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https://www.readbyqxmd.com/read/28534684/observed-deficiencies-in-medical-student-knowledge-of-transgender-and-intersex-health
#1
Jennifer J Liang, Ivy H Gardner, Jacob A Walker, Joshua D Safer
BACKGROUND: Lesbian, gay, bisexual, transgender, and intersex (LGBTI) patients face many well-documented disparities in care which among transgender and intersex people can often be traced to providers' lack of knowledge. METHODS: We administered surveys to examine the self-assessed knowledge and attitudes of all medical students at Boston University regarding different LGBTI subpopulations. Survey questions were based on a Likert scale from 1-5; analysis was conducted with Wilcoxon rank sum test...
May 23, 2017: Endocrine Practice
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
#2
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...
May 22, 2017: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/28520486/trends-in-school-related-victimization-of-lesbian-gay-and-bisexual-youths-massachusetts-1995-2015
#3
Emily O'Malley Olsen, Alana M Vivolo-Kantor, Laura Kann, Chiniqua N Milligan
OBJECTIVES: To compare changes over time in prevalence of school victimization among lesbian, gay, and bisexual (LGB) students compared with heterosexual students. METHODS: We analyzed data from 11 Youth Risk Behavior Surveys conducted among representative samples of students in grades 9 through 12 in Massachusetts during 1995 to 2015. We used multivariable logistic regression models to identify trends over time by sexual identity. RESULTS: During 1995 to 2015, the prevalence of missing school decreased overall (from 5...
May 18, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28506219/sexual-orientation-differences-in-treatment-expectation-alliance-and-outcome-among-patients-at-risk-for-suicide-in-a-public-psychiatric-hospital
#4
Martin Plöderl, Sabine Kunrath, Robert J Cramer, Jen Wang, Larissa Hauer, Clemens Fartacek
BACKGROUND: Sexual minority (SM) individuals (gay, lesbian, bisexual, or otherwise nonheterosexual) are at increased risk for mental disorders and suicide and adequate mental healthcare may be life-saving. However, SM patients experience barriers in mental healthcare that have been attributed to the lack of SM-specific competencies and heterosexist attitudes and behaviors on the part of mental health professionals. Such barriers could have a negative impact on common treatment factors such as treatment expectancy or therapeutic alliance, culminating in poorer treatment outcomes for SM versus heterosexual patients...
May 15, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28506181/intersectionality-in-the-lives-of-lgbtq-youth-identifying-as-lgbtq-and-finding-community-in-small-cities-and-rural-towns
#5
Wendy Hulko, Jessica Hovanes
This paper presents an analysis of the views of younger bisexual and lesbian women and transgender youth living in a Western Canadian small city on their sexual and gender identities. Data were collected through focus groups and interviews and analyzed thematically through an intersectional lens. The purposive sample was comprised of 13 youth who identified as lesbian, gay, bisexual, transgender and/or queer (LGBTQ) and whose average age was 19.8 years. The analytical themes of identifying and being identified, talking intersectionality, and living in a small town indicate that the sexual identities and gender identities and/or expressions of LGBTQ youth change across time and context and are impacted by often overlooked factors including faith, Indigeneity, disability, and class...
May 16, 2017: Journal of Homosexuality
https://www.readbyqxmd.com/read/28506154/seroadaptive-strategies-of-vancouver-gay-and-bisexual-men-in-a-treatment-as-prevention-environment
#6
Eric Abella Roth, Zishan Cui, Ashleigh Rich, Nathan Lachowsky, Paul Sereda, Kiffer Card, Jody Jollimore, Terry Howard, Heather Armstrong, David Moore, Robert Hogg
British Columbia's Treatment as Prevention policy has provided free access to Highly Active Antiretroviral Therapy (HAART) to all HIV-positive provincial residents since 1996. One outcome is an increase in HIV-positive gay and bisexual men (GBM) with suppressed viral loads. Previous cross-sectional analyses indicated that some Vancouver GBM now recognize condomless anal sex with men on HAART who report a suppressed viral load as a sero-adaptive strategy. To test the hypothesis that this new strategy, termed viral load sorting (VLS), is recognized and used among by GBM in the Momentum Health Study, we analyzed longitudinal data for HIV-negative/unknown (n = 556) and HIV-positive (n = 218) sero-status participants...
