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https://www.readbyqxmd.com/read/28715612/it-s-complicated-navigating-multiple-identities-in-small-town-america
#1
Angela D Ferguson, Marie L Miville
During the past few years, research focused on individuals who identify as gay, lesbian, bisexual, and transgender (LGBT) have increased. However, much of this literature focuses on White LGBT individuals, and less on individuals who have intersected identities, such as being both gay/lesbian and a person of color. Consequently, this population becomes obscured in scholarly discourses, thus being made "invisible" with regard to theory, research, and clinical interventions, with the result that clinicians are provided little or no knowledge of theories or best practices when working with individuals who are both sexual minority and people of color...
August 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28712604/-sometimes-you-feel-like-the-freak-show-a%C3%A2-qualitative-assessment-of-emergency-care-experiences-among-transgender-and-gender-nonconforming-patients
#2
Elizabeth A Samuels, Chantal Tape, Naomi Garber, Sarah Bowman, Esther K Choo
STUDY OBJECTIVE: Transgender, gender-variant, and intersex (trans) people have decreased access to care and poorer health outcomes compared with the general population. Little has been studied and documented about such patients' emergency department (ED) experiences and barriers to care. Using survey and qualitative research methods, this study aims to identify specific areas for improvement and generate testable hypotheses about the barriers and challenges for trans individuals needing acute care...
July 13, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28711116/results-of-a-pilot-study-to-ameliorate-psychological-and-behavioral-outcomes-of-minority-stress-among-young-gay-and-bisexual-men
#3
Nathan Grant Smith, Trevor A Hart, Ammaar Kidwai, Julia R G Vernon, Martin Blais, Barry Adam
Project PRIDE (Promoting Resilience In Discriminatory Environments) is an 8-session small group intervention aimed at reducing negative mental and behavioral health outcomes resulting from minority stress. This study reports the results of a one-armed pilot test of Project PRIDE, which aimed to examine the feasibility and potential for efficacy of the intervention in a sample of 33 gay and bisexual men aged 18 to 25. The intervention appeared feasible to administer in two different sites and all participants who completed posttreatment (n = 22) or follow-up (n = 19) assessments reported high satisfaction with the intervention...
September 2017: Behavior Therapy
https://www.readbyqxmd.com/read/28708808/hiv-viral-load-suppression-in-adults-and-children-receiving-antiretroviral-therapy-results-from-the-iedea-collaboration
#4
Awachana Jiamsakul, Azar Kariminia, Keri N Althoff, Carina Cesar, Claudia P Cortes, Mary-Ann Davies, Viet Chau Do, Brian Eley, John Gill, Nagalingeswaran Kumarasamy, Daisy Maria Machado, Richard Moore, Hans Prozesky, Elizabeth Zaniewski, Matthew Law
BACKGROUND: Having 90% of patients on antiretroviral therapy (ART) and achieving an undetectable viral load (VL) is one of the 90:90:90 by 2020 targets. In this global analysis, we investigated the proportions of adult and paediatric patients with VL suppression in the first three years after ART initiation. METHODS: Patients from the IeDEA cohorts who initiated ART between 2010 and 2014 were included. Proportions with VL suppression (<1000 copies/mL) were estimated using: (i) strict intention-to-treat (ITT) - loss to follow-up (LTFU) and dead patients counted as having detectable VL; and (ii) modified ITT - LTFU and dead patients were excluded...
July 8, 2017: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/28708449/promoting-a-policy-and-research-agenda-to-protect-lesbian-gay-bisexual-and-transgender-health-in-the-new-political-era
#5
Oxiris Barbot, Laura E Durso
No abstract text is available yet for this article.
July 14, 2017: LGBT Health
https://www.readbyqxmd.com/read/28704207/the-adult-male-rape-victim-forensic-description-of-a-series-of-57-cases
#6
Michelangelo Bruno Casali, Elisa Palazzo, Alberto Blandino, Alessio Battistini, Francesca Motta, Alessandra Kustermann, Cristina Cattaneo
A retrospective analysis on 57 adult male victims of sexual violence has been performed. Age, nationality and anamnesis of the victims, location of the assault, type of violence, number and identity of the assailants, presence of physical injuries, lapse of time between the assault and the request of medical assistance, and toxicological and semen detection tests were analyzed. Victims were mostly in the 31- to 40-year age group. Ten victims referred themselves as either active homosexuals or bisexuals. Forced oral and/or anal penetration was registered in 86...
