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Pesquisa : M01.777 [Categoria DeCS]
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[PMID]:28467238
[Au] Autor:Charlton BM; Reisner SL; Agénor M; Gordon AR; Sarda V; Austin SB
[Ad] Endereço:1 Division of Adolescent/Young Adult Medicine, Boston Children's Hospital , Boston, Massachusetts.
[Ti] Título:Sexual Orientation Disparities in Human Papillomavirus Vaccination in a Longitudinal Cohort of U.S. Males and Females.
[So] Source:LGBT Health;4(3):202-209, 2017 Jun.
[Is] ISSN:2325-8306
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: This study sought to examine how human papillomavirus (HPV) vaccination may differ across sexual orientation groups (e.g., bisexuals compared to heterosexuals)-particularly in boys and men, about whom little is known. METHODS: Data were from a prospective cohort of 10,663 U.S. females and males enrolled in the Growing Up Today Study followed from 1996 to 2014. Participants were aged 11-24 years when the vaccine was approved for females in 2006 and 14-27 years when approved for males in 2009. In addition to reporting sexual orientation identity/attractions, participants reported sex of lifetime sexual partners. Log-binominal models were used to examine HPV vaccination across sexual orientation groups. RESULTS: Among females, 56% received ≥1 dose. In contrast, 8% of males obtained ≥1 dose; HPV vaccination initiation was especially low among completely heterosexual males. After adjusting for potential confounders, completely heterosexual (risk ratio [RR]; 95% confidence interval [CI]: 0.45 [0.30-0.68]) and mostly heterosexual (RR; 95% CI: 0.44 [0.25-0.78]) males were half as likely to have received even a single dose compared to gay males. Compared to lesbians, no differences were observed for completely heterosexual or bisexual females, but mostly heterosexual females were 20% more likely to have received at least one dose. CONCLUSIONS: HPV vaccination rates in the U.S. are strikingly low and special attention is needed for boys and men, especially those who do not identify as gay. Vaccinating everyone, regardless of sex/gender and/or sexual orientation, will not only lower that individual's susceptibility but also decrease transmission to partners, females and/or males, to help eradicate HPV through herd immunity.
[Mh] Termos MeSH primário: Disparidades em Assistência à Saúde
Vacinas contra Papillomavirus/uso terapêutico
Comportamento Sexual
Minorias Sexuais e de Gênero
[Mh] Termos MeSH secundário: Adolescente
Criança
Feminino
Seres Humanos
Estudos Longitudinais
Masculino
Infecções por Papillomavirus/epidemiologia
Infecções por Papillomavirus/prevenção & controle
Estudos Prospectivos
Estados Unidos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Papillomavirus Vaccines)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.1089/lgbt.2016.0103


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[PMID]:28453387
[Au] Autor:Cahill SR; Makadon HJ
[Ad] Endereço:1 Health Policy Research, The Fenway Institute , Fenway Health, Boston, Massachusetts.
[Ti] Título:If They Don't Count Us, We Don't Count: Trump Administration Rolls Back Sexual Orientation and Gender Identity Data Collection.
[So] Source:LGBT Health;4(3):171-173, 2017 Jun.
[Is] ISSN:2325-8306
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The Trump Administration recently removed sexual orientation and gender identity (SOGI) questions from a national aging survey, and decided not to add a sexual orientation category and a transgender identity field to a national disability survey as planned. These actions have raised concerns that the major expansion of SOGI data collection on surveys and in clinical settings, which has occurred in recent years, may be under threat. SOGI data collection is essential to understand lesbian, gay, bisexual, and transgender (LGBT) health and the extent to which LGBT people access critical social services, including elder and disability services essential for living in community.
[Mh] Termos MeSH primário: Coleta de Dados
Identidade de Gênero
Comportamento Sexual
Minorias Sexuais e de Gênero/estatística & dados numéricos
[Mh] Termos MeSH secundário: Envelhecimento
Coleta de Dados/legislação & jurisprudência
Seres Humanos
Inquéritos e Questionários
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1089/lgbt.2017.0073


