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https://www.readbyqxmd.com/read/29769803/gender-dysphoria-assessment-and-action-for-youth-review-of-health-care-services-and-experiences-of-trans-youth-in-manitoba
#1
Jack Heard, Amanda Morris, Nicole Kirouac, Jennifer Ducharme, Simon Trepel, Brandy Wicklow
Objectives: To describe the paediatric transgender population accessing health care through the Manitoba Gender Dysphoria Assessment and Action for Youth (GDAAY) program, and report youth's experiences accessing health care in Manitoba. Methods: Demographic, medical, surgical and mental health information was extracted from the medical records of youth referred to the GDAAY program (n=174). A 77-item online survey was conducted with a subset of those youth (n=25) to identify common health care experiences and perceptions of trans youth in Manitoba...
May 2018: Paediatrics & Child Health
https://www.readbyqxmd.com/read/29611778/before-and-after-i-do-marriage-processes-for-mid-life-gay-and-lesbian-married-couples
#2
Emma R Bosley-Smith, Corinne Reczek
This qualitative study examines how mid-life gay and lesbian married individuals articulate their decision to marry. Using 2013 data from 30 mid-life couples in Massachusetts, this study challenges previous literature that conceptualized marriage as entirely positive or negative for same-sex individuals. Mid-life individuals' unique social and historical context influence their experiences of marriage, as mid-life individuals have witnessed the rise and feasibility of marriage equality, have formed relationships outside of the bounds of marriage, and have been in committed relationships long before they married...
April 3, 2018: Journal of Homosexuality
https://www.readbyqxmd.com/read/29543581/indifference-to-the-difference-older-lesbian-and-gay-men-s-perceptions-of-aging-services
#3
Jennifer S Dunkle
This qualitative study examined: 1) What older lesbians and gay men know about OAA-funded services; 2) attitudes towards the services; 3) experiences utilizing the services; 4) how current needs are met; and 5) plans for care as they age. Focus groups were conducted from June-August 2016. Purposive and snowball sampling yielded a sample size of 31. Five focus groups were conducted, and analysis used Grounded Theory. Four themes emerged: 1) low expectations of a welcoming environment, 2) the importance of being out, 3) need for LGBT-specific services, and 4) how to create inclusive services...
May 2018: Journal of Gerontological Social Work
https://www.readbyqxmd.com/read/29494447/lgbt-older-adults-and-nurse-administrators-an-opportunity-for-advocacy
#4
Marleen Thornton
One of the greatest health care challenges of the 21st century is the rapidly growing number of older adults in the United States. This aging population is also becoming increasingly diverse, and with this diversity comes an increased number of older adults who identify as lesbian, gay, bisexual, and transgender (LGBT). The needs and health outcomes of this specific subgroup of the older adult population cannot be extrapolated from the more general population of older adults. Nurses have the opportunity to lead health care providers in improving care for this vulnerable and sometimes invisible population...
April 2018: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/29455719/community-engagement-and-venue-based-sampling-in-adolescent-male-sexually-transmitted-infection-prevention-research
#5
Mary A Ott, Julianne Campbell, Teresa M Imburgia, Ziyi Yang, Wanzhu Tu, Colette L Auerswald
OBJECTIVES: Middle adolescent males are a difficult group to recruit for community sexually transmitted infection (STI) prevention research. We describe a process of community engagement, and venue-based sampling of 14-17-year-old adolescent males, and compare rates of STIs and STI risk behaviors by venue. METHODS: Community engagement consisted of (1) informational meetings with organizations; (2) participation in community meetings and events; (3) hiring community members as study personnel; and (4) an adolescent advisory board recruited from the community...
March 2018: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
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
#6
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/29385953/behavioral-health-treatment-patterns-among-employer-insured-adults-in-same-and-different-gender-marriages-and-domestic-partnerships
#7
Linda Diem Tran, Haiyong Xu, Francisca Azocar, Susan L Ettner
OBJECTIVE: This study examined specialty behavioral health treatment patterns among employer-insured adults in same- and different-gender domestic partnerships and marriages. METHODS: The study used behavioral health service claims (2008-2013) from Optum to estimate gender-stratified penetration rates of behavioral health service use by couple type and partnership status among partnered adults ages 18-64 (N=12,727,292 person-years) and levels of use among those with any use (conditional analyses)...