July 13, 2017: American Journal of Forensic Medicine and Pathology
https://www.readbyqxmd.com/read/28700299/chronic-health-conditions-and-key-health-indicators-among-lesbian-gay-and-bisexual-older-us-adults-2013-2014
#7
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/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
#8
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/28692659/lesbian-gay-bisexual-and-transgender-lgbt-health-services-in-the-united-states-origins-evolution-and-contemporary-landscape
#9
Alexander J Martos, Patrick A Wilson, Ilan H Meyer
BACKGROUND: LGBT community organizations in the United States have been providing health services since at least the 1970s. However, available explanations for the origins of LGBT health services do not sufficiently explain why health in particular has been so closely and consistently linked to LGBT activism. Little is also known regarding how LGBT health services may have evolved over time with the growing scientific understanding of LGBT health needs. METHODS: This study begins with a review of the early intersections of sexuality and health that led to an LGBT health movement in the United States, as well as the evolution of LGBT health services over time...
2017: PloS One
https://www.readbyqxmd.com/read/28688168/-hidden-identities-perceptions-of-sexual-identity-in-beijing
#10
Toby Miles-Johnson, Yurong Wang
This article draws upon responses given by volunteers who work in the Beijing LGBT Centre regarding perceptions of sexual identity, and how Chinese culture affects hidden or open sexual identities of Chinese lesbian and gay people in this region. The insights gained from those working carefully to create social change offers an important and original contribution to the field of gay and lesbian studies in China. The findings indicate the volunteers at the Beijing LGBT Centre are frustrated by the lack of acceptance of non-heterosexual relationships among Chinese culture and society, and by the disregard of lesbian gay and bisexual (LGB) people by the Chinese government...
July 8, 2017: British Journal of Sociology
https://www.readbyqxmd.com/read/28688029/patterns-of-a-rectal-microbicide-placebo-gel-use-in-a-preparatory-stage-for-a-phase-i-trial-among-young-men-who-have-sex-with-men
#11
José A Bauermeister, R Giguere, C S Leu, C Dolezal, I Febo, R D Cranston, K Mayer, I McGowan, A Carballo-Diéguez
We examined young gay, bisexual, and other men who have sex with men's (YGBMSM) usage patterns of a pre-coital, applicator-administered rectal placebo gel. An ethnically diverse sample of 94 YGBMSM (aged 18-30 years) were asked to insert hydroxyethylcellulose placebo gel rectally before receptive anal intercourse (RAI) and report their gel use through an interactive voice response system (IVRS) across 12 weeks. We used trajectory analyses to characterize participants' use of the rectal gel over the 12 weeks, and examine whether these trajectories varied based on participants' sociodemographic characteristics, sexual behaviors, application and insertion behaviors, and experiences using the placebo gel...
July 7, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28687895/the-complexity-of-family-reactions-to-identity-among-homeless-and-college-lesbian-gay-bisexual-transgender-and-queer-young-adults
#12
Rachel M Schmitz, Kimberly A Tyler
Familial responses to lesbian, gay, bisexual, transgender, and queer (LGBTQ) young people's identities range on a spectrum from rejection to acceptance and these reactions strongly impact family relationships and young adult well-being. Less is known, however, about how family members' reactions may differ based on young people's contexts of socioeconomic status. Through a qualitative, life course analysis of in-depth interview data from 46 LGBTQ college students and LGBTQ homeless young adults, our study highlights the diverse, contextual nuances of young people's "linked lives" within their families...
July 7, 2017: Archives of Sexual Behavior
https://www.readbyqxmd.com/read/28685871/ensuring-community-participation-during-program-planning-lessons-learned-during-the-development-of-a-hiv-sti-program-for-young-sexual-and-gender-minorities
#13
José A Bauermeister, Emily S Pingel, Triana Kazaleh Sirdenis, Jack Andrzejewski, Gage Gillard, Gary W Harper
HIV/STI incidence has shifted to a younger demographic, comprised disproportionately of gay and bisexual men, transgender women, and people of color. Recognizing the importance of community organizing and participatory engagement during the intervention planning process, we describe the steps taken to engage diverse constituents (e.g., youth and practitioners) during the development of a structural-level HIV/STI prevention and care initiative for young sexual and gender minorities in Southeast Michigan. Our multi-sector coalition (MFierce; Michigan Forward in Enhancing Research and Community Equity) utilized a series of community dialogues to identify, refine, and select programmatic strategies with the greatest potential...
July 7, 2017: American Journal of Community Psychology
https://www.readbyqxmd.com/read/28682089/associations-among-psychological-distress-high-risk-activism-and-conflict-between-ethnic-racial-and-sexual-minority-identities-in-lesbian-gay-bisexual-racial-ethnic-minority-adults
#14
Carlos E Santos, Rachel A VanDaalen
In this brief report, we present results from a study exploring the associations of high-risk activism (HRA) orientation in lesbian, gay, and bisexual (LGB) issues; HRA orientation in racial/ethnic issues; conflicts in allegiances (CIA) between one's ethnic-racial and sexual minority identities; and anxiety among LGB racial/ethnic minority adults. A racially and ethnically diverse sample of 208 LGB racial/ethnic minority adults (age: M = 27.52, SD = 8.76) completed an online survey. Bivariate correlations showed that HRA orientation in LGB and in racial/ethnic issues, as well as CIA, were each positively associated with anxiety...
