Annals of LGBTQ public and population health最新文献

Daily risk factors for using more alcohol and cannabis than intended: An examination of contextual and motivational risk factors among sexual minority women and gender diverse individuals. 每日过量使用酒精和大麻的风险因素：对性少数妇女和性别多样化个人的背景和动机风险因素的审查。

Annals of LGBTQ public and population health Pub Date : 2025-12-09 DOI: 10.1891/lgbtq-2024-0031

Christina Dyar, Julia Curtis

{"title":"Daily risk factors for using more alcohol and cannabis than intended: An examination of contextual and motivational risk factors among sexual minority women and gender diverse individuals.","authors":"Christina Dyar, Julia Curtis","doi":"10.1891/lgbtq-2024-0031","DOIUrl":"10.1891/lgbtq-2024-0031","url":null,"abstract":"Drinking more than intended is associated with alcohol consequences in the general population, and some risk factors have been identified. However, it is unclear whether these risk factors generalize to sexual and gender minority individuals (SGM) and whether unique SGM risk factors may also contribute to drinking more than intended. Research with the general population has also neglected the examination of using more cannabis than intended and the potential role of substance use motives. We aimed to address these gaps by examining contextual, motivational, and SGM-specific risk factors for using more alcohol or cannabis than intended at the daily level. We used ecological momentary assessment data from 366 sexual minority women and gender diverse individuals assigned female at birth. Social drinking was associated with drinking more than intended, consistent with prior work. Additional novel risk factors also emerged, including social, enhancement, and conformity motives. Several risk factors for drinking more than intended extended to using more cannabis than intended (i.e., social use; social, conformity, enhancement motives), while one cannabis-specific factor emerged (i.e., coping motives). Only one SGM-specific risk factor predicted drinking more than intended (i.e., drinking with SGM). Together, findings highlight several potential targets for interventions aiming to reduce consequences associated with drinking more than intended. For example, interventions may encourage SGM young adults to adjust their protective behavioral strategies so that they would be adequate if they drank more than intended.","PeriodicalId":72223,"journal":{"name":"Annals of LGBTQ public and population health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12799242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145971498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of Unequal Treatment, Verbal Harassment, and Physical Violence on Subjective Cognitive Health Among Middle-Aged and Older LGBTQ Adults: Variation by Type and Basis of Victimization. 不平等待遇、言语骚扰和身体暴力对中老年LGBTQ成年人主观认知健康的影响：不同类型和基础的伤害差异

Annals of LGBTQ public and population health Pub Date : 2025-07-01 DOI: 10.1891/lgbtq-2024-0004

Harry Barbee, Tara McKay, Ellesse-Roselee Akré

{"title":"Effects of Unequal Treatment, Verbal Harassment, and Physical Violence on Subjective Cognitive Health Among Middle-Aged and Older LGBTQ Adults: Variation by Type and Basis of Victimization.","authors":"Harry Barbee, Tara McKay, Ellesse-Roselee Akré","doi":"10.1891/lgbtq-2024-0004","DOIUrl":"https://doi.org/10.1891/lgbtq-2024-0004","url":null,"abstract":"This study investigated how different forms of victimization influence subjective cognitive health among middle-age and older lesbian, gay, bisexual, transgender, and queer (LGBTQ) adults. Using data from the Vanderbilt University Social Networks, Aging, and Policy Study, we applied Poisson regression models to examine the effects of victimization experiences, including variation by type and basis of victimization, on the number of self-reported cognitive difficulties. Regarding victimization type, we tested the effects of experiencing unequal treatment, verbal harassment, and physical attack in the last year on number of self-reported cognitive difficulties. We also examined the effects of experiencing victimization based on sexual orientation, gender identity or expression, age, and race or ethnicity on number of self-reported cognitive difficulties. Respondents who experienced victimization in the past year reported higher rates of cognitive difficulties than respondents who did not experience victimization. These results varied by victimization type. Experiencing unequal treatment and verbal harassment in the last year were associated with higher rates of self-reported cognitive difficulties. Experiencing physical attack did not significantly predict higher rates of self-reported cognitive difficulties. Finally, experiencing victimization based on sexual orientation, gender identity or expression, race or ethnicity and age all predicted higher rates of self-reported cognitive difficulties. Taken together, these results demonstrate how different forms of victimization could harm cognitive health among LGBTQ populations and generate cognitive health disparities.","PeriodicalId":72223,"journal":{"name":"Annals of LGBTQ public and population health","volume":"6 2","pages":"142-163"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13102315/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147790741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Substance Use Prevalence Among Transgender and Gender Diverse Young Adults Across Identity and Life Experiences. 跨性别和性别多样化年轻人在身份和生活经历中的物质使用流行情况。

