Journal of LGBT health research最新文献_第3页

Sexually transmitted infections treatment and care available to high risk populations in Pakistan. 巴基斯坦向高危人群提供性传播感染治疗和护理。

Journal of LGBT health research Pub Date : 2008-01-01 DOI: 10.1080/15574090902913693

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":"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.","PeriodicalId":87476,"journal":{"name":"Journal of LGBT health research","volume":"4 2-3","pages":"103-10"},"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}

引用次数: 3

Exploring context and dynamics of homosexual experiences among rural youth in India. 探讨印度农村青年同性恋经历的背景和动态。

Journal of LGBT health research Pub Date : 2008-01-01 DOI: 10.1080/15574090902913719

Ajay K Singh, Vaishali Sharma Mahendra, Ravi Verma

{"title":"Exploring context and dynamics of homosexual experiences among rural youth in India.","authors":"Ajay K Singh, Vaishali Sharma Mahendra, Ravi Verma","doi":"10.1080/15574090902913719","DOIUrl":"https://doi.org/10.1080/15574090902913719","url":null,"abstract":"There is a lack of community-based studies that have examined level and context of homosexual activity in India among male youth. As part of a larger study on sexual behavior and gender attitudes of rural youth in Northern India, this study identified a subgroup of young men who reported homosexual experiences, even though they did not identify themselves as homosexual. This article attempts to examine the levels and range of sexual practices and attitudes of the homosexually active male youth by comparing them with their peers who reported heterosexual experiences. Study findings indicate that about one-fifth of sexually active male youth reported homosexual experiences. These young men begin their sexual careers early; engage with a higher number of sexual partners, both male and female; and are more likely to report inconsistent condom use, as compared to their heterosexually active peers. With high levels of partner mixing and inconsistent condom, use it appears that, for this subgroup of young men with high risk behaviors, homosexual experiences are only one part of their sexual lives and not the main factor that would contribute to their HIV vulnerability. Interventions need to be mindful of these issues, rather than rushing into labelling youth as homosexual or heterosexual for programmatic purposes. At the same time, as high-risk behaviors are largely unexplored among a general population of rural male youth, there is need for more in-depth ethnographic and culturally specific sexuality research to explore if there is a subculture that may promote sexual practices including same-sex activities that influences HIV vulnerability.","PeriodicalId":87476,"journal":{"name":"Journal of LGBT health research","volume":"4 2-3","pages":"89-101"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15574090902913719","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28459778","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}

引用次数: 8

Not to stigmatize but to humanize sexual lives of the transgender (hijra) in Bangladesh: condom chat in the AIDS era. 不是要污名化，而是要将孟加拉跨性别者(hijra)的性生活人性化:爱滋病时代的安全套聊天。

Journal of LGBT health research Pub Date : 2008-01-01 DOI: 10.1080/15574090902949473

Sharful Islam Khan, Mohammed Iftekher Hussain, Gorkey Gourab, Shaila Parveen, Mahbubul Islam Bhuiyan, Joya Sikder

{"title":"Not to stigmatize but to humanize sexual lives of the transgender (hijra) in Bangladesh: condom chat in the AIDS era.","authors":"Sharful Islam Khan, Mohammed Iftekher Hussain, Gorkey Gourab, Shaila Parveen, Mahbubul Islam Bhuiyan, Joya Sikder","doi":"10.1080/15574090902949473","DOIUrl":"https://doi.org/10.1080/15574090902949473","url":null,"abstract":"Despite condom interventions since year 2000 with the transgender (hijra) population, condom use remains low. Consequently, hijra suffer from higher rates of active syphilis, putting them under threat of HIV transmission. In an ethnographic study, 50 in-depth interviews with diverse groups of hijra along with 20 key-informants interviews with various stakeholders, and 13 focus group discussions (FGDs) were conducted with comprehensive field observations. Findings indicate that most hijra understand the importance of condoms, but none use condoms consistently. Complex underlying reasons positioned beyond the individual's cognitive domain include: low self-confidence; economic hardships for mere survival; multiple transient partners; sexual desire, preferences, and eroticisms concerning anal sex; stigma associated with purchasing condoms; poor quality and interrupted supply of condoms and lubricants; limitation of fear-producing messages in favor of condoms; inadequate professional skills and motivational impetus of the outreach staff for condom promotion, and incompetent management with inadequate understanding about the dynamics of condom use. Imposing condoms by disregarding socio-cultural and socio-economic scripts of sexual relationships and eroticism of hijra-sexuality have challenged the effectiveness of current condom interventions. Interventions should not mechanize the process, rather they may humanize and eroticize sexual lives of the hijra. A paradigm shift is required where condoms enhance the dignity and quality of sexual lives of the hijra beyond the framework of disgrace, disease, and death.","PeriodicalId":87476,"journal":{"name":"Journal of LGBT health research","volume":"4 2-3","pages":"127-41"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15574090902949473","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28459781","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}

引用次数: 29

Life beyond depression: the experience of gays and lesbians who self-identify as depressed. 抑郁之外的生活:自认为抑郁的男女同性恋者的经历。

