Journal articles on the topic 'LGBTQ sexual health'
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Kessler, Lorraine. "Respect Detectors: A support and educational group engaging LGBTQ activists to prevent violence in their community." Groupwork 26, no. 1 (January 11, 2017): 34–48. http://dx.doi.org/10.1921/gpwk.v26i1.980.
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Abstract: Respect Detectors is a manualized community education program designed to inform workshop participants on the specialized needs of LGBTQ-identified people experiencing domestic violence or sexual assault. The pilot of the program, hosted by University of Southern Maine’s Center for Sexualities and Gender Diversity, involved a small group of dedicated community members, most of whom were LGBTQ. Information generated by group participants included discussion of the intersectionality of their sexual and gender identities with the experience of being a domestic violence or sexual assault survivor. Details about several experiences of oppression in the context of multiple cultural identities is a particularly valuable component of these discussions. Professional social workers and other mental health providers should consider this information an important insight about cultural sensitivity to LGBTQ clients, particularly those who experience domestic violence or assault. The authors highlight how the group participants motivated each other to continue to be politically active around this issue in their community. Recommendations include being attentive to the specialized needs of LGBTQ people as a group, and how the experience of belonging to a group that is discriminated against further impacts traumatic events like domestic violence.Keywords: LGBTQ; LGBT; support group; domestic violence; sexual violence; oppression; sexual assault; prevention; active by-stander
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Matsick, Jes L., Britney M. Wardecker, and Flora Oswald. "Treat Sexual Stigma to Heal Health Disparities: Improving Sexual Minorities’ Health Outcomes." Policy Insights from the Behavioral and Brain Sciences 7, no. 2 (October 2020): 205–13. http://dx.doi.org/10.1177/2372732220942250.
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Despite recent strides toward equality in the United States, lesbian, gay, bisexual, transgender, and queer (LGBTQ) people continue to report experiences of sexual stigma and psychological and physical health problems. This article reviews empirical evidence of sexual stigma and sexual orientation-based health disparities. The current framework proposes that sexual orientation does not cause health disparities; homophobic individuals and societies do. Social psychology, recognizing the power of the situation, suggests that changing the stigmatizing environments for LGBTQ people can effectively reduce health disparities. The science has policy implications—notably, for audiences at three levels (intraindividual, interpersonal, and institutional)—and provides recommendations for mitigating sexual stigma and improving health.
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Yang, Minhui, Chunyan Li, Kaiyue Zou, Yun Liang, Rudong Zhang, and Kun Tang. "“They have their own people”: Emotional connections, community belonging, and Chinese gay, bisexual and other men who have sex with men (GBMSM) college students’ needs for sexual health support." PLOS ONE 18, no. 9 (September 20, 2023): e0291550. http://dx.doi.org/10.1371/journal.pone.0291550.
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Gay, bisexual and other men who have sex with men (GBMSM) college students in China have unique sexual health challenges, including a higher risk of HIV infection, stigma and discrimination against LGBTQ (lesbian, gay, bisexual, transgender, and queer) population, and limited access to LGBTQ-affirmative sexual health support. Nonetheless, previous research or policymaking has rarely addressed the students’ needs for sexual health support from their perspectives. This study aims to explore GBMSM college students’ perceptions and attitudes to current sexual health resources, the challenges they encounter, and their expectations to acquiring LGBTQ-affirmative sexual health information and services. The exploration was carried out through field visits and in-depth interviews with 26 GBMSM college students and eight relevant stakeholders in five cities in China. Qualitative thematic analysis was applied to the interview transcripts and fieldwork memos. Four themes emerged around the preference and needs of GBMSM students in dealing with their sexual health challenges: the association between tackling sexual health challenges and entering LGBTQ communities, the roles of emotional attachment in shaping the preference for HIV-related care and support, the desired modes of acquiring sexual health support, and the current unmet service needs. We discovered that the information-and-care-seeking behaviors of GBMSM college students are highly influenced by and connected to their participation in online and in-person LGBTQ communities. Due to the overall stigmatizing sociocultural environment of LGBTQ in China, GBMSM college students tend to rely on LGBTQ communities, seeking trust and a sense of belongingness for tackling their sexual health challenges. Conventional school-based sexual health educational programs, which often apply top-down, stigma-and-fear-based, and non-LGBTQ-inclusive teaching strategies, rarely help GBMSM college students to solve sexual health problems in real life. GBMSM college students are eager to have LGBTQ-affirmative "health managers" who can understand their emotional experiences and interpersonal contexts and assist them with sexual health issues. However, such support is generally perceived as limited by the students. Our study highlights these unmet needs of the GBMSM students and emphasizes the importance of developing future LGBTQ-affirmative sexual health programs among Chinese GBMSM college students and young GBMSM in general.
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Taylor, Nicole M., and Callie K. King. "Sexual Health and the LGBTQ+ Community." Primary Care: Clinics in Office Practice 48, no. 2 (June 2021): 271–82. http://dx.doi.org/10.1016/j.pop.2021.02.009.
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Bunting, Samuel R., Teddy G. Goetz, Aayush Gabrani, Brad Blansky, Mollie Marr, and Nelson F. Sanchez. "Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ+) Health Education in Primary Care Graduate Medical Education Programs: A National Survey of Program Directors." Annals of LGBTQ Public and Population Health 3, no. 4 (December 1, 2022): 242–59. http://dx.doi.org/10.1891/lgbtq-2021-0027.
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Lesbian, gay, bisexual, transgender, queer, and other sexual and/or gender minority (LGBTQ+) people experience numerous health disparities. Graduate medical education (GME) programs need curricula to address these disparities. We sought to characterize curricula related to LGBTQ+ health in primary care specialty (internal medicine, combined internal medicine/pediatrics, family medicine, pediatrics, and geriatric medicine) GME, and to identify barriers experienced by program directors (PDs) in incorporating LGBTQ+ curriculum. We conducted a national survey study of PDs in August–October 2020 via Qualtrics. Overall, 292 of 1,571 eligible PDs responded (18.6%). Nearly a third of PDs (n= 96%; 32.9%) indicated that their program did not include any didactic training about LGBTQ+ health. Those who did indicated a mean of 5.4–5.7 hours in each year from PGY1-3 dedicated to LGBTQ+ health. Didactic and clinical training about LGBTQ+ health was overwhelmingly focused on content related to sexual health. PDs who indicated they had ‘out’ faculty were more likely to include didactic and clinical training on multiple aspects of LGBTQ+ health. Our results identify a significant gap and a need for the integration of LGBTQ+ content into primary care GME curricula with additional focus placed on domains associated with known mental and physical health disparities, beyond sexual health, and inclusion of transgender and gender diverse health needs. Programs may aim to accomplish this through recruitment of LGBTQ+ health educators, invitations to content experts in the field, and adaptation of existing resources to teach about LGBTQ+ health.
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Diana, Pierluigi, and Susanna Esposito. "LGBTQ+ Youth Health: An Unmet Need in Pediatrics." Children 9, no. 7 (July 11, 2022): 1027. http://dx.doi.org/10.3390/children9071027.
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At present, lesbian, gay, bisexual, transgender, queer and intersex people (LGBTQ+) are increasingly being empowered to freely express themselves, particularly young people and rising generations. Although data underline the trend of more open expression of different sexual orientations and gender identities, LGBTQ+ adolescents still suffer discrimination in the health care framework. Inclusive care by providers to look after the health of LGBTQ+ indiviuals is needed. Pediatricians are often the first health care providers for LGBTQ+ youth facing their sexual and gender identities. Unfortunately, pediatricians have limited knowledge about LGBTQ+ issues, which keeps them from fulfilling the specific needs of LGBTQ+ youth. The purpose of this review is to frame the most important aspects of LGBTQ+ youths’ lives, including risks, difficulties and needs, that pediatricians should investigate and meet to provide these youth with better and more individualizedassistance regarding their health. A literature analysis showed that pediatricians have insufficient knowledge of and comfort with several items regarding the management of LGBTQ+ youths. Increased awareness and knowledge of the specific and exclusive needs of LGBTQ+ adolescents are mandatory, including dedicated pediatric LGBTQ+ health care training. This would give them the opportunity to forward an inclusive health care system, thus reducing the risks related to stigma, bullying and family rejection and promoting sex education. Further studies are needed to better evaluate the prevalence of LGBTQ+ youths, gender-based medicine in pediatrics and the effects of COVID-19 on the LGBTQ+ younth population due to increased risks of psychosocial suffering, isolation and mental diseases.
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Tillewein, Heather, Namrata Shokeen, Presley Powers, Amaury J. Rijo Sánchez, Sasha Sandles-Palmer, and Kristen Desjarlais. "Silencing the Rainbow: Prevalence of LGBTQ+ Students Who Do Not Report Sexual Violence." International Journal of Environmental Research and Public Health 20, no. 3 (January 22, 2023): 2020. http://dx.doi.org/10.3390/ijerph20032020.