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[PMID]:28468575
[Au] Autor:Cannon SM; Shukla V; Vanderbilt AA
[Ad] Endereço:a College of Medicine and Life Sciences , University of Toledo , Toledo , OH , USA.
[Ti] Título:Addressing the healthcare needs of older Lesbian, Gay, Bisexual, and Transgender patients in medical school curricula: a call to action.
[So] Source:Med Educ Online;22(1):1320933, 2017.
[Is] ISSN:1087-2981
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Medical students matriculating in the coming years will be faced with treating an expansive increase in the population of older lesbian, gay, bisexual, and transgender (LGBT) patients. While these patients face healthcare concerns similar to their non-LGBT aging peers, the older LGBT community has distinct healthcare needs and faces well-documented healthcare disparities. In order to reduce these healthcare barriers, medical school curricula must prepare and educate future physicians to treat this population while providing high quality, culturally-competent care. This article addresses some of the unique healthcare needs of the aging LGBT population with an emphasis on social concerns and healthcare disparities. It provides additional curricular recommendations to aid in the progressive augmentation of medical school curricula. ABBREVIATIONS: Liaison Committee on Medical Education (LCME); LGBT: Lesbian, gay, bisexual, transgender.
[Mh] Termos MeSH primário: Educação de Graduação em Medicina/métodos
Necessidades e Demandas de Serviços de Saúde
Minorias Sexuais e de Gênero
[Mh] Termos MeSH secundário: Fatores Etários
Currículo
Disparidades em Assistência à Saúde
Seres Humanos
Estudantes de Medicina
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1080/10872981.2017.1320933


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[PMID]:29179700
[Au] Autor:Palummieri A; De Carli G; Rosenthal É; Cacoub P; Mussini C; Puro V; PrEPventHIV Italy Study Group
[Ad] Endereço:National Institute for Infectious Diseases "Lazzaro Spallanzani" IRCCS, Department of Epidemiology, Pre-clinical Research and Advanced Diagnostics, via Portuense, 292, 00149, Roma, Italy.
[Ti] Título:Awareness, discussion and non-prescribed use of HIV pre-exposure prophylaxis among persons living with HIV/AIDS in Italy: a Nationwide, cross-sectional study among patients on antiretrovirals and their treating HIV physicians.
[So] Source:BMC Infect Dis;17(1):734, 2017 11 28.
[Is] ISSN:1471-2334
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Before Pre-Exposure Prophylaxis (PrEP) was officially recommended and made available, a few surveys among gay and bisexual men, and persons living with HIV/AIDS (PLWHA), identified an informal use of antiretrovirals (ARVs) for PrEP among HIV-negative individuals. Before PrEP availability in Italy, we aimed to assess whether PLWHA in Italy shared their ARVs with HIV-negative individuals, whether they knew people who were on PrEP, and describe the level of awareness and discussion on this preventive measure among them and people in their close circle. METHODS: Two anonymous questionnaires investigating personal characteristics and PrEP awareness, knowledge, and experience were proposed to HIV specialists and their patients on ARVs in a one-week, cross-sectional survey (December 2013-January 2014). Among PLWHA, a Multivariable Logistic Regression analysis was conducted to identify factors associated with PrEP discussion with peers (close circle and/or HIV associations), and experience (use in close circle and/or personal ARV sharing). RESULTS: Eighty-seven specialists in 31 representative Infectious Diseases departments administered the questionnaire to 1405 PLWHA. Among specialists, 98% reported awareness, 65% knew the dosage schedule, and 14% had previously suggested or prescribed PrEP. Among PLWHA, 45.6% were somehow aware, discussed or had direct or indirect experience of PrEP: 38% "had heard" of PrEP, 24% were aware of studies in HIV-negative individuals demonstrating a risk reduction through the use of ARVs, 22% had discussed PrEP, 12% with peers; 9% reported PrEP use in close circle and 1% personal ARV sharing. Factors predictive of either PrEP discussion with peers or experience differed between men and women, but across all genders were mainly related to having access to information, with HIV association membership being the strongest predictor. CONCLUSIONS: At a time and place where there were neither official information nor proposals or interventions to guide public policies on PrEP in Italy, a significant number of PLWHA were aware of it, and approximately 10% reported PrEP use in their close circle, although they rarely shared their ARVs with uninfected people for this purpose. Official policies and PrEP availability, along with implementation programs, could avoid risks from uncontrolled PrEP procurement and self-administration practices.
[Mh] Termos MeSH primário: Fármacos Anti-HIV/uso terapêutico
Infecções por HIV/prevenção & controle
Conhecimentos, Atitudes e Prática em Saúde
Profilaxia Pré-Exposição/métodos
Comportamento Sexual
[Mh] Termos MeSH secundário: Síndrome de Imunodeficiência Adquirida/tratamento farmacológico
Síndrome de Imunodeficiência Adquirida/prevenção & controle
Adulto
Estudos Transversais
Feminino
Infecções por HIV/tratamento farmacológico
Seres Humanos
Itália
Masculino
Médicos
Automedicação
Minorias Sexuais e de Gênero
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Anti-HIV Agents)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE
[do] DOI:10.1186/s12879-017-2819-5


