LGBT health最新文献_第6页

Retrospective Examination of Peripubertal Return for Patients of Western Australia's Gender Diversity Service. 对西澳大利亚性别多样性服务患者围青春期回归情况的回顾性研究。

IF 3.9 2区医学

LGBT health Pub Date : 2024-11-01 Epub Date: 2024-05-02 DOI: 10.1089/lgbt.2023.0256

Blake S Cavve, Xander Bickendorf, Jack Ball, Liz A Saunders, Larissa Marion, Cati S Thomas, Penelope Strauss, Georgia Chaplyn, Aaron Wiggins, Uma Ganti, Aris Siafarikas, Ashleigh Lin, Julia K Moore

{"title":"Retrospective Examination of Peripubertal Return for Patients of Western Australia's Gender Diversity Service.","authors":"Blake S Cavve, Xander Bickendorf, Jack Ball, Liz A Saunders, Larissa Marion, Cati S Thomas, Penelope Strauss, Georgia Chaplyn, Aaron Wiggins, Uma Ganti, Aris Siafarikas, Ashleigh Lin, Julia K Moore","doi":"10.1089/lgbt.2023.0256","DOIUrl":"10.1089/lgbt.2023.0256","url":null,"abstract":"Purpose: Children far in advance of pubertal development may be deferred from further assessment for gender-affirming medical treatment until nearer puberty. It is vital that returning peripubertal patients are seen promptly to ensure time-sensitive assessment and provision of puberty suppression treatment where appropriate. This study investigates (1) how many referrals to the Child and Adolescent Health Service Gender Diversity Service at Perth Children's Hospital are deferred due to prepubertal status; and (2) how many deferred patients return peripubertally. Methods: A retrospective review of all closed referrals to the service was conducted to determine the frequency of prepubertal deferral and peripubertal re-referral. Results: Of 995 referrals received (2014 to 2020), 552 were closed. The reason for closure was determined for 548 referrals (99.3%). Prepubertal status was the second-most frequent reason for closure, and the most frequent for birth-registered males. Twenty-five percent of all deferred prepubertal patients returned peripubertally, before audit closure. A greater return frequency (55.6%) was estimated for those older than 13 years at audit closure. Conclusion: High rates of prepubertal referral indicate the importance of pediatric gender services in providing information, advice, and reassurance to concerned families. With increasing service demand, high rates of return peripubertally have implications for service planning to ensure that returning peripubertal patients are seen promptly for time-sensitive care. Frequency of peripubertal re-referral cannot, however, speak to the stability of trans identity or gender incongruence from childhood to adolescence. Clinics advising prepubertal deferral must proactively plan to ensure that sufficient clinical resources are reserved for this purpose.","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":"606-614"},"PeriodicalIF":3.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140850309","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}

引用次数: 0

Receptive Anal Intercourse: Impact on Colorectal and Urologic Diagnoses. 接受性肛交：对结肠直肠和泌尿系统诊断的影响。

IF 3.9 2区医学

LGBT health Pub Date : 2024-11-01 Epub Date: 2024-07-05 DOI: 10.1089/lgbt.2023.0469

Thomas W Gaither, Tara Shahrvini, Nathan W Vincent, Marcia Russell, Mark S Litwin