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Previous research on sexual violence suggests that there is a higher likelihood of students from LGBTQ+ community experiencing sexual violence and not reporting it. This study investigates various types of sexual violence experienced by the LGBTQ+ students and the prevalence of reporting it. The study further determines why different types of sexual violence are not being reported. This study uses a LGBTQ+ scholarship survey data conducted in 2019. Using Pearson’s chi square analysis, the study investigates the relationship between who experienced various kinds of sexual violence and those who do not report it. The study provides descriptive analysis of reasons for not reporting sexual violence across different types of sexual violence. The results show that there is a statistically significant relationship between those who experienced various kinds of sexual violence and those who do not report it. In addition, the study illustrates mistrust in support services and fear of embarrassment as the major reasons resulting in non-reporting behaviors. In conclusion, the study illustrates high prevalence for various types of sexual violence against LGBTQ+ students as well as high underreporting. Study results have implications for health professionals and institutions to focus efforts in making school environments safe and inclusive for LGBTQ+ students.
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Green, Amy E., Myeshia Price-Feeney, Samuel H. Dorison, and Casey J. Pick. "Self-Reported Conversion Efforts and Suicidality Among US LGBTQ Youths and Young Adults, 2018." American Journal of Public Health 110, no. 8 (August 2020): 1221–27. http://dx.doi.org/10.2105/ajph.2020.305701.
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Objectives. To explore associations between undergoing sexual orientation or gender identity conversion efforts (SOGICE) and suicidality among young LGBTQ (lesbian, gay, bisexual, transgender, and queer or questioning) individuals. Methods. Data were derived from a 2018 online cross-sectional study of young LGBTQ individuals (13–24 years of age) residing in the United States. Multivariate logistic regression was used to determine the relative odds of suicidality among young LGBTQ individuals who experienced SOGICE (in comparison with those who did not) after adjustment for age, race/ethnicity, geography, parents’ use of religion to say negative things about being LGBTQ, sexual orientation, gender identity, discrimination because of sexual orientation or gender identity, and physical threats or harm because of sexual orientation or gender identity. Results. Relative to young people who had not experienced SOGICE, those who reported undergoing SOGICE were more than twice as likely to report having attempted suicide and having multiple suicide attempts. Conclusions. The elevated odds of suicidality observed among young LGBTQ individuals exposed to SOGICE underscore the detrimental effects of this unethical practice in a population that already experiences significantly greater risks for suicidality.
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Stern, Molly. "Perspectives of LGBTQ Youth and Pediatricians in the Primary Care Setting: A Systematic Review." Journal of Primary Care & Community Health 12 (January 2021): 215013272110443. http://dx.doi.org/10.1177/21501327211044357.
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Objectives: Conduct a systematic review designed to determine needs and experiences of LGBTQ adolescents in the pediatric primary care setting and to the ability of primary care practitioners to provide the most inclusive care to LGBTQ adolescents. Methods: PubMed, CINAHL, and Embase searches using the following keywords: LGBTQ, Adolescents, Pediatrics, Sexual-Minority, Gender-Identity, and primary care, to identify peer-reviewed publications from 1998 to 2017 that focused on stigma in the healthcare setting related to LGBTQ youth and the knowledge of healthcare providers on enhancing care for their sexual and gender minority patients. Article inclusion criteria include: primary research studies conducted in a pediatric primary care describing LGBTQ patients, pediatric patients as described by the American Academy of Pediatrics (AAP), and written in the English language. Articles were excluded if they used inaccurate definitions for LGBTQ identity, inappropriate patient ages outside of those defined by the AAP, and studies not in a pediatric primary care setting. Results: Four articles were identified for the review. Of the included articles, the majority of LGBTQ adolescents experience stigma in the healthcare setting. A limited number of physicians providing care to LGBTQ adolescents felt equipped to care for their sexual-minority patients due to lack of education and resources. Conclusions: The education of physicians should include a more detailed approach to providing care to the LGBTQ population, particularly to those training to become pediatricians. A standard guide to treating LGBTQ adolescents could eliminate stigma in the healthcare setting.
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Lin, Tao, Yijun Cheng, Tonda L. Hughes, and Cindy B. Veldhuis. "LGBTQ Health and Wellbeing in China: A Trend Analysis of English- and Chinese-Language Research, 2011–2018." Annals of LGBTQ Public and Population Health 3, no. 4 (December 1, 2022): 223–41. http://dx.doi.org/10.1891/lgbtq-2020-0014.
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Research on LGBTQ populations has dramatically increased in both Western and non-Western countries over the past several decades. Attempts to synthesize this research have largely focused on studies conducted in the West. We conducted a review of LGBTQ research in China to elucidate trends and gaps in the literature and to provide a foundation for future research. We searched the literature to identify studies that focused on LGBTQ people in China using PsycINFO and reviews of article titles and abstracts in 15 English-language LGBTQ-specific journals published between 2011 and 2018. We used theWanfangdatabase to identify Chinese-language LGBTQ research articles published in any journal between 2011 and 2018. Each article was coded by topic, study type, province, and sample. These searches yielded 798 LGBTQ research studies conducted in China between 2011 and 2018. HIV/AIDS, sexuality, and LGBTQ-specific issues (e.g., coming out) have been most frequently studied. Most of the articles focused on sexual minority men (69.5%), with smaller proportions focused on sexual minority women (15.5%) or transgender individuals (2.6%). The disparity was reduced after excluding studies on HIV or other sexually transmitted infections. The geographic distribution of studies was uneven; most were conducted in economically developed areas. This study identified gaps and trends in LGBTQ research in China and highlighted priority and under-researched topics to guide future LGBTQ research. More research on these understudied populations and topics will contribute to understanding of LGBTQ populations.
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Tan, Rayner Kay Jin, Alvin Kuo Jing Teo, Nashwinder Kaur, Jack Harrison-Quintana, Chen Seong Wong, and Mark I.-Cheng Chen. "Extent and selectivity of sexual orientation disclosure and its association with HIV and other STI testing patterns among gay, bisexual and other men who have sex with men." Sexually Transmitted Infections 95, no. 4 (March 27, 2019): 273–78. http://dx.doi.org/10.1136/sextrans-2018-053866.
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ObjectivesGay, bisexual and other men who have sex with men (GBMSM) in Singapore may fear disclosing their sexual orientation to others due to negative societal attitudes, and the law that criminalises sexual relations between men, which may, in turn, impede access to HIV/sexually transmitted infection (STI)-related health services. This study attempts to determine how selective disclosure to varying social groups, and the extent of disclosure, may serve to impact HIV/STI testing patterns among GBMSM.MethodsIn this observational study, we recruited GBMSM in Singapore through an online cross-sectional survey disseminated via the smartphone app Grindr from 14 January to 11 February 2018. Respondents provided information on their sociodemographic characteristics, disclosure of sexual orientation towards other lesbian, gay, bisexual, transgender and questioning (LGBTQ) individuals, non-LGBTQ family members, non-LGBTQ friends and non-LGBTQ colleagues, along with their HIV/STI testing patterns. Extent of disclosure was defined as the number of social groups that a participant had disclosed his sexual orientation to. Statistical analyses were conducted through descriptive statistics, multivariable binary, ordinal, and multinomial logistic regression models.ResultsWe recruited 1339 respondents, of which 1098 who had provided their response to questions on HIV/STI testing were included in the analytic sample. Multivariable analyses indicated that disclosure towards non-LGBTQ family members (adjusted OR [aOR] 1.85, 95% CI 1.12 to 3.07) and other LGBTQ individuals (aOR 1.63, 95% CI 1.12 to 2.37) were positively associated with recent HIV testing, whereas disclosure towards non-LGBTQ colleagues (aOR 1.56, 95% CI 1.09 to 2.22) was positively associated with regular HIV testing. Extent of disclosure exhibited a positive, dose–response relationship with all testing outcomes.ConclusionsResults indicate how the fear of being identified as an LGBTQ individual may deter GBMSM from getting tested for HIV and other STIs. Health services should bridge the gaps to accessing healthcare among individuals who fear being stigmatised for attending sexual health-specific clinics or being identified as GBMSM.
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Ezeh Aruah, Diane Chidimma. "Sexual Health on Television." Journal of Public Interest Communications 5, no. 2 (December 29, 2021): 48. http://dx.doi.org/10.32473/jpic.v5.i2.p48.
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Television drama series have the potential to create awareness about sexual health problems and solutions. This study deployed a qualitative analysis of framing to understand how the Netflix show Sex Education framed sexual health concerns. Findings indicate that some sexual health concerns were depicted in the context of teaching sexual responsibility and destigmatizing processes such as seeking information or coming out as LGBTQ+. The show also portrayed the negative consequences of sexual violence and how people might choose to seek help related to sexual trauma. Overall, this study discusses how Sex Education frames sexual health issues in both expected and novel ways compared to those previously explored in public interest communications research.
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Tharp, G., Manisha Wohlford, and Anubhuti Shukla. "Reviewing challenges in access to oral health services among the LGBTQ+ community in Indiana and Michigan: A cross-sectional, exploratory study." PLOS ONE 17, no. 2 (February 25, 2022): e0264271. http://dx.doi.org/10.1371/journal.pone.0264271.
