{"title":"Inclusion of lesbian, gay, bisexual and transgender people in tobacco use-related surveillance and epidemiological research.","authors":"Randall L Sell, Patricia M Dunn","doi":"10.1080/15574090802615703","DOIUrl":"https://doi.org/10.1080/15574090802615703","url":null,"abstract":"<p><p>Researchers and public health advocates have long recognized the importance of demographic characteristics such as sex, race, ethnicity, age, and socioeconomic status in their efforts to understand and control the use of tobacco among population groups. Targeting prevention and cessation efforts based upon such characteristics has consistently been demonstrated to be both efficient and effective. In recent years, attention has modestly turned to how two additional demographic variables, sexual orientation and gender identity, can add to our understanding of how to reduce tobacco use. Research of tobacco industry papers has clearly documented targeted media campaigns to encourage smoking among lesbians and gays in the marketplace. The tobacco industry has long understood the role that sexual orientation can play in the uptake of smoking and the targeted marketing of brands. Those concerned with tobacco use prevention and cessation research have consequently responded to address tobacco use by lesbians and gays, and bisexuals and transgender people as well, but even more can be done. This article reviews what is known about smoking in lesbian, gay, bisexual, and transgender populations and then reviews recommendations from four panels created to examine this topic. In conclusion, we recommend that sexual orientation and gender identity be considered for inclusion as variables in all major research and epidemiological studies of tobacco use. Just as such studies, without hesitation, measure sex, race, ethnicity, age, and socioeconomic status, they need to also include questions assessing sexual orientation and gender identity. Although these new variables need not be the primary focus of these studies, at a minimum, considering their use as controlling variables should be explored. Lesbian, gay, bisexual, and transgender people can benefit from being openly included in the work researchers conduct to inform the design of tobacco control programs and policies.</p>","PeriodicalId":87476,"journal":{"name":"Journal of LGBT health research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15574090802615703","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28461844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ulrike Boehmer, Melissa Clark, Alison Timm, Al Ozonoff
{"title":"Two means of sampling sexual minority women: how different are the samples of women?","authors":"Ulrike Boehmer, Melissa Clark, Alison Timm, Al Ozonoff","doi":"10.1080/15574090903110786","DOIUrl":"https://doi.org/10.1080/15574090903110786","url":null,"abstract":"<p><p>We compared 2 sampling approaches of sexual minority women in 1 limited geographic area to better understand the implications of these 2 sampling approaches. Sexual minority women identified through the Census did not differ on average age or the prevalence of raising children from those sampled using nonrandomized methods. Women in the convenience sample were better educated and lived in smaller households. Modeling the likelihood of disability in this population resulted in contradictory parameter estimates by sampling approach. The degree of variation observed both between sampling approaches and between different parameters suggests that the total population of sexual minority women is still unmeasured. Thoroughly constructed convenience samples will continue to be a useful sampling strategy to further research on this population.</p>","PeriodicalId":87476,"journal":{"name":"Journal of LGBT health research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15574090903110786","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28520059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elisabeth P Gruskin, Kimberly M Byrne, Andrea Altschuler, Suzanne L Dibble
{"title":"Smoking it all away: influences of stress, negative emotions, and stigma on lesbian tobacco use.","authors":"Elisabeth P Gruskin, Kimberly M Byrne, Andrea Altschuler, Suzanne L Dibble","doi":"10.1080/15574090903141104","DOIUrl":"https://doi.org/10.1080/15574090903141104","url":null,"abstract":"<p><p>This study explored the reported processes, conditions, and consequences of lesbian and heterosexual female smoking and relapse to understand the reasons for elevated lesbian smoking rates. Using grounded theory techniques, we conducted semistructured, face-to-face interviews with an ethnically diverse sample of 35 lesbian and 35 heterosexual female participants in Northern California. We found minority stress/sexual stigma to be an additional, unique cause of negative emotions and stress reported by 75% of lesbian participants, leading to smoking and relapse. Implications for smoking cessation programs tailored to lesbians are discussed.</p>","PeriodicalId":87476,"journal":{"name":"Journal of LGBT health research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15574090903141104","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28519933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A E Phillips, M C Boily, C M Lowndes, G P Garnett, K Gurav, B M Ramesh, J Anthony, R Watts, S Moses, M Alary
