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https://www.readbyqxmd.com/read/29666136/systematic-review-and-meta-analysis-of-diabetes-mellitus-cardiovascular-and-respiratory-condition-epidemiology-in-sexual-minority-women
#1
Catherine Meads, Adam Martin, Jeffrey Grierson, Justin Varney
OBJECTIVE: Sexual minority women (SMW) experience higher chronic disease risk factors than heterosexual counterparts. However, it was unclear if these risks translate into higher physical condition rates. This systematic review evaluates cardiovascular disease (CVD), hypertension, respiratory disease and diabetes mellitus in SMW. METHODS: A protocol was registered with the Prospero database (CRD42016050299). Included were studies reporting mortality, incidence or prevalence of the above-listed conditions in SMW compared with heterosexual women...
April 17, 2018: BMJ Open
https://www.readbyqxmd.com/read/29666034/contraceptive-use-effectiveness-and-pregnancy-prevention-information-preferences-among-heterosexual-and-sexual-minority-college-women
#2
Heather D Blunt-Vinti, Erika L Thompson, Stacey B Griner
BACKGROUND: Previous research shows that sexual minority women have higher rates of unintended pregnancy than heterosexual women, but has not considered the wide range of contraceptive method effectiveness when exploring this disparity. We examine contraceptive use effectiveness and desire for pregnancy prevention information among college women across sexual orientation identity as a risk factor for unintended pregnancy. METHODS: Using the National College Health Assessment Fall-2015 dataset, restricted to women who reported engaging in vaginal sex and not wanting to be pregnant (N = 6,486), logistic regression models estimated the odds of contraceptive method effectiveness and desire for pregnancy prevention information by sexual orientation...
April 14, 2018: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/29665492/sex-and-orientation-identity-matter-in-the-substance-use-behaviors-of-sexual-minority-adolescents-in-the-united-states
#3
Theodore L Caputi
BACKGROUND: Health sciences researchers are beginning to understand the differing experiences and health risks among sexual minority subgroups (i.e., those who describe themselves as homosexual/gay/lesbian, bisexual, or unsure/questioning). Such research can promote the allocation of resources to high-risk groups and the development of interventions tailored to their needs. The present study extends this line of research to substance use among adolescents. METHODS: The lifetime and/or past 30-day alcohol, tobacco, cigarette, e-cigarette, marijuana, prescription drug, and illicit drug use of sexual minority and heterosexual adolescents was analyzed using data from the 2015 National Youth Risk Behavior Survey...
March 7, 2018: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/29663185/synergy-from-reproductive-division-of-labor-and-genetic-complexity-drive-the-evolution-of-sex
#4
Klaus Jaffe
Computer experiments that mirror the evolutionary dynamics of sexual and asexual organisms as they occur in nature were used to test features proposed to explain the evolution of sexual recombination. Results show that this evolution is better described as a network of interactions between possible sexual forms, including diploidy, thelytoky, facultative sex, assortation, bisexuality, and division of labor between the sexes, rather than a simple transition from parthenogenesis to sexual recombination. Diploidy was shown to be fundamental for the evolution of sex; bisexual reproduction emerged only among anisogamic diploids with a synergistic division of reproductive labor; and facultative sex was more likely to evolve among haploids practicing assortative mating...
April 16, 2018: Journal of Biological Physics
https://www.readbyqxmd.com/read/29661940/disparities-for-lgbtq-and-gender-nonconforming-adolescents
#5
Laura Baams
OBJECTIVES: To identify patterns of childhood adversity in a sample of adolescents and assess disparities in these experiences for lesbian, gay, bisexual, transgender, and questioning adolescents and by level of gender nonconformity. METHOD: By using the cross-sectional, statewide, anonymous 2016 Minnesota Student Survey, 81 885 students were included in the current study (50.59% male; mean age = 15.51). Participants were enrolled in grades 9 and 11 in a total of 348 schools...
