LGBT health最新文献

{"title":"Revisiting Marriage and Physical and Mental Health Among Partnered Gay and Lesbian Adults: An Analysis of Behavioral Risk Factor Surveillance System Data, 2014-2023.","authors":"Haoming Song","doi":"10.1177/23258292251385566","DOIUrl":"https://doi.org/10.1177/23258292251385566","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> The purpose of this study was to reexamine the association between marriage and health among partnered gay and lesbian adults, comparing married individuals with those in unmarried couples. <b><i>Methods:</i></b> Using a decade of large-scale, representative data from the Behavioral Risk Factor Surveillance System 2014-2023, we analyzed partnered, cisgender gay and lesbian adults aged 18-65 (<i>N</i> = 10,973). Negative binomial regression models estimated the number of poor mental and physical health days, whereas logistic regression models predicted the probability of frequent mental and physical distress. Analyses adjusted for sociodemographic factors and explored the role of socioeconomic factors. To enhance comparability between married and partnered, unmarried individuals, a propensity score-based inverse probability weighting approach was adopted. <b><i>Results:</i></b> Married gay and lesbian individuals exhibited mental and physical health comparable to their partnered, unmarried counterparts. However, an exception was that married gay men experienced a mental health advantage, even after adjusting for socioeconomic resources. <b><i>Conclusion:</i></b> The mental health advantage among married gay men highlights the importance of symbolic resources such as social recognition. Overall, however, the findings did not support the marital advantage theory among partnered lesbian and gay individuals, potentially due to the weaker institutionalization of same-sex marriage and elevated couple-level minority stress. Future research should further investigate sexual minority health within family contexts, incorporating diverse gender and sexual identities.</p>","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145251650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges Faced by Sexual Minority and Heterosexual People Seeking Abortion Care.","authors":"Marta Bornstein, Abigail Norris Turner, Katherine Rivlin, Sarah Bostic, Tamika Odum, Danielle Bessett","doi":"10.1089/lgbt.2024.0304","DOIUrl":"10.1089/lgbt.2024.0304","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> This study assessed and compared the number and types of challenges and expense delays experienced by sexual minority and heterosexual individuals seeking abortion care. <b><i>Methods:</i></b> We analyzed cross-sectional survey data from 1953 individuals who sought an abortion at 25 clinics in five US states from April 2020 to February 2023. The survey asked about 12 challenges (e.g., transportation, emotional burden, cost) and 4 expense delays (e.g., rent, food) associated with obtaining an abortion. We examined types and number of challenges and expense delays by sexual identity. We conducted negative binomial regression (number of challenges) and logistic regression (any expense delay) to quantify differences. <b><i>Results:</i></b> Most participants in the analytic sample (<i>N</i> = 1833) experienced at least one challenge to obtaining an abortion (90%), with sexual minority participants (<i>n =</i> 349) experiencing a greater median number of challenges than heterosexual participants (<i>n =</i> 1484) (4 [interquartile range = 2-6] vs. 3 [1-4]; <i>p</i> < 0.001). Sexual minority participants were also more likely to delay an expense (40% vs. 28%; <i>p</i> < 0.001). Adjusting for other factors, sexual minority participants experienced significantly increased challenges (adjusted incident risk ratio = 1.2; 95% confidence interval [CI] = 1.1-1.3) and had greater odds of delaying an expense (adjusted odds ratio = 1.6; 95% CI = 1.2-2.1). <b><i>Conclusions:</i></b> Sexual minority individuals face more challenges and are more likely to delay expenses to obtain an abortion. Thus, sexual minority individuals may need additional support specific to the challenges they face, including financial assistance, transportation, and psychosocial support. Addressing inequalities that disproportionately impact sexual minority individuals within society and reproductive health care will help ensure that abortion is more accessible.</p>","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":"520-531"},"PeriodicalIF":3.