scholarly journals A multi-method study of health behaviours and perceived concerns of sexual minority females in Mumbai, India

Sexual Health ◽  
2018 ◽  
Vol 15 (1) ◽  
pp. 29
Author(s):  
Jessamyn Bowling ◽  
Brian Dodge ◽  
Swagata Banik ◽  
Elizabeth Bartelt ◽  
Shruta Rawat ◽  
...  
Keyword(s):  
Substance Use ◽  
Physical Health ◽  
Sexual Identity ◽  
Sexual Minority ◽  
Online Survey ◽  
Health Behaviours ◽  
Perceived Health ◽  
Photo Elicitation ◽  
Minority Females ◽  
Preventative Health

Background: This multi-method study explores the perceived health status and health behaviours of sexual minority (i.e. self-identifying with a sexual identity label other than heterosexual) females (i.e. those assigned female at birth who may or may not identify as women) in Mumbai, India, a population whose health has been generally absent in scientific literature. Methods: Using community-based participatory research approaches, this study is a partnership with The Humsafar Trust (HST). HST is India’s oldest and largest LGBT-advocacy organisation. An online survey targeted towards sexual minority females was conducted (n = 49), with questions about sexual identity, perceived health and wellbeing, physical and mental healthcare access and experiences, and health behaviours (including substance use). Additionally, photo-elicitation interviews in which participants’ photos prompt interview discussion were conducted with 18 sexual minority females. Results: Sexual minority females face obstacles in health care, mostly related to acceptability and quality of care. Their use of preventative health screenings is low. Perceived mental health and experiences with care were less positive than that for physical health. Participants in photo-elicitation interviews described bodyweight issues and caretaking of family members in relation to physical health. Substance use functioned as both a protective and a risk factor for their health. Conclusion: Our findings point to a need for more resources for sexual minority females. Education on screening guidelines and screening access for sexual minority females would also assist these individuals in increasing their rates of preventative health.

Prevalence and Frequency of Online Sexual Activity by Adults With Autism Spectrum Disorder

2018 ◽  
Vol 34 (3) ◽  
pp. 163-172 ◽  
Author(s):  
E. Sandra Byers ◽  
Shana Nichols
Keyword(s):  
Autism Spectrum Disorder ◽  
Sexual Identity ◽  
Sexual Minority ◽  
Information Seeking ◽  
Sexuality Education ◽  
Online Survey ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Adults With Autism ◽  
Sexual Activities

We examined the prevalence and frequency with which cognitively able adults (141 men, 190 women) with autism spectrum disorder (CA-ASD) engaged in a range of online sexual activities (OSAs). Participants completed an online survey that assessed their recent involvement in nonarousal (Information Seeking, Chatting), solitary-arousal (S-OSA), and partnered-arousal (P-OSA) online sexual activities. Almost two thirds had engaged in one or more OSA but, on average, had done so infrequently. There were only a few differences based on sex, age, and sexual identity. Significantly more men than women had engaged in Information Seeking and S-OSA and had done so more frequently. Individuals in their 20s were significantly more likely to have engaged in Information Seeking. Sexual-minority individuals were more likely to report engaging in P-OSA than were heterosexual individuals. These results are discussed in terms of their implications for sexuality education aimed at assisting adults with CA-ASD to establish a healthy and meaningful sexuality.

The impact study - motivating a change in health behaviour

2011 ◽  
Vol 26 (S2) ◽  
pp. 2151-2151 ◽  
Author(s):  
S. Smith ◽  
K. Greenwood ◽  
Z. Atakan ◽  
P. Sood ◽  
R. Ohlsen ◽  
...  
Keyword(s):  
Substance Use ◽  
Physical Health ◽  
Controlled Trial ◽  
Health Behaviours ◽  
Behavioural Therapy ◽  
Motivation To Change ◽  
Excessive Substance ◽  
Randomised Controlled ◽  
The Uk ◽  
The Impact