{"title":"Receptive Anal Intercourse: Impact on Colorectal and Urologic Diagnoses.","authors":"Thomas W Gaither, Tara Shahrvini, Nathan W Vincent, Marcia Russell, Mark S Litwin","doi":"10.1089/lgbt.2023.0469","DOIUrl":"10.1089/lgbt.2023.0469","url":null,"abstract":"Purpose: We evaluated the relationship between lifetime receptive anal intercourse (RAI) and the risk of common colorectal and urologic diagnoses. Methods: We conducted an internet-based survey on sensations during RAI between July 2022 and March 2023. We used multivariable logistic regression to assess the independent impact of lifetime RAI exposure on the diagnosis of common urologic and colorectal conditions. Participants completed a main survey and were invited to complete randomly assigned patient-reported outcome measures (PROMs), which measured pelvic symptoms, mental health symptoms, and sexual satisfaction. Results: In total, 1100 participants completed the main survey and 416 completed the PROMs. Participants of the main survey ranged from 18 to 78 years old and the median age of the sample was 32 years. There was no significant association between lifetime RAI exposure and any medical diagnosis, except for anal fissures, which increased linearly with additional RAI exposure. Both sexual satisfaction and mental health symptoms improved with RAI exposure. Conclusions: RAI was not associated with most of the colorectal and urologic diagnoses tested and was associated with fewer mental symptoms and increased sexual satisfaction. Development of anal fissures may be directly related to trauma of the anal canal from penetration.","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":"633-638"},"PeriodicalIF":3.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141538063","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}

引用次数: 0

Examining the Performance of the Sexual Minority Adolescent Stress Inventory with Transgender and Gender-Diverse Youth and Sexual Minority Emerging Adults: A Methodological Study. 对变性和性别多元化青少年以及性少数群体新成人的性少数群体青少年压力量表表现进行研究：方法论研究。

IF 3.9 2区医学

LGBT health Pub Date : 2024-11-01 Epub Date: 2024-05-27 DOI: 10.1089/lgbt.2023.0253

Manuel A Ocasio, Ahnalee M Brincks, M Isabel Fernandez

{"title":"Examining the Performance of the Sexual Minority Adolescent Stress Inventory with Transgender and Gender-Diverse Youth and Sexual Minority Emerging Adults: A Methodological Study.","authors":"Manuel A Ocasio, Ahnalee M Brincks, M Isabel Fernandez","doi":"10.1089/lgbt.2023.0253","DOIUrl":"10.1089/lgbt.2023.0253","url":null,"abstract":"Purpose: We examined the psychometric properties and criterion validity of the Sexual Minority Adolescent Stress Inventory (SMASI) among 730 sexual minority (SM) and transgender and gender-diverse (TGD) youth aged 14 to 24 years who participated in a human immunodeficiency virus study. Methods: We tested the factor structure of the global scale and subscales and measurement invariance across age, gender identity, sex assigned at birth, sexual identity, ethnoracial identity, and city. For criterion validity, we regressed mental health and substance use measures on the global scale. Results: The global scale had excellent fit (comparative fit index = 0.95) and high reliability (omega = 0.89). Subscale model fit was adequate. We confirmed invariance by gender identity and age and established criterion validity. Conclusion: The SMASI exhibits strong psychometric properties among SM emerging adults and TGD youth. Modifications could enhance the SMASI to better capture both sexual and gender minority stress among ethnoracial minority youth.","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":"639-644"},"PeriodicalIF":3.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11807851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141155239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Health Care Utilization During the First 5½ Years of Authorized Service by Transgender U.S. Service Members (2016-2021). 美国变性军人在获得授权服役的头 5 年半期间的医疗保健使用情况（2016-2021 年）。

IF 3.9 2区医学

LGBT health Pub Date : 2024-11-01 Epub Date: 2024-05-09 DOI: 10.1089/lgbt.2023.0419

Christina M Roberts, Wendy Funk, Veronika Pav, Kevin W Sunderland, Jennifer A Thornton, David A Klein

