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https://www.readbyqxmd.com/read/28731291/critical-questions-advancing-the-health-of-female-veterans
#1
Lisa Muirhead, Priscilla Hall, Cedrella Jones-Taylor, Gari D Clifford, Tasha Felton-Williams, Kathy Williams
PURPOSE: Women are the fastest growing Veteran population in the United States and many receive all or part of their health care outside of the Department of Veterans Affairs (VA). The purpose of this article is to review the healthcare issues of women Veterans and discuss implications for care. DATA SOURCES: Review of selected literature, VA resources and guidelines, and expert opinion. CONCLUSIONS: Few providers are aware of the impact military service has on the health of women and fail to ask the all-important question, "Have you served in the military?" Recognizing women's military service can reveal important information that can answer perplexing clinical questions, aid in designing comprehensive plans of care, and enable women to receive the assistance needed to address complex physical and psychosocial issues to improve the quality of their lives...
July 21, 2017: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/28719246/disparities-in-exposure-to-intimate-partner-violence-among-transgender-gender-nonconforming-and-sexual-minority-primary-care-patients
#2
Sarah E Valentine, Sarah M Peitzmeier, Dana S King, Conall O'Cleirigh, Samantha M Marquez, Cara Presley, Jennifer Potter
PURPOSE: We investigated the odds of intimate partner violence (IPV) among primary care patients across subgroups of transgender and gender nonconforming (TGNC) individuals relative to cisgender women, and cisgender sexual minority men and women relative to cisgender heterosexual men and women. METHODS: Participants completed an IPV screener as part of routine primary care visits at an urban community health center (N = 7572). Electronic medical record data were pooled for all patients who received the IPV screener January 1 to December 31, 2014...
July 18, 2017: LGBT Health
https://www.readbyqxmd.com/read/28716460/ten-most-important-things-to-know-about-caring-for-transgender-patients
#3
REVIEW
Stuart R Chipkin, Fred Kim
Transgender people have a gender that is not in agreement with their birth sex. Previous barriers, including lack of provider knowledge, has created significant healthcare disparities for this population. Recent societal changes are increasing the numbers of transgender people seen by primary care. Ten key principles are provided to help primary practitioners create more welcoming environments and provide quality care to transgender patients. Overall, all members of the health care team (primary and specialty) need to become aware of the transition process and maintain communication regarding risks, benefits and goals...
July 14, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28700299/chronic-health-conditions-and-key-health-indicators-among-lesbian-gay-and-bisexual-older-us-adults-2013-2014
#4
Karen I Fredriksen-Goldsen, Hyun-Jun Kim, Chengshi Shui, Amanda E B Bryan
OBJECTIVES: To examine disparities in chronic conditions and health indicators among lesbian, gay, and bisexual (LGB) adults aged 50 years or older in the United States. METHODS: We used data from the 2013 and 2014 National Health Interview Survey to compare disparities in chronic conditions, health outcomes and behaviors, health care access, and preventive health care by sexual orientation and gender. RESULTS: LGB older adults were significantly more likely than heterosexual older adults to have a weakened immune system and low back or neck pain...
August 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28700295/reasons-for-caution-when-emphasizing-health-disparities-for-sexual-and-gender-minority-adults-in-public-health-campaigns
#5
Joseph G L Lee, Hope Landrine, Ryan J Martin, Derrick D Matthews, Paige E Averett, Jeff Niederdeppe
No abstract text is available yet for this article.
August 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28692946/victimization-as-a-mediator-of-alcohol-use-disparities-between-sexual-minority-subgroups-and-sexual-majority-youth-using-the-2015-national-youth-risk-behavior-survey
#6
Gregory Phillips, Blair Turner, Paul Salamanca, Michelle Birkett, Mark L Hatzenbuehler, Michael E Newcomb, Rachel Marro, Brian Mustanski
BACKGROUND: Alcohol use among underage youth is a significant public health concern. According to the National Institute on Alcohol Abuse and Alcoholism, alcohol is the "drug of choice" among adolescents, meaning more youth use and abuse alcohol than any other substance. Prevalence of alcohol use is disproportionately higher among sexual minority youth (SMY) than among their heterosexual peers. We examined sexual identity and sexual behavior disparities in alcohol use, and the mediational role of bullying in a sample of high school students...
June 29, 2017: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/28692613/associations-among-cardiometabolic-abnormalities-obesity-and-sociobehavioral-factors-in-a-southern-nevada-adult-population
#7
Jing Feng, Michael D Johnson, Joseph P Iser
CONTEXT: Cardiometabolic abnormalities underlie many health risks associated with obesity. OBJECTIVE: We determined the relationship between cardiometabolic abnormalities, sociodemographic characteristics, and modifiable risk factors among adults in Southern Nevada. DESIGN: We included 2415 participants older than 20 years from the Behavioral Risk Factor Surveillance System surveys conducted in 2011, 2013, and 2015 in Southern Nevada. Cardiometabolic abnormalities were assessed on the combined basis of blood pressure, cholesterol, and diabetes status...