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144258386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"No Man's Land\": A Qualitative Exploration of Perceptions of Structural Stigma Among Bisexual Men Compared with Gay Men.","authors":"Jessie V Ford, Aarushi H Shah, Brian Dodge","doi":"10.1177/23258292251361314","DOIUrl":"10.1177/23258292251361314","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> Recent research suggests that the benefits of minimized structural stigma experienced by gay men are not matched in bisexual men. The purpose of this study was to explore how bisexual men perceive structural stigma compared with gay men in hopes of understanding why improvements in structural stigma among sexual minority individuals may not equally benefit bisexual people. <b><i>Methods:</i></b> In 2020-2021, we conducted in-depth interviews with 19 bisexual men and 40 gay men recruited from a larger longitudinal cohort study of 502 men. Interviews were conducted by phone or Zoom (camera off). The interview guides for gay and bisexual men were nearly identical, except that bisexual men were asked specifically about structural stigma related to bisexuality. All interviews were recorded digitally, transcribed verbatim, and analyzed using grounded theory as an analytic strategy. <b><i>Results:</i></b> Emergent findings show that three interrelated forces complicate the relationship between structural stigma and outcomes for bisexual men: assumed heterosexuality, invisibility and erasure of bisexuality, and the blurring of interpersonal and structural stigma. In particular, bisexual men had trouble identifying structural stigma, reflecting the difficulty of fully pinning down this type of stigma. <b><i>Conclusion:</i></b> To understand the disparate effects of structural stigma for bisexual and gay men, we encourage scholars to take these dynamics into account. We suggest new concrete ways to measure structural stigma against bisexual people and better incorporate perspectives from bisexual men into future structural stigma research and interventions.</p>","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":"543-550"},"PeriodicalIF":3.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144731976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of Self-Reported Sexual Orientation Fluidity with Health and Behavior of Adults: Analysis of the Research Program on Genes, Environment, and Health Cohort.","authors":"Adovich S Rivera, Chun R Chao, Rulin C Hechter","doi":"10.1177/23258292251364913","DOIUrl":"10.1177/23258292251364913","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> Health disparities by sexual orientation fluidity are relatively unexplored in middle or late adulthood. We assessed differences in self-reported health and health behaviors according to fluidity status. <b><i>Methods:</i></b> We analyzed baseline (2002-2010) and follow-up (2015-2023) survey data of Research Program on Genes, Environment, and Health participants. We classified people based on responses to sexual orientation questions: consistently heterosexual, consistently sexual minority, and fluid (changed reported orientation). We then compared health behavior (smoking, binge drinking, and physical activity) and self-rated health (Patient-Reported Outcomes Measurement Information System and EuroQol EQ-5D-3L) across groups using linear or logistic regression with or without weights for attrition using complete case data and after multiple imputation. <b><i>Results:</i></b> Of the 32,058 adults (mean age: 56 years, male: 39.6%), 378 (1.2%) were fluid. Compared with consistently heterosexual adults, fluid individuals had significantly worse self-rated health scores after adjustment for demographics and attrition, although most differences were not clinically meaningful. No differences in health behavior were noted in adjusted analyses. <b><i>Conclusion:</i></b> Sexual orientation fluidity occurs in older adults, and this group may have worse health than their heterosexual counterparts.</p>","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":"511-519"},"PeriodicalIF":3.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144959572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sexual Orientation and Gender Identity Measures for Cancer Research: Feedback from Older Americans.","authors":"Mandi L Pratt-Chapman, Bethany Tennant, Casey Langer Tesfaye, Christopher W Wheldon, Nfn Scout, Carl G Streed, Kristi Tredway, Sarah S Jackson","doi":"10.1177/23258292251362128","DOIUrl":"10.1177/23258292251362128","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> To improve upon measures of sexual orientation and gender identity (SOGI) used in previous studies, we created and tested seven measures for inclusion in cancer research and refined them based on input from study participants. <b><i>Methods:</i></b> Between February and March 2024, cognitive interviews were conducted virtually with a purposive sample of 18 adults ≥50 years old. Equal numbers of participants identified as LGBTQ+ (<i>n</i> = 9) and cisgender heterosexual (<i>n</i> = 9). We chose older adults because-for the most part-participants in past studies on SOGI data acceptability have been younger than those typically recruited in cancer-related studies. Participants were selected for maximum diversity in age, race/ethnicity, U.S. geographic region, and political ideology. Descriptive themes and patterns for each measure were organized, evaluated, synthesized, and summarized. <b><i>Results:</i></b> Most participants found six of seven tested measures easy to answer. Respondents were satisfied with being able to choose more than one response option for each item. Some terms, (e.g., response options \"cisgender\" and \"non-binary\" for gender identity measure) were new to some respondents. Revisions to measures were made based on respondent feedback. The breast/chest tissue item confused most respondents, so it was withdrawn. <b><i>Conclusions:</i></b> This study found that most tested SOGI measures were easy to understand, and the response options were appropriate. Refined measures can serve as a resource for investigators and clinicians to employ who wish to improve SOGI data collection.