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[PMID]:29412543
[Ti] Título:Improved Patient Engagement for LGBT Populations: Addressing Factors related to Sexual Orientation/Gender Identity for Effective Health Information Management.
[So] Source:J AHIMA;88(3):34-9, 2017 03.
[Is] ISSN:1060-5487
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Gestão da Informação em Saúde
Registros de Saúde Pessoal
Participação do Paciente
Minorias Sexuais e de Gênero
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Masculino
Portais do Paciente
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:180208
[St] Status:MEDLINE


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[PMID]:29260214
[Au] Autor:Caputi TL; Smith D; Ayers JW
[Ad] Endereço:Wharton School, University of Pennsylvania, Philadelphia.
[Ti] Título:Suicide Risk Behaviors Among Sexual Minority Adolescents in the United States, 2015.
[So] Source:JAMA;318(23):2349-2351, 2017 12 19.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Assunção de Riscos
Minorias Sexuais e de Gênero/psicologia
Suicídio/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Feminino
Heterossexualidade
Seres Humanos
Masculino
Minorias Sexuais e de Gênero/estatística & dados numéricos
Ideação Suicida
Tentativa de Suicídio/estatística & dados numéricos
Inquéritos e Questionários
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171221
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.16908


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[PMID]:28481718
[Au] Autor:Qureshi RI; Zha P; Kim S; Hindin P; Naqvi Z; Holly C; Dubbs W; Ritch W
[Ad] Endereço:a School of Nursing, Rutgers , State University of New Jersey , Newark , New Jersey , USA.
[Ti] Título:Health Care Needs and Care Utilization Among Lesbian, Gay, Bisexual, and Transgender Populations in New Jersey.
[So] Source:J Homosex;65(2):167-180, 2018.
[Is] ISSN:1540-3602
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The purpose of this study was to explore prevalent health issues, perceived barriers to seeking health care, and utilization of health care among lesbian, gay, bisexual, and transgender (LGBT) populations in New Jersey. A cross-sectional online survey was administered to 438 self-identified LGBT people. Results identified health needs, which included management of chronic diseases, preventive care for risky behaviors, mental health issues, and issues related to interpersonal violence. Barriers to seeking health care included scarceness of health professionals competent in LGBT health, inadequate health insurance coverage and lack of personal finances, and widely dispersed LGBT inclusive practices making transportation difficult. There is a need for better preparation of health care professionals who care for LGBT patients, to strengthen social services to improve access and for better integration of medical and social services.
[Mh] Termos MeSH primário: Serviços de Saúde/utilização
Determinação de Necessidades de Cuidados de Saúde
Minorias Sexuais e de Gênero
[Mh] Termos MeSH secundário: Adulto
Idoso
Estudos Transversais
Feminino
Homossexualidade Feminina/psicologia
Homossexualidade Masculina/psicologia
Seres Humanos
Masculino
Meia-Idade
New Jersey
Comportamento Sexual
Pessoas Transgênero
Transexualismo
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180221
[Lr] Data última revisão:
180221
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170509
[St] Status:MEDLINE
[do] DOI:10.1080/00918369.2017.1311555