Annals of LGBTQ public and population health Pub Date : 2025-07-01 DOI: 10.1891/lgbtq-2023-0037

Tabor Hoatson, Yu-Chi Wang, R Korkodilos, Ilan H Meyer, Jody Herman, Sari L Reisner, Catherine Stamoulis, Sabra L Katz-Wise

{"title":"Substance Use Prevalence Among Transgender and Gender Diverse Young Adults Across Identity and Life Experiences.","authors":"Tabor Hoatson, Yu-Chi Wang, R Korkodilos, Ilan H Meyer, Jody Herman, Sari L Reisner, Catherine Stamoulis, Sabra L Katz-Wise","doi":"10.1891/lgbtq-2023-0037","DOIUrl":"10.1891/lgbtq-2023-0037","url":null,"abstract":"Transgender and gender diverse young adults (TGDYA) report higher prevalence of substance use than cisgender peers, but little is known about how patterns of substance use may differ among TGDYA subgroups. Understanding heterogeneity in substance use among TGDYA can inform tailored substance use disorder (SUD) prevention. This study described prevalence of seven types of substance use among TGDYA across various social identities and lived experiences. Data were analyzed from 12,525 TGDYA ages 18-25 years from the 2015 United States Transgender Survey. Participants completed a one-time online survey that assessed multiple substance use outcomes (alcohol use, heavy episodic drinking, marijuana use, cigarette, e-cigarette or vape product use, other illicit drug use, non-medical prescription use), social identity correlates (binary vs. nonbinary gender identity, sex assigned at birth, race/ethnicity, sexual orientation), and covariates/confounders. All social identity correlates were significantly associated with increased use of at least one substance, though directionality of subgroup risk varied. For example, nonbinary respondents were more likely than binary respondents to report some types of substance use (e.g., alcohol), but less likely to report other types (e.g., e-cigarette). All covariates were also significantly associated with increased use of at least one substance, with visual gender-nonconformity and sex work evincing the most consistent associations across substances. Findings demonstrate extensive intracommunity diversity in substance use prevalence among TGDYA. Tailored SUD prevention must account for such diversity, and future research must further quantify the impact of intersecting identities, gendered norms, and socioeconomic context on substance use among TGDYA.","PeriodicalId":72223,"journal":{"name":"Annals of LGBTQ public and population health","volume":"6 2","pages":"200-214"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12333506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Indigenous, Black, and Latine adolescents disproportionately experience barriers to pediatric gender-affirming care. 土著、黑人和拉丁裔青少年在儿科性别确认护理方面遇到的障碍不成比例。

Annals of LGBTQ public and population health Pub Date : 2025-07-01 Epub Date: 2024-01-30

Nicole F Kahn, Peter G Asante, Kacie M Kidd, Janis L Sethness, Alessandra C Angelino, Moira A Kyweluk, Tumaini R Coker, Nadeen Herring, Dimitri A Christakis, Wanda Pratt, Laura P Richardson, Gina M Sequeira

