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https://www.readbyqxmd.com/read/29763683/sexual-and-gender-minority-cigarette-smoking-disparities-an-analysis-of-2016-behavioral-risk-factor-surveillance-system-data
#1
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/29658846/tobacco-free-policies-and-tobacco-cessation-systems-at-health-centers-serving-lesbian-gay-bisexual-and-transgender-clients
#2
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/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
#3
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
#4
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
https://www.readbyqxmd.com/read/29395187/effects-of-participation-in-and-connectedness-to-the-lgbt-community-on-substance-use-involvement-of-sexual-minority-young-people
#5
Daniel Demant, Leanne Hides, Katherine M White, David J Kavanagh
INTRODUCTION: Research shows disproportionate levels of substance use among sexual minority young people. A range of reasons for these disparities have been suggested, including connectedness to and participation in the LGBT community. Little is known about how these constructs are related to substance use involvement in sexual minority (sub)groups or how these relationships are affected by other factors. METHODS: 1266 young sexual minority Australians completed a cross-sectional online survey...
June 2018: Addictive Behaviors
https://www.readbyqxmd.com/read/29378698/sexual-orientation-disclosure-in-health-care-a-systematic-review
#6
Hannah Brooks, Carrie D Llewellyn, Tom Nadarzynski, Fernando Castilho Pelloso, Felipe De Souza Guilherme, Alex Pollard, Christina J Jones
BACKGROUND: Significant health disparities between sexual minority individuals (that is, lesbian, gay, bisexual, or transgender [LGBT]) and heterosexual individuals have been demonstrated. AIM: To understand the barriers and facilitators to sexual orientation (SO) disclosure experienced by LGBT adults in healthcare settings. DESIGN AND SETTING: Mixed methods systematic review, including qualitative, quantitative, and mixed methods papers following PRISMA guidelines...
March 2018: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/29373163/social-determinants-of-lgbt-cancer-health-inequities
#7
REVIEW
Alicia K Matthews, Elizabeth Breen, Priyoth Kittiteerasack
OBJECTIVES: To describe the extant literature on social determinants of health as they relate to the cancer disparities and to highlight the research findings relating to lesbian, gay, bisexual, and transgender (LGBT) populations. DATA SOURCES: Published scientific literature and clinical literature, and published reports from the World Health Organization and US Department of Health and Human Services. CONCLUSION: The larger literature on health inequities is moving beyond individual-level predictors of risk to evaluate the influence of social determinants of health on the persistent health inequalities in a population...
February 2018: Seminars in Oncology Nursing
https://www.readbyqxmd.com/read/29338894/lgbt-populations-barriers-to-cancer-care
#8
REVIEW
Ulrike Boehmer
OBJECTIVE: To describe lesbian, gay, bisexual, and transgender (LGBT) individuals' barriers to accessing and receiving quality cancer care. DATA SOURCES: Published data on cancer care and studies of LGBT individuals. CONCLUSION: There is a clustering of barriers among LGBT individuals, which suggests multiple inequities exist in LGBT individuals' cancer care, although data on disparities along the cancer control continuum are not consistently available...
February 2018: Seminars in Oncology Nursing
https://www.readbyqxmd.com/read/29329960/the-future-of-lgbt-cancer-care-practice-and-research-implications
#9
REVIEW
David Rice, Matthew B Schabath
OBJECTIVES: To synthesize state of the knowledge collected in this volume and propose future directions for lesbian, gay, bisexual and transgender (LGBT) cancer practice, education, research, and advocacy. DATA SOURCES: Current and extant literature. CONCLUSION: Health care disparities that are known but not yet fully elucidated in the LGBT population carry into the cancer arena. Substantially more effort is required in the domains of patient care, nursing practice, nursing and patient-facing services provider education, patient education, nursing and interprofessional research, governmental commitment, professional organization action, and patient advocacy...