IMPaCT is a five-year project funded by the Department of Health, UK. Running in the UK and now Sweden, the IMPACT Project aims to target the poor physical health and excessive substance use seen in people with SMI. There is evidence that behavioural interventions may be associated with an improvement in physical health and substance use in this population.IMPaCT is a randomised controlled trial of a health promotion intervention which consists of a manualised modular approach to working with people with severe mental illness to empower them to improve their physical health and substance use habits. It consists of The Manual, The Reference Guide and The Better Health Handbook which make up a therapy package to support clients to become healthier.The therapy is provided by care coordinators (mental health practitioners) over a 6–9 month period and combines Cognitive Behavioural Therapy (CBT) with Motivational Interviewing (MI) principles. The aim is to work with clients to help them identify their own problem health behaviours, e.g. smoking, diet, exercise, drug and alcohol use. Realistic goals are set and revised with the client, and individual and group sessions are used to develop personal motivation to change. Information, workbooks and diaries are provided to record progress and give helpful hints, while meaningful alternative activities are introduced to replace problem health behaviours.

scholarly journals Examining the relationship between food security and perceived health among Memorial University students

2021 ◽  
Vol 8 (3) ◽  
Author(s):  
Lisa Blundell ◽  
Maria Mathews
Keyword(s):  
Mental Health ◽  
Food Security ◽  
Food Insecurity ◽  
Physical Health ◽  
Online Survey ◽  
Perceived Health ◽  
Household Food Security ◽  
Security Level ◽  
Physical And Mental Health ◽  
The Relationship

Abstract Objectives: The prevalence of student food insecurity at Memorial University of Newfoundland (MUN) is relatively high (58.0%) compared to the national population (12.7%). We explored the relationship between food security status, perceived health, and student experience among MUN students. Methods: Through an online survey of returning MUN students at the St. John’s campus, we assessed food security using Statistics Canada’s Canadian Household Food Security Survey Module (HFSSM), and self-reported physical health, mental health, and stress. We used logistic regression to compare health and stress ratings between students of different food security levels. We thematically coded open-ended responses to describe students’ experiences related to food insecurity. Results: Among the 967 study eligible students, 39.9% were considered food insecure, 28.2% were moderately food insecure, and 11.7% were severely food insecure. After controlling for significant predictors, students who were moderately or severely food insecure were 1.72 [95% CI:(1.20,2.48)] and 2.81 [95% CI:(1.79,4.42)] times as likely to rate their physical health as ‘fair’ or ‘poor’ than food secure students, and 1.66 [95% CI:( 1.22,2.27)] and 4.23 [95% CI: (2.71-6.60] times as likely to rate their mental health as ‘fair’ or ‘poor’ than food secure students, respectively. Conclusion: Food security level experienced by MUN students was closely related to their perceived physical and mental health. As food security level worsened among participants, their self-reported physical and mental health also worsened. Health professionals working with university student populations should screen for food security and consider its relationship to students’ health.

scholarly journals Investigating Differential Protective Effects of Marriage on Substance Use by Sexual Identity Status

2020 ◽  
Vol 8 (2) ◽  
pp. 69-80
Author(s):  
Karen Trocki ◽  
Amy Mericle ◽  
Laurie A. Drabble ◽  
Jamie L. Klinger ◽  
Cindy B. Veldhuis ◽  
...  
Keyword(s):  
Substance Use ◽  
Sexual Identity ◽  
Sexual Minority ◽  
Sexual Minorities ◽  
Marijuana Use ◽  
Identity Status ◽  
Interactive Effects ◽  
Protective Effects ◽  
Minority Status ◽  
Increased Risk

Background: Research suggests that marriage is protective against substance use. However, few studies have examined whether this protective effect differs for sexual minorities, a population at increased risk for substance use. Using data from four waves of the cross-sectional U.S. National Alcohol Survey (NAS; 2000, 2005, 2010, and 2015), we investigated whether the protective effects of marriage varied by sexual identity. Methods: Sex-stratified logistic regression models were used to examine independent and interactive effects of current marital status (being married vs. not) and sexual minority status (lesbian/gay/bisexual vs. heterosexual) on high-intensity drinking, alcohol use disorder, and marijuana use in the past year. Results: Among both women and men, sexual minority status was generally associated with higher odds of these outcomes and marriage was consistently associated with lower odds. Differential effects of marriage by sexual identity with respect to marijuana use were found only among men; marriage was significantly associated with decreased odds of marijuana use among heterosexual men but increased odds among sexual minority men. Conclusions: Marriage may be less consistently protective against hazardous drinking and marijuana use among sexual minorities than heterosexuals. Findings underscore the importance of both quantitative and qualitative studies designed to better understand disparities in substance use across both sexual identity and relationship statuses.