July 7, 2017: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/28680795/social-epidemiology-and-global-mental-health-expanding-the-evidence-from-high-income-to-low-and-middle-income-countries
#8
REVIEW
Joanna Maselko
PURPOSE OF THE REVIEW: The vast majority of research on the social determinants of mental health has been generated from high-income country (HIC) populations, even as the greatest health disparities, and greatest disease burden, is observed in lower- and middle-income countries (LMICs). The goal of this review is to examine the evidence base on how key social epidemiology constructs relate to mental health in LMIC contexts. A special focus is on points of departure from the HIC knowledge base, gaps in overall understanding, and opportunities for social epidemiology to make a significant contribution...
2017: Current Epidemiology Reports
https://www.readbyqxmd.com/read/28680518/the-affordable-care-act-disparities-in-emergency-department-use-for-mental-health-diagnoses-in-young-adults
#9
Justin Yanuck, Bryson Hicks, Craig Anderson, John Billimek, Shahram Lotfipour, Bharath Chakravarthy
BACKGROUND: There is little consensus as to the effects of insurance expansion on emergency department (ED) utilization for mental health purposes. We aimed to study the race specific association between the dependent coverage provision of the Affordable Care Act (ACA) and changes in young adults' usage of emergency department services for psychiatric diagnoses. METHODS: We utilized a Quasi-Experimental analysis of ED use in California from 2009-2011 for behavioral health diagnoses of individuals aged 19 to 31 years...
2017: World Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28679645/when-gender-identity-doesn-t-equal-sex-recorded-at-birth-the-role-of-the-laboratory-in-providing-effective-healthcare-to-the-transgender-community
#10
Zil Goldstein, Trevor A Corneil, Dina N Greene
BACKGROUND: Transgender is an umbrella term used to describe individuals who identify with a gender incongruent to or variant from their sex recorded at birth. Affirming gender identity through a variety of social, medical, and surgical interventions is critical to the mental health of transgender individuals. In recent years, awareness surrounding transgender identities has increased, which has highlighted the health disparities that parallel this demographic. These disparities are reflected in the experience of transgender patients and their providers when seeking clinical laboratory services...
July 5, 2017: Clinical Chemistry
https://www.readbyqxmd.com/read/28669415/global-disparities-in-maternal-morbidity-and-mortality
#11
Maria J Small, Terrence K Allen, Haywood L Brown
The disparity in maternal mortality for African American women remains one of the greatest public health inequities in the United States (US). To better understand approaches toward amelioration of these differences, we examine settings with similar disparities in maternal mortality and "near misses" based on race/ethnicity. This global analysis of disparities in maternal mortality/morbidity will focus on middle- and high-income countries (based on World Bank definitions) with multiethnic populations. Many countries with similar histories of slavery and forced migration demonstrate disparities in health outcomes based on social determinants such as race/ethnicity...
June 29, 2017: Seminars in Perinatology
https://www.readbyqxmd.com/read/28659584/the-gender-difference-and-mortality-to-incidence-ratio-relate-to-health-care-disparities-in-bladder-cancer-national-estimates-from-33-countries
#12
Shao-Chuan Wang, Wen-Wei Sung, Yu-Lin Kao, Tzuo-Yi Hsieh, Wen-Jung Chen, Sung-Lang Chen, Horng-Rong Chang
The variation in the mortality-to-incidence ratio (MIR) between countries and genders reflects the complex etiology and intervention of bladder cancer. In this study, we investigated the MIR variation between genders and health care disparities among countries. Cancer incidence and mortality were obtained from the GLOBOCAN 2012 database. The ranking and the total expenditure on health of countries were obtained from the World Health Organization. Linear regression was used to estimate the significance between variables...
June 28, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28657361/sleep-deprivation-and-chronic-health-conditions-among-sexual-minority-adults
#13
Hongying Dai, Jianqiang Hao
Objectives - To examine associations between sleep duration and health outcomes among distinct groups of sexual minority adults. Methods - Using data from the 2014 Behavioral Risk Factor Surveillance System, we compared sleep duration (very short: ≤5 hours, short: 6 hours, normal: 7-8 hours, and long: ≥9 hours per day) between cisgender straight adults and distinct groups of sexual minorities. We further examined associations between sleep duration and 10 chronic health conditions among sexual minorities...