February 1, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29378698/sexual-orientation-disclosure-in-health-care-a-systematic-review
#8
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/29377781/older-bisexual-people-implications-for-social-work-from-the-looking-both-ways-study
#9
Rebecca L Jones, Kathryn Almack, Rachael Scicluna
There is a growing social work literature about lesbian, gay, bisexual, and transgender (LGBT) older people. However, research and guidance are predominantly based on the experiences of older gay men and, to a lesser extent, older lesbians. There is little to help practitioners work with older bisexual people. The Looking Both Ways study aimed to contribute to this gap in knowledge. We undertook in-depth purposely sampled qualitative interviews with 12 people aged over 50, all of whom have bisexual relationship histories and half of whom also currently identify as bisexual...
April 2018: Journal of Gerontological Social Work
https://www.readbyqxmd.com/read/29370809/the-no-go-zone-a-qualitative-study-of-access-to-sexual-and-reproductive-health-services-for-sexual-and-gender-minority-adolescents-in-southern-africa
#10
Alex Müller, Sarah Spencer, Talia Meer, Kristen Daskilewicz
BACKGROUND: Adolescents have significant sexual and reproductive health needs. However, complex legal frameworks, and social attitudes about adolescent sexuality, including the values of healthcare providers, govern adolescent access to sexual and reproductive health services. These laws and social attitudes are often antipathetic to sexual and gender minorities. Existing literature assumes that adolescents identify as heterosexual, and exclusively engage in (heteronormative) sexual activity with partners of the opposite sex/gender, so little is known about if and how the needs of sexual and gender minority adolescents are met...
January 25, 2018: Reproductive Health
https://www.readbyqxmd.com/read/29357737/lifesaving-in-every-way-the-role-of-companion-animals-in-the-lives-of-older-lesbian-gay-bisexual-and-transgender-adults-age-50-and-over
#11
Anna Muraco, Jennifer Putney, Chengshi Shiu, Karen I Fredriksen-Goldsen
This study uses mixed-methods data and a life-course perspective to explore the role of pets in the lives of lesbian, gay, bisexual, and transgender (LGBT) adults age 50 and over and addresses the following research questions: (1) How does having a pet relate to perceived social support and social network size? and (2) how do LGBT older adults describe the meaning of pets in their lives? The qualitative data ( N = 59) were collected from face-to-face interviews, and the quantitative data ( N = 2,560) were collected via surveys from a sample across the United States...
January 1, 2018: Research on Aging
https://www.readbyqxmd.com/read/29356570/how-do-community-dwelling-lgbt-people-perceive-sexuality-in-residential-aged-care-a-systematic-literature-review
#12
Lieslot Mahieu, Alice Cavolo, Chris Gastmans
OBJECTIVES: To investigate what empirical studies report on the perceptions of community-dwelling LGBT adults regarding sexuality and sexual expression in residential aged care (RAC), and how their sexuality should be addressed in RAC. METHODS: Relevant papers were identified through electronic searches in databases; and by reference tracking and citation tracking. Data were extracted using a standardized data extraction form and were compared, related, and synthesized using thematic analyses...
January 22, 2018: Aging & Mental Health
https://www.readbyqxmd.com/read/29335034/staying-out-of-the-closet-lgbt-older-adults-hopes-and-fears-in-considering-end-of-life
#13
Kimberley Wilson, Katherine Kortes-Miller, Arne Stinchcombe
Canada is experiencing population aging, and given the heterogeneity of older adults, there is increasing diversity in late life. The purpose of this study was to help fill the research gaps on LGBT aging and end-of-life. Through focus groups, we sought to better understand the lived experience of older LGBT individuals and to examine their concerns associated with end-of-life. Our analysis highlights the idea that identifying as LGBT matters when it comes to aging and end-of-life care. In particular, gender identity and sexual orientation matter when it comes to social connections, in the expectations individuals have for their own care, and in the unique fear related to staying out of the closet and maintaining identity throughout aging and end-of-life...