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Objective In healthcare settings, lesbian, gay, bisexual, transgender, and queer (LGBTQ+) populations often experience discrimination, leading to decreased healthcare services utilization. In this study we have tried to identify oral healthcare providers (OHP)’s perceptions toward LGBTQ+ patients, perceived barriers for LGBTQ+ patients in accessing oral health services, and whether they were open to inclusive oral healthcare practices. In addition, the experiences of LGBTQ+ patients in oral healthcare settings including their oral healthcare seeking behaviors and beliefs were also explored. Methods Descriptive, quantitative surveys were administered to OHPs and LGBTQ+ patients within Indiana and Michigan. Surveys contained questions about participant demographics, including gender and sexual minority status, and the presence of inclusive healthcare practices within the oral healthcare settings. Descriptive analyses and regression modeling were used to explore the distribution of participant responses and to identify predictors associated with patient comfort and OHP’s attitudes toward LGBTQ+ patients. Results Overall, 71% of LGBTQ+ patients reported regularly attending dental appointments; however, 43% reported feeling uncomfortable going to appointments and 34% reported being treated unfairly during appointments because of sexual orientation. Among OHPs, 84% reported that the healthcare settings where they practiced were welcoming for LGBTQ+ populations and 84% reported willingness to improve LGBTQ+ care. The presence of inclusive healthcare practices predicted comfort for LGBTQ+ patients (P < 0.10). Additionally, OHPs who either identified as an ally or as having a family member or close friend in the LGBTQ+ community had higher odds of feeling responsible to treat LGBTQ+ patients. Conclusion Many LGBTQ+ patients often experience discomfort in oral healthcare settings. While OHPs were largely unaware of this, evidence suggests the need for cultural competency training for OHPs.
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Nelson, Nicolas G., Joseph F. Lombardo, Ayako Shimada, Marissa L. Ruggiero, Alexandria P. Smith, Kevin Ko, Amy E. Leader, Edith P. Mitchell, and Nicole L. Simone. "Physician Perceptions on Cancer Screening for LGBTQ+ Patients." Cancers 15, no. 11 (June 1, 2023): 3017. http://dx.doi.org/10.3390/cancers15113017.
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The LGBTQ+ community experiences cancer disparities due to increased risk factors and lower screening rates, attributable to health literacy gaps and systemic barriers. We sought to understand the experiences, perceptions, and knowledge base of healthcare providers regarding cancer screening for LGBTQ+ patients. A 20-item IRB-approved survey was distributed to physicians through professional organizations. The survey assessed experiences and education regarding the LGBTQ+ community and perceptions of patient concerns with different cancer screenings on a 5-point Likert scale. Complete responses were collected from 355 providers. Only 100 (28%) reported past LGBTQ+-related training and were more likely to be female (p = 0.020), have under ten years of practice (p = 0.014), or practice family/internal medicine (p < 0.001). Most (85%) recognized that LGBTQ+ subpopulations experience nuanced health issues, but only 46% confidently understood them, and 71% agreed their clinics would benefit from training. Family/internal medicine practitioners affirmed the clinical relevance of patients’ sexual orientation (94%; 62% for medical/radiation oncology). Prior training affected belief in the importance of sexual orientation (p < 0.001), confidence in understanding LGBTQ+ health concerns (p < 0.001), and willingness to be listed as “LGBTQ+-friendly” (p = 0.005). Our study suggests that despite a paucity of formal training, most providers acknowledge that LGBTQ+ patients have unique health needs. Respondents had a lack of consensus regarding cancer screenings for lesbian and transgender patients, indicating the need for clearer screening standards for LGBTQ+ subpopulations and educational programs for providers.
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Berger, Matthew N., Melody Taba, Jennifer L. Marino, Megan S. C. Lim, Spring Chenoa Cooper, Larissa Lewis, Kath Albury, Kon Shing Kenneth Chung, Deborah Bateson, and S. Rachel Skinner. "Corrigendum to: Social media’s role in support networks among LGBTQ adolescents: a qualitative study." Sexual Health 18, no. 5 (2021): 444. http://dx.doi.org/10.1071/sh21110_co.
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Background:Adolescents use social media more frequently than other age groups. Social media has been described as a safe environment for lesbian, gay, bisexual, transgender and queer and/or questioning (LGBTQ) adolescents. As part of mixed-methods research investigating the association between social networks and sexual agency, we present qualitative findings on how LGBTQ adolescents connect online to form support networks.Methods:We recruited 30 adolescents aged 14–17years who identified as LGBTQ in terms of their gender or attraction in the longitudinal Social Networks and Agency Project. Semi-structured interviews were conducted online or face-to-face across Australia. Thematic analysis was used to explore perceptions and experiences of participants in relation to social media use and relationships.Results:Two overarching themes were identified: LGBTQ adolescents use social media for identity, relationships and wellbeing support. Social media is not always free of discrimination for LGBTQ adolescents. Many LGBTQ participants joined Facebook groups to connect with LGBTQ peers. Facebook was considered a vital support for those with mental health concerns including suicidal ideation. Participants gave and received support from group members, which was considered useful for those feeling isolated or victimised. LGBTQ adolescents formed friendships, romantic relationships and gained information on sex, relationships, and sexual health from these groups. Participants described negative experiences including discrimination within Facebook groups, mismanaged groups and exposure to anti-LGBTQ sentiments.Conclusion:Social media is an environment where LGBTQ adolescents can connect, educate and support each other, which may have beneficial effects for this marginalised group. There remain issues with social media including discrimination against and within LGBTQ communities.
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McKay, Tara, Nathaniel Tran, Lana Trautman, and Kirsty Clark. "LGBTQ-RELATED DISCRIMINATION REDUCES SLEEP QUALITY IN OLDER ADULTS: EVIDENCE FROM VUSNAPS AND UCNETS." Innovation in Aging 7, Supplement_1 (December 1, 2023): 58. http://dx.doi.org/10.1093/geroni/igad104.0184.
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Abstract Sleep is a critical protective factor for health outcomes with low-quality sleep linked to increased risk of diabetes, cardiovascular disease, and cognitive decline. Theoretical work proposes that minority stress may negatively affect sleep quality for LGBTQ and other minoritized populations. We examine differences in sleep quality across sexual orientation and gender identity and test the relationship between minority stress and sleep quality for LGBTQ adults. Data come from 1) UC Berkeley Social Networks Study (UCNets), a panel study of 50–70-year-olds with an oversample of older LGBTQ adults and 2) the Vanderbilt University Social Networks, Aging, and Policy Study (VUSNAPS), a panel study of older LGBTQ adults aged 50-76. LGBTQ identity includes participants who are transgender and/or gay, lesbian, bisexual, or something else. We estimate Poisson models predicting sleep quality as a function of LGBTQ identity and exposure to LGBTQ-related discrimination. Sleep quality is measured using three items available in both studies: 1) the number of nights per week trouble falling asleep, 2) number of nights per week trouble staying asleep, and 3) number of mornings per week waking well rested. Experiences of LGBTQ-related discrimination in the last year were measured using the Daily Heterosexist Experiences Questionnaire. We find that LGBTQ identity is significantly associated with poorer sleep quality compared to non-LGBTQ peers. Among LGBTQ adults, sleep quality declines as the number and intensity of recent experiences of LGBTQ-related discrimination increases. Poorer sleep quality may be an underlying mechanism exacerbating health disparities across sexual orientation and gender identity.
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Beringer, Robert, Brian de Vries, Gloria Gutman, Paneet Gill, and Helena Dault. "COVID-19 and the Intersection of Race, Ethnicity, and Sexual Minority Status." Innovation in Aging 5, Supplement_1 (December 1, 2021): 231. http://dx.doi.org/10.1093/geroni/igab046.891.
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Abstract The COVID-19 virus has caused millions of deaths and impaired physical and mental health and social disconnection for countless persons around the world; concomitantly, the pandemic has exposed and exacerbated the pervasive effects of racism and stigma experienced by Black, Indigenous, or People of Color (BIPOC) and other marginalized/stigmatized groups. This study adopts an intersectional perspective examining multiple marginalized identities (i.e., the combination of LGBTQ and BIPOC status) and COVID-19 pandemic health stressors. We report on data from an online survey (conducted between Aug 10 and Oct. 10, 2020) focusing on current experiences and future planning during the COVID-19 pandemic in Canada. LGBTQ respondents (n=415) indicated significantly higher levels of depression, loneliness, sadness, and isolation in comparison to heterosexuals (n=3916). Heterosexual white respondents (n=3446) reported significantly higher levels of acceptance in their community and reported greater happiness but also higher rates of feeling of isolation than heterosexual BIPOC heterosexuals (n=470) who reported significantly higher rates of feeling judged/shamed by others than the heterosexual white respondents. In contrast to our expectations, white LGBTQ respondents (n=366) reported significantly more depression, loneliness, anxiety, and sadness than their BIPOC LGBTQ peers (n=49). These findings are interpreted as reflecting a complex mix of the effects of marginalization (as experienced by LGBTQ persons in general), and privilege and relative deprivation (as experienced by heterosexual and LGBTQ white persons) along with resilience and the moderated expectations and experiences of BIPOC LGBTQ persons.
