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[PMID]:29191154
[Au] Autor:Boettiger DC; Law MG; Dore GJ; Guy R; Callander D; Donovan B; O'Connor CC; Fairley CK; Hellard M; Matthews G
[Ad] Endereço:The Kirby Institute, UNSW Sydney, Sydney, NSW, Australia. dboettiger@kirby.unsw.edu.au.
[Ti] Título:Hepatitis C testing and re-testing among people attending sexual health services in Australia, and hepatitis C incidence among people with human immunodeficiency virus: analysis of national sentinel surveillance data.
[So] Source:BMC Infect Dis;17(1):740, 2017 Dec 01.
[Is] ISSN:1471-2334
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Direct acting antivirals are expected to drastically reduce the burden of hepatitis C virus (HCV) in people living with Human Immunodeficiency Virus (HIV). However, rates of HCV testing, re-testing and incident infection in this group remain uncertain in Australia. We assessed trends in HCV testing, re-testing and incident infection among HIV-positive individuals, and evaluated factors associated with HCV re-testing and incident infection. METHODS: The study population consisted of HIV-positive individuals who visited a sexual health service involved in the Australian Collaboration for Coordinated Enhanced Sentinel Surveillance (ACCESS) between 2007 and 2015. Poisson regression was used to assess trends and to evaluate factors associated with HCV re-testing and incident HCV infection. RESULTS: There were 9227 HIV-positive individuals included in our testing rate analysis. Of 3799 HIV-positive/HCV-negative people that attended an ACCESS sexual health service more than once, 2079 (54.7%) were re-tested for HCV and were therefore eligible for our incidence analysis. The rate of HCV testing increased from 17.1 to 51.4 tests per 100 patient years between 2007 and 2015 (p for trend <0.01). Over the same period, HCV re-testing rates increased from 23.9 to 79.7 tests per 100 person years (p for trend <0.01). A clear increase in testing and re-testing began after 2011. Patients who identified as men who have sex with men and those with a history of injecting drug use experienced high rates of HCV re-testing over the course of the study period. Among those who re-tested, 157 incident HCV infections occurred at a rate of 2.5 events per 100 person years. Between 2007 and 2009, 2010-2011, 2012-2013 and 2014-2015, rates of incident HCV were 0.8, 1.5, 3.9 and 2.7 events per 100 person years, respectively (p for trend <0.01). Incident HCV was strongly associated with a history of injecting drug use. CONCLUSIONS: High rates of HCV testing and re-testing among HIV-positive individuals in Australia will assist strategies to achieve HCV elimination through rapid treatment scale up. Continued monitoring of HCV incidence in this population is essential for guiding both HCV prevention and treatment strategies.
[Mh] Termos MeSH primário: Infecções por HIV/diagnóstico
Hepatite C/diagnóstico
[Mh] Termos MeSH secundário: Adulto
Austrália/epidemiologia
Usuários de Drogas
Feminino
Infecções por HIV/complicações
Serviços de Saúde
Hepacivirus/genética
Hepacivirus/imunologia
Hepacivirus/isolamento & purificação
Hepatite C/complicações
Hepatite C/epidemiologia
Anticorpos Anti-Hepatite C/sangue
Homossexualidade
Seres Humanos
Incidência
Masculino
Meia-Idade
RNA Viral/sangue
Vigilância de Evento Sentinela
Saúde Sexual
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Hepatitis C Antibodies); 0 (RNA, Viral)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171202
[St] Status:MEDLINE
[do] DOI:10.1186/s12879-017-2848-0


  2 / 11526 MEDLINE  
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[PMID]:28745596
[Au] Autor:Jones O
[Ti] Título:Putting LGBTQ people back on the canvas of history.
[So] Source:Lancet;390(10092):352-353, 2017 07 22.
[Is] ISSN:1474-547X
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Homossexualidade/história
[Mh] Termos MeSH secundário: Inglaterra
Identidade de Gênero
História do Século XV
História do Século XIX
História do Século XX
História Antiga
Seres Humanos
Masculino
Museus
Pinturas/história
Minorias Sexuais e de Gênero
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180126
[Lr] Data última revisão:
180126
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170727
[St] Status:MEDLINE