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[PMID]:28402223
[Au] Autor:Schmitz RM; Tyler KA
[Ad] Endereço:a Department of Sociology and Anthropology , University of Texas Rio Grande Valley , Edinburg , Texas , USA.
[Ti] Título:LGBTQ+ Young Adults on the Street and on Campus: Identity as a Product of Social Context.
[So] Source:J Homosex;65(2):197-223, 2018.
[Is] ISSN:1540-3602
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Lesbian, gay, bisexual, queer, and other sexual and gender minority (LGBTQ+) young adults face unique identity-related experiences based on their immersion in distinctive social contexts. The predominant framework of performing separate analyses on samples of LGBTQ+ young people by their primary social status obfuscates more holistic understandings of the role of social context. Using 46 in-depth interviews with LGBTQ+ college students and LGBTQ+ homeless young adults, we ask: How are LGBTQ+ young adults' capacities for "doing" their gender and sexual identities shaped by their distinctive social contexts? In developing their identities, both groups of LGBTQ+ young adults navigated their social environments to seek out resources and support. Most college students described their educational contexts as conducive to helping them develop their identities, or "undo" rigid norms of gender and sexuality. Homeless young adults' social environments, meanwhile, imposed complex barriers to self-expression that reinforced more normative expectations of "doing" gender and sexual identities.
[Mh] Termos MeSH primário: Minorias Sexuais e de Gênero/psicologia
Meio Social
Estudantes/psicologia
Universidades
[Mh] Termos MeSH secundário: Adulto
Bissexualidade
Feminino
Homossexualidade Feminina
Seres Humanos
Masculino
Comportamento Sexual
Sexualidade
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180221
[Lr] Data última revisão:
180221
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170413
[St] Status:MEDLINE
[do] DOI:10.1080/00918369.2017.1314162


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[PMID]:28375783
[Au] Autor:Nölke AI
[Ad] Endereço:a Business School, University of Edinburgh , Edinburgh , Scotland.
[Ti] Título:Making Diversity Conform? An Intersectional, Longitudinal Analysis of LGBT-Specific Mainstream Media Advertisements.
[So] Source:J Homosex;65(2):224-255, 2018.
[Is] ISSN:1540-3602
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study introduces an intersectional analysis of explicit LGBT portrayals in mainstream advertising between 2009 and 2015. The analysis provides insights into the (in)visibility of the LGBT community over a period of significant social change. It finds that although the number of explicit representations of LGBT characters has risen dramatically, 230 out of 240 intersections of sexuality, class, age, and race remain invisible. In using a new ad format-human interest ads-advertisers move away from hypersexualization, toward real individuals' stories of love and families. Nonetheless, the analysis highlights how the erasure of multiply marginalized groups in mainstream advertising continues to perpetuate a heteronormative, domesticized version of "gayness" and discusses the adverse effects that lie herein. It is proposed that non-LGBT consumers are the underlying target group of LGBT-explicit advertising, causing non-target market effects that alienate large parts of the LGBT community despite their overt inclusion.
[Mh] Termos MeSH primário: Publicidade como Assunto
Diversidade Cultural
Minorias Sexuais e de Gênero
Conformidade Social
[Mh] Termos MeSH secundário: Adolescente
Adulto
Feminino
Seres Humanos
Estudos Longitudinais
Masculino
Meia-Idade
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180221
[Lr] Data última revisão:
180221
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170405
[St] Status:MEDLINE
[do] DOI:10.1080/00918369.2017.1314163


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[PMID]:28346079
[Au] Autor:Platt LF; Wolf JK; Scheitle CP
[Ad] Endereço:a Department of Counseling, Rehabilitation Counseling, and Counseling Psychology , West Virginia University , Morgantown , West Virginia , USA.
[Ti] Título:Patterns of Mental Health Care Utilization Among Sexual Orientation Minority Groups.
[So] Source:J Homosex;65(2):135-153, 2018.
[Is] ISSN:1540-3602
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Prior studies of the utilization of mental health professionals by sexual minority populations have relied on data that are now dated or not nationally representative. These studies have also provided mixed findings regarding gender differences in the utilization of mental health professionals among sexual minority individuals. Using data from the 2013-2015 National Health Interview Surveys, this study investigates (1) how sexual minority individuals compare to heterosexual participants in their utilization of mental health professionals; and (2) gender differences in that utilization. The results indicate sexual minority individuals utilize mental health care professionals at higher rates than heterosexual individuals even after controlling for measures of mental health and other demographic characteristics; this is true for both men and women. However, gender moderates the sexual minority effect on utilization rates. Sexual minority men utilize mental health professionals at a high rate, such that their utilization rates are similar to sexual minority women, contrary to the gender gap seen among heterosexuals.
[Mh] Termos MeSH primário: Serviços de Saúde Mental/utilização
Comportamento Sexual/psicologia
Minorias Sexuais e de Gênero/psicologia
[Mh] Termos MeSH secundário: Feminino
Identidade de Gênero
Heterossexualidade
Seres Humanos
Masculino
Saúde Mental
Meia-Idade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180221
[Lr] Data última revisão:
180221
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170328
[St] Status:MEDLINE
[do] DOI:10.1080/00918369.2017.1311552



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