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1.
J Homosex ; 68(1): 70-87, 2021 Jan 02.
Artigo em Inglês | MEDLINE | ID: mdl-31194923

RESUMO

This study investigated the association between perceived discrimination and depressive symptoms among Korean lesbian, gay, and bisexual (LGB) individuals and explored the role of community connectedness in that association. We analyzed a nationwide cross-sectional survey of 2,162 LGB adults in Korea. Discrimination based on its types, including sexual orientation, over the past 12 months was classified into four categories: (1) 'never experienced discrimination,' experienced (2) 'only sexual orientation discrimination,' (3) 'any of the other types of discrimination,' and (4) 'both sexual orientation discrimination and any of the other types of discrimination.' Our findings suggest that there was a statistically significant association between 'only sexual orientation discrimination' and depressive symptoms among LGB individuals with a low-level of community connectedness, but not among those with a high-level. In the other two categories of discrimination, which included the other types of discrimination, the associations were statistically significant, regardless of the level of community connectedness.


Assuntos
Bissexualidade/psicologia , Depressão/etiologia , Homossexualidade/psicologia , Minorias Sexuais e de Gênero/psicologia , Adulto , Idoso , Estudos Transversais , Depressão/epidemiologia , Feminino , Homofobia/psicologia , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , República da Coreia , Características de Residência , Sexismo , Adulto Jovem
2.
J Homosex ; 68(1): 23-46, 2021 Jan 02.
Artigo em Inglês | MEDLINE | ID: mdl-31204585

RESUMO

Kabbalat Shabbat (Welcoming the Sabbath) is a traditional Jewish ritual marking the transition between the profane weekday and the holy Shabbat. Reform Jewish communities maintain this practice with certain ritualistic and textual revisions, in order to include gender and sexual categories previously excluded from mainstream traditional Jewish texts and rituals. This ethnographic article analyzes the particular LGBTQ Kabbalat Shabbat. By creating unique rituals to mark phenomena of both oppression and exclusion, on the one hand, and of love and acceptance, on the other, the Reform congregation emerges as a religious safe space. I argue that those rituals dedicated to and constructed by the LGBTQ community function as a performance of affirmation and empower of gender and sexual identities. This egalitarian performance fosters a shared political discourse for promoting the struggle for equal rights, through a new religious practice.


Assuntos
Homossexualidade , Judeus , Judaísmo , Minorias Sexuais e de Gênero/psicologia , Comportamento Ritualístico , Feminino , Identidade de Gênero , Humanos , Israel , Judeus/psicologia , Masculino
3.
PLoS One ; 15(12): e0244420, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33351852

RESUMO

Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) is a new strain of virus in the Coronavirus family that has not been previously identified. Since SARS-CoV-2 is a new virus, everyone is at risk of catching the Coronavirus disease 2019 (Covid-19). No one has immunity to the virus. Despite this, misconceptions about specific groups of people who are immune to Covid-19 emerged with the onset of the pandemic. This paper explores South African communities' misconceptions about who is most vulnerable to Covid-19. A rapid qualitative assessment was conducted remotely in Gauteng, KwaZulu-Natal and the Western Cape provinces of South Africa. Recruitment of study participants took place through established relationships with civil society organizations and contacts made by researchers. In total, 60 key informant interviews and one focus group discussion was conducted. Atlas.ti.8 Windows was used to facilitate qualitative data analysis. The qualitative data was coded, and thematic analysis used to identify themes. The results show a high level of awareness and knowledge of the transmission and prevention of SARS-CoV-2. Qualitative data revealed that there is awareness of elderly people and those with immunocompromised conditions being more vulnerable to catching Covid-19. However, misconceptions of being protected against the virus or having low or no risk were also evident in the data. We found that false information circulated on social media not only instigated confusion, fear and panic, but also contributed to the construction of misconceptions, othering and stigmatizing responses to Covid-19. The study findings bring attention to the importance of developing communication materials adapted to specific communities to help reduce misconceptions, othering and stigmatization around Covid-19.