Journal of LGBT health research Pub Date : 2007-01-01 DOI: 10.1080/15574090802226600

Nathalie Lovasz, Juanne Clarke

引用次数: 6

Sexual orientation and sexual behavior: results from the Massachusetts Behavioral Risk Factor Surveillance System, 2002-2006. 性取向和性行为:来自马萨诸塞州行为风险因素监测系统的结果，2002-2006。

Journal of LGBT health research Pub Date : 2007-01-01 DOI: 10.1080/15574090802092614

Susan M Keyes, Emily F Rothman, Zi Zhang

{"title":"Sexual orientation and sexual behavior: results from the Massachusetts Behavioral Risk Factor Surveillance System, 2002-2006.","authors":"Susan M Keyes, Emily F Rothman, Zi Zhang","doi":"10.1080/15574090802092614","DOIUrl":"https://doi.org/10.1080/15574090802092614","url":null,"abstract":"Few population-based surveys in the United States include sexual orientation as a demographic variable. As a result, estimating the proportion of the U.S. population that is gay, lesbian, or bisexual (GLB) is a substantial challenge. Prior estimates vary widely, from 1-21%. In 2001, questions on sexual orientation and sexual behavior were added to the Massachusetts Behavioral Risk Factor Surveillance System (MA BRFSS) and have been asked continually since that time. The purpose of this study was to determine the prevalence of adults in Massachusetts identifying as GLB and providing a demographic description of this group. The study also examined the correlation of reported sexual behavior and sexual identity within this group. Overall, 1.9% of Massachusetts adults identified as gay or lesbian and 1.0% of Massachusetts adults identified as bisexual. Of those identifying as gay or lesbian, 95.4% reported sexual behavior concordant with this identification, and 99.4% of respondents identifying as heterosexual reported behavior concordant with heterosexual sexual orientation. Among those reporting a GLB sexual orientation, men were more likely than women to identify as gay, and women were more likely than men to identify as bisexual. Younger adults (18-25 years old) were more likely than people in other age groups to identify as bisexual. Respondents with 4 or more years of education were more likely to identify as gay or lesbian than those in all other education categories. The addition of sexual orientation to population-based surveys will allow for research on the health of GLB adults and provide critical information for those charged with the creation of public policy regarding sexual orientation.","PeriodicalId":87476,"journal":{"name":"Journal of LGBT health research","volume":"3 3","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15574090802092614","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27867482","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}

引用次数: 9

Sexual behaviors and sexually transmitted infections among self-identified lesbian and bisexual college women. 自认为是女同性恋和双性恋的女大学生的性行为和性传播感染。

Journal of LGBT health research Pub Date : 2007-01-01 DOI: 10.1080/15574090802093323

Lisa L Lindley, Molly B Kerby, Thomas J Nicholson, Ning Lu

{"title":"Sexual behaviors and sexually transmitted infections among self-identified lesbian and bisexual college women.","authors":"Lisa L Lindley, Molly B Kerby, Thomas J Nicholson, Ning Lu","doi":"10.1080/15574090802093323","DOIUrl":"https://doi.org/10.1080/15574090802093323","url":null,"abstract":"Sexually transmitted infections (STIs) are a significant health issue for lesbian and bisexual women. Older age and having a history of sexual intercourse with males are primary risk factors for STIs among this population. However, little research has been conducted to assess sexual risk among lesbian and bisexual college women exclusively. A cross-sectional Internet survey was conducted with 230 self-identified lesbian and bisexual female college students to examine their sexual risk and to determine with which, if any, STIs they had ever been diagnosed. Eight percent of lesbian and bisexual college women reported ever being diagnosed with an STI; the human papillomavirus, bacterial vaginosis, and genital herpes accounted for 84% of STI cases. Number of lifetime sex partners was significantly associated with an STI diagnosis among this population. Older age, engaging in penile-vaginal intercourse with a male (lifetime), and younger age at first same-sex experience were significantly associated with a greater number of lifetime sex partners. Results may be useful to sexual health programs targeting lesbian and bisexual college women and/or their providers.","PeriodicalId":87476,"journal":{"name":"Journal of LGBT health research","volume":"3 3","pages":"41-54"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15574090802093323","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27867485","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}

引用次数: 19

Making sense of sexual orientation measures: findings from a cognitive processing study with adolescents on health survey questions. 性取向测量的意义:一项针对青少年健康调查问题的认知加工研究的发现。