{"title":"Health Care Utilization During the First 5½ Years of Authorized Service by Transgender U.S. Service Members (2016-2021).","authors":"Christina M Roberts, Wendy Funk, Veronika Pav, Kevin W Sunderland, Jennifer A Thornton, David A Klein","doi":"10.1089/lgbt.2023.0419","DOIUrl":"10.1089/lgbt.2023.0419","url":null,"abstract":"Purpose: This study examined the utilization of gender-affirming health care by active-duty service members during the initial 5½ years that transgender and gender-diverse (TGD) individuals were authorized to serve in the U.S. military. The aim of this study was to inform policy discussions regarding inclusion of TGD individuals in the military. Methods: We conducted a retrospective cohort study using administrative health care data from the Military Data Repository (MDR). We assessed the association of demographic factors with the utilization of gender-affirming medical and surgical care. We calculated the incidence rate of initial TGD-related encounters and new prescriptions for gender-affirming hormones among Defense Department Service members between July 2016 and December 2021. Results: We identified 2481 service members with an initial health care encounter with an associated TGD-related diagnosis. More than half (53%) of these service members started gender-affirming hormones, and 14% underwent gender-affirming surgery. Mastectomies and hysterectomies accounted for more than 70% of surgeries. Service members made 3.22 initial encounters with a TGD-related diagnosis per 10,000 service members per year, with an overrepresentation of service members who were designated female in the MDR (8.62), junior enlisted (4.98), and young (4.64). Individuals designated female in the MDR comprised 17% of all service members but accounted for 46% of initial encounters, 51% of new prescriptions, and 73% of surgeries. Conclusion: The study revealed a higher-than-expected number of service members seeking gender-affirming care, particularly among service members designated female in the MDR. Military Health System clinicians provided most of this care, which may mitigate the cost of delivering this essential medical care.","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":"625-632"},"PeriodicalIF":3.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140898017","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}

引用次数: 0

Intimate Partner Violence Among Lesbian, Gay, and Bisexual Adults: A Cross-Sectional Survey in Hong Kong. 女同性恋、男同性恋和双性恋成年人中的亲密伴侣暴力：香港横断面调查。

IF 3.9 2区医学

LGBT health Pub Date : 2024-11-01 Epub Date: 2024-04-01 DOI: 10.1089/lgbt.2023.0294

Elsie Yan, Iris Po Yee Lo, Rongwei Sun, Alex Siu Wing Chan, Haze Ka Lai Ng, Anise Wu

{"title":"Intimate Partner Violence Among Lesbian, Gay, and Bisexual Adults: A Cross-Sectional Survey in Hong Kong.","authors":"Elsie Yan, Iris Po Yee Lo, Rongwei Sun, Alex Siu Wing Chan, Haze Ka Lai Ng, Anise Wu","doi":"10.1089/lgbt.2023.0294","DOIUrl":"10.1089/lgbt.2023.0294","url":null,"abstract":"Purpose: This study investigated the prevalence rates of various types of intimate partner violence (IPV) among lesbian, gay, and bisexual (LGB) adults in Hong Kong and examined the associations between IPV and different addictive behavior and mental health problems. Methods: A total of 759 LGB adults completed an online cross-sectional survey between November 2021 and February 2022. Data on past-year IPV and LGB-specific tactics (whether perpetrated or experienced by participants), addictive behavior, anxiety, depression, and demographics were collected and analyzed with descriptive statistics and logistic regressions. Results: Psychological aggression was the most common type of IPV within an LGB relationship (22.1%), followed by physical assault (10.8%) and IPV-related injury (4.1%). LGB-specific tactics were experienced by 39.0% of the LGB adults. Depression, anxiety, and frequent gambling were significantly associated with specific types of IPV and LGB-specific tactics. Conclusion: IPV was prevalent in the LGB population. Findings on correlates provided insights for future development of IPV detection and intervention.","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":"645-650"},"PeriodicalIF":3.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140336186","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}

引用次数: 0

Including Sexually and Gender Diverse Populations in 3,4-Methylenedioxymethamphetamine-Assisted Psychotherapy Trial Research. 将不同性别人群纳入 3,4-亚甲二氧基甲基苯丙胺辅助心理治疗试验研究。

IF 3.9 2区医学

LGBT health Pub Date : 2024-11-01 Epub Date: 2024-08-27 DOI: 10.1089/lgbt.2024.0103

Ziad Saade, Brady D Hanshaw, Alex S Keuroghlian

引用次数: 0

Rosalind Franklin Society Proudly Announces the 2023 Award Recipient for LGBT Health. 罗莎琳德-富兰克林学会自豪地宣布 2023 年女同性恋、男同性恋、双性恋和变性者健康奖获得者。