Assuntos
/epidemiologia , Conhecimentos, Atitudes e Prática em Saúde , /patogenicidade , Adaptação Fisiológica , Adulto , Idoso , /virologia , Agentes Comunitários de Saúde/psicologia , Diabetes Mellitus/epidemiologia , Diabetes Mellitus/psicologia , Feminino , Grupos Focais , Humanos , Masculino , Pessoa de Meia-Idade , Profissionais do Sexo/psicologia , Minorias Sexuais e de Gênero/psicologia , África do Sul/epidemiologia , Estereotipagem
4.
Epidemiol Psychiatr Sci ; 29: e179, 2020 Nov 06.
Artigo em Inglês | MEDLINE | ID: mdl-33153509

RESUMO

AIMS: Compared to their heterosexual peers, youth who identify as lesbian, gay or bisexual (LGB) tend to suffer higher rates of peer victimisation from bullying. However, studies of LGB adolescents' participation as bullies are scarce. We aimed to examine the possible association of sexual minority identity and the heightened risk of not only being bullied but bullying others as well. We also explored the effect of one's sexual identity on their involvement in bullying through the mediation of coping strategies and mood states. METHODS: A total of 12 218 students were recruited from 18 secondary schools in China. The demographic information, positive and negative coping strategies, mood state (anxiety, depression and hypomania) and information related to bullying and being bullied were collected. Multinomial regression was used to assess the heightened risk of sexual minority groups in comparison to their heterosexual adolescents' counterparts. A structural equation model (SEM) was used to test the mediating role of coping strategy and mood state between one's sex, sexual identity and bullying experience. RESULTS: Two trends could be observed: (1) LGB groups reported heightened risks of being bullied and bullying others at school than heterosexual peers. However, being a sexual-undeveloped girl seemed to have a protective effect on bullying-related problems. (2) Birth-assigned males were more likely to be bullied as well as bullying others at school when compared to birth-assigned females. SEM analysis revealed that being a sexual minority was directly associated with a higher frequency of being bullied (B = 0.16, 95% CI [0.10, 0.22], p < 0.001) but not bullying others (B = 0.02, 95% CI [-0.02, 0.06], p = 0.398) when compared to the heterosexual group. Negative coping, hypomania, anxiety and depression were associated with a higher frequency of being bullied, while positive coping was associated with a lower frequency of being bullied. Moreover, negative coping, hypomania and depression were associated with a higher frequency of bullying others, while positive coping was associated with a reduced likelihood of bullying others. In addition, being bullied and bullying others were significantly correlated in the SEM model. CONCLUSIONS: This novel research investigated the dynamic nature of the interaction between victim and bullying of LGB school adolescents in China, with a specific exploration of the psychological mechanism behind the pattern of being bullied and bullying others. School-level interventions aimed at teaching positive coping strategies to lower psychological distress are recommended to support sexual minority students.


Assuntos
Adaptação Psicológica , Bullying/psicologia , Vítimas de Crime/psicologia , Minorias Sexuais e de Gênero/psicologia , Estudantes/psicologia , Adolescente , Comportamento do Adolescente/psicologia , Ansiedade/epidemiologia , Ansiedade/psicologia , Bissexualidade/etnologia , Bissexualidade/psicologia , Bullying/estatística & dados numéricos , China/epidemiologia , Vítimas de Crime/estatística & dados numéricos , Depressão/epidemiologia , Depressão/psicologia , Feminino , Homossexualidade Feminina/etnologia , Homossexualidade Feminina/psicologia , Homossexualidade Masculina/etnologia , Homossexualidade Masculina/psicologia , Humanos , Masculino , Grupo Associado , Prevalência , Instituições Acadêmicas
7.
PLoS One ; 15(10): e0239750, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33002013

RESUