scholarly journals Tobacco harm perceptions and use among sexual and gender minorities: findings from a national sample of young adults in the United States

2018 ◽  
Vol 81 ◽  
pp. 104-108 ◽  
Author(s):  
Ollie Ganz ◽  
Amanda L. Johnson ◽  
Amy M. Cohn ◽  
Jessica Rath ◽  
Kimberly Horn ◽  
...  
2021 ◽  
Vol 58 (1) ◽  
pp. 789-798
Author(s):  
Mr. Vanshaj Gandhi, Dr. Kamini C. Tanwar

Thedecriminalisation of homosexuality on September 6, 2018 in India has led to focus of Indian researchers towards mental health of Sexual and Gender Minorities (SGMs) who face day-to-day challenges such as social-unacceptance, identity under-expression,discrimination and hate crimes. The present study focuses onanalysing psychological distress among one of the most developed country i.e. United States of America (US) and the fast-developing country i.e. India with the inclusion of the LGBTQ+ and Cishet population. To fulfil the objective, data was collected from 200 young adults falling under 18-40 years of age from both Indians (N=100) and Americans (N= 100) through Purposive Sampling Technique. Furthermore, there were 50 LGBTQ+ and 50 Cishet sample inboth group of each country. The responses were collected through SurveyMonkey. Every respondent was individually assessed using Kessler’s Psychological Distress Scale (K10; Kessler et al.,2002) for evaluating the extent of psychological distress in the individual.The data analysis was done by Independent sample t-test using IBM SPSS software.The results indicate that 1.) Young adults of India have higher psychological distress than that of Americansas well as both the group (LGBTQ+ and Cishet Population) of India have higher psychological distress than that of the US;2) LGBTQ+ population has higher psychological distress in comparison to Cishet population in both India and US as well as for young adults.


2020 ◽  
Vol 6 (40) ◽  
pp. eaba6910 ◽  
Author(s):  
Andrew R. Flores ◽  
Lynn Langton ◽  
Ilan H. Meyer ◽  
Adam P. Romero

Do sexual and gender minorities (SGMs) in the United States encounter disproportionate rates of victimization as compared with their cisgender, heterosexual counterparts? Answering this question has proved elusive because nationally representative victimization data have not included victims’ sexual orientation or gender identity. The National Crime Victimization Survey, the nation’s primary source of representative information on criminal victimization, began documenting sexual orientation and gender identity in 2016 and released data publicly for the first time in 2019. We find SGMs disproportionately are victims across a variety of crimes. The rate of violent victimization for SGMs is 71.1 victimizations per 1000 people compared with 19.2 victimizations per 1000 people for those who are not SGMs. SGMs are 2.7 times more likely to be a victim of violent crime than non-SGMs. These findings raise the importance of further considering sexual orientation and gender identity in victimization and interventions.


2018 ◽  
Vol 5 (suppl_1) ◽  
pp. S74-S74 ◽  
Author(s):  
Rachel L Epstein ◽  
Jianing Wang ◽  
Kenneth Mayer ◽  
Jon Puro ◽  
C Robert Horsburgh ◽  
...  

Abstract Background The opioid crisis has been associated with an increase in hepatitis C virus (HCV) infections among 15–30 year olds. Federally Qualified Health Centers (FQHCs) provide comprehensive healthcare to diverse and underserved communities. However, little is known about HCV screening practices among adolescents and young adults seen at FQHCs across the United States. Objective. To characterize the continuum of HCV testing and care among adolescents and emerging adults in a large national sample of US FQHCs. Methods We used the OCHIN electronic medical record to create a retrospective cohort of 13 to 21 year olds who had a least 1 outpatient visit at any of 98 participating US FQHCs across 19 states from 2012 to 2017. Primary outcome was HCV testing during this timeframe. We also identified predictors of HCV screening using multivariable logistic regression adjusting for age, sex, race/ethnicity, and substance use. Results Among 269,287 youth who met inclusion criteria, 54.7% were female, 37.6% White, 33.5% Hispanic, 17.6% Black, and 11.3% other. Mean [SD] age at first HCV screening was 18.5 [2.2] years. Over the study period, 2.5% (6849/269,287) were tested for HCV and 153 (2.2%) had reactive HCV testing. Of those, 117 (76.5%) had confirmatory RNA testing and 65 (55.6%) had detectable RNA. Thirty-five percent (325/933) with ICD-9 codes for opioid-use disorder (OUD) and 8.9% (2080/23,345) with any ICD-9 code for drug use were tested for HCV. Only 10.6% (728/6,849) of individuals tested for HCV had also been tested for human immunodeficiency virus (HIV). Older age (19–21 vs. 13–15 years old at study end, aOR 5.64, 95% CI 5.13–6.19), Black race (aOR 1.88, 95% CI 1.76–2.00), and ICD-9 codes for substance-use disorder, in particular amphetamine (aOR 5.82, 5.10–6.64), opioids (aOR 3.50, 2.92–4.19), cocaine (aOR 2.90, 2.43–3.47), or cannabis (aOR 2.46, 2.31–2.62) were independently associated with HCV testing in multivariable analysis. Conclusion During the current opioid crisis, only a third of adolescents/young adults diagnosed with OUD in a large national sample of FQHCs were tested for HCV. In addition, only 10% of those tested for HCV were also screened for HIV. Initiatives are needed to increase HCV and HIV screening among at-risk youth at FQHCs. Disclosures All authors: No reported disclosures.


Author(s):  
Alicia K. Matthews ◽  
Cherdsak Duangchan ◽  
Chien-Ching Li

The prevalence of tobacco use disorders among sexual and gender minorities remains consistently high despite the overall reduction of tobacco use in the United States and other parts of the world. This chapter begins by describing the criteria for tobacco use disorders in the fifth edition of the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders. The authors discuss rates of tobacco use based on sexual orientation and gender identity and summarize the literature describing risk and protective factors for tobacco use among sexual and gender minorities. Strategies are highlighted for reducing the overall public health threat of tobacco use in sexual and gender minority populations.


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