Journal of LGBT health research Pub Date : 2007-01-01 DOI: 10.1300/j463v03n01_07

S Bryn Austin, Kerith Conron, Aarti Patel, Naomi Freedner

{"title":"Making sense of sexual orientation measures: findings from a cognitive processing study with adolescents on health survey questions.","authors":"S Bryn Austin, Kerith Conron, Aarti Patel, Naomi Freedner","doi":"10.1300/j463v03n01_07","DOIUrl":"https://doi.org/10.1300/j463v03n01_07","url":null,"abstract":"Objective: To carry out a study using cognitive processing interview methods to explore ways in which adolescents understand sexual orientation questions currently used on epidemiologic surveys.Methods: In-depth, individual interviews were conducted to probe cognitive processes involved in answering four self-report survey questions assessing sexual identity, sexual attraction, and sex of sexual partners.A semi-structured interview guide was used to explore variation in question interpretation, information retrieval patterns and problems, item clarity, valence of reactions to items (positive, negative, neutral), respondent burden, and perceived threat associated with the measures. Thirty adolescents aged 15 to 21 of diverse sexual orientations and race/ethnicities participated in the study, including female, male, and transgender youth.Results: A question on sexual attraction was the most consistently understood and thus was easy for nearly all youth to answer. In contrast, a measure of sexual identity with options heterosexual, bisexual, gay/lesbian, and unsure was the most difficult to answer. Most preferred a sexual identity item that also provided the intermediate options mostly heterosexual and mostly homosexual, which many said reflected their experience of feeling between categories. Participants had varying and inconsistent interpretations of sexual behavior terms, such as sex and sexual intercourse, used in assessing the sex of sexual partners.Conclusion: Differences in understanding could affect interpretation of survey data in important ways. Development of valid measures of sexual orientation will be essential to better monitor health disparities.","PeriodicalId":87476,"journal":{"name":"Journal of LGBT health research","volume":"3 1","pages":"55-65"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/j463v03n01_07","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27101477","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}

引用次数: 93

Gender nonconformity as a target of prejudice, discrimination, and violence against LGB individuals. 性别不符是针对女同性恋、男同性恋、双性恋和变性者的偏见、歧视和暴力的目标。

Journal of LGBT health research Pub Date : 2007-01-01 DOI: 10.1080/15574090802093562

Allegra R Gordon, Ilan H Meyer

{"title":"Gender nonconformity as a target of prejudice, discrimination, and violence against LGB individuals.","authors":"Allegra R Gordon, Ilan H Meyer","doi":"10.1080/15574090802093562","DOIUrl":"10.1080/15574090802093562","url":null,"abstract":"Research into antigay violence has been limited by a lack of attention to issues of gender presentation. Understanding gender nonconformity is important for addressing antigay prejudice and hate crimes. We assessed experiences of gender-nonconformity-related prejudice among 396 Black, Latino, and White lesbian, gay, and bisexual individuals recruited from diverse community venues in New York City. We assessed the prevalence and contexts of prejudice-related life events and everyday discrimination using both quantitative and qualitative approaches. Gender nonconformity had precipitated major prejudice events for 9% of the respondents and discrimination instances for 19%. Women were more likely than men to report gender-nonconformity-related discrimination but there were no differences by other demographic characteristics. In analysis of events narratives, we show that gender nonconformity prejudice is often intertwined with antigay prejudice. Our results demonstrate that both constructs should be included when addressing prejudice and hate crimes targeting lesbian, gay, bisexual, and transgender individuals and communities.","PeriodicalId":87476,"journal":{"name":"Journal of LGBT health research","volume":"3 3","pages":"55-71"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10790306/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27867486","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

Suicidal ideation and attempts in North American school-based surveys: are bisexual youth at increasing risk? 北美学校调查中的自杀意念和企图：双性恋青少年的风险是否在增加？

Journal of LGBT health research Pub Date : 2007-01-01 DOI: 10.1300/J463v03n02_04

Elizabeth M Saewyc, Carol L Skay, Patricia Hynds, Sandra Pettingell, Linda H Bearinger, Michael D Resnick, Elizabeth Reis

引用次数: 0

An evaluation of service utilization among male to female transgender youth: qualitative study of a clinic-based sample. 男变女变性青年服务利用评价:临床样本的定性研究。

Journal of LGBT health research Pub Date : 2007-01-01 DOI: 10.1300/J463v03n02_06

Heather L Corliss, Marvin Belzer, Catherine Forbes, Erin C Wilson

{"title":"An evaluation of service utilization among male to female transgender youth: qualitative study of a clinic-based sample.","authors":"Heather L Corliss, Marvin Belzer, Catherine Forbes, Erin C Wilson","doi":"10.1300/J463v03n02_06","DOIUrl":"https://doi.org/10.1300/J463v03n02_06","url":null,"abstract":"This qualitative study examined experiences with health and social service institutions and experiences related to education, employment, and other social networks among 18 ethnically diverse, male to female (MTF) transgender youth aged 16 to 24 years. Participants were recruited from a youth health clinic where they were receiving services for their transgender/transsexual identity. In-depth, semi-structured interviews explored youths' patterns of service utilization, reasons for seeking care, beliefs about the usefulness of services received, experiences with service providers, barriers to care, and suggestions for improving services tailored to them. Similar to other studies with this population, participants described a multitude of health and social risk experiences as well as complex needs related to healthcare, education, employment, housing, personal relationships, and safety. Results suggest a mixed pattern of both positive and negative experiences within the medical, social and mental health services arenas. To improve support for transgender youth and assist in their positive development, it is essential to improve and expand the availability of culturally competent and effective services for this population.","PeriodicalId":87476,"journal":{"name":"Journal of LGBT health research","volume":"3 2","pages":"49-61"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J463v03n02_06","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28064421","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}

引用次数: 65