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Charest, Maxime, Peggy J. Kleinplatz, and Jessie I. Lund. "Sexual health information disparities between heterosexual and LGBTQ+ young adults: Implications for sexual health." Canadian Journal of Human Sexuality 25, no. 2 (August 2016): 74–85. http://dx.doi.org/10.3138/cjhs.252-a9.
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Thomas, Shawn A., Kristen D. Clements-Nolle, Karla D. Wagner, Stanley Omaye, Minggen Lu, and Wei Yang. "Protective Environmental Factors and Opioid Use Among Sexual Minority Youth." American Journal of Health Behavior 47, no. 3 (June 30, 2023): 618–27. http://dx.doi.org/10.5993/ajhb.47.3.19.
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Objectives: Nonmedical use of prescription opioids (NMUPO) is a pressing public health concern and affects sexual minority youth (SMY) at greater rates than heterosexual youth. We investigated whether protective environmental factors–(1) Human Rights Campaign's state equality index (SEI) and (2) supportive school environments for LGBTQ youth, influenced NMUPO among SMY and non-SMY students. Methods: We combined data from the 2017-2019 Youth Risk Behavior Survey, 2016-2018 School Health Profiles, state-level socio-demographic and SEI data across 24 states (N=156,149). Generalized linear mixed models examined associations between (1) SEI and (2) supportive school environments for LGBTQ youth, with NMUPO, accounting for clustering at the school-and state-level. Results: Before adjustment, we found that youth in states with higher SEI were significantly less likely to engage in NMUPO compared to students in states with lower SEI, a relationship that became non-significant after adjustment. After adjusting for individual-and state-level indicators, SMY in states with supportive school environments for LGBTQ youth were less likely to engage in NMUPO. Conclusions: Supportive school environments for LGBTQ youth may play an important role in the health of SMY. Establishing more inclusive policies and supportive environments within schools may reduce NMUPO among SMY.
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Berger, Matthew N., Melody Taba, Jennifer L. Marino, Megan S. C. Lim, Spring Chenoa Cooper, Larissa Lewis, Kath Albury, Kon Shing Kenneth Chung, Deborah Bateson, and S. Rachel Skinner. "Social media’s role in support networks among LGBTQ adolescents: a qualitative study." Sexual Health 18, no. 5 (2021): 421. http://dx.doi.org/10.1071/sh21110.
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Background Adolescents use social media more frequently than other age groups. Social media has been described as a safe environment for lesbian, gay, bisexual, transgender and queer and/or questioning (LGBTQ) adolescents. As part of mixed-methods research investigating the association between social networks and sexual agency, we present qualitative findings on how LGBTQ adolescents connect online to form support networks. Methods We recruited 30 adolescents aged 14–17years who identified as LGBTQ in terms of their gender or attraction in the longitudinal Social Networks and Agency Project. Semi-structured interviews were conducted online or face-to-face across Australia. Thematic analysis was used to explore perceptions and experiences of participants in relation to social media use and relationships. Results Two overarching themes were identified: LGBTQ adolescents use social media for identity, relationships and wellbeing support. Social media is not always free of discrimination for LGBTQ adolescents. Many LGBTQ participants joined Facebook groups to connect with LGBTQ peers. Facebook was considered a vital support for those with mental health concerns including suicidal ideation. Participants gave and received support from group members, which was considered useful for those feeling isolated or victimised. LGBTQ adolescents formed friendships, romantic relationships and gained information on sex, relationships, and sexual health from these groups. Participants described negative experiences including discrimination within Facebook groups, mismanaged groups and exposure to anti-LGBTQ sentiments. Conclusion Social media is an environment where LGBTQ adolescents can connect, educate and support each other, which may have beneficial effects for this marginalised group. There remain issues with social media including discrimination against and within LGBTQ communities.
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Mahinay, Sergio D., Krystelle Amor C. Catalon Jr., Hiezel Y. Calinawagan, Dhenver B. Servano, and Isshie Marie F. Dunque. "Journeying With Pride: A Quantitative Study on the Challenges Faced by LGBTQ College Students of Notre Dame of Midsayap College." International Journal of Research and Innovation in Social Science VIII, no. II (2024): 504–25. http://dx.doi.org/10.47772/ijriss.2024.802033.
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This research centers on exploring the challenges faced by LGBTQ college students, employing a causal-comparative research design. The study aims to describe these challenges and investigate potential significant differences based on factors such as sex, sexual identity, and sexual orientation. The primary objectives include identifying and understanding challenges encountered by LGBTQ college students, examining variations in challenges concerning sex, sexual identity, and sexual orientation, and providing insights into the experiences of this demographic. The research is guided by a causal-comparative framework, aiming to unveil causal relationships between variables and shed light on differences in challenges faced by LGBTQ students. Utilizing a causal-comparative approach, this study systematically examines and compares challenges experienced by LGBTQ college students, aiming to derive meaningful insights into their diverse experiences. The study focuses on 30 LGBTQ students enrolled at Notre Dame of Midsayap College during the second semester of the A.Y. 2022-2023. The site selection is deliberate, aiming to capture a specific demographic within a defined educational context. In the context of stigmatization and unique challenges faced by LGBTQ individuals, snowball sampling can be more appropriate, allowing for more organic and connected approach in reaching respondence. The sample size of 30 was deemed sufficient to provide meaningful insights into the challenges faced by this demographic. The collected data was analyzed to discern patterns and variations in challenges experienced by LGBTQ students, with a focus on sex, sexual identity, and sexual orientation as potential differentiators. Majority of respondents were 20 years old or younger, predominantly male, with females having a significant presence in terms of sexual identity. Challenges included mental health, prejudice, victimization, discrimination, harassment, and self-identity. Males experienced higher levels of challenges, and transgender individuals, as well as bisexuals, faced heightened difficulties based on sexual identity and orientation. The research concludes by summarizing key findings, emphasizing the distinctive challenges faced by LGBTQ college students, and highlighting areas for further investigation and support. This study contributes valuable insights into the nuanced challenges confronted by LGBTQ college students, offering a foundation for future research and advocating for targeted support initiatives within educational institutions.
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Espelage, Dorothy L., Gabriel J. Merrin, and Tyler Hatchel. "Peer Victimization and Dating Violence Among LGBTQ Youth." Youth Violence and Juvenile Justice 16, no. 2 (December 27, 2016): 156–73. http://dx.doi.org/10.1177/1541204016680408.
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This study examined the moderating role of school violence and peer victimization on the association between sexual orientation and mental health. The sample consisted of 11,794 high school students ( Mage = 16, SD = 1.23; female assigned at birth = 51%; 1.8% identified as transgender) across 23 schools. Participants completed a self-report survey that assessed sexual orientation, ethnicity, gender identity, victimization experiences (e.g., peer and dating), perceptions of school violence and crime, as well as anxiety and suicidality. Multilevel analyses indicated that lesbian, gay, bisexual, questioning, and transgender (LGBTQ) individuals with lower rates of victimization had significantly lower rates of suicidality compared to LGBTQ individuals with higher rates of victimization. LGBTQ individuals in schools with high student perceptions of school violence and crime had higher suicidality than their non-LGBTQ counterparts. LGBTQ youth in schools with lower school violence and crime levels had lower rates of suicidality than their non-LGBTQ counterparts. Interventions need to consider multiple forms of victimization and school environment as potential risk and protective factors for LGBTQ youth.
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Tan, Kyle K. H. "It’s Time to Consider LGBTQ-Affirmative Psychology in Malaysia." Journal of Psychosexual Health 4, no. 1 (December 1, 2021): 43–48. http://dx.doi.org/10.1177/26318318211060484.
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International studies have revealed stark mental health inequities affecting lesbian, gay, bisexual, transgender, and queer (LGBTQ) people. While there is increasing awareness of higher prevalence of mental health difficulties among LGBTQ people in Malaysia, this issue has often been viewed through a cisheterosexist (cisgenderism and heterosexism) lens that criminalizes, pathologizes, marginalizes, and/or delegitimizes noncisgender and nonheterosexual forms of identities. Informed by LGBTQ-affirmative psychology, this viewpoint aims to scrutinize the common misconceptions surrounding the living experiences of Malaysian LGBTQ people; these include poor mental health among LGBTQ people, victim-blaming narrative of sexual violence, LGBTQ is a mental illness, and LGBTQ is a Western influence. This viewpoint draws on empirical and theoretical research, as well as international guidelines, to debunk these misconceptions. Recommendations are also provided for psychology practitioners and researchers to embark on the journey to supporting Malaysian LGBTQ people in a culturally safe manner.
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Verrochi, Diane. "Building Resilience in Gender and Sexual Minority Youth." Creative Nursing 26, no. 2 (April 22, 2020): 109–13. http://dx.doi.org/10.1891/crnr-d-19-00047.
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LGBTQ youth are at particularly high risk for various health disparities, many of which are often explained using Meyer's Minority Stress Model (2003). Seminars using peer support strategies are helpful in supporting this age group. This article describes a workshop offered at a conference for LGBTQ youth to empower them to build resilience to the many stresses they will experience as they grow into tomorrow's leaders.