scholarly journals Differential Effects of State Policy Environments on Substance Use by Sexual Identity: Findings From the 2000–2015 National Alcohol Surveys

2021 ◽  
Vol 2 (1) ◽  
pp. 53-71
Author(s):  
Laurie A. Drabble ◽  
Amy A. Mericle ◽  
Walter Gómez ◽  
Jamie L. Klinger ◽  
Karen F. Trocki ◽  
...  
Keyword(s):  
Substance Use ◽  
Sexual Identity ◽  
Sexual Minority ◽  
State Policy ◽  
High Intensity ◽  
Marijuana Use ◽  
Minority Status ◽  
Men And Women ◽  
Sexual Minority Men ◽  
Minority Men

Introduction: This study explored whether structural stigma, defined by U.S. state policies related to sexual minority rights, moderated the relationship between sexual identity identity and heavy drinking, alcohol problems, and marijuana use among men and women. Methods: Using combined data from the National Alcohol Survey (NAS) series (2000, 2005, 2010, and 2015), the sample included 11,115 men (421 sexual minority and 10,694 heterosexual) and 14,395 women (413 sexual minority and 13,982 heterosexual). State policy environment was assessed using a time-varying dichotomous indicator of comprehensive protections for sexual minorities (4–6 protections vs. limited or no protections). Gender-stratified logistic regression analyses examined the differential effect of the policy environment by sexual identity on three past-year substance use outcomes: high-intensity drinking (8+ drinks/day), any DSM-5 alcohol use disorder, and marijuana use. Results: Among women, sexual minority status was associated with increased odds of all alcohol and marijuana use outcomes. Among men, sexual minority status was associated with decreased odds of high-intensity drinking but increased use of marijuana. Comprehensive policy protections were associated significantly decreased odds of high-intensity drinking among sexual minority men and marginally significant decreases among women. Conclusions: Comprehensive policy protections appear to be protective for high-intensity drinking among sexual minority men and women. Findings underscore the importance of supportive policies in reducing risk of alcohol-related problems among sexual minorities.

scholarly journals Individual differences and changes in lifestyle behaviours predict decreased subjective well-being during COVID-19 restrictions in an Australian sample

2021 ◽  
Author(s):  
Emily Brindal ◽  
Jillian C Ryan ◽  
Naomi Kakoschke ◽  
Sinead Golley ◽  
Ian T Zajac ◽  
...  
Keyword(s):  
Life Satisfaction ◽  
Individual Differences ◽  
Online Survey ◽  
Protective Factor ◽  
Health Behaviours ◽  
Well Being ◽  
Subjective Well Being ◽  
Cross Sectional ◽  
Social Distancing ◽  
Australian Sample

Abstract Background Due to the coronavirus disease 2019 (COVID-19) pandemic, social distancing practices were introduced to curb infection rates in many countries. The purpose of this study was to assess the effects of these restrictions on behaviours and well-being and whether individual differences predict changes in well-being. Methods Australian adults participated in a cross-sectional, online survey during May 2020. The survey captured demographic information; health behaviours; personality traits; life satisfaction and COVID-19-related attitudes, financial concerns, perceived risks and impacts. Results In total, 3745 (86.8% of 4313) participants completed all items. Participants were mostly female (85.7%) and 56.4 years (standard deviation [SD] = 12.6) on average. Over 95.0% of the sample indicated they had been social distancing or isolating. Health behaviours and well-being had generally worsened, with social connections being the most negatively affected. Life satisfaction was significantly lower since restrictions. For changes in life satisfaction, extroversion was a risk factor and openness to experience was a protective factor. Conclusions Overall, well-being was negatively impacted by the COVID-19 pandemic and associated social distancing particularly in this sample containing mainly older women. In future, it will be crucial to understand why and who may be differentially affected, to encourage behaviours that are protective of well-being.

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