  3 / 11526 MEDLINE  
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[PMID]:28459379
[Au] Autor:Rossman K; Salamanca P; Macapagal K
[Ad] Endereço:a Trans and Sexuality Teaching, Advocacy, and Research (TSTAR) , Louisville , Kentucky , USA.
[Ti] Título:A Qualitative Study Examining Young Adults' Experiences of Disclosure and Nondisclosure of LGBTQ Identity to Health Care Providers.
[So] Source:J Homosex;64(10):1390-1410, 2017.
[Is] ISSN:1540-3602
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Shifting cultural attitudes and legislation have increased focus on the health care needs of lesbian, gay, bisexual, transgender, and queer (LGBTQ) patients. However, patient nondisclosure of LGBTQ identity creates a barrier to accessing care. This qualitative study examined a diverse sample of LGBTQ young adults and their experiences of disclosure and nondisclosure to medical providers. Participants (n = 206, age range 18-27) completed questionnaires assessing health care access and use as part of a larger study. Participants' responses to open-ended items asking about experiences of LGBTQ identity disclosure to medical providers and reasons for nondisclosure were analyzed thematically. Results revealed intra- and interpersonal factors related to patient disclosure and nondisclosure of LGBTQ identity. Reasons for participant nondisclosure included providers not asking about identity, internalized stigma, and belief that health and LGBTQ identity are not related. When participants did disclose, they experienced reactions ranging from discrimination and disbelief to affirmation and respect. Findings confirm and extend previous research on young adults' identity disclosure and provide avenues for health professionals' continuing education when working with LGBTQ patients.
[Mh] Termos MeSH primário: Pessoal de Saúde
Homossexualidade
Relações Médico-Paciente
Autorrevelação
Minorias Sexuais e de Gênero
[Mh] Termos MeSH secundário: Adolescente
Adulto
Atitude
Feminino
Acesso aos Serviços de Saúde
Seres Humanos
Masculino
Pesquisa Qualitativa
Comportamento Sexual
Estigma Social
Inquéritos e Questionários
Pessoas Transgênero
Transexualismo
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:180120
[Lr] Data última revisão:
180120
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE
[do] DOI:10.1080/00918369.2017.1321379


  4 / 11526 MEDLINE  
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Registro de Ensaios Clínicos
[PMID]:27770819
[Au] Autor:Willging CE; Green AE; Ramos MM
[Ad] Endereço:Behavioral Health Research Center of the Southwest, Pacific Institute for Research and Evaluation, 612 Encino Place NE, Albuquerque, NM, USA. cwillging@pire.org.
[Ti] Título:Implementing school nursing strategies to reduce LGBTQ adolescent suicide: a randomized cluster trial study protocol.
[So] Source:Implement Sci;11(1):145, 2016 10 22.
[Is] ISSN:1748-5908
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Reducing youth suicide in the United States (U.S.) is a national public health priority, and lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ) youth are at elevated risk. The Centers for Disease Control and Prevention (CDC) endorses six evidence-based (EB) strategies that center on meeting the needs of LGBTQ youth in schools; however, fewer than 6 % of U.S. schools implement all of them. The proposed intervention model, "RLAS" (Implementing School Nursing Strategies to Reduce LGBTQ Adolescent Suicide), builds on the Exploration, Preparation, Implementation, and Sustainment (EPIS) conceptual framework and the Dynamic Adaptation Process (DAP) to implement EB strategies in U.S. high schools. The DAP accounts for the multilevel context of school settings and uses Implementation Resource Teams (IRTs) to facilitate appropriate expertise, advise on acceptable adaptations, and provide data feedback to make schools implementation ready and prepared to sustain changes. METHODS/DESIGN: Mixed methods will be used to examine individual, school, and community factors influencing both implementation process and youth outcomes. A cluster randomized controlled trial will assess whether LGBTQ students and their peers in RLAS intervention schools (n = 20) report reductions in suicidality, depression, substance use, bullying, and truancy related to safety concerns compared to those in usual care schools (n = 20). Implementation progress and fidelity for each EB strategy in RLAS intervention schools will be examined using a modified version of the Stages of Implementation Completion checklist. During the implementation and sustainment phases, annual focus groups will be conducted with the 20 IRTs to document their experiences identifying and advancing adaptation supports to facilitate use of EB strategies and their perceptions of the DAP. DISCUSSION: The DAP represents a data-informed, collaborative, multiple stakeholder approach to progress from exploration to sustainment and obtain fidelity during the implementation of EB strategies in school settings. This study is designed to address the real-world implications of enabling the use of EB strategies by school nurses with the goal of decreasing suicide and youth risk behaviors among LGBTQ youth. Through its participatory processes to refine and sustain EB strategies in high schools, the RLAS represents a novel contribution to implementation science. TRIAL REGISTRATION: ClinicalTrials.gov, NCT02875535.
[Mh] Termos MeSH primário: Comportamento do Adolescente/psicologia
Bullying/prevenção & controle
Serviços de Enfermagem Escolar/métodos
Minorias Sexuais e de Gênero/psicologia
Sexualidade/psicologia
Suicídio/prevenção & controle
[Mh] Termos MeSH secundário: Adolescente
Bissexualidade/psicologia
Análise por Conglomerados
Feminino
Homossexualidade/psicologia
Seres Humanos
Masculino
New Mexico
Projetos de Pesquisa
Suicídio/psicologia
Transexualismo/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171210
[Lr] Data última revisão:
171210
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[Cl] Clinical Trial:ClinicalTrial
[St] Status:MEDLINE