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Hernandez, Oscar, and Marianne Trevorrow. "Mental Health Care for Youth and Adolescents who Identify as LGTBQ." CAND Journal 26, no. 1 (April 16, 2019): 13–17. http://dx.doi.org/10.54434/candj.19.
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As a naturopathic doctor, you certainly have some patients who are lesbian, gay, bisexual, transgender, or questioning (LGBTQ). You may even have friends or colleagues that identify as part of this population. But what many clinicians fail to realize are the many struggles and hardships a young LGBTQ person faces, particularly within their families of origin, who may see their sexual orientation as “lifestyle choice”.
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Taneja, Alankrita, Sabrina Stark, Bhavin Chokshi, and Rashid Alhusain. "A knowledge, attitudes and practices survey for medical trainees about cancer in the LGBTQ community." Journal of Clinical Oncology 38, no. 15_suppl (May 20, 2020): e19073-e19073. http://dx.doi.org/10.1200/jco.2020.38.15_suppl.e19073.
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e19073 Background: The purpose of our study was to assess the extent of knowledge, attitudes and practices regarding cancer in the LGBTQ community among medical students and resident physicians at the Detroit Medical Centre/Wayne State University program. Methods: A 15 question validated survey was electronically provided to medical students and resident physicians. The survey included questions that assessed the knowledge, attitudes and practices regarding cancer in the LGBTQ community. Respondents selected a choice based on a 5 item rating scale that ranged from "strongly agree" to "strongly disagree." In addition, participant demographics including training level and gender/sexual identity were collected. Descriptive statistics (counts and percentages) were used to quantify survey responses. Results: A total of 110 responses were received. The respondents consisted of 77% medical students as well as 8.2% interns and 13.7% senior residents in the department of internal medicine. Five percent of the responders reported having rotations in Corktown Health Center, which is an LGBTQ clinic. Majority (82.7%) reported that they were heterosexual while the rest were homosexual, bisexual, pansexual or preferred not to say. In terms of knowledge, one third of the responders reported being well informed on the health needs of LGBTQ patients. While majority (82.1%) believed that LGBTQ patients avoid accessing healthcare, 7% of the respondents disagreed that transgender individuals are less likely to have health insurance. In terms of attitudes, majority (97%) agreed that the LGBTQ population has unique health risks. 82% of the responders believe that it is important to know the gender identity and the sexual orientation of the patients to provide the best care, however only 30% practiced actively inquiring about a patient’s sexual orientation when taking a history. One third of the responders assume that the patient is heterosexual upon first encounter. Ninety five percent of medical trainees agreed that formal education needs to be provided in medical school or as part of residency curriculum on LGBTQ health needs. Conclusions: Our survey shows that there is a gap in knowledge and practices of medical trainees about health needs of the LGBTQ population. Majority of the respondents believe that training about cancer in the LGBTQ population needs to be integrated into medical school or residency curriculum. Exclusion of LGBTQ- specific health needs from medical school and residency curricula contributes to cancer related health inequities faced by this population.
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Szymanski, Dawn M., Renee Mikorski, and Trevor L. Dunn. "Predictors of sexual minority men’s sexual objectification of other men." Journal of Social and Personal Relationships 36, no. 11-12 (February 26, 2019): 3631–50. http://dx.doi.org/10.1177/0265407519832669.
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Given the link between sexual objectification experiences and negative psychological and mental health outcomes for sexual minority men, it is important to explore which men are more likely to enact sexually objectifying behavior. We examined predictors of sexual minority men’s sexual objectification of other men (e.g., engaging in body evaluations, making unwanted sexual advances), including focusing on appearance, involvement in the lesbian, gay, bisexual, transgender and queer (LGBTQ) community, pornography use, and men’s gender role conflict among 450 gay and bisexual men. Our findings revealed that importance placed on appearance, involvement in the LGBTQ community, and pornography use and less restrictive affectionate behavior between men were uniquely related to sexually objectifying other men. In addition, older men were more likely than younger men to sexually objectify other men, and gay men were more likely than bisexual men to sexually objectify other men.
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Shenkman, Geva, Dorit Segal-Engelchin, and Orit Taubman–Ben-Ari. "What We Know and What Remains to Be Explored about LGBTQ Parent Families in Israel: A Sociocultural Perspective." International Journal of Environmental Research and Public Health 19, no. 7 (April 5, 2022): 4355. http://dx.doi.org/10.3390/ijerph19074355.
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This paper reviews research on gay and lesbian parent families in Israel through cultural lenses while recognizing the diversity of these families. The major aims of the review are: (1) to provide an overview of the situation of LGBTQ parent families in Israel, as well as of the sociocultural background of the Israeli context and its effects on sexual minorities and LGBTQ parent families; and (2) to identify the limitations and lacunas in the existing research and shed light on what remains to be explored. We searched numerous databases for relevant studies, adopting a narrative approach to summarize the main findings while taking into account the literature on the socio-cultural context in Israel and its impact on sexual minorities and LGBTQ parent families. The search yielded empirical results only for gay and lesbian parent families, with studies emphasizing the challenges they face and the factors related to their well-being and that of LGB individuals aspiring to become parents. In addition, it revealed that research on children’s psychosocial adjustment as a function of parental sexual orientation is quite scarce in Israel. Moreover, it indicated the absence of investigations of bisexual, transgender, or queer parents. We conclude that the sociocultural context of Israel, including its pronatalist and familistic orientation, may play an important role in shaping the experiences of LGBTQ parent families, and should be taken into consideration when studying LGBTQ parents.
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Scott, Susan M., and Anne Marie Walsh. "Adolescent Sexual Development: An Overview of Recent Research." Canadian Journal of Community Mental Health 33, no. 1 (July 1, 2014): 21–29. http://dx.doi.org/10.7870/cjcmh-2014-003.
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An overview of recent research describing adolescent sexual development is presented, including research examining puberty, sexual attitudes and behaviours, and LGBTQ youth and stigma. This overview is placed within the context of the healthy sexual development framework and the four domains of development (physical, social, cognitive, and emotional) incorporated in the Ontario Ministry of Children and Youth Services’ youth policy framework. Finally, recommendations are made for future community mental health research and policy.
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Grasso, Chris, Michal J. McDowell, Hilary Goldhammer, and Alex S. Keuroghlian. "Planning and implementing sexual orientation and gender identity data collection in electronic health records." Journal of the American Medical Informatics Association 26, no. 1 (November 16, 2018): 66–70. http://dx.doi.org/10.1093/jamia/ocy137.
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AbstractLesbian, gay, bisexual, transgender, and queer (LGBTQ) people experience significant health disparities across the life course and require health care that addresses their unique needs. Collecting information on the sexual orientation and gender identity (SO/GI) of patients and entering SO/GI data in electronic health records has been recommended by the Institute of Medicine, the Joint Commission, and the Health Resources and Services Administration as fundamental to improving access to and quality of care for LGBTQ people. Most healthcare organizations, however, have yet to implement a system to collect SO/GI data due to multiple barriers. This report addresses those concerns by presenting recommendations for planning and implementing high-quality SO/GI data collection in primary care and other health care practices based on current evidence and best practices developed by a federally qualified health center and leader in LGBTQ health care.
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Canady, Valerie A. "Training aims to help MH providers care for LGBTQ+ patients." Mental Health Weekly 34, no. 18 (May 3, 2024): 7–8. http://dx.doi.org/10.1002/mhw.34035.
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Mental health providers have an obligation to understand stigma and health disparities among lesbian, gay, bisexual, transgender, queer, and all sexual‐diverse and gender‐diverse (LGBTQ+) persons, deliver affirming care, and provide equitable services to their LGBTQ+ patients as a standard practice, said the authors of a new study published online in Psychiatric Services.
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Joshi*, Kunal. "The Impact of Social Stigma on the Mental Health of LGBTQ Community." INTERANTIONAL JOURNAL OF SCIENTIFIC RESEARCH IN ENGINEERING AND MANAGEMENT 08, no. 04 (April 13, 2024): 1–5. http://dx.doi.org/10.55041/ijsrem30574.
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LGBTQ+ community people experience and worries of sexual stigma that affects their mental health. This study investigates the relationship between social stigma and mental health outcomes among LGBTQ+ individuals in India. Utilizing data from a diverse sample of 400 participants, comprising males, females, and non-binary/genderqueer individuals, gathered through an online questionnaire, the research examines the impact of social stigma variables including Rejection, Inferiority, Support Loved Ones and Social Perception Isolation and Loneliness Emotional Resilience parameters such as Unhappiness, Nervousness, and Suicidal Thoughts. Statistical analyses, conducted using SPSS, reveal moderate to moderately strong correlations between experiences of social stigma and adverse mental health outcomes, highlighting the urgent essential for targeted interventions toward reduce stigma then enhance rational healthiness support within LGBTQ+ communities in India and beyond. These findings underscore the importance of fostering inclusive environments and tailored interventions to promote the well-being of LGBTQ+ individuals. Keywords: LGBTQ+, Social Stigma, Mental Health, Queer
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Thunyapipat, Chaloempong, Supinya In-iw, and Boonying Manaboriboon. "Influence of Online Dating Apps on Sexual Risk Behaviors among Homosexual and Bisexual Adolescents and Youths in Thailand: An Online Cross-sectional Survey." Siriraj Medical Journal 75, no. 9 (September 1, 2023): 612–21. http://dx.doi.org/10.33192/smj.v75i9.264171.