February 2018: Seminars in Oncology Nursing
https://www.readbyqxmd.com/read/29325817/cancer-screening-considerations-and-cancer-screening-uptake-for-lesbian-gay-bisexual-and-transgender-persons
#10
REVIEW
Marc Ceres, Gwendolyn P Quinn, Matthew Loscalzo, David Rice
OBJECTIVES: To describe the current state of cancer screening and uptake for lesbian, gay, bisexual, and transgender (LGBT) persons and to propose cancer screening considerations for LGBT persons. DATA SOURCES: Current and historic published literature on cancer screening and LGBT cancer screening; published national guidelines. CONCLUSION: Despite known cancer risks for members of the LGBT community, cancer screening rates are often low, and there are gaps in screening recommendations for LGBT persons...
February 2018: Seminars in Oncology Nursing
https://www.readbyqxmd.com/read/29325816/lgbt-cultural-competence-and-interventions-to-help-oncology-nurses-and-other-health-care-providers
#11
REVIEW
Asa Radix, Shail Maingi
OBJECTIVES: To define and give an overview of the importance of lesbian, gay, bisexual, and transgender (LGBT) cultural competency and offer some initial steps on how to improve the quality of care provided by oncology nurses and other health care professionals. DATA SOURCES: A review of the existing literature on cultural competency. CONCLUSION: LGBT patients experience cancer and several other diseases at higher rates than the rest of the population...
February 2018: Seminars in Oncology Nursing
https://www.readbyqxmd.com/read/29303396/mental-health-correlates-of-cigarette-use-in-lgbt-individuals-in-the-southeastern-united-states
#12
Christopher F Drescher, Eliot J Lopez, James A Griffin, Thomas M Toomey, Elizabeth D Eldridge, Lara M Stepleman
BACKGROUND: Smoking prevalence for lesbian, gay, bisexual, and transgender (LGBT) individuals is higher than for heterosexual, cisgender individuals. Elevated smoking rates have been linked to psychiatric comorbidities, substance use, poverty, low education levels, and stress. OBJECTIVES: This study examined mental health (MH) correlates of cigarette use in LGBT individuals residing in a metropolitan area in the southeastern United States. METHODS: Participants were 335 individuals from an LGBT health needs assessment (mean age 34...
May 12, 2018: Substance Use & Misuse
https://www.readbyqxmd.com/read/29297774/unraveling-health-disparities-among-sexual-and-gender-minorities-a-commentary-on-the-persistent-impact-of-stigma
#13
Ronald O Valdiserri, David R Holtgrave, Tonia C Poteat, Chris Beyrer
LGBT (lesbian, gay, bisexual, and transgender) populations experience disparities in health outcomes, both physical and mental, compared to their heterosexual and cisgender peers. This commentary confronts the view held by some researchers that the disparate rates of mental health problems reported among LGBT populations are the consequences of pursuing a particular life trajectory, rather than resulting from the corrosive and persistent impact of stigma. Suggesting that mental health disparities among LGBT populations arise internally, de novo, when individuals express non-heterosexual and non-conforming gender identities ignores the vast body of evidence documenting the destructive impact of socially mediated stigma and systemic discrimination on health outcomes for a number of minorities, including sexual and gender minorities...
January 3, 2018: Journal of Homosexuality
https://www.readbyqxmd.com/read/29275016/lesbian-gay-bisexual-and-transgender-lgbt-survivorship
#14
REVIEW
Charles Kamen
OBJECTIVE: To discuss lesbian, gay, bisexual, and transgender (LGBT)-specific survivorship issues including: integrating sexual and gender minority identities with cancer survivor identities; coordinating medical care and disclosing identities to health care providers; dealing with late effects of treatment; and addressing LGBT family and relationship issues. DATA SOURCES: Published articles, quotes from an online survey of 311 LGBT survivors. CONCLUSION: The transition from active cancer treatment to survivorship presents challenges, and LGBT cancer survivors may face additional challenges as they enter the survivorship phase...