  5 / 11526 MEDLINE  
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[PMID]:28332944
[Au] Autor:Whitehead AL
[Ad] Endereço:a Department of Sociology and Anthropology , Clemson University , Clemson , South Carolina , USA.
[Ti] Título:Homosexuality, Religion, and the Family: The Effects of Religion on Americans' Appraisals of the Parenting Abilities of Same-Sex Couples.
[So] Source:J Homosex;65(1):42-65, 2018.
[Is] ISSN:1540-3602
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Although a growing body of research focuses on Americans' attitudes toward same-sex couples as parents, very few include measures of religion, and those that do fail to capture its multidimensional nature. Furthermore, many past studies relied on convenience samples of college students, or samples gathered outside the United States. Multivariate analyses of the 2012 General Social Survey-a nationally representative sample of adults in the United States-reveal that a slim majority of Americans still do not believe same-sex couples can parent as well as male-female couples, and the religious beliefs, behaviors, and affiliations of Americans are significantly and at times differentially associated with appraisals of same-sex couples' parenting abilities. It appears that although religion is generally associated with more negative appraisals of the parenting abilities of same-sex couples, it is not uniformly so. Americans' immediate religious and cultural context can shape their appraisals of homosexuality in diverse ways.
[Mh] Termos MeSH primário: Relações Familiares
Homossexualidade
Poder Familiar
Religião e Sexo
[Mh] Termos MeSH secundário: Adulto
Atitude
Criança
Feminino
Seres Humanos
Masculino
Pais
Opinião Pública
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171128
[Lr] Data última revisão:
171128
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170324
[St] Status:MEDLINE
[do] DOI:10.1080/00918369.2017.1310550


  6 / 11526 MEDLINE  
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[PMID]:28332928
[Au] Autor:Youn G
[Ad] Endereço:a Department of Psychology , Chonnam National University , Gwangju , Korea.
[Ti] Título:Attitudinal Changes Toward Homosexuality During the Past Two Decades (1994-2014) in Korea.
[So] Source:J Homosex;65(1):100-116, 2018.
[Is] ISSN:1540-3602
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study was conducted to examine recent Korean perspectives on homosexuality by comparing attitudes toward mental illness, crime, friendship, and civil rights related to homosexual people in 1994, 1999, 2004, 2009, and 2014. The respondents were 3,299 Korean men and women between 18 and 59 years of age, and the data were collected across 5 years. The major findings were that there has been greater acceptance of homosexuality and civil rights for homosexuals during the past two decades, but the changes have been slow; Korean homosexuals remain subjects of social stigma and discrimination primarily due to increased Christian activism.
[Mh] Termos MeSH primário: Atitude
Homossexualidade
[Mh] Termos MeSH secundário: Adolescente
Adulto
Direitos Civis
Feminino
História do Século XX
História do Século XXI
Homossexualidade/história
Seres Humanos
Masculino
Meia-Idade
República da Coreia
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171128
[Lr] Data última revisão:
171128
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170324
[St] Status:MEDLINE
[do] DOI:10.1080/00918369.2017.1310512