{"title":"Indigenous, Black, and Latine adolescents disproportionately experience barriers to pediatric gender-affirming care.","authors":"Nicole F Kahn, Peter G Asante, Kacie M Kidd, Janis L Sethness, Alessandra C Angelino, Moira A Kyweluk, Tumaini R Coker, Nadeen Herring, Dimitri A Christakis, Wanda Pratt, Laura P Richardson, Gina M Sequeira","doi":"","DOIUrl":"","url":null,"abstract":"Though prior studies have explored barriers that transgender and nonbinary (TNB) adolescents experience in receiving gender-affirming medical care (GAMC), few have sought to understand how these barriers may differ among racial and ethnic minority groups. Accordingly, this study used data from a survey of TNB young adults (ages 18-20) to explore how barriers to GAMC during adolescence varied by race and ethnicity. T-tests evaluated differences in the impact of 11 potential barriers when comparing members of each racial and ethnic group to those who did not identify with that racial or ethnic group. Results showed that Indigenous respondents indicated that parental unwillingness to consent for GAMC and attend a clinic visit and not being able to find a clinic contributed significantly more compared to those who did not identify as Indigenous. Black respondents indicated that not knowing it was possible to receive GAMC during adolescence and previous negative experiences in healthcare related to race or ethnicity contributed significantly more to their inability to receive GAMC during adolescence compared to those who did not identify as Black. Latine respondents indicated that parental unwillingness to consent for GAMC and attend a clinic visit, worries about cost, and previous negative experiences in healthcare due to race or ethnicity contributed significantly more compared to those who did not identify as Latine. Overall, results suggest disproportionate barriers in access to GAMC during adolescence among Indigenous, Black, and Latine TNB individuals and illustrate a need for additional resources and interventions to promote more equitable access.","PeriodicalId":72223,"journal":{"name":"Annals of LGBTQ public and population health","volume":"6 2","pages":"215-222"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12622482/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145552125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"[Being] Trans Is So Much More Than Medical Models": A Qualitative Examination of Transgender Adults' Healthcare Experiences in the Southeastern United States. “变性不仅仅是医学模式”：对美国东南部变性成人医疗保健经历的定性研究。

Annals of LGBTQ public and population health Pub Date : 2025-04-01

Elliott Botelho, Chloe Goldbach, Austin H Johnson, Kaylee B Crockett

{"title":"\"[Being] Trans Is So Much More Than Medical Models\": A Qualitative Examination of Transgender Adults' Healthcare Experiences in the Southeastern United States.","authors":"Elliott Botelho, Chloe Goldbach, Austin H Johnson, Kaylee B Crockett","doi":"","DOIUrl":"","url":null,"abstract":"Many transgender individuals experience significant barriers to accessing gender-affirming healthcare, and healthcare access and experiences can vary greatly depending on the location. Specifically, transgender individuals in the Southeastern United States may face unique challenges compared with individuals in other geographic regions. However, much of the statewide, regional, and national data on transgender individuals' healthcare experiences is from 2015 or earlier. The present study was conducted to help address this gap in the current research literature. Transgender individuals (n = 747) from the 2019 Southern LGBTQ Health Survey were asked qualitative questions regarding their healthcare experiences. Participants' experiences included themes related to factors affecting healthcare access, including cost, health insurance, urbanicity, and traveling to receive care. Moreover, gender-affirming healthcare and disaffirming healthcare (e.g., affirming language and clinic policies and clinical providers) were prominent themes discussed by participants. Experiences of stigma and discrimination, including anticipated stigma, intersectional stigma and privilege, and decisions around identity disclosure, were also discussed. Findings have direct implications for policy and practice.","PeriodicalId":72223,"journal":{"name":"Annals of LGBTQ public and population health","volume":"6 1","pages":"97-114"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12622381/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145552123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A longitudinal analysis of the association between changes in sexual identity and cardiovascular disease risks. 性别认同改变与心血管疾病风险关系的纵向分析。

Annals of LGBTQ public and population health Pub Date : 2024-12-01 DOI: 10.1891/lgbtq-2024-0003

Cynthia Arslanian-Engoren, Bethany G Everett, Sean Esteban McCabe, Rebecca Evans-Polce, Tonda L Hughes, Carol J Boyd, Philip T Veliz