{"title":"Sexual identity and its contribution to MSM risk behavior in Bangaluru (Bangalore), India: the results of a two-stage cluster sampling survey.","authors":"A E Phillips, M C Boily, C M Lowndes, G P Garnett, K Gurav, B M Ramesh, J Anthony, R Watts, S Moses, M Alary","doi":"10.1080/15574090902922975","DOIUrl":"https://doi.org/10.1080/15574090902922975","url":null,"abstract":"<p><p>In India, there are categories of MSM (hijras, kothis, double-deckers, panthis and bisexuals), which are generally associated with different HIV-risk behaviors. Our objective was to quantify differences across MSM identities (n = 357) and assess the extent they conform to typecasts that prevail in policy-orientated discourse. More feminine kothis (26%) and hijras (13%) mostly reported receptive sex, and masculine panthis (15%) and bisexuals (23%) insertive anal sex. However, behavior did not always conform to expectation, with 25% and 16% of the sample reporting both insertive and receptive anal intercourse with known and unknown noncommercial partners, respectively (p < 0.000). Although behavior often complied with stereotyped role and identity, male-with-male sexual practices were fluid. Reification of these categories in an intervention context may hinder our understanding of the differential HIV risk among MSM.</p>","PeriodicalId":87476,"journal":{"name":"Journal of LGBT health research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15574090902922975","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28459780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"\"Everyone has a right to, like, check their box:\" findings on a measure of gender identity from a cognitive testing study with adolescents.","authors":"Kerith Jane Conron, Scout, S Bryn Austin","doi":"10.1080/15574090802412572","DOIUrl":"https://doi.org/10.1080/15574090802412572","url":null,"abstract":"<p><p>Efforts to monitor the health of transgender youth, a small but high-risk population, are hindered by a lack of knowledge about how to accurately measure gender identity. Adolescents (n = 30) participated in semistructured qualitative interviews after completing a close-ended transgender-inclusive measure of gender. Interviews explored item comprehension and respondent burden. Participants, who were diverse in age (range = 15-21), gender identity, sexual orientation, and race-ethnicity, were accurately classified as male, female, or transgender. All youth understood transgender as a difference between the physical body and a person's internal sense of self. Nontransgender youth frequently used an example (a woman in a man's body) in their explanations and were largely supportive of the transgender options. Most transgender youth found a response option that they felt was appropriate. Transgender response options were added to a gender measure without impacting the accuracy of nontransgender responses or burdening the nontransgender adolescents in our sample. A modified measure (Gender: male; female; transgender, male-to-female; transgender, female-to-male; transgender, do not identify as exclusively male or female) is recommended for testing in samples that vary by age, race-ethnicity, socioeconomic status, language, and geography. Additional suggestions for research in this area are provided.</p>","PeriodicalId":87476,"journal":{"name":"Journal of LGBT health research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15574090802412572","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28461843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lisa Bowleg, Gary Burkholder, Michelle Teti, Melynda L Craig
{"title":"The complexities of outness: psychosocial predictors of coming out to others among Black lesbian and bisexual women.","authors":"Lisa Bowleg, Gary Burkholder, Michelle Teti, Melynda L Craig","doi":"10.1080/15574090903167422","DOIUrl":"https://doi.org/10.1080/15574090903167422","url":null,"abstract":"<p><p>This mixed method study investigated the psychosocial predictors of coming out among a predominantly middle-class sample of Black lesbian and bisexual women (LBW; N = 95) between the ages of 18 and 68. Results demonstrated that demographic variables (i.e., age, age of coming out, income), social support, and ranking one's LBW identity greater than one's Black identity significantly predicted being \"out and talking about\" one's sexual identity to others. Findings from semistructured interviews with a subsample (n = 19) of Black LBWs about experiences of coming out and being out demonstrated two key themes: (a) although coming out is important, decisions to do so are often collective, shaped by familial, community, and religious concerns, rather than an individualistic need to be out; and (b) the experience of coming and being out is contextualized through the intersection of race, gender, and sexual identities, rather than separate identities as Black and LBW.</p>","PeriodicalId":87476,"journal":{"name":"Journal of LGBT health research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15574090903167422","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28519932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nele Cox, Wim Vanden Berghe, Alexis Dewaele, John Vinke
{"title":"General and minority stress in an LGB population in Flanders.","authors":"Nele Cox, Wim Vanden Berghe, Alexis Dewaele, John Vinke","doi":"10.1080/15574090802657168","DOIUrl":"https://doi.org/10.1080/15574090802657168","url":null,"abstract":"<p><p>This article concentrates on the influence of determinants of mental health on a lesbian, gay, and bisexual (LGB) population in Flanders. Our sample is drawn from the Zzzip survey, and contains 2,280 LGBs, of whom 1,565 are men and 715 are women. The traditional social stress model outlines the influence of general stressors on stress (Pearlin, 1989). Meyer (1995) has expanded Pearlin's model to include the concept of minority stress. This study focuses on aspects of personal characteristics and social structural arrangements. Our study confirms the importance of age and education as relevant determinants for mental health. Additionally, although most research establishes sex differences in depression, this study does not find significant differences in depression between men and women. In women, sexual identity is a significant determinant of depressive score, but we do not find the same in men. Finally, both general and minority stressors, especially the internal stressors, are found to have an important effect on depressive outcomes.</p>","PeriodicalId":87476,"journal":{"name":"Journal of LGBT health research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15574090802657168","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28519934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sari L Reisner, Matthew J Mimiaga, Kenneth H Mayer, Jake P Tinsley, Steven A Safren