  7 / 11526 MEDLINE  
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[PMID]:28481724
[Au] Autor:Alpert AB; CichoskiKelly EM; Fox AD
[Ad] Endereço:a Larner College of Medicine , University of Vermont , Burlington , Vermont , USA.
[Ti] Título:What Lesbian, Gay, Bisexual, Transgender, Queer, and Intersex Patients Say Doctors Should Know and Do: A Qualitative Study.
[So] Source:J Homosex;64(10):1368-1389, 2017.
[Is] ISSN:1540-3602
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This qualitative study explored the experiences of lesbian, gay, bisexual, transgender, queer, and intersex (LGBTQI) people in health care and their recommendations for physicians. Six focus groups were conducted with LGBTQI people (N = 48) in four U.S. cities between October 2013 and April 2014. Five overarching themes emerged regarding patients' suggestions for providers: be comfortable with LGBTQI patients; share medical decision-making; avoid assumptions; apply LGBTQI-related knowledge; and address the social context of health disparities. These core competencies differed in meaningful ways from competencies created by national organizations such as the Association of American Medical Colleges. Community-derived competencies stressed the importance of collaborative patient-physician partnerships, particularly in the setting of hormone prescription for transgender patients, and prioritized addressing social determinants of health and focusing on marginalized subpopulations and stigmatized needs of the community. Limitations, particular of sampling, were considered. Community input could improve medical education interventions to reduce health disparities in marginalized communities.
[Mh] Termos MeSH primário: Homossexualidade
Relações Médico-Paciente
Minorias Sexuais e de Gênero
Pessoas Transgênero
Transexualismo
[Mh] Termos MeSH secundário: Adolescente
Adulto
Competência Clínica
Educação Médica
Feminino
Grupos Focais
Seres Humanos
Masculino
Meia-Idade
Pesquisa Qualitativa
Distribuição Espacial da População
Comportamento Sexual
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170509
[St] Status:MEDLINE
[do] DOI:10.1080/00918369.2017.1321376


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[PMID]:28348201
[Au] Autor:Dai H
[Ad] Endereço:Health Services & Outcomes Research, Children's Mercy Hospital, Kansas City, Missouri; and Departments of Biomedical & Health Informatics, and Pediatrics, University of Missouri-Kansas City, Kansas City, Missouri hdai@cmh.edu.
[Ti] Título:Tobacco Product Use Among Lesbian, Gay, and Bisexual Adolescents.
[So] Source:Pediatrics;139(4), 2017 Apr.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Sexual minority youth face health disparities and a high risk of substance abuse. This study sought to fully characterize the disparity of tobacco use and risk factors in this high-risk subpopulation. METHODS: Using data from the 2015 Youth Risk Behavior Survey, the current use of various tobacco products (cigarettes, smokeless tobacco, cigars, and e-cigarettes) was compared according to sex and distinct sexual identities (lesbian, gay, bisexual, and unsure). Heterosexual/straight adolescents served as the control group. RESULTS: Of 14 703 respondents, 88.8% were heterosexual/straight, 2.0% were lesbian or gay, 6.0% were bisexual, and 3.2% were unsure about their sexual identity. Sexual minorities had a higher prevalence of tobacco product use than their heterosexual/straight counterparts. Sex had a significant effect on the disparities of tobacco use. Lesbian and bisexual girls had higher odds of reporting current use of any tobacco product, cigarettes, cigars, and e-cigarettes than did straight girls, whereas sexual minority boys had similar smoking behaviors compared with straight boys. Substance use, including marijuana use, drinking, and binge drinking, was significantly associated with any tobacco use. CONCLUSIONS: Tobacco use differs among subgroups of sexual minority youth, with lesbians and bisexual girls having a higher prevalence of tobacco use than their straight peers. Heterogeneity of tobacco use across distinct sexual identity groups underscores the need to develop evidence-based tobacco control strategies for sexual minority youth.
[Mh] Termos MeSH primário: Homossexualidade/estatística & dados numéricos
Assunção de Riscos
Comportamento Sexual/estatística & dados numéricos
Tabagismo/epidemiologia
Uso de Tabaco/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Bissexualidade
Feminino
Identidade de Gênero
Inquéritos Epidemiológicos
Seres Humanos
Masculino
Prevalência
Minorias Sexuais e de Gênero
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170329
[St] Status:MEDLINE