{"title":"A longitudinal analysis of the association between changes in sexual identity and cardiovascular disease risks.","authors":"Cynthia Arslanian-Engoren, Bethany G Everett, Sean Esteban McCabe, Rebecca Evans-Polce, Tonda L Hughes, Carol J Boyd, Philip T Veliz","doi":"10.1891/lgbtq-2024-0003","DOIUrl":"10.1891/lgbtq-2024-0003","url":null,"abstract":"Few studies have compared cardiovascular disease (CVD) risk factors in sexual minority and heterosexual adults. It remains unclear whether changes in sexual identity over time are associated with increased CVD risk. The purposes of this longitudinal study were to: 1) compare sex differences in CVD risk factors across sexual identity subgroups, 2) examine CVD risk factors based on changes in sexual identity, and 3) to examine sex-stratified variations in CVD risk factors. Analyses of the Population Assessment of Tobacco and Health (PATH) study data assessed the longitudinal association of changes in sexual identity with self-reported CVD risk factors (alcohol misuse, cigarette smoking, sedentary behavior, high cholesterol, high blood pressure, obesity). Based on changes in sexual identity between baseline/wave 1 and wave 5, 91.7% (n = 15884) of the sample were heterosexual-stable, 1.1% (n = 265) were gay/lesbian-stable, and 0.8% (n = 265) bisexual-stable. Less than two percent (1.5%; n = 376) indicated one heterosexual (sexual majority)-to-sexual minority change, 1.4% (n =299) reported one sexual minority-to-heterosexual change, 0.7% (n= 202), one or more sexual minority-to-sexual minority changes, 1.4% (n = 345) heterosexual-to-sexual minority-to-heterosexual change, and 1.3% (n = 365) indicated two or more changes with no distinct pattern. Among women, two or more changes in sexual identity with no distinct pattern were associated with increased odds of past 30-day alcohol misuse compared to heterosexual-stable women. Associations between changes in sexual identity and alcohol misuse among women suggest the need for greater screening among healthcare providers who work with this population.","PeriodicalId":72223,"journal":{"name":"Annals of LGBTQ public and population health","volume":"5 4","pages":"294-317"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12136498/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144236086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Coping and Social Support in Relation to Minority Stress and Cigarette Smoking Among Lesbian, Gay, and Bisexual Veterans 女同性恋、男同性恋和双性恋退伍军人中与少数群体压力和吸烟有关的应对措施和社会支持

Annals of LGBTQ public and population health Pub Date : 2024-06-07 DOI: 10.1891/lgbtq-2023-0029

Raymond A Ruiz, Keren Lehavot, J. Heffner, Christine M. Kava, India J. Ornelas

引用次数: 0

Perceptions of a Cardiovascular Risk Reduction Intervention for Sexual Minority Adults 少数性取向成年人对降低心血管风险干预措施的看法

Annals of LGBTQ public and population health Pub Date : 2024-06-04 DOI: 10.1891/lgbtq-2023-0010

Vincent Pepe, Yashika Sharma, Danny Doan, Maureen George, Yamnia I. Cortés, Corina Lelutiu-Weinberger, Billy A. Caceres

引用次数: 0

“By Us, for Us”: Qualitative Insights to Inform Implementation of Comprehensive Pre-Exposure Prophylaxis Services in a Trans Community Center "由我们做，为我们做"：变性人社区中心实施全面暴露前预防服务的定性启示

Annals of LGBTQ public and population health Pub Date : 2024-05-23 DOI: 10.1891/lgbtq-2023-0038

Hannah E. Reynolds, Carrie L Nacht, Chloé Opalo, Mariana Marroquin, Alex R. Dopp, Kimberly Ling Murtaugh, Risa Flynn, Mika Baumgardner, Erik D. Storholm

引用次数: 0

“Neutrality Is Affirming”: How Do Sexual and Gender Minority Adults Find and Define Affirming Healthcare? "中立就是肯定"：性少数群体和性别少数群体的成年人如何找到并定义平权医疗保健？

Annals of LGBTQ public and population health Pub Date : 2024-03-29 DOI: 10.1891/lgbtq-2023-0025

Lexie Wille, Nathaniel Woznicki, Jackie Yang, Zachary Taylor, Sheridan Aguilar, Tasnim Islam, Phillip W. Schnarrs, Mike C. Parent

引用次数: 0