April 16, 2018: Pediatrics
https://www.readbyqxmd.com/read/29661698/reproductive-health-care-priorities-and-barriers-to-effective-care-for-lesbian-gay-bisexual-transgender-queer-people-assigned-female-at-birth-a-qualitative-study
#6
Erin Wingo, Natalie Ingraham, Sarah C M Roberts
BACKGROUND: Little research documents the self-identified reproductive health priorities and health care experiences of lesbian, gay, bisexual, transgender, queer (LGBTQ)-identified individuals who may be in need of services. METHODS: We conducted in-depth interviews with a diverse sample of 39 female-assigned-at-birth individuals (ages 18-44) who also identified as lesbian, bisexual, queer, and/or genderqueer, or transmasculine. Interviews were primarily conducted in person in the Bay Area of California, and Baltimore, Maryland, with 11 conducted remotely with participants in other U...
April 13, 2018: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/29661697/cardiovascular-disease-risk-in-sexual-minority-women-18-59-years-old-findings-from-the-national-health-and-nutrition-examination-survey-2001-2012
#7
Billy A Caceres, Abraham A Brody, Perry N Halkitis, Caroline Dorsen, Gary Yu, Deborah A Chyun
OBJECTIVE: Sexual minority women (lesbian and bisexual) experience significant stigma, which may increase their cardiovascular disease (CVD) risk. The purpose of this study was to examine the prevalence of modifiable risk factors for CVD (including mental distress, health behaviors, blood pressure, glycosylated hemoglobin, and total cholesterol) and CVD in sexual minority women compared with their heterosexual peers. MATERIALS AND METHODS: A secondary analysis of the National Health and Nutrition Examination Survey (2001-2012) was conducted...
April 13, 2018: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/29661572/chemsex-and-mental-health-as-part-of-syndemic-in-gay-and-bisexual-men
#8
Perry N Halkitis, Stuart N Singer
A commentary is provided on the study reported by Garrett Prestage and his colleagues, which examined the relations between mental health states, non-injection drug use and sexual risk behaviors in a cross-sectional sample of 3,017Australian gay and bisexual men. We provide a summary of the findings in relation to the extant literature on the interconnectedness of these behaviors and health states and interpret the findings in this regard, noting both strengths and limitations. We couch our commentary in a theory of syndemics for considering how these associations may manifest and for informing both research and practice...
April 13, 2018: International Journal on Drug Policy
https://www.readbyqxmd.com/read/29659418/enhancing-lesbian-gay-bisexual-and-transgender-cultural-competence-in-a-midwestern-primary-care-clinic-setting
#9
Denise R Felsenstein
The process of initiating lesbian, gay, bisexual, and transgender (LGBT) cultural competencies and educational interventions developed to increase staff knowledge on LGBT culture and health issues is discussed, including a computer-based module and panel discussion. The module intervention showed a statistically significant increase (p = .033) of staff LGBT knowledge from pretest to posttest scores. An evaluation after the panel discussion showed that 72% of staff indicated they were more prepared for LGBT patient care...
April 13, 2018: Journal for Nurses in Professional Development
https://www.readbyqxmd.com/read/29658846/tobacco-free-policies-and-tobacco-cessation-systems-at-health-centers-serving-lesbian-gay-bisexual-and-transgender-clients
#10
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/29656916/tobacco-use-and-sexual-orientation-in-a-national-cross-sectional-study-age-race-ethnicity-and-sexual-identity-attraction-differences
#11
Sean Esteban McCabe, Alicia K Matthews, Joseph G L Lee, Phil Veliz, Tonda L Hughes, Carol J Boyd
INTRODUCTION: The purpose of this study is to determine the past-year prevalence estimates of any nicotine/tobacco use, cigarette smoking, and DSM-5 tobacco use disorder based on sexual identity among U.S. adults, and to examine potential variations in these estimates by age, race/ethnicity, and sexual identity-attraction concordance/discordance. METHODS: The 2012-2013 National Epidemiologic Survey on Alcohol and Related Conditions collected data via in-person interviews with a cross-sectional nationally representative sample of non-institutionalized adults (response rate=60...