May 16, 2017: Journal of Homosexuality
https://www.readbyqxmd.com/read/28503986/minority-stress-model-components-and-affective-well-being-in-a-sample-of-sexual-orientation-minority-adults-living-with-hiv-aids
#7
Robert J Cramer, Alixandra C Burks, Martin Plöderl, Praveen Durgampudi
To date very little literature exists examining theoretically-based models applied to day-to-day positive and negative affective well-being among lesbian, gay, and bisexual (LGB) persons living with HIV/AIDS (PLWHA). Grounded in the perspective of Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129, 674-697. Minority Stress Model, the present study examined HIV- and sexual orientation-related factors influencing affective well-being (i...
May 13, 2017: AIDS Care
https://www.readbyqxmd.com/read/28502218/recommendations-to-reduce-inequalities-for-lgbt-people-facing-advanced-illness-accesscare-national-qualitative-interview-study
#8
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/28500922/adverse-childhood-experiences-and-suicide-attempts-among-those-with-mental-and-substance-use-disorders
#9
Namkee G Choi, Diana M DiNitto, C Nathan Marti, Steven P Segal
Using the 2012-2013 National Epidemiologic Survey on Alcohol and Related Conditions data, we examined the associations of ten types of adverse childhood experiences (ACEs) with (1) lifetime suicide attempts and (2) number and age of attempts among U.S. adults aged 18+. In a case-control design, suicide attempters (5.14% of the full sample) were matched with never attempters (matched sample N=3912) on nine mental and substance use disorders. ACE rates were higher among attempters (3.30 [SE=0.07]) than their matched controls (2...
May 10, 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28500620/relationship-between-disordered-eating-and-self-identified-sexual-minority-youth-in-a-sample-of-public-high-school-adolescents
#10
Keith J Zullig, Molly R Matthews-Ewald, Robert F Valois
PURPOSE: To investigate the relationship between selected disordered eating behaviors and self-reported sexual minority status (gay/lesbian, bisexual, and unsure) among a representative sample of high school adolescents. METHODS: The 2013 Centers for Disease Control and Prevention (CDC)-sponsored Connecticut Youth Risk Behavior Survey was utilized (N = 2242). Unadjusted and adjusted logistic regression analyses, separated by gender, examined sexual minority adolescents (gay/lesbian, bisexual, and unsure) and selected eating behaviors...
May 12, 2017: Eating and Weight Disorders: EWD
https://www.readbyqxmd.com/read/28499108/alcohol-outcomes-by-sexual-orientation-and-race-ethnicity-few-findings-of-higher-risk
#11
Paul A Gilbert, Laurie Drabble, Jason Daniel-Ulloa, Karen F Trocki
OBJECTIVE: This study sought to confirm a previously identified race by sexual orientation interaction and to clarify men's alcohol-related risk by using an expanded classification of sexual orientation. METHOD: We collapsed three waves of National Alcohol Survey data, restricting the analytic sample to White (n = 5,689), Black (n = 1,237), and Latino (n = 1,549) men with complete information on sexual orientation and alcohol use. Using self-reported sexual identity and behavior, respondents were categorized as exclusively heterosexual (referent), behaviorally discordant heterosexuals (i...
May 2017: Journal of Studies on Alcohol and Drugs
https://www.readbyqxmd.com/read/28498531/developmental-latent-patterns-of-identification-as-mostly-heterosexual-versus-lesbian-gay-or-bisexual
#12
Jerel P Calzo, Katherine E Masyn, S Bryn Austin, Hee-Jin Jun, Heather L Corliss
Scant research exists on the development of mostly heterosexual identity, the largest sexual orientation minority subgroup. We used longitudinal latent class analysis to characterize the patterns of identification with lesbian, gay, bisexual (LGB), or mostly heterosexual identities from ages 12 to 23 in 13,859 youth (57% female) in a U.S. national cohort. Three classes emerged: completely heterosexual (88.2%), mostly heterosexual (9.5%), and LGB (2.4%). LGB class youth generally identified with sexual minority identities by ages 12-17...
March 2017: Journal of Research on Adolescence: the Official Journal of the Society for Research on Adolescence
https://www.readbyqxmd.com/read/28498005/school-protective-factors-and-substance-use-among-lesbian-gay-and-bisexual-adolescents-in-california-public-schools
#13
Kris Tunac De Pedro, Monica Christina Esqueda, Tamika D Gilreath
PURPOSE: The majority of studies examining substance use among lesbian, gay, and bisexual (LGB) youth have focused on a wide array of risk factors (e.g., victimization). Few studies have explored the protective role of schools. This study aims to fill this gap in the literature and inform programs aimed at reducing substance use among LGB youth. More specifically, this study explores the extent to which school connectedness and support from teachers and other adults at school are associated with substance use among LGB youth in school and within the past 30 days...