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Objective: The internet and social media enhance communication, education, and social connection among users; however, some adverse effects on health are notable, particularly sexual risk engagement and mood problems. Mobile dating applications (apps)/websites facilitate high sexual-risk access, particularly among lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals. Recognition of the characteristics of using these platforms and identifying factors related to high sexual risk among LGBTQ youths will facilitate both targeting of those at risk and subsequent intervention. Materials and Methods: Adolescents and youths were invited to voluntarily join this study, scan the QR code, and anonymously complete the questionnaires. These validated questionnaires were launched online via a popular platform among LGBTQs during 2017-2018. Multiple logistic regression was employed to identify factors independently associated with high sexual risk among study subjects. Results: Of 360 participants (mean age: 21±2.8 years, range: 11-25), 60.8% self-reported as homosexual, and the rest were bisexual. Median dating app/website usage was 2 (range 1-10). Two-thirds (62.8%) met partners from those e-platforms, and most (79.6%) developed a sexual relationship. Over half (52.2%) did not use a condom, and one-third (30.6%) abused substances during sex. Poor condom compliance, multiple partners, and substance use were strongly associated with individuals who used >2 apps for longer than 3 years. Depression susceptibility was 32.2%, and was related to condom-use failure (p=0.01). Conclusion: Among LGBTQs, the greater the number and longer time exposed to dating apps/websites, the higher the number of sexual risk behaviors. Moreover, unsafe sex increased among individuals at risk for depression.
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Dutton, Suzanne. "Assessing Knowledge, Attitudes, and Beliefs of Nurses About LGBTQ Older Adults Using a Documentary Video." Innovation in Aging 5, Supplement_1 (December 1, 2021): 193–94. http://dx.doi.org/10.1093/geroni/igab046.740.
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Abstract Statistics reveal that lesbian, gay, bisexual, transgender, and queer (LGBTQ) older adults experience health disparities and barriers to accessing healthcare because of discrimination and fear of disclosing sexual orientation. Nurses receive limited education regarding care for LGBTQ older adults. This study exposed nurses to the documentary, Gen Silent, which details LGBTQ older adult experiences. The objective of the study was to increase participants’ understanding of LGBTQ health disparities. A one-group pre-/post-test design was conducted to test the effect of the documentary on knowledge and attitudes about LGBTQ health. A total of 379 nurses participated in the study. A questionnaire including a 16-item standardized scale and an open-ended question asking how participants would change their practice was administered before and after the intervention. Findings revealed statistically significant increases in LGBTQ knowledge and inclusive attitudes. This research supports the use of a documentary as an educational method related to LGBTQ older adults.
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Wood, Jessica, Christopher Quinn-Nilas, Alexander McKay, and Jocelyn Wentland. "Perceived impact of COVID-19 on sexual health and access to sexual health services among university students in Canada." Canadian Journal of Human Sexuality 31, no. 1 (April 1, 2022): 79–90. http://dx.doi.org/10.3138/cjhs.2021-0038.
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We examined the perceived impact of the COVID-19 pandemic on sexual health, sexual behaviour, well-being, and access to sexual health services among university students in Canada. Between December 2020 and January 2021, 1504 university students across Canada completed an online survey focused on overall sexual health, well-being, solitary sexual behaviours, partnered sexual interactions, and access to sexual health services. The survey was designed by the Sex Information & Education Council of Canada and administered by the Leger polling company. Reported levels of overall sexual health were high. Cisgender women reported significantly greater scores of COVID-19—related stress compared to cisgender men; LGBQ+ students had higher levels of stress compared to heterosexual participants. Overall, solitary sexual behaviours (i.e., masturbation, porn use, vibrator use) remained unchanged or were perceived to increase compared to the time before the pandemic. Cisgender men reported higher scores (i.e., greater perceived increases) on masturbation and porn use than cisgender women. Frequency of sex with casual partners was perceived as similar or lower than what was usual before the pandemic, and most participants did not engage in sex where the close personal contact put them or their partner at risk for COVID-19. Declines in access were reported for all sexual health care services surveyed, with cisgender women and students of colour more likely to report decreased access to services. Results highlight the need for targeted public health messaging regarding sexual behaviour, investment in sexual health services, and supports tailored to the needs of women, LGBTQ+ individuals, and people of colour.
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Kim, Hyun-Jun, Austin Oswald, Hailey Jung, and Karen Fredriksen-Goldsen. "COGNITIVE IMPAIRMENT AMONG OLDER ADULTS WITH INTERSECTING SEXUAL, GENDER, RACIAL, AND ETHNIC MINORITY IDENTITIES." Innovation in Aging 7, Supplement_1 (December 1, 2023): 214. http://dx.doi.org/10.1093/geroni/igad104.0707.
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Abstract Emerging research shows Lesbian, gay, bisexual, transgender, and queer (LGBTQ) older adults experience higher prevalence of cognitive impairment when compared to their heterosexual and cisgender peers of a similar age. The same is true for racial and ethnic minority older adults when compared to their White counterparts. Little is known about the cognitive health of older adults with intersecting sexual, gender, racial, and ethnic minority identities, highlighting a critical gap in gerontological research that requires further investigation. This study utilizes four time-point data from the first longitudinal study of a racially and ethnically diverse sample of LGBTQ older adults. Multilevel mixed models accounting for intersecting sexual, gender, racial, and ethnic identities were applied to examine subgroup differences in cognitive impairment as well as risk and protective factors after controlling for confounding factors. Black and Hispanic LGBTQ minority older adults (b=5.20, p<.01; b=4.05, p<.01) experience higher levels of cognitive impairment over time when compared to their White LGBTQ peers. Day-to-day discrimination targeting the confluence of sexual/gender and racial/ethnic minority status (b=2.78, p<.05) was positively associated with higher cognitive impairment. Community engagement (b=-.46, p<.05) was negatively associated with cognitive impairment regardless of race and ethnicity whereas network size was exclusively negatively associated with cognitive impairment for Black LGBTQ older adults. The overall findings demonstrate racial and ethnic differences in cognitive impairment among LGBTQ older adults and illuminate the importance of culturally tailored interventions that account for intersectionality, social connectivity, and discrimination to promote cognitive health for specific subgroups.
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Kim, Hyun-Jun, and Karen Fredriksen-Goldsen. "EMPOWERING LGBTQ OLDER ADULTS: PROMOTING HEALTH EQUITY AND WELL-BEING ACROSS THE LIFE COURSE." Innovation in Aging 7, Supplement_1 (December 1, 2023): 213. http://dx.doi.org/10.1093/geroni/igad104.0704.
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Abstract The population is becoming more diverse in terms of sexual orientation and gender identity across all age groups. Lesbian, gay, bisexual, transgender, and queer (LGBTQ) older adults are found to experience health disadvantages over time. However, there is a lack of research on health-related mechanisms, so it is important to understand the unique needs and resources in these underserved communities. This symposium fills this research gap by examining the factors that affect LGBTQ health trajectories and subgroup differences using a life course developmental framework, the Health Equity Promotion Model (HEPM). The HEPM model highlights historical, social, environmental, and cultural influence on health and well-being and varying adaptations of LGBTQ older adults. The symposium draws on data from the first national and longitudinal study, Aging with Pride: National Health, Aging and Sexuality/Gender study, which has been following 2,450 LGBTQ midlife and older adults since 2014. Dr. Nelson will discuss sexual and gender identities and their associations with physical and psychological health-related quality of life. By investigating the interplay between marginalization, health behaviors, and health care access over time, Dr. Fredriksen-Goldsen assesses quality of life over time by gender and generational differences. Dr. Kim will discuss the role of social connectivity and intersectionality in predicting cognitive impairment over time among racially and ethnically diverse LGBTQ older adults. Using a health equity lens, this symposium will shed new light on the ways in which historical and environmental contexts influence human development and how marginalization and resilience shape lives over time. This is a Rainbow Research Group Interest Group Sponsored Symposium.
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Charmaraman, Linda, Alice Zhang, Kaitlyn Wang, and Becky Chen. "Sexual Minorities and Loneliness: Exploring Sexuality through Social Media and Gender–Sexuality Alliance (GSA) Supports." International Journal of Environmental Research and Public Health 21, no. 3 (March 4, 2024): 300. http://dx.doi.org/10.3390/ijerph21030300.