April 9, 2018: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/29655906/substance-use-and-sex-index-susi-first-stage-development-of-an-assessment-tool-to-measure-behaviour-change-in-sexualised-drug-use-for-substance-use-treatment-studies
#12
Nadine Ezard, Beatrice Webb, Brendan Clifford, Michael E Cecilio, Amanda Jellie, Toby Lea, Craig Rodgers, Simon Ruth, Raimondo Bruno
BACKGROUND: Existing tools for measuring blood-borne virus (BBV) and sexually transmitted infection (STI) transmission risk behaviours in substance use interventions have limited capacity to assess risk behaviours across varied social, cultural and epidemiological contexts; have not evolved alongside HIV treatment and prevention innovations; or accounted for sexual contexts of drug use including among a range of lesbian, gay, bisexual, transgender, intersex and queer (LGBTIQ) sub-communities...
April 11, 2018: International Journal on Drug Policy
https://www.readbyqxmd.com/read/29651646/an-examination-of-gay-couples-motivations-to-use-or-forego-pre-exposure-prophylaxis-expressed-during-couples-hiv-testing-and-counseling-chtc-sessions
#13
Tyrel J Starks, Kendell M Doyle, Ore Shalhav, Steven A John, Jeffrey T Parsons
While many gay couples perceive themselves to have little risk for HIV transmission, research estimates that 35-68% of new HIV infections are transmitted within main partnerships. Pre-exposure prophylaxis (PrEP) is recommended for those partnered gay and bisexual men (GBM) who engage in sex outside their primary relationship or who have an HIV-positive partner. There is reason to believe that couples' sero-status and sexual agreement will shape perceptions of PrEP's personal relevance among gay couples. The current study examined motivations for and ambivalence towards PrEP uptake reported in a sample of 67 gay couples during completion of a brief CDC-recommended prevention intervention: Couples HIV Testing and Counseling...
April 12, 2018: Prevention Science: the Official Journal of the Society for Prevention Research
https://www.readbyqxmd.com/read/29650073/the-clinical-examination-and-socially-at-risk-populations-the-examination-matters-for-health-disparities
#14
REVIEW
Karly A Murphy, Alejandra Ellison-Barnes, Erica N Johnson, Lisa A Cooper
Data from the United States show that persons from low socioeconomic backgrounds, those who are socially isolated, belong to racial or ethnic minority groups, or identify as lesbian, gay, bisexual, or transgender experience health disparities at a higher rate. Clinicians must transition from a biomedical to a biopsychosocial framework within the clinical examination to better address social determinants of health that contribute to health disparities. We review the characteristics of successful patient-clinician interactions...
May 2018: Medical Clinics of North America
https://www.readbyqxmd.com/read/29648961/consensual-non-monogamy-in-pregnancy-and-parenthood-experiences-of-bisexual-and-plurisexual-women-with-different-gender-partners
#15
Melissa H Manley, Melissa M Legge, Corey E Flanders, Abbie E Goldberg, Lori E Ross
The current study constitutes a qualitative investigation of experiences with and perceptions of consensual non-monogamy (CNM) among a sample of 21 bisexual and plurisexual women with different-gender partners. Participants from Massachusetts, USA, and Toronto, Canada were interviewed four times during pregnancy and the postpartum period. Using an inductive qualitative approach, we found participants were selective about CNM disclosure, and generally apprehensive about stigma surrounding CNM involvement. Additionally, results emphasize the importance of communication, and highlight the range of barriers to and benefits of CNM endorsed by these parents...