July 6, 2017: Journal of Counseling Psychology
https://www.readbyqxmd.com/read/28678908/loss-to-follow-up-in-a-cohort-of-hiv-negative-men-who-have-sex-with-men-project-horizonte
#15
Ana Paula Silva, Marília Greco, Maria Arlene Fausto, Mariângela Carneiro
OBJECTIVE: The objective of this study is to estimate the attrition rates and evaluate factors associated with loss to follow-up between 1994 and 2011 in an open cohort of HIV-negative men who have sex with men. METHODS: The Project Horizonte is an open cohort study that aimed to assess the incidence of HIV infection, evaluate the impact of educational interventions, and identify potential volunteers for HIV vaccine trials. The rates of losses to follow-up were estimated for three periods (1994-1999, 2000-2005, and 2006-2011)...
June 26, 2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/28678903/factors-associated-with-reinfection-of-syphilis-in-reference-centers-for-sexually-transmitted-infections
#16
Valéria Correa de Almeida, Maria Rita Donalisio, Ricardo Cordeiro
OBJECTIVE: We aim to analyze trend of syphilis and factors associated with recurrent episodes of syphilis among adults and adolescents attended in a STI/AIDS reference centers in Campinas, state of São Paulo, 2004 to 2012. METHODS: Medical records, pharmacy data, and notification database were accessed to analyze trends of syphilis and sociodemographic, epidemiological and clinical variables associated with reinfection of syphilis. After univariate analysis, a hierarchical logistic regression model was adjusted to analyze variables associated with more than one episode of syphilis (dependent variable)...
June 26, 2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/28678415/are-alcohol-related-disparities-between-sexual-minority-and-heterosexual-youth-decreasing
#17
Jessica N Fish, Ryan J Watson, Carolyn M Porta, Stephen T Russell, Elizabeth M Saewyc
BACKGROUND AND AIMS: Although sexual orientation-related alcohol use disparities are well established, researchers have not identified whether disparities are diminishing as societal attitudes towards lesbian/gay and bisexual (LGB) people become more accepting. We examined changes in four alcohol-related disparities between heterosexual and LGB youth from 1998 to 2013 by (1) estimating the prevalence of these behaviors; (2) estimating disparities in alcohol-related outcomes between heterosexual and LGB youth within each wave year; and (3) testing whether the degree of difference in alcohol-related disparities between heterosexual and LGB youth has changed...
July 5, 2017: Addiction
https://www.readbyqxmd.com/read/28675963/oversampling-as-a-methodological-strategy-for-the-study-of-self-reported-health-among-lesbian-gay-and-bisexual-populations
#18
Norman Anderssen, Kirsti Malterud
AIMS: Epidemiological research on lesbian, gay and bisexual populations raises concerns regarding self-selection and group sizes. The aim of this research was to present strategies used to overcome these challenges in a national population-based web survey of self-reported sexual orientation and living conditions-exemplified with a case of daily tobacco smoking. METHODS: The sample was extracted from pre-established national web panels. Utilizing an oversampling strategy, we established a sample including 315 gay men, 217 bisexual men, 789 heterosexual men, 197 lesbian women, 405 bisexual women and 979 heterosexual women...
July 1, 2017: Scandinavian Journal of Public Health
https://www.readbyqxmd.com/read/28674508/-it-s-just-more-acceptable-to-be-white-or-mixed-race-and-gay-than-black-and-gay-the-perceptions-and-experiences-of-homophobia-in-st-lucia
#19
Jimmy Couzens, Berenice Mahoney, Dean Wilkinson
Lesbian, gay, and bisexual (LGB) individuals come from diverse cultural groups with differing ethnic and racial identities. However, most research on LGB people uses white western samples and studies of Afro-Caribbean diaspora often use Jamaican samples. Thus, the complexity of Afro-Caribbean LGB peoples' experiences of homophobia is largely unknown. The authors' analyses explore experiences of homophobia among LGB people in St. Lucia. Findings indicate issues of skin-shade orientated tolerance, regionalized disparities in levels of tolerance toward LGB people and regionalized passing (regionalized sexual identity shifting)...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28662610/-church-hurt-can-be-the-worst-hurt-community-stakeholder-perceptions-of-the-role-of-black-churches-in-hiv-prevention-among-young-black-gay-and-bisexual-men
#20
Emily S Pingel, José A Bauermeister
Black gay and bisexual men aged 15-29 are disproportionately represented among new cases of HIV in the USA. Researchers have argued that community-based prevention cannot succeed without the participation of faith-based organisations, particularly given the salience of religion and spirituality in the lives of young Black gay and bisexual men. Yet some Black churches may be hesitant to engage in HIV prevention efforts given their beliefs about same-sex behaviour. It is less clear, however, whether and how public health practitioners in the field of HIV prevention have approached church inclusion...
June 30, 2017: Culture, Health & Sexuality
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