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We examined online and offline social supports for sexual minority adolescents, underscoring the understudied developmental period of early adolescence and the mental outcome of loneliness. Stemming from a larger study in the northeast U.S., 967 youth participants were 26% sexual minority, 53% female, 45% male, and 2% other/nonbinary (mean age = 13.1, SD = 1.52). LGBTQ+ youth reported significantly higher levels of loneliness compared to their heterosexual counterparts. To understand potential sources of social support while exploring their sexual identities, we compared the experiences of LGBTQ+ youth at both ends of the loneliness spectrum. Gaining knowledge about their sexual orientation from LGBTQ+ organization websites, participating in gender–sexuality alliances, and using TikTok or Instagram were associated with lower levels of loneliness. Providing social support to online friends was associated with lower loneliness; however, receiving online support was not associated with lower loneliness. Furthermore, proactive social media engagement such as posting uplifting content, joining online communities, or raising awareness about social issues were associated with lower levels of loneliness. The results provide guidance on specific youth behaviors and online communities beyond a focus on screen time while highlighting the continued need for social support to ameliorate loneliness, such as gender–sexuality alliance networks.
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Barber, Alice Tamar, Alexander James Flach, and Emily M. Pattinson. "A contemporary review of LGBTQ+ healthcare teaching in the UK medical curriculum." British Student Doctor Journal 6, no. 1 (December 1, 2022): 23–34. http://dx.doi.org/10.18573/bsdj.317.
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Background: Changing societal views and the increasing prevalence of online education has created an environment ideal for the evolution and change of the medical curriculum. One area in need of improvement is LGBTQ+ health care teaching. Current literature demonstrates that LGBTQ+ individuals have higher levels of poor mental and physical health than heterosexual, cis-gender individuals (6). Therefore, it is key that the medical curriculum is made more inclusive of the LGBTQ+ population to ensure future doctors can provide inclusive care. This review aimed to examine the current literature on LGBTQ+ health care teaching in UK medical curricula, identify potential barriers to change, and explore efforts to improve the LGBTQ+ health care teaching in the UK. Methods: Literature searches were carried out using the PRISMA framework. The databases used were PubMed, Ovid, Embase, AMED, Global Health and Scopus. The searches were carried out in July 2021. Results: 15 relevant papers were reviewed. Three main themes were identified, 1) medical students (or medical schools) believed current education on LGBTQ+ health care was insufficient, 2) students reported wanting more in-depth practical education on LGBTQ+ health, 3) the potential impact of a lack of LGBTQ+ health care education on clinicians’ confidence and ability to treat LGBTQ+ patients. Discussion: LGBTQ+ health care is lacking in the UK medical curriculum which has the potential to negatively impact patients. The teaching that is present is firstly inconsistent which leads to disparities and unreliability for LGBTQ+ patients. It is also heavily focused on sexual health which can lead to damaging stereotypes. Despite there being barriers to improving LGBTQ+ health care education, we present practical suggestions to overcome these. Further research should explore in greater depth the level of knowledge of medical students on LGBTQ+ health care, and their perceptions of curriculum improvements, in order to establish a basis for future curriculum change.
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Bashir, Saima, William Whittaker, and Catherine Meads. "What Are the Economic Arguments for Mandating LGBT+ Health Training for Healthcare Providers? An Economic Evaluation of the Impacts of LGBT+ Health Training on Cervical Screening." Behavioral Sciences 14, no. 3 (March 21, 2024): 260. http://dx.doi.org/10.3390/bs14030260.
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Equitable access to healthcare is a priority of many healthcare systems, aiming to ensure access is driven by need and not minority groups such as those defined by sexual orientation. However, there are healthcare areas where inequity in access across sexual orientation groups is found that are not justified based on need. Mandated LGBTQ+-specific training of the healthcare workforce may help address some barriers of access for these groups. The study aims to understand the potential economic implications for mandated LGBTQ+-specific healthcare training on the healthcare system in England, UK to inform commissioning of training provision. Methods: Cervical cancer screening was used as an exemplar case where there appears to be inequity in access for different sexual orientation groups. A decision model was developed and analysed that considered the impacts of greater uptake of screening for lesbian and bisexual women due to LGBTQ+ training. Costs took the perspective of the healthcare system and outcomes modelled were cancer cases averted in a timeframe of 5 years. Results: Based on cervical cancer screening alone, where training costs are fully attributed to this service, training would likely result in fewer cancer cases detected in the lesbian and bisexual populations, though this comes at a modest increase in healthcare sector costs, with this increase largely reflecting a greater volume of screens. Training costs do not appear to be a major component of the cost implications. Conclusions: In resource-constrained systems with increasing pressures for efficiency savings, the opportunity cost of delivering training is a realistic component of the commissioning decision. The findings in this paper provide a signal that mandated LGBTQ+ training in healthcare could lead to potentially greater outcomes and in breaking down barriers of access and could also enable the healthcare system to provide more equitable access to healthcare.
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Iacono, Gio, Shelley L. Craig, and Rachael Pascoe. "Critical reflections and reflexivity on responding to the needs of LGBTQ+ youth in a global pandemic." Qualitative Social Work 20, no. 1-2 (March 2021): 479–86. http://dx.doi.org/10.1177/1473325020981080.
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The global community has been significantly impacted by the COVID-19 global pandemic. LGBTQ+ (i.e., lesbian, gay, bisexual, transgender, queer, etc.) youth may face increased stressors amidst the pandemic given their significant mental and sexual health disparities, pervasive rejection — including quarantining in homes with heightened risk of abuse and victimization, and a lack of access to essential resources. Responsive supports are needed at this time for vulnerable LGBTQ+ youth, particularly tailored mental health supports. This critical reflexive paper will highlight, as qualitative social work researchers and practitioners, the swift response to the needs of vulnerable LGBTQ+ youth across Canada during this pandemic. We provide a transparent account of how we have utilized critical reflexivity, cultivated through qualitative research, to support LGBTQ+ youth. This article will elucidate the importance of critical reflexivity in effectively transitioning essential offline mental health services for LGBTQ+ youth to a technology-mediated mental health affirmative intervention. The aim of this paper is to provide qualitative researchers and practitioners practical direction through important insights gleaned by supporting marginalized LGBTQ+ youth during particularly trying times such as a global pandemic.
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Sweeny, Brian. "COMING OUT AND GOING BACK IN: AGING AND STRATEGIC IDENTITY DISCLOSURE AMONG LGBTQ ADULTS." Innovation in Aging 6, Supplement_1 (November 1, 2022): 334–35. http://dx.doi.org/10.1093/geroni/igac059.1320.
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Abstract In addition to facing social, economic, and health disparities, LGBTQ older adults face prejudice and discrimination across various social domains, leading some to re-enter the closet. When might older adults openly identify as LGBTQ, and when might they conceal this identity? Based on participant observation and interview data collected in two naturally occurring retirement communities in New York City, this paper examines LGBTQ identity and coming out in relation to aging processes, especially changing care networks and family structures, decreasing autonomy, and increasing engagement with health and social services. The older LGBTQ adults in the study feel the benefits of broad social changes and increasing cultural competencies regarding LGBTQ issues, yet they also speak of unsafe spaces, experiences of exclusion, and uncertainties. I analyze three specific identity disclosure strategies older LGBTQ adults use as they navigate prejudice and discrimination and work to affirm identities as aging gender and sexual minorities.
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Kuperman, Pora, and Sharon Sznitman. "Heteronormativity and the Israeli healthcare experience: A qualitative study of LGBTQ individuals." Psychology of Sexualities Review 7, no. 2 (2016): 26–38. http://dx.doi.org/10.53841/bpssex.2016.7.2.26.
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General health disparities have been found in the lesbian, gay, bisexual, transgender and queer (LGBTQ) community which extend beyond conditions directly associated with sexual health. It is posited that stigma can create a continuous strain that negatively impacts health. This study set out to examine both the routine practices within healthcare which may contribute to experienced stigma within the LGBTQ population and whether and how religion affects the presence of stigma for LGBTQ individuals in meetings with the healthcare system. As such, 16 individuals who self-identify as LGBTQ were recruited via word-of-mouth and snowball sampling and then asked open-ended questions regarding their experiences of stigma and the Israeli healthcare system. Analysis revealed three main themes related to stigma and healthcare experiences: heteronormativity in healthcare settings, Hebrew as a gendered language, and religion as exacerbating heteronormative assumptions. The conclusion includes recommendations for interventions aimed at the reduction of social stigma for LGBTQ individuals as a way of reducing health disparities.
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Kuperman, Pora, and Sharon Sznitman. "Heteronormativity and the Israeli healthcare experience: A qualitative study of LGBTQ individuals." Lesbian & Gay Psychology Review 7, no. 2 (July 2006): 26–38. http://dx.doi.org/10.53841/bpslg.2016.7.2.26.
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General health disparities have been found in the lesbian, gay, bisexual, transgender and queer (LGBTQ) community which extend beyond conditions directly associated with sexual health. It is posited that stigma can create a continuous strain that negatively impacts health. This study set out to examine both the routine practices within healthcare which may contribute to experienced stigma within the LGBTQ population and whether and how religion affects the presence of stigma for LGBTQ individuals in meetings with the healthcare system. As such, 16 individuals who self-identify as LGBTQ were recruited via word-of-mouth and snowball sampling and then asked open-ended questions regarding their experiences of stigma and the Israeli healthcare system. Analysis revealed three main themes related to stigma and healthcare experiences: heteronormativity in healthcare settings, Hebrew as a gendered language, and religion as exacerbating heteronormative assumptions. The conclusion includes recommendations for interventions aimed at the reduction of social stigma for LGBTQ individuals as a way of reducing health disparities.