March 2018: Canadian Journal on Aging, la Revue Canadienne du Vieillissement
https://www.readbyqxmd.com/read/29303396/mental-health-correlates-of-cigarette-use-in-lgbt-individuals-in-the-southeastern-united-states
#14
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/29153445/prevalence-and-correlates-of-youth-homelessness-in-the-united-states
#15
Matthew H Morton, Amy Dworsky, Jennifer L Matjasko, Susanna R Curry, David Schlueter, Raúl Chávez, Anne F Farrell
PURPOSE: Unaccompanied youth homelessness is a serious concern. Response, however, has been constrained by the absence of credible data on the size and characteristics of the population and reliable means to track youth homelessness over time. We sought to address these gaps. METHODS: Using a nationally representative phone-based survey (N = 26,161), we solicited household and individual reports on different types of youth homelessness. We collected household reports on adolescents aged 13-17 and young adults aged 18-25, as well as self-reports from young adults aged 18-25...
January 2018: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/29119924/deaths-in-the-lesbian-gay-bisexual-and-transgender-united-kingdom-communities-associated-with-ghb-and-precursors
#16
John M Corkery, Barbara Loi, Hugh Claridge, Christine Goodair, Fabrizio Schifano
Background Misuse of gammahydroxybutrate (GHB) and its prodrugs gammabutyrolactone (GBL) and 1,4 butanediol (1,4-BD) has increased greatly since the early 1990s, particularly amongst lesbian, gay, bisexual and transgender (LGBT) individuals in recreational and sexual settings, e.g. 'chemsex'. Objective and method This paper presents an overview of GHB pharmacotoxicology and provides analyses of cases in the LGBT population associated with use of these substances extracted from the UK's National Programme on Substance Abuse Deaths database, to which notification is voluntary...
November 8, 2017: Current Drug Metabolism
https://www.readbyqxmd.com/read/29091538/assessing-and-meeting-the-needs-of-lgbt-older-adults-via-the-older-americans-act
#17
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
https://www.readbyqxmd.com/read/29080921/unmet-support-needs-of-sexual-and-gender-minority-breast-cancer-survivors
#18
Maria Teresa Brown, Jane A McElroy
PURPOSE: This study explored sources of stress and support experienced by sexual and gender minority (SGM) breast cancer survivors and the impact of treatment on their lives. METHODS: SGM breast cancer survivors were identified through purposive and referral sampling and invited to participate in a web-based survey containing both closed- and open-ended items. Sixty-eight SGM breast cancer survivors aged 18-75 years completed the survey between May 2015 and January 2016...
April 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/29045707/the-social-determinants-of-lesbian-gay-bisexual-and-transgender-youth-suicidality-in-england-a-mixed-methods-study
#19
Elizabeth McDermott, Elizabeth Hughes, Victoria Rawlings
Background: Lesbian, gay, bisexual and transgender (LGBT) youth have a higher risk of suicidality and self-harm than heterosexual youth populations but little is known about the underlying mechanisms. We aimed to investigate the social determinants of this mental health inequality. Methods: A two-stage sequential mixed method study was conducted. Firstly, 29 semi-structured interviews with LGBT youth (aged 13-25 years old) were completed. Data was analysed thematically...
October 17, 2017: Journal of Public Health
https://www.readbyqxmd.com/read/28956629/development-of-an-lgb-specific-health-literacy-scale
#20
Michele J Eliason, Predair Robinson, Kimberly Balsam
No studies to date have examined health literacy among lesbian, gay, and bisexual (LGB) individuals, nor considered whether LGB-specific health literacy might be a contributing factor to well-documented health disparities in LGB populations. This pilot study gathered online survey data from a national convenience sample of 232 LGB adults age 40 and older. A scale developed specifically for this study had 10 items related to general health literacy and 10 items related to LGB-specific health information and skills...
September 28, 2017: Health Communication
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