February 2018: Seminars in Oncology Nursing
https://www.readbyqxmd.com/read/29241986/the-effects-of-gender-and-sexuality-based-harassment-on-lesbian-gay-bisexual-and-transgender-substance-use-disparities
#15
Robert W S Coulter, Melina Bersamin, Stephen T Russell, Christina Mair
PURPOSE: We tested three competing models about whether gender- and sexuality-based harassment at school have nonindependent, additive, or interactive effects on adolescents' electronic cigarette use (i.e., vaping), cigarette smoking, alcohol use, and heavy episodic drinking (HED). We also tested whether harassment mediated substance use disparities between lesbian, gay, bisexual, transgender (LGBT) adolescents and their cisgender heterosexual peers. METHODS: We analyzed cross-sectional data from the 2013-2014 California Healthy Kids Survey, including 316,766 students in grades 7, 9, and 11 from more than 1,500 middle and high schools...
December 11, 2017: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/29190167/engaging-the-transgender-community-to-improve-medical-education-and-prioritize-healthcare-initiatives
#16
Emily J Noonan, Susan Sawning, Ryan Combs, Laura A Weingartner, Leslee J Martin, V Faye Jones, Amy Holthouser
Phenomenon: Transgender patients experience discrimination, limited access to care, and inadequate provider knowledge in healthcare settings. Medical education to address transgender-specific disparities is lacking. Research that engages transgender community members may help address health disparities by empowering patients, increasing trust, and informing medical curricula to increase competence. APPROACH: A 2015 Community Forum on Transgender Health Care was hosted at the University of Louisville School of Medicine, which included healthcare professionals and transgender community members to facilitate dialogue among mixed-participant groups using a World Café model...
April 2018: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/29154714/improving-measures-of-sexual-and-gender-identity-in-english-and-spanish-to-identify-lgbt-older-adults-in-surveys
#17
Stuart Michaels, Carolina Milesi, Michael Stern, Melissa Heim Viox, Heather Morrison, Paul Guerino, Christina N Dragon, Samuel C Haffer
PURPOSE: The goal of this research is to advance the study of health disparities faced by older sexual and gender minorities by assessing comprehension of and improving measures of sexual and gender identity in surveys. METHODS: Cognitive interviews were conducted by expert interviewers with 48 non-lesbian, gay, bisexual, and transgender (non-LGBT) and 9 LGBT older English and Spanish speakers. RESULTS: All respondents were able to answer questions about their sex assigned at birth and current gender identity successfully despite some cisgender respondents' lack of clear understanding of the transgender response option...
December 2017: LGBT Health
https://www.readbyqxmd.com/read/29154611/individual-and-systemic-barriers-to-health-care-perspectives-of-lesbian-gay-bisexual-and-transgender-adults
#18
Meghan Romanelli, Kimberly D Hudson
Access to effective services is imperative to address the many health and mental health disparities that lesbian, gay, bisexual, and transgender (LGBT) people face. This population, however, remains underserved and often ill-served in health care environments. Furthermore, interactions between system- and individual-level dimensions of access create barriers to service engagement. Within much of the extant literature surrounding health care barriers among LGBT people, the rich narratives and varied experiences of LGBT community members from diverse backgrounds have often been excluded...
2017: American Journal of Orthopsychiatry
https://www.readbyqxmd.com/read/29129965/green-light-given-to-more-research-on-health-disparities-in-lgbt-elders
#19
Charles A Emlet, Karen I Fredriksen-Goldsen
No abstract text is available yet for this article.
January 2017: Aging Today
https://www.readbyqxmd.com/read/29091538/assessing-and-meeting-the-needs-of-lgbt-older-adults-via-the-older-americans-act
#20
Michael Adams, Aaron D Tax
SAGE and its partners have been focused on bridging the chasm between the greater need that LGBT older adults have for care, services, and supports, and the lower rate at which they access them, compared with their heterosexual and cisgender counterparts. The chasm is caused by discrimination, social isolation, disproportionate poverty and health disparities, and a lack of access to culturally competent providers. SAGE has used federal administrative and legislative advocacy to encourage the Aging Network to bridge this chasm by assessing and meeting the needs of LGBT older adults that can be addressed via the programs created under the Older Americans Act...
December 2017: LGBT Health
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