</p>","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":"532-542"},"PeriodicalIF":3.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144731977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Estradiol Concentrations for Adequate Gender-Affirming Feminizing Therapy: A Systematic Review.","authors":"Gabrielle N Winston-McPherson, Tiffany A Thomas, Matthew D Krasowski, Sofia B Ahmed, Lauren R Cirrincione, Brooke M Katzman, Christina C Pierre, Chantal L Rytz, Keila Turino Miranda, Zil Goldstein, Dina N Greene","doi":"10.1089/lgbt.2024.0407","DOIUrl":"10.1089/lgbt.2024.0407","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> Guidelines recommend serum estradiol concentrations of 100-200 pg/mL for transgender women prescribed oral, subcutaneous, or transdermal estradiol with or without adjunct antiandrogen as gender-affirming feminizing hormone therapy (HT). The purpose of this systematic review was to evaluate if the guideline range of 100-200 pg/mL for estradiol concentration is associated with indicators of adequate gender-affirming feminizing HT, specifically feminizing sufficiency, insufficiency, testosterone suppression, or toxicity in transgender women. <b><i>Methods:</i></b> The Populations/Intervention/Comparator/Outcome model was applied to the study question, whereby the target population included transgender, gender-diverse, and nonbinary adults using gender-affirming feminizing HT by any route of administration, with or without adjunct antiandrogen use. The comparator was defined as estradiol concentrations within (100-200 pg/mL or 367-734 pM) versus outside (</>100-200 pg/mL) the guideline range; evaluated outcomes were listed by the same clinical guidelines that recommend using the 100-200 pg/mL range. Embase, MEDLINE, and Web of Science were queried over a 24-year time frame (January 1, 1999-April 20, 2023); the search was restricted to English. The extracted outcomes were categorized as indicators of therapeutic insufficiency, sufficiency, toxicity, or hormone concentration. <b><i>Results:</i></b> There were 49 studies that met the inclusion criteria, of which 9, 42, 25, and 5 studies included indicators of therapeutic insufficiency, sufficiency, toxicity, or hormone concentration, respectively. The search did not identify articles demonstrating that the 100-200 pg/mL guideline range provides optimal feminizing outcomes or reduces adverse events. <b><i>Conclusions</i></b>: Evidence does not support using the guideline range of 100-200 pg/mL to indicate sufficient feminization in transgender women using gender-affirming feminizing HT.</p>","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":"477-489"},"PeriodicalIF":3.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144475833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Protective Effects of Online Safety and Parental Acceptance for Sexual and Gender Minority Latinx Youth: A Quantitative Analysis of Cyberbullying, Psychological Distress, and Coping with Alcohol.","authors":"Aldo M Barrita, Roberto L Abreu, Joshua G Parmenter, Ryan J Watson","doi":"10.1089/lgbt.2024.0396","DOIUrl":"10.1089/lgbt.2024.0396","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> This study explored the relation between intersectional cyberbullying (racism and cis heterosexism) and alcohol use as a coping strategy among sexual and gender minority (SGM) Latinx youth and assessed the psychological impact of these experiences and protective factors such as online safety and parental acceptance. <b><i>Methods:</i></b> Focusing on SGM Latinx youth (<i>N</i> = 1145) from the 2022 LGBTQ National Teen Survey collected within the United States, we explored the effects of intersectional cyberbullying (predictor; adapted version of the Bullying and Victimization Scale) on coping strategies involving alcohol use (outcome; Drinking Motive Questionnaire Revised Short Form) and psychological distress (mediator; Patient Health Questionnaire) and its interaction with online safety and parental acceptance (moderators; LGBTQ Parents Support Scale) using a mediation and a moderated mediation analyses (Hayes Models 4 and 21). <b><i>Results:</i></b> Intersectional cyberbullying was associated with alcohol use to cope, and psychological distress mediated this relation. Furthermore, both online safety and parental acceptance were significant moderators in this mediated relation, where higher levels of either moderator were associated with lower psychological distress or use of alcohol as a coping strategy. <b><i>Conclusions:</i></b> Our findings present key clinical and public health implications for SGM Latinx youth experiencing virtual forms of oppression.</p>","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":"490-498"},"PeriodicalIF":3.