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Dixit, Gaurav Prakash, Mohit Shukla, and Jitendra Kumar Verma. "A Quick Overview of LGBTQIA+ in India." Journal for Peace and Justice Studies 31, no. 2 (2022): 126–35. http://dx.doi.org/10.5840/peacejustice202231219.
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LGBT describes those who are drawn to other LGBT individuals. These individuals identify as lesbian, gay, bisexual, and transgender. In India, homosexuality is nothing new. India is regarded as a nation that embraces and accepts all cultures and customs. However, Indian society is still conservative when it comes to tolerating homosexuality in the general population, and despite the fact that the LGBT community is widely accepted around the world, we still do not wish to embrace LGBT individuals in our ostensibly modern society. In India, sexual minorities are frequently the targets of hate crimes. They are taken advantage of verbally, physically, and sexually since they are easy prey. In order to better understand the LGBTQ community and treat them with respect and dignity rather than labelling them, this study presents a brief summary of the LGBTQ community as well as other glossaries and words of the same group. This review demonstrates social problems like stigma and discrimination, which are still widespread in our Indian society even after the passage of Act 377. It also demonstrates how stigma and discrimination cause mental health problems in people, which in turn lead to suicide because of the severity of their mental health issues.
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Adhia, Avanti, Dylan Pugh, Ruby Lucas, Megan Rogers, Jessi Kelley, and Betty Bekemeier. "Improving School Environments for Preventing Sexual Violence Among LGBTQ+ Youth." Journal of School Health, October 19, 2023. http://dx.doi.org/10.1111/josh.13406.
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ABSTRACTBACKGROUNDSexual violence (SV) is a serious public health concern, and lesbian, gay, bisexual, transgender, queer and questioning (LGBTQ+) youth report higher rates than their heterosexual and cisgender peers. This qualitative study aimed to understand LGBTQ+ students' perspectives on how middle and high school environments can better prevent and address SV.METHODSIn partnership with a school‐based LGBTQ+ support group in Washington State, we recruited 31 LGTBQ+ students ages 13‐18 for virtual interviews (n = 24) and for providing text‐based answers to interview questions (n = 7). We used inductive thematic analysis to analyze data and identify themes.RESULTSTo prevent and respond to SV, students highlighted schools having: (1) access to gender‐neutral spaces; (2) LGBTQ+ competency training for staff; (3) enforcement of school policies (eg, SV, anti‐bullying) and accountability; (4) LGBTQ+‐competent mental health support; and (5) comprehensive sexual health education that addresses LGBTQ+ relationships and SV.IMPLICATIONS FOR SCHOOL HEALTH POLICY, PRACTICE, AND EQUITYStudents expressed the need for changes in school physical and social environments to address SV among LGBTQ+ youth.CONCLUSIONSIncorporating youth perspectives, particularly LGBTQ+ youth at high risk of SV, can help schools implement strategies that are supported by youth and thus potentially more sustainable and effective.
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Arias, Alicia, Mary Jo Gubitoso, null null, null null, null null, and null null. "Improving Health Outcomes for Sexual Minorities Through Access." John Heinrichs Scholarly & Creative Activities Day, 2020. http://dx.doi.org/10.58809/btel8801.
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Lesbian, gay, bisexual, transgender and questioning (LGBTQ) individuals face obstacles in accessing healthcare services due to previous experiences both within and outside of healthcare (Hafeez, Zeshan, Tahir, Jahan, & Naveed, 2017; Macapagal, Bhatia, & Green, 2016). Healthy People 2020 (2018) identified LGBTQ people as a vulnerable population susceptible to poor health outcomes. Support of the LGBTQ community is imperative. Low healthcare literacy can be one contributing factor to unwillingness to access services (Alencar-Albuquerque et al., 2016). The purpose of this project was to translate research into action, and address lack of support of LGBTQ individuals in regards to healthcare access. Support topics were identified via a health equity survey and were discussed during campus Gender and Sexuality Alliance meetings to improve support resources for LGBTQ students on a Midwestern University campus. Ultimately, the goal is that by removing barriers to care for members of the LGBTQ community, health outcomes will be improved. Keywords: LGBTQ, healthcare, access to care, health disparities
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Kirchner, Stefanie, Benedikt Till, Martin Plöderl, and Thomas Niederkrotenthaler. "Perceptions of LGBQ+ youth and experts of suicide prevention video messages targeting LGBQ+ youth: qualitative study." BMC Public Health 20, no. 1 (December 2020). http://dx.doi.org/10.1186/s12889-020-09853-5.
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Abstract Background Young lesbian, gay, bisexual, transgender, queer as well as other sexual/gender minorities (LGBTQ+) persons have higher rates of suicidal ideation and behavior compared to their non-LGBTQ+ peers, particularly during their coming out. The “It Gets Better” project is a multi-national media campaign that aims to reduce suicide among LGBTQ+ adolescents by providing personal narratives of hope delivered by mainly adult LGBTQ+ persons. There is only little knowledge so far on how young LGBTQ+ people as well as experts in suicide prevention and counseling perceive these videos, and how to potentially improve the videos based on their perceptions. Methods A total of n = 19 LGBQ+ adolescents and young adults and n = 9 experts participated in focus groups to discuss perceptions of a selection of “It Gets Better” videos. Eight focus groups were conducted to assess perceptions on the process of watching the videos, possible effects on young LGBQ+ viewers in general, and suicidal LGBQ+ youth in particular, as well as factors that were relevant to their perceptions. Results Messages were found to be helpful in terms of promoting hope. LGBQ+ youth identified several key strategies to increase identification with messages, which they considered crucial for their effectiveness. Criticism emerged from a perceived lack of diversity in terms of portrayed sexual identities, and some shallowness in the portrayal of suicidal ideation and how things can get better. The experts’ perceptions of the videos were largely consistent with LGBQ+ youth, highlighting a positive potential of videos to support coming out and identity building processes. Conclusions Young people and experts view the videos as helpful and relevant, but identified several strategies to better tailor them to the needs of LGBTQ+ adolescents, including suicidal peers. The insights gained are useful to the increasing number of suicide prevention projects using personal narratives of coping delivered via media to help prevent suicide.
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Tavolacci, M., A. Karmaly, and J. Ladner. "Gender based violence among LGBTQ+ health students." European Journal of Public Health 33, Supplement_2 (October 1, 2023). http://dx.doi.org/10.1093/eurpub/ckad160.1612.
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Abstract Background Although there has been increased attention to campus gender based violence,(GBV) much of that attention should be focused on victimization of LGBTQ+. The aim was to evaluate the risk of LGBTQ+ ob being exposed to GBV. Methods An anonymous online survey among health students was performed in a French university. Self-questionnaire included socio-economic characteristics: age, gender and LGBTQ+ status (e.g., lesbian, gay, bisexual, transgender, nonbinary, queer and other). The CES-D 8 score was used to measure depression levels. Five GBV were collected 1-Damage to the image with a sexual connotation on social networks; 2-Sexist remarks and behavior; 3-Comments with sexual connotations; 4-Sexual assaults; 5-Rape or attempted rape Results Overall 1152 students filled the questionnaire The mean age was 20.8 years (SD = 2.26), 82.6% of students were women (non binary 0.4%) and 14.7% were LGBTQ + (16.4% in men et 14.0% in women). Since the beginning of their study, respectively the non-LGBTQ+ and LGBTQ+ students were exposed to GBV1: 3.1% and 7.6 % (p = 0.005), GBV2 35.8% and 45.9% (p = 0.01); GBV3 37.0% and 32.9% (p = 0.10); GBV4 6.0% and 13.5% (p < 0.001) and GBV5 1.2% and 5.3% (p < 0.001). The CEDS-8 score was 15.3 for non-LGBTQ+ students and 17.1 for LGBTQ + (p < 0.001). After logistic regression, LGBTQ+ health students have a higher risk of being exposed to GBV than non LGBTQ+ students AOR=2.01 CI95% [1.41-2.87]. Conclusions LGBTQ+ health students have twice as likely to be exposed to GBV than non LGBTQ+ students. Four on the five GBV are more frequent among LGBTQ+ students. These negative outcomes may be exacerbated by minority stress due to discrimination and oppression in institutions and communities. Policy changes could help more affirming environments for LGBTQ+ students to reduce the disproportionate prevalence and impact of GBV on them. It could be include LGBTQ+ student examples in campus sexual misconduct policies. Key messages • LGBTQ+ health students have twice as likely to be exposed to GBV than non LGBTQ+ students. • Sexist remarks and behavior is the more frequent GBV among health students.
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Grady, Alexandra, and Tuuli M. Kukkonen. "Older LGBTQ Adults and Sexual Health." Current Sexual Health Reports, July 14, 2023. http://dx.doi.org/10.1007/s11930-023-00370-1.
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