May 12, 2017: LGBT Health
https://www.readbyqxmd.com/read/28497291/two-early-eudicot-fossil-flowers-from-the-kamikitaba-assemblage-coniacian-late-cretaceous-in-northeastern-japan
#14
Masamichi Takahashi, Patrick S Herendeen, Xianghui Xiao
Two new fossil taxa referable to the basal eudicot grade are described from the Kamikitaba locality (ca. 89 MYBP, early Coniacian: Late Cretaceous) of the Futaba Group in Japan. These charcoalified mesofossils exhibit well-preserved three-dimensional structure and were analyzed using synchrotron-radiation X-ray microtomography to document their composition and internal structure. Cathiaria japonica sp. nov. is represented by infructescence segments that consist of an axis bearing three to four fruits. The capsular fruits are sessile and dehiscent and consist of a gynoecium subtended by a bract...
May 11, 2017: Journal of Plant Research
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/28495220/other-tobacco-product-use-among-sexual-minority-young-adult-bar-patrons
#16
Amanda Fallin-Bennett, Nadra E Lisha, Pamela M Ling
INTRODUCTION: Lesbian, gay, and bisexual (LGB) individuals smoke at rates 1.5-2 times higher than the general population, but less is known about LGB consumption of other tobacco products (OTPs) and gender differences. OTP use among young adult LGB bar patrons and the relationship among past quit attempts, intention to quit, and binge drinking with OTP use was examined. METHODS: A cross-sectional survey of young adults (aged 18-26) in bars/nightclubs in seven U...
May 8, 2017: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/28494125/harassment-and-mental-distress-among-adolescent-female-students-by-sexual-identity-and-bmi-or-perceived-weight-status
#17
Michelle Marie Johns, Richard Lowry, Zewditu Demissie, Leah Robin
OBJECTIVE: Sexual minority girls (lesbian/bisexual) and girls with overweight/obesity experience high rates of discrimination and mental distress. This study explored whether BMI or perceived weight status might compound sexual minority girls' risk for harassment and mental distress. METHODS: Data on female students from the national 2015 Youth Risk Behavior Survey (n = 7,006) were analyzed. Logistic regression was used to examine differences in bullying, harassment, and mental distress across sexual identity/BMI groups: heterosexual/normal-weight, heterosexual/overweight, sexual minority/normal-weight, and sexual minority/overweight...
May 11, 2017: Obesity
https://www.readbyqxmd.com/read/28488166/perceived-hiv-prevalence-accuracy-and-sexual-risk-behavior-among-gay-bisexual-and-other-men-who-have-sex-with-men-in-the-united-states
#18
Stephen Sullivan, Rob Stephenson
Interventions that promote HIV prevention and reduce sexual risk-taking among men who have sex with men (MSM) are needed. Decisions surrounding sexual behavior and prevention are in part shaped by how individuals gauge HIV risk, which may be influenced by perceptions of local HIV prevalence. Using an online sample of self-reported HIV-negative adult MSM (n = 1477, mean age = 45) recruited in 2015, we examine associations between accuracy of perceived local HIV prevalence and self-reported condomless anal sex (CAS) and HIV testing...
May 9, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28485269/perceived-support-and-the-retirement-expectations-of-sexual-minority-adults
#19
Steven E Mock, Emily Schryer
Despite the importance of retirement planning among an aging population, little is known about the retirement planning of sexual minority adults (e.g., gay, lesbian, bisexual) and their potentially unique challenges. We compared retirement planning perceptions of these adults with heterosexual adults and examined the potential role of social support. There were no significant differences between sexual minorities and heterosexual adults regarding their expected retirement age, certainty of retirement age, and anticipated income adequacy in retirement, and higher levels of perceived support were associated with younger anticipated retirement age and greater certainty in retirement planning perceptions...
June 2017: Canadian Journal on Aging, la Revue Canadienne du Vieillissement
https://www.readbyqxmd.com/read/28485125/an-international-survey-on-the-awareness-use-preference-and-health-perception-of-novel-psychoactive-substances-nps
#20
Elena Deligianni, John M Corkery, Fabrizio Schifano, Lisa A Lione
OBJECTIVE: This survey investigated the level of public awareness, preference, and motivation of novel psychoactive substances (NPS) use as well as knowledge of potential associated health risks. METHODS: A Bristol Online Survey was advertised through social media and a drug forum "Bluelight" between January 7 and February 7, 2015. RESULTS: Responses were received from 17 countries, mainly from Europe. Most responses (83%) came from university educated students...
May 8, 2017: Human Psychopharmacology
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