IF 3.9 2区医学

LGBT health Pub Date : 2024-10-01 DOI: 10.1089/lgbt.2024.68296.rfs2023

Samantha E Lawrence

引用次数: 0

Weight Stigma and Mental and Emotional Health Among Sexual and Gender Minority Individuals: A Scoping Review. 性少数群体和性别少数群体的体重耻辱与心理和情绪健康：范围界定综述。

IF 3.9 2区医学

LGBT health Pub Date : 2024-10-01 Epub Date: 2023-11-10 DOI: 10.1089/lgbt.2023.0025

Sarah I Leonard, Yashika Sharma, Tonda L Hughes, Kasey B Jackman, Jean-Marie Bruzzese

{"title":"Weight Stigma and Mental and Emotional Health Among Sexual and Gender Minority Individuals: A Scoping Review.","authors":"Sarah I Leonard, Yashika Sharma, Tonda L Hughes, Kasey B Jackman, Jean-Marie Bruzzese","doi":"10.1089/lgbt.2023.0025","DOIUrl":"10.1089/lgbt.2023.0025","url":null,"abstract":"Purpose: Weight stigma is associated with poor mental and emotional health and may be especially harmful to sexual and gender minority (SGM) individuals due to co-occurring minority stress. The literature on this topic has not been synthesized. We conducted a scoping review of the literature on weight stigma and mental and emotional health among SGM individuals to synthesize findings, highlight gaps, and identify clinical and research implications. Methods: Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews, we searched PubMed, CINAHL, PsycINFO, and Scopus in April 2022. Included studies examined the relationship between weight stigma and mental and emotional health among SGM people of any age. We did not restrict study design or publication date. Results: Of 513 records identified, 23 met inclusion criteria. Most focused on sexual minority individuals; one focused specifically on gender minority individuals. Weight stigma was associated with poorer mental and emotional health in nearly all studies. The most common outcomes examined were self-esteem, maladaptive eating, and depressive symptoms. Five studies, all using the same dataset, focused on adolescents; none focused on older adults. Conclusions: Weight stigma is associated with poorer mental and emotional health among SGM individuals and, through its intersections with minority stress, might impact SGM individuals differently than their cisgender and heterosexual counterparts. There are important gaps regarding weight stigma's effect on SGM adolescents and gender minority individuals and its relationship with a broader range of mental and emotional health outcomes.","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":"496-513"},"PeriodicalIF":3.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72209765","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}

引用次数: 0

The Impact of Statewide Enumerated Antibullying Laws and Local School Interventions on School Spaces, Physical Harm, and Suicide Attempts for LGBTQ Youth. 全州范围内列举的反欺凌法和地方学校干预措施对校园空间、身体伤害和 LGBTQ 青少年自杀企图的影响》（The Impact of Statewide Enumerated Antibullying Laws and Local School Interventions on School Spaces, Physical Harm, and Suicide Attempts for LGBTQ Youth）。

IF 3.9 2区医学

LGBT health Pub Date : 2024-10-01 Epub Date: 2024-04-01 DOI: 10.1089/lgbt.2023.0099

