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LGBT Health

Michelle M Johns, V Paul Poteat, Stacey S Horn, Joseph Kosciw
Lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) adolescents face well-documented health disparities in suicide risk, substance use, and sexual health. These disparities are known to stem, in part, from stigma directed toward LGBTQ youth in the form of minority stressors such as violence, discrimination, and harassment. Given the proportion of time that LGBTQ students spend in school, schools provide a critical context within which protective factors may be developed and leveraged to improve the health and well-being of these populations...
April 8, 2019: LGBT Health
Elizabeth Hisle-Gorman, Corinne A Landis, Apryl Susi, Natasha A Schvey, Gregory H Gorman, Cade M Nylund, David A Klein
PURPOSE: While gender dysphoria (GD) and autism spectrum disorder (ASD) are generally identified in isolation, research on gender-referred or person-centered language (individuals who are gender-referred or have autism suggests) individuals suggests a possible overrepresentation of ASD in persons with GD and GD in persons with ASD. We investigated diagnosed GD in patients formally diagnosed with ASD and matched controls in the Military Health System. METHODS: We performed a retrospective case-cohort study of GD diagnoses in children aged 2-18 years with and without ASD utilizing health care records from 2000 to 2013...
March 28, 2019: LGBT Health
David A Stupplebeen, Michele J Eliason, Allen J LeBlanc, Emma V Sanchez-Vaznaugh
PURPOSE: This study examined whether the association between weight status and four chronic diseases (heart disease, hypertension, lifetime asthma, and type 2 diabetes) varied according to sexual orientation identity among adult men, controlling for demographic, socioeconomic, and other factors. METHODS: Pooled data from male adult participants (n = 72,214) in the 2003-2012 California Health Interview Survey were used along with logistic regression models to estimate whether the associations between weight status and chronic diseases varied by sexual orientation identity...
March 27, 2019: LGBT Health
Michael E Newcomb, Michael C LaSala, Alida Bouris, Brian Mustanski, Guillermo Prado, Sheree M Schrager, David M Huebner
Lesbian, gay, bisexual, transgender, queer, questioning, and other sexual and gender minority youth (LGBTQ) experience myriad health inequities relative to their cisgender heterosexual peers. Families have a profound impact on adolescent health, but little is known about this influence on LGBTQ youth specifically. We draw on work presented at a public symposium that aimed to characterize existing scientific evidence, identify gaps in knowledge, and set priority areas for future research on the influence of family factors on LGBTQ youth health...
March 7, 2019: LGBT Health
Robert W S Coulter, Deanna Ware, Jessica N Fish, Michael W Plankey
PURPOSE: We aimed to estimate latent classes of concurrent polysubstance use and test for sexual orientation differences in latent class memberships with representative data from adolescents living in 19 U.S. states. We also tested whether sex, race/ethnicity, and age moderated the sexual identity differences in polysubstance use class memberships. METHODS: We analyzed data from 119,437 adolescents from 19 states who participated in the 2015 Youth Risk Behavior Survey...
March 1, 2019: LGBT Health
John David Fernandez, Katherine Kendjorsky, Ana Narla, Alejandro G Villasante-Tezanos, Lisa R Tannock
PURPOSE: There are currently no recommendations regarding the starting doses of hormone therapy for individuals with gender dysphoria. The purpose of this study was to assess the hormone dose needed to achieve target hormone levels in transgender men and transgender women, and whether body mass index (BMI) affects these doses. METHODS: A retrospective chart review of subjects seeking gender-affirming hormone therapy was performed. Height, weight, hormone doses, and serum hormone levels were collected from charts...
February 27, 2019: LGBT Health
Megan C Roberts, Melinda Krakow, Christopher W Wheldon, Michelle I Silver
PURPOSE: We aimed to determine whether there are differences between sexual minority women and heterosexual women in family health history knowledge. METHODS: We used data from Dr. Susan Love Research Foundation's The Health of Women Study® . We included women who completed two of six online surveys between 2012 and 2015 (n = 22,410). RESULTS: Compared with heterosexual women, bisexual and lesbian women had consistently greater odds of not knowing their family health history (e...
February 21, 2019: LGBT Health
Megan S Schuler, Bradley D Stein, Rebecca L Collins
PURPOSE: Lesbian, gay, and bisexual (LGB) adults have elevated rates of substance use (SU) relative to heterosexual adults, yet the extent to which these disparities vary across age groups is unknown. Using national survey data, we test for age group differences in lifetime and recent SU disparities among LGB adults. METHODS: Using data on 67,354 adults (including 4868 LGB adults) from the 2015 and 2016 National Survey on Drug Use and Health (NSDUH), we examined LGB disparities for measures of lifetime and recent use of cigarettes, marijuana, and illicit drugs...
February 8, 2019: LGBT Health
Sarah MacCarthy, Steven C Martino, Q Burkhart, Megan K Beckett, Mark A Schuster, Denise D Quigley, Judy H Ng, Denis Agniel, Marc N Elliott
PURPOSE: The extent to which disparities affect all sexual minority women (SMW) versus specific subgroups of lesbian, bisexual, or other women remains unclear, in part due to inconsistent analysis of available data. We propose an integrated approach that aggregates subgroups to maximize power to detect broadly applicable disparities, then tests for subgroup heterogeneity, exercising caution with disaggregation when there is no direct evidence of heterogeneity. METHODS: Multivariate analyses of 2014-2015 National Health Interview Survey data examined six barriers to care...