April 12, 2018: Journal of Sex & Marital Therapy
https://www.readbyqxmd.com/read/29644493/exploring-the-correlates-of-linkage-to-hiv-medical-care-among-persons-living-with-hiv-infection-plwh-in-the-deep-south-results-and-lessons-learned-from-the-louisiana-positive-charge-initiative
#16
Russell A Brewer, Sarah Chrestman, Snigdha Mukherjee, Karen E Mason, Typhanye V Dyer, Peter Gamache, Mary Moore, DeAnn Gruber
We explored the correlates of linkage to HIV medical care and barriers to HIV care among PLWH in Louisiana. Of the 998 participants enrolled, 85.8% were successfully linked to HIV care within 3 months. The majority of participants were male (66.2%), African American (81.6%), and had limited education (74.4%). Approximately 22% of participants were Black gay and bisexual men. The most common reported barrier to care was lack of transportation (27.1%). Multivariable analysis revealed that compared with Black gay and bisexual men, White gay and bisexual men were significantly more likely to be linked to HIV care (adjusted prevalence ratio, aPR 1...
April 11, 2018: AIDS and Behavior
https://www.readbyqxmd.com/read/29642460/turning-the-co-production-corner-methodological-reflections-from-an-action-research-project-to-promote-lgbt-inclusion-in-care-homes-for-older-people
#17
Paul Willis, Kathryn Almack, Trish Hafford-Letchfield, Paul Simpson, Barbara Billings, Naresh Mall
Background : Older lesbian, gay, bisexual and trans (LGBT) residents are often invisible in long-term care settings. This article presents findings from a community-based action research project, which attempted to address this invisibility through co-produced research with LGBT community members. Particular Question: What conditions enable co-produced research to emerge in long-term residential care settings for older people? Aims of Project: To analyse outcomes and challenges of action-oriented, co-produced research in the given context...
April 7, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29629811/transgender-patients-what-radiologists-need-to-know
#18
John S Sowinski, Richard B Gunderman
OBJECTIVE: The purposes of this article are to examine a few of the barriers the transgender population faces in achieving equitable health care, to suggest ways radiologists and radiology staff can help to address these obstacles and provide high-quality care to transgender patients, and to discuss a number of evidence-based guidelines regarding appropriate imaging and screening tests for the transgender population. CONCLUSION: Lesbian, gay, bisexual, and transgender individuals face numerous health care disparities, including stigmatization and discrimination in health care environments...
April 9, 2018: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/29629634/-why-should-i-the-one-who-was-raped-be-forced-to-take-training-in-what-sexual-assault-is-sexual-assault-survivors-and-those-who-know-survivors-responses-to-a-campus-sexual-assault-education-program
#19
Meredith G F Worthen, Samantha A Wallace
This study critically examines sexual assault survivors' (people with histories of sexual assault) and those who know survivors' (those who know and/or who are close to people with histories of sexual assault) responses to a mandatory online campus sexual assault education program using both quantitative survey data ( N = 1,899) and qualitative narratives ( n = 41) from a sample of students at a large southern university with special attention to gender, sexual identity, race, ethnicity, college group affiliations (student athletics, fraternities/sororities, LGBTQ [lesbian, gay, bisexual, and transgender, queer] ally programs), and the intersections between these identities and affiliations...
April 1, 2018: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/29628069/experiences-of-discrimination-are-associated-with-greater-resting-amygdala-activity-and-functional-connectivity
#20
Uraina S Clark, Evan R Miller, Rachal R Hegde
BACKGROUND: Social discrimination, a type of psychological stressor, is associated with poorer physical and mental health outcomes, yet we have little understanding of how discrimination affects neural functions in marginalized populations. By contrast, the effects of psychological stress on neural functions are well documented, with evidence of significant effects on the amygdala-a neural region that is central to psychosocial functions. Accordingly, we conducted an examination of the relation between self-reported discrimination exposure and amygdala activity in a diverse sample of adults...
April 2018: Biological Psychiatry: Cognitive Neuroscience and Neuroimaging
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