Landon B Krantz, Melinda C MacDougall, Shelley Ehrlich, William B Brinkman

{"title":"The Impact of Statewide Enumerated Antibullying Laws and Local School Interventions on School Spaces, Physical Harm, and Suicide Attempts for LGBTQ Youth.","authors":"Landon B Krantz, Melinda C MacDougall, Shelley Ehrlich, William B Brinkman","doi":"10.1089/lgbt.2023.0099","DOIUrl":"10.1089/lgbt.2023.0099","url":null,"abstract":"Purpose: Our goal was to evaluate the impact of enumerated antibullying laws and local interventions on school affirmation, risk of physical threat or harm, and suicide attempts for lesbian, gay, bisexual, transgender, and questioning (LGBTQ) youth. Methods: This study used cross-sectional data from three national sources that provided outcomes and potential predictors: (1) The Trevor Project National Survey 2022: based on the LGBTQ youth report, (2) Movement Advancement Project: presence of LGBTQ enumerated antibullying state laws, and (3) School Health Profiles 2020: statewide prevalence of school-level strategies to improve student wellness reported by school personnel. Bivariate and multivariable logistic regression models calculated the relative risks (RRs) for each outcome. Results: LGBTQ youth (n = 27,697) were surveyed. Youth were less likely to identify their school as nonaffirming in states with enumerated laws (RR: 0.97, confidence interval [CI]: 0.94-0.99) and in states with higher percentages of gay/straight alliances (GSAs) (RR: 0.97, 95% CI: 0.96-0.97). Youth were less likely to report a history of physical threat or harm in states with more GSAs (RR: 0.96, 95% CI: 0.95-0.97). Enumerated state laws were associated with a lower risk of suicide attempts among LGBTQ youth (RR: 0.82, 95% CI: 0.77-0.87). Universal strategies/policies not specific to LGBTQ youth did not reduce risk of physical threat/harm or suicide attempts. Conclusions: Statewide enumerated antibullying protections and the presence of a GSA were associated with a decreased risk of poor outcomes among LGBTQ youth. Longitudinal studies are needed to assess the impact of recent legislative changes.","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":"531-538"},"PeriodicalIF":3.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140336191","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}

引用次数: 0

Minority Stressors, Social Provisions, and Past-Year Suicidal Ideation and Suicide Attempts in a Sample of Sexual Orientation and Gender Identity/Expression Minority People in Canada. 加拿大性取向和性别认同/表达少数群体样本中的少数群体压力源、社会规定以及过去一年的自杀意念和自杀企图。

IF 3.9 2区医学

LGBT health Pub Date : 2024-10-01 Epub Date: 2024-04-01 DOI: 10.1089/lgbt.2022.0344

Todd A Coleman, Kenny Chee, Robert Chin-See, Ramez Salama, Maria Sajan, Macie Narbonne, Robb Travers, Simon Coulombe

{"title":"Minority Stressors, Social Provisions, and Past-Year Suicidal Ideation and Suicide Attempts in a Sample of Sexual Orientation and Gender Identity/Expression Minority People in Canada.","authors":"Todd A Coleman, Kenny Chee, Robert Chin-See, Ramez Salama, Maria Sajan, Macie Narbonne, Robb Travers, Simon Coulombe","doi":"10.1089/lgbt.2022.0344","DOIUrl":"10.1089/lgbt.2022.0344","url":null,"abstract":"Purpose: Mental health disparities in sexual orientation and/or gender identity and/or expression (SOGIE) minority groups are well-documented, with research consistently showing higher levels of suicidality, even in Canada, considered one of the world's most accepting countries of SOGIE minority groups. Adverse outcomes in these groups are often framed using minority stress theory, with social support frequently studied as an integral buffer to these outcomes. This analysis explores facets of minority stress and social support associated with past-year suicidal ideation and suicide attempts. Methods: A cross-sectional internet survey of SOGIE diverse people in Canada (n = 1542) was conducted. Binary logistic regression calculated bivariate and multivariate factors associated with past-year suicidal ideation and suicide attempts. Backward elimination (retaining sociodemographic factors and self-rated mental health) identified salient minority stress and social support (provisions) factors. Results: Over half (56.72%) of participants had ever thought of dying by suicide, with 24.84% having attempted suicide. During the past year, 26.80% had thought of dying by suicide, with 5.32% having attempted suicide. Victimization events, and guidance (e.g., someone to talk to about important decisions) and attachment (e.g., close relationships providing emotional security) social provision subscales remained salient after backward elimination procedures. Conclusion: Our findings emphasize that a fulsome, multilevel approach considering structural, community, and individual strategies to address overt discrimination, integrating social connections and guidance, is necessary to prevent dying by suicide.","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":"539-551"},"PeriodicalIF":3.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140336187","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}

引用次数: 0