{"title":"Tricks of the trade: sexual health behaviors, the context of HIV risk, and potential prevention intervention strategies for male sex workers.","authors":"Sari L Reisner, Matthew J Mimiaga, Kenneth H Mayer, Jake P Tinsley, Steven A Safren","doi":"10.1080/15574090903114739","DOIUrl":"https://doi.org/10.1080/15574090903114739","url":null,"abstract":"<p><p>Sex work is a significant risk for HIV and sexually transmitted infection (STI) among men who have sex with men (MSM); however, there is a dearth of knowledge about how to reduce risk in this group. MSM sex workers (N = 32) completed a semistructured qualitative interview and a close-ended quantitative assessment. Analyses focused on themes relevant to intervention development. Participants reported an average of 46 male sex partners in the prior 12 months; 31% of participants were HIV-infected. Male sex workers frequently used substances during sex and had elevated levels of psychological distress. Qualitative findings suggest that trauma-informed mental health and substance abuse treatment, ready access to HIV/STI testing and treatment and condoms/informational materials, support groups to address isolation/loneliness, skill-building for risk reduction with sex partners, and paid incentives as add-ons to effective behavior change interventions may be valuable intervention components. Targeting consumers of paid/exchanged sex may assist with changing community norms regarding the practice of transactional sex. Multipronged interventions to decrease sexual risk taking among male sex workers would also benefit from addressing the unique socioeconomic and legal needs of this population.</p>","PeriodicalId":87476,"journal":{"name":"Journal of LGBT health research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15574090903114739","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28519935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Perry N Halkitis, Daniel Siconolfi, Megan Fumerton, Kristin Barlup
{"title":"Facilitators of barebacking among emergent adult gay and bisexual men: implications for HIV prevention.","authors":"Perry N Halkitis, Daniel Siconolfi, Megan Fumerton, Kristin Barlup","doi":"10.1080/15574090802412580","DOIUrl":"https://doi.org/10.1080/15574090802412580","url":null,"abstract":"<p><p>We undertook a qualitative study to develop a greater understanding of \"intentional\" unprotected anal intercourse among drug-using gay and bisexual men, also known colloquially as barebacking. In our analysis, we investigated this behavior in a subset of 12 HIV-negative men in the early adulthood stage of life to disentangle factors that functioned as facilitators of barebacking, a behavior that may place these men at risk for HIV infection. Based on thematic analysis of life-history interviews, we delineated 4 main themes associated with barebacking: drug use, the role of responsibility for safer sex, misunderstandings about HIV transmission, and underlying mental health issues. The data suggest that lack of knowledge about HIV transmission is insufficient in explaining risk-taking. Rather, rationalization processes may be a factor in the sexual risk-taking behaviors of young HIV-negative men, and moreover, deep intrapsychic processes (often heightened by concurrent substance use), and the desire to please sexual partners may drive the decision-making of these men. Future intervention strategies must motivate and empower young men to seek support for the states that drive sexual risk-taking.</p>","PeriodicalId":87476,"journal":{"name":"Journal of LGBT health research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15574090802412580","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40032919","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}
Minal Rahimtoola, Hamidah Hussain, Saira N Khowaja, Aamir J Khan
{"title":"Sexually transmitted infections treatment and care available to high risk populations in Pakistan.","authors":"Minal Rahimtoola, Hamidah Hussain, Saira N Khowaja, Aamir J Khan","doi":"10.1080/15574090902913693","DOIUrl":"https://doi.org/10.1080/15574090902913693","url":null,"abstract":"<p><p>Limited literature exists on the quality and availability of treatment and care of sexually transmitted infections (STIs) in Pakistan. This article aims to document existing services for the care and treatment of STIs available in Pakistan's public and private sectors to high risk groups (HRG), particularly the transgendered population. We conducted a cross-sectional survey to document STI services in Lahore, Karachi, Rawalpindi, Peshawar, and Quetta. Seventy-three interviews were administered with health service providers at the 3 largest public sector hospitals in each city, as well as with general physicians and traditional healers in the private sector. Twenty-five nongovernmental organizations (NGO) providing STI services were also interviewed. Fewer than 45% of private and public sector general practitioners had been trained in STI treatment after the completion of their medical curriculum, and none of the traditional healers had received any formal training or information on STIs. The World Health Organization (WHO) syndromic management guidelines were followed for STI management by 29% of public and private sector doctors and 5% of traditional healers. STI drugs were available at no cost at 44% of NGOs and at some public sector hospitals. Our findings show that although providers do treat HRGs for STIs, there are significant limitations in their ability to provide these services. These deterrents include, but are not limited to, a lack of STI training of service providers, privacy and adherence to recommended WHO syndromic management guidelines, and costly diagnostic and consultation fees.</p>","PeriodicalId":87476,"journal":{"name":"Journal of LGBT health research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15574090902913693","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28459779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}