was the target of one of the country's deadliest mass shootings. Pulse, a gay nightclub, was hosting a Latin Pride Night the evening of the tragedy, which resulted in the death of 49 victims and 53 casualties, over 90% of whom were lesbian, gay, bisexual, and transgender (LGBT) Latinx people, specifically. The present research investigates the narrative responses from LGBT people of color (LGBT-POC) following the tragedy. Results included an analysis of 94 participant narrative responses...
May 24, 2017: Journal of Homosexuality
https://www.readbyqxmd.com/read/28530444/real-world-strategies-to-engage-and-retain-racial-ethnic-minority-young-men-who-have-sex-with-men-in-hiv-prevention-services
#13
Thomas E Freese, Howard Padwa, Brandy T Oeser, Beth A Rutkowski, Marya T Schulte
Racial/ethnic minority young men who have sex with men (YMSM)-particularly African Americans and Hispanics/Latinos-are at particularly high risk for HIV infection. Devising strategies to improve engagement and retention in HIV prevention services among minority YMSM is critical if the United States is going to achieve the National HIV/AIDS Strategy goal of reducing HIV health-related disparities. This article presents findings from a national summit on racial/ethnic YMSM services convened by the Substance Abuse and Mental Health Services Administration-funded Center of Excellence on Racial and Ethnic Minority Young Men Who Have Sex with Men and Other Lesbian, Gay, Bisexual, and Transgender Populations (YMSM + LGBT CoE) in September 2015...
June 2017: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/28502218/recommendations-to-reduce-inequalities-for-lgbt-people-facing-advanced-illness-accesscare-national-qualitative-interview-study
#14
Katherine Bristowe, Matthew Hodson, Bee Wee, Kathryn Almack, Katherine Johnson, Barbara A Daveson, Jonathan Koffman, Linda McEnhill, Richard Harding
BACKGROUND: Lesbian, gay, bisexual and/or trans (LGBT) people have higher risk of certain life-limiting illnesses and unmet needs in advanced illness and bereavement. ACCESSCare is the first national study to examine in depth the experiences of LGBT people facing advanced illness. AIM: To explore health-care experiences of LGBT people facing advanced illness to elicit views regarding sharing identity (sexual orientation/gender history), accessing services, discrimination/exclusion and best-practice examples...
April 1, 2017: Palliative Medicine
https://www.readbyqxmd.com/read/28495667/fifteen-minute-consultation-in-the-normal-child-challenges-relating-to-sexuality-and-gender-identity-in-children-and-young-people
#15
Thomas O'Neill, Justin Wakefield
Lesbian, gay, bisexual and transgender (LGBT+) young people face several challenges in their daily lives, including specific healthcare inequalities. Negative societal attitudes towards sexual and gender minorities, and the effects of regular experiences of bullying and homophobia/transphobia exacerbate the normal trials and tribulations of childhood and adolescence. Barriers to accessing healthy activities, such as sport, are created by perceived stigma and real-life experiences. Healthcare environments are by default heteronormative and contribute to the isolation and exclusion of LGBT+ young people...
May 11, 2017: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/28481718/health-care-needs-and-care-utilization-among-lesbian-gay-bisexual-and-transgender-populations-in-new-jersey
#16
Rubab I Qureshi, Peijia Zha, Suzanne Kim, Patricia Hindin, Zoon Naqvi, Cheryl Holly, William Dubbs, Wendy Ritch
The purpose of this study was to explore prevalent health issues, perceived barriers to seeking health care, and utilization of health care among lesbian, gay, bisexual, and transgender (LGBT) populations in New Jersey. A cross-sectional online survey was administered to 438 self-identified LGBT people. Results identified health needs, which included management of chronic diseases, preventive care for risky behaviors, mental health issues, and issues related to interpersonal violence. Barriers to seeking health care included scarceness of health professionals competent in LGBT health, inadequate health insurance coverage and lack of personal finances, and widely dispersed LGBT inclusive practices making transportation difficult...
May 8, 2017: Journal of Homosexuality
https://www.readbyqxmd.com/read/28468575/addressing-the-healthcare-needs-of-older-lesbian-gay-bisexual-and-transgender-patients-in-medical-school-curricula-a-call-to-action
#17
Sophie M Cannon, Vipul Shukla, Allison A Vanderbilt
Medical students matriculating in the coming years will be faced with treating an expansive increase in the population of older lesbian, gay, bisexual, and transgender (LGBT) patients. While these patients face healthcare concerns similar to their non-LGBT aging peers, the older LGBT community has distinct healthcare needs and faces well-documented healthcare disparities. In order to reduce these healthcare barriers, medical school curricula must prepare and educate future physicians to treat this population while providing high quality, culturally-competent care...
2017: Medical Education Online
https://www.readbyqxmd.com/read/28467155/contextualizing-competence-language-and-lgbt-based-competency-in-healthcare
#18
Alexis L Rossi, Eliot J Lopez
Changes in the language and terminology used to refer to individuals identifying as lesbian, gay, bisexual and transgender (LGBT), as well as how best to discuss issues of sexual and gender identity, can prove challenging for healthcare providers due to 1) lack of training; 2) interdisciplinary issues; and 3) prejudices on personal and institutional levels. Given the importance of language in the relationship between healthcare provider and patient as well as the myriad ways in which language can reflect knowledge, skills, and attitudes, we contend that language is both a facilitator and inhibitor of competence...
May 3, 2017: Journal of Homosexuality
https://www.readbyqxmd.com/read/28463093/an-interdisciplinary-approach-to-lesbian-gay-bisexual-and-transgender-clinical-competence-professional-training-and-ethical-care-introduction-to-the-special-issue
#19
Markus P Bidell, Lara M Stepleman
There are exigent reasons to foster lesbian, gay, bisexual, and transgender (LGBT) competence, training, and ethical care for health professionals within an interdisciplinary paradigm. LGBT individuals experience serious health and psychosocial disparities; moreover, these inequalities can be amplified when other aspects of diversity such as race, ethnicity, age, gender, religion, disability, and socioeconomic status intersect with sexual orientation and gender identity (Institute of Medicine [IOM], 2011). While the origins of LGBT health and psychosocial disparities are manifold, deficiencies in professional training, ethical care, and clinical competence are underlying contributors (IOM, 2011)...
May 2, 2017: Journal of Homosexuality
https://www.readbyqxmd.com/read/28459380/advancing-lgbt-healthcare-policies-and-clinical-care-within-a-large-academic-healthcare-system-a-case-study
#20
Mollie A Ruben, Jillian C Shipherd, David Topor, Christopher G Ahnallen, Colleen A Sloan, Heather M Walton, Alexis R Matza, Glenn R Trezza
Culturally competent healthcare is especially important among sexual and gender minority patients as poor cultural competence contributes to health disparities. There is a need to understand how to improve healthcare quality and delivery for lesbian, gay, bisexual, and transgender (LGBT) Veterans in particular, because they bring unique physical and mental health needs as both LGBT individuals and Veterans. The following paper is a case study that focuses on the policy and clinical care practices related to LGBT clinical competency, professional training, and ethical provision of care for Veteran patients in the VA Boston Healthcare System...
May 1, 2017: Journal of Homosexuality
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