Sleep difficulties of sexual minority adults: Evidence from the 2018 National Health Interview Study.

Author(s):  
Charlotte J. Patterson ◽  
Emma C. Potter
2020 ◽  
Vol 210 ◽  
pp. 184-191
Author(s):  
John E. Crews ◽  
Chiu-Fang Chou ◽  
Shillpa Naavaal ◽  
Susan O. Griffin ◽  
Jinan B. Saaddine

2012 ◽  
Vol 7 (1) ◽  
Author(s):  
Mochamad Bahrudin

Carpal tunnel syndrome (CTS) adalah salah satu gangguan pada tangan karena terjadi penyempitan pada terowongan karpal, baik akibat edema fasia pada terowongan tersebut maupun akibat kelainan pada tulang-tulang kecil tangan sehingga terjadi penekanan terhadap nervus medianus dipergelangan tangan.                 National Health Interview Study (NIHS) memperkirakan bahwa prevalensi CTS yang dilaporkan sendiri diantara populasi dewasa adalah sebesar 1.55% (2,6 juta). Kejadian CTS  pada populasi diperikrakan3% pada wanita dan 2% pada laki-laki dengan prevalensi tertinggi pada wanita tua usia > 55 tahun, biasanya antara 40 – 60 tahun.                 Penyebab CTS diduga oleh karena trauma, infeksi, gangguan endokrin, dan lain-lain, tetapi sebagian tidak diketahui penyebabnya. Penggunaan tangan yang berlebihan dan repetitif diduga berhubungan dengan sindroma ini.                 CTS bisa mengenai usia pertengahan, wanita lebih sering dari pada  pria, biasanya pada tangan yang dominan dan prevalensi  meningkat pada kehamilan. Pada tahap awal hanya gangguan sensorik, berupa parestesia, kurang merasa (numbness) atau rasa seperti terkena aliran listrik (tingling) pada jari dan setengah sisi radial jari, walaupun kadang-kadang dirasakan mengenai seluruh jari-jari. Bila penyakit berlanjut  rasa nyeri dapat bertambah berat dengan frekuensi serangan yang semakin sering bahkan dapat menetap. Kadang-kadang nyeri dapat terasa sampai kelengan atas dan leher, sedangkan parestesia umumnya terbatas di daerah distal pergelangan tangan. Keluhan dirasakan terutama malam hari. Dapat pula dijumpai pembengkakan dan kekakuan pada jari-jari tangan dan pergalangan tangan terutama di pagi hari. Lebih lanjut lagi  penderita mengeluh jari-jarinya menjadi kurang terampil misalnya saat memungut benda-benda kecil.                 Pada pemeriksaan fisik didapatkan  Phalen’s test dan Tinel’s sign  yang positif dan pada Pemeriksaan EMG dapat menunjukkan adanya fibrilasi, polifasik, gelombang positif dan berkurangnya jumlah motor unit pada otot-otot thenar.                 Penanganan faktor resiko akan memperbaiki gejala, penggunaan obat anti inflamasi  untuk artritis tangan, mengurangi penggunaaan tangan yang berulang, mengistirahatkan pergelangan tangan, Pemasangan bidai pada posisi netral pada pergelangan tangan akan memperbaiki gejala. Pemberian obat anti inflamasi non steroid dan injeksi steroid dengan lidocain dan long acting steroid pada terowongan karpal akan mengurangi keluhan. Bila terapi konservatif gagal dilakukan tidakan operasi sebagi pilihan terakhir.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S149-S149
Author(s):  
Joel G Anderson ◽  
Jason D Flatt ◽  
Jennifer Jabson ◽  
Whitney Wharton

Abstract Sexual minority (lesbian, gay, bisexual; LGB) older adults age 50+ experience a higher prevalence of chronic disease and disability, as well as a poorer physical and mental health status. Many adults use complementary and integrative therapies, particularly mind-body therapies, as health-enhancing approaches and to support wellbeing. However, no study to date has examined the use of mind-body therapies among sexual minority older adults. We examined data from the 2017 National Health Interview Survey to determine the use of mind-body therapies by sexual minority older adults (aged 50+), as well as the influence of health and wellbeing characteristics on mind-body therapy use, compared with their non-LGB counterparts. Sexual minority older adults overall reported higher usage (36%) of mind-body therapies compared with their non-LGB counterparts (22%), with lesbians reporting the highest use (41%). Sexual minority identity was a significant predictor of mind-body therapy use, with LGB adults roughly two times more likely to use a mind-body therapy after controlling for chronic disease status and other wellbeing measures. Future research is needed to explore the reasons sexual minority older adults use complementary and integrative therapies, as well as potential development of mind-body interventions targeted toward this population to address stress and quality of life.


2019 ◽  
Vol 8 (1) ◽  
pp. 14
Author(s):  
Elbert Almazan

This study examined whether the association between sexual minority status and psychological distress is different between Black adults and White adults. The intersectionality framework suggests that Black sexual minority adults are more likely to report psychological distress than White sexual minority adults. Using data from the 2013–2017 National Health Interview Survey, multinomial logistic regression was conducted to examine the associations among race, sexual orientation identity, and psychological distress in a large representative U.S. sample that included a large number of Black sexual minority adults and White sexual minority adults. Results indicated that the association between sexual minority status and psychological distress was not significantly different between Black adults and White adults. Future research should examine resources that may buffer risk for psychological distress among Black sexual minority adults.


2021 ◽  
Author(s):  
Jennifer M. Jabson Tree ◽  
Jennifer Russomanno ◽  
Marissa Bartmess ◽  
Joel Anderson

Abstract Background Food insecurity is a pressing public health problem. Lesbian, gay, and bisexual (LGB) people are at risk for food insecurity, yet this issue remains grossly understudied among this population. The purpose of this study was to add to the existing literature surrounding food insecurity and the use of Federal food assistance programs (SNAP) among LGB people. Methods This study used publicly available, de-identified data from the 2017 National Health Interview Survey (NHIS). Primary variables were sexual orientation, food security status, and receipt of SNAP. Food security was assessed using the 10-item USDA Family Food Security measure. Results In our sample, people who identified as bisexual had the highest rates of food insecurity (23.8%, n = 76). Female sexual minorities were 52% more likely to experience food insecurity (aOR = 1.518, 95% CI 1.105–2.087, p = .01) and 44% more likely to report household SNAP assistance than their heterosexual counterparts (aOR = 1.441, 95% CI 1.025-2.028, p = .03). SNAP partially mediated the association between sexual orientation and food insecurity for LGB females. Conclusions Our findings add to the growing empirical evidence documenting food insecurities among sexual minority adults. Our results reiterate the need for sexual orientation to be included in nationally representative federal food security measures.


2020 ◽  
Vol 1 (3) ◽  
pp. 200-209
Author(s):  
Gilbert Gonzales ◽  
Rohan Patel

The objective of this study was to identify and describe the number of sexual minority and heterosexual young adults who will be impacted by the new “Tobacco 21” law signed by President Trump in December 2019. Data came from the 2015 to 2018 National Health Interview Survey. We used descriptive statistics and multivariable logistic regression to identify key risk factors for tobacco use among adults aged 18–20 years by sexual orientation. Sexual minority tobacco users were more likely to be women, have a high school degree or less, and not living with a parent. Sexual minority tobacco users share similarities with heterosexual tobacco users, but they may remain a hard-to-reach population for tobacco cessation interventions.


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