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144584288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Well-Woman Visits and Cervical Cancer Screening at the Intersection of Sexual Orientation and Race/Ethnicity Among Illinois Women.","authors":"Caitlin M Meyer, Kristin Rankin, Arden Handler, William Barshop, Madison Levecke, Brenikki Floyd","doi":"10.1177/23258292251379503","DOIUrl":"https://doi.org/10.1177/23258292251379503","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> This study examined receipt of a well-woman visit (WWV) and cervical cancer screening (CCS) at the intersection of sexual orientation and race/ethnicity among Illinois women aged 21-65. <b><i>Methods:</i></b> This study used 2016, 2018, and 2020 Illinois Behavioral Risk Factor Surveillance System (BRFSS) data for women aged 21-65 to examine rates of CCS (<i>n</i> = 2848) and 2016-2018, 2020, and 2021 Illinois BRFSS data to examine WWV receipt (<i>n</i> = 5863) by sexual orientation (heterosexual vs. lesbian, gay, and bisexual [LGB]). Self-reported race/ethnicity was tested as an effect modifier to assess intersectionality. Using binomial regression, adjusted prevalence differences (aPD) and 95% confidence intervals (CIs) were estimated. Covariates included age, education, marital status, employment, and health insurance coverage. <b><i>Results:</i></b> Overall, 4.6% of Illinois women aged 21-65 self-identified as LGB. Heterosexual and LGB women had a similar prevalence of receipt of both a WWV (77.1% and 71.7%, respectively; aPD = 3.22, 95% CI: -3.62 to 10.06) and CCS (85.3% and 83.4%, respectively; aPD = 2.13, 95% CI: -4.77 to 9.04). Among non-Hispanic (NH) Black women, heterosexual compared with LGB women had a higher prevalence of receiving both types of care; however, adjusted associations included the null. Hispanic women had similar prevalence estimates by sexual orientation for both outcomes, and NH White heterosexual compared with LGB women had a higher prevalence of CCS, but not WWV. <b><i>Conclusion:</i></b> In Illinois overall, heterosexual and LGB women received preventive care at similar rates. However, when stratified by race/ethnicity, WWV and CCS receipt rates may be higher for heterosexual compared with LGB women, indicating potential missed opportunities for preventive care.</p>","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining the Influence of Sexual Orientation-Related Nondiscrimination Laws on 30-Year Cardiovascular Disease Risk.","authors":"Yashika Sharma, Morgan Philbin, Bethany Everett, Caleigh Dwyer, Anisha Bhargava, Danny Doan, Lauren B Beach, Lisa Pardee, Billy A Caceres","doi":"10.1089/LGBT.2024.0268","DOIUrl":"10.1089/LGBT.2024.0268","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> Our aim was to expand existing evidence on structural determinants of cardiovascular health disparities among lesbian, gay, and bisexual (LGB) adults by examining sexual orientation differences in the impact of sexual orientation-related nondiscrimination laws on 30-year cardiovascular disease (CVD) risk. <b><i>Methods:</i></b> We analyzed data from Waves III (2001-2002), IV (2008-2009), and V (2016-2018) of the National Longitudinal Study of Adolescent to Adult Health. Sexual orientation was categorized as exclusively heterosexual, mostly heterosexual, bisexual, or gay/lesbian. We categorized changes in sexual orientation-related nondiscrimination laws between Waves III-IV as no change (reference group), increased, or decreased. We assessed 30-year CVD risk at Wave V using the Framingham Risk Score. We ran sex-stratified regression models to examine whether the association between changes in sexual orientation-related nondiscrimination laws and 30-year CVD risk was moderated by sexual orientation. <b><i>Results:</i></b> The sample included 3768 participants (mean age [standard deviation] = 28.7 [±1.72] years) of whom approximately 77% were White, 11% Hispanic, and 51% female. Compared with exclusively heterosexual participants, an increase in nondiscrimination laws was associated with lower CVD risk among mostly heterosexual women (<i>B =</i> -5.05, 95% confidence interval [CI] = -8.50 to -1.59) and gay men (<i>B =</i> -10.22, 95% CI = -19.05 to -1.39). There were no significant differences for other LGB subgroups when compared with exclusively heterosexual adults. <b><i>Conclusions:</i></b> Increasing laws that prohibit sexual orientation-related discrimination may play an important role in reducing CVD risk among some LGB subgroups. These findings can inform structural-level interventions to reduce CVD risk among LGB adults.</p>","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145054331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"<i>Letter:</i> Gender Dysphoria and Transition in a Patient with Kallmann Syndrome: A Case Report.","authors":"Emilia Doda-Nowak, Anna Cykowska, Remigiusz Domin, Marek Ruchała, Katarzyna Ziemnicka","doi":"10.1177/23258292251378150","DOIUrl":"https://doi.org/10.1177/23258292251378150","url":null,"abstract":"","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145033482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}