  9 / 11526 MEDLINE  
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[PMID]:28299562
[Au] Autor:Fasoli F; Maass A; Paladino MP; Sulpizio S
[Ad] Endereço:School of Psychology, University of Surrey, Stage Hill Campus, Guildford, GU2 7XH, UK. f.fasoli@surrey.ac.uk.
[Ti] Título:Gay- and Lesbian-Sounding Auditory Cues Elicit Stereotyping and Discrimination.
[So] Source:Arch Sex Behav;46(5):1261-1277, 2017 Jul.
[Is] ISSN:1573-2800
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The growing body of literature on the recognition of sexual orientation from voice ("auditory gaydar") is silent on the cognitive and social consequences of having a gay-/lesbian- versus heterosexual-sounding voice. We investigated this issue in four studies (overall N = 276), conducted in Italian language, in which heterosexual listeners were exposed to single-sentence voice samples of gay/lesbian and heterosexual speakers. In all four studies, listeners were found to make gender-typical inferences about traits and preferences of heterosexual speakers, but gender-atypical inferences about those of gay or lesbian speakers. Behavioral intention measures showed that listeners considered lesbian and gay speakers as less suitable for a leadership position, and male (but not female) listeners took distance from gay speakers. Together, this research demonstrates that having a gay/lesbian rather than heterosexual-sounding voice has tangible consequences for stereotyping and discrimination.
[Mh] Termos MeSH primário: Percepção Auditiva/fisiologia
Sinais (Psicologia)
Homossexualidade/psicologia
Estereotipagem
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171107
[Lr] Data última revisão:
171107
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170317
[St] Status:MEDLINE
[do] DOI:10.1007/s10508-017-0962-0


  10 / 11526 MEDLINE  
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[PMID]:28279140
[Au] Autor:Marshall JL
[Ad] Endereço:Brite Divinity School, Texas Christian University, USA.
[Ti] Título:Alternative Visions for Pastoral Work with LGBTQ Individuals, Families, and Communities: A Response.
[So] Source:J Pastoral Care Counsel;71(1):60-68, 2017 Mar.
[Is] ISSN:2167-776X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Multiple theological perspectives provide frameworks for pastoral work with lesbian, gay, bisesxual and trans individuals, families, and communities. One model is offered by those who argue for celibacy or heterosexual marriages for those who self-identify as part of LGBTQ communities. This article names other theologically grounded perspectives with the goal of inviting practitioners to broaden their understandings and wrestle with the implications of their theological and ethical stances. When reflecting on the intersection of spirituality and sexuality, the meaning of theological terms such as sin, contributions from queer theologians and pastoral counselors, and the limitations of binary categories common in our theological history, this article encourages pastoral counselors and spiritual care providers to re-examine theological assumptions they bring to their work. The article ends with questions and opportunities for ongoing pastoral theological work and reflection.
[Mh] Termos MeSH primário: Clero/psicologia
Aconselhamento/métodos
Homossexualidade/psicologia
Assistência Religiosa/métodos
Papel Profissional/psicologia
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Masculino
Relações Profissional-Paciente
Identificação Social
Espiritualidade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170904
[Lr] Data última revisão:
170904
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:170311
[St] Status:MEDLINE
[do] DOI:10.1177/1542305017693637



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