June 28, 2017: Behavioral Sleep Medicine
https://www.readbyqxmd.com/read/28647952/children-with-short-stature-and-growth-failure-heightism-gender-and-racial-disparities
#14
Terri H Lipman, Ian J McCurry
Growth is the single most important indication of the health of a child. Identification of growth disorders in all children is crucial as growth failure can be the first sign of a number of acute and chronic conditions. However, gender and racial biases have resulted in inequities in the identification, referral and treatment of children with growth disorders. In addition, short children have been impacted by a number of psychosocial issues. Heightism is prejudice or discrimination against individuals based on height, and refers to discrimination against individuals whose height is not within the normal acceptable range...
June 2017: Pediatric Endocrinology Reviews: PER
https://www.readbyqxmd.com/read/28647948/gender-creative-or-transgender-youth-and-advanced-nursing-practice
#15
Nicole Kirouac, Mabel Tan
The World Professional Association for Transgender Health (WPATH) defines gender dysphoria as "Discomfort or distress that is caused by a discrepancy between a person's gender identity and that person's sex assigned at birth (and the associated gender role and/or primary and secondary sex characteristics)" (WPATH, 2016). Gender creative (GC) and transgender (TG) youth are at high risk for severe mental health disparities if they don't receive competent and timely gender transitioning care. Although awareness and early care of TG youth in specialty clinics is improving and increasing, there is still much effort that is required to eliminate barriers to care at many levels and thus improve outcomes...
June 2017: Pediatric Endocrinology Reviews: PER
https://www.readbyqxmd.com/read/28645707/syndemic-factors-mediate-the-relationship-between-sexual-stigma-and-depression-among-sexual-minority-women-and-gender-minorities
#16
Carmen H Logie, Ashley Lacombe-Duncan, Tonia Poteat, Anne C Wagner
INTRODUCTION: Stigma and discrimination contribute to elevated depression risks among sexual minority women (SMW) and gender minority (GM) people who identify as lesbian, bisexual, or queer. Syndemics theory posits that adverse psychosocial outcomes cluster to negatively impact health and mental health outcomes among sexual minorities. We tested whether a syndemic condition composed of low social support, low self-rated health, low self-esteem, and economic insecurity mediated the relationship between sexual stigma and depressive symptoms among SMW/GM...
June 20, 2017: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/28645619/supporting-and-caring-for-transgender-and-gender-nonconforming-youth-in-the-urology-practice
#17
REVIEW
L E Conard
INTRODUCTION: Gender identity is a person's internal sense of gender, which may be different than the sex they were assigned at birth. Pediatric urologists are starting to see more transgender and gender non-conforming (TGN) youth and need to be able to provide culturally competent and appropriate care for these patients and their caregivers. This review will discuss common transgender terminology, specific health concerns and treatment options. METHODS AND MATERIALS: A systematic literature review was performed on Medline(®), PubMed(®), and Google Scholar™ for key words transgender, gender dysphoria and gender identity disorder...
June 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28641046/exploring-the-health-needs-of-aging-lgbt-adults-in-the-cape-fear-region-of-north-carolina
#18
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/28634877/socioeconomic-status-financial-strain-and-leukocyte-telomere-length-in-a-sample-of-african-american-midlife-men
#19
Joshua M Schrock, Nancy E Adler, Elissa S Epel, Amani M Nuru-Jeter, Jue Lin, Elizabeth H Blackburn, Robert Joseph Taylor, David H Chae
BACKGROUND: African American men in the USA experience poorer aging-related health outcomes compared to their White counterparts, partially due to socioeconomic disparities along racial lines. Greater exposure to socioeconomic strains among African American men may adversely impact health and aging at the cellular level, as indexed by shorter leukocyte telomere length (LTL). This study examined associations between socioeconomic factors and LTL among African American men in midlife, a life course stage when heterogeneity in both health and socioeconomic status are particularly pronounced...
June 20, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28633484/disparities-in-cigarette-smoking-and-use-of-other-tobacco-products-in-minnesota-2003-14
#20
Raymond G Boyle, Joanne D'silva, Cassandra A Stanton, Charles Carusi, Zhiqun Tang
Background: Despite efforts to reduce disadvantages across society, widening health disparities have been observed in Minnesota. This research examined whether observed declines in state-wide smoking prevalence were experienced equally by all adults with varying educational attainment. Methods: Serial cross-sectional data from the 2003, 2007, 2010 and 2014 Minnesota Adult Tobacco Survey (MATS) were analyzed. Weighted regression analyses for smoking status, time to first cigarette, cigarettes per day and non-cigarette other tobacco products (OTP) were conducted across education levels...
June 17, 2017: Journal of Public Health
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