February 6, 2019: LGBT Health
Ariella R Tabaac, Eric G Benotsch, Andrew J Barnes
PURPOSE: Sexual minority women (SMW) are vulnerable to cervical cancer, yet there is a dearth of research on potential mediators of cervical cancer disparities. Medical heterosexism, which involves sexual orientation-based discrimination in medical contexts, and provider-patient communication quality and trust in providers may be important factors influencing the cancer prevention decisions of SMW. The purpose of this study was to examine how provider-patient communication quality, trust in providers, and perceived medical heterosexism are associated with cervical cancer screening among SMW...
February 5, 2019: LGBT Health
Sarah P Carter, Kelly M Allred, Raymond P Tucker, Tracy L Simpson, Jillian C Shipherd, Keren Lehavot
PURPOSE: The aim was to examine social support and community connection as moderators of the relationship between discrimination and suicidal ideation (SI) in transgender veterans. METHODS: A national convenience sample of 298 transgender veterans completed an online cross-sectional survey from February to May 2014. Hierarchical regressions using nonparametric bootstrapping assessed associations among gender-related discrimination within the past year, two aspects of social support (social support, social connection) from four sources (family, friends, transgender/LGBT friends, and veterans), and SI in the past 2 weeks...
February 4, 2019: LGBT Health
Noor Beckwith, Michal J McDowell, Sari L Reisner, Shayne Zaslow, Roger D Weiss, Kenneth H Mayer, Alex S Keuroghlian
PURPOSE: Transgender and nonbinary people have an increased burden of psychiatric problems compared with the general population. Data are needed to understand factors associated with psychiatric diagnoses, acuity in terms of suicide attempts and level-of-care escalation, and outpatient engagement among transgender and nonbinary adults. METHODS: We conducted a retrospective review of records from 201 transgender and nonbinary adults who presented for primary care at a health center...
February 1, 2019: LGBT Health
(no author information available yet)
No abstract text is available yet for this article.
January 29, 2019: LGBT Health
Diane Chen, Moira A Kyweluk, Afiya Sajwani, Elisa J Gordon, Emilie K Johnson, Courtney A Finlayson, Teresa K Woodruff
PURPOSE: This study aimed to identify factors affecting transgender adolescents' and young adults' (AYA) decisions to pursue fertility preservation (FP). METHODS: Participants completed a semistructured interview between December 2016 and June 2017 to inform improvements in fertility counseling and the development of a fertility decision aid targeted to transgender youth. Interviews included open-ended questions within the following domains: (1) gender-affirming medical care received, (2) knowledge of gender-affirming hormone effects on fertility and FP options, (3) FP decision-making, and (4) how, when, and what information AYA prefer to receive regarding FP...
April 2019: LGBT Health
(no author information available yet)
No abstract text is available yet for this article.
February 2019: LGBT Health
Taraneh Gharib Nazem, Sydney Chang, Joseph A Lee, Christine Briton-Jones, Alan B Copperman, Beth McAvey
PURPOSE: The study purpose was to evaluate the reproductive experience, specifically cycle characteristics and treatment outcomes, of lesbian women. In addition, we aimed to determine whether there are differences in pregnancy outcomes when comparing lesbian women undergoing ovulation induction (OI) versus natural cycles with donor intrauterine insemination (IUI), as well as lesbian and heterosexual women undergoing the same assisted reproductive technology treatment. METHODS: This was a retrospective cohort study including women who underwent an IUI with cryopreserved sperm between 2006 and 2018...
February 2019: LGBT Health
Ilan H Meyer, Feijun Luo, Bianca D M Wilson, Deborah M Stone
PURPOSE: The aim was to assess the associations of antibullying U.S. state statutes that enumerate sexual orientation with exposure to bullying and other stressors and with suicidal ideation and suicide attempts in sexual minority and non sexual minority youth. METHODS: We analyzed data from the 2015 national school-based Youth Risk Behavior Survey, representative of 9th through 12th grade students attending public and private schools in the United States. We reviewed each state's antibullying statutes and classified them on enumeration...
January 14, 2019: LGBT Health
Steve N Du Bois, Nicole Legate, Ashley D Kendall
PURPOSE: The aim was to provide the first broad assessment of partnership-health associations across partnership statuses among lesbian and gay individuals. METHODS: Using population-level data from the 2016 U.S. Behavioral Risk Factor Surveillance System, specifically the 26 states/territories that assessed sexual orientation and gender identity, we ran analyses of covariance and logistic regressions to compare lesbian and gay individuals (N = 2963) of different partnership statuses in general health, physical health and health conditions, mental health, health behaviors, and health care access/utilization domains...
January 2019: LGBT Health
Shoshana K Goldberg, Kerith J Conron, Carolyn T Halpern
PURPOSE: The study tested if sexual orientation is associated with metabolic syndrome (MetS) in young adulthood (ages 24-32), and if economic strain impacts associations. METHODS: Gender-stratified logistic regressions were fit among 11,575 young adults (1644 sexual minority [SM]) in Wave IV of The National Longitudinal Study of Adolescent to Adult Health. RESULTS: MetS was not associated with sexual orientation for either gender, yet economic strain was more prevalent among both SM males and females...
January 2019: LGBT Health
Elizabeth J Kvach, Jennifer S Hyer, John C Carey, Marci Bowers
No abstract text is available yet for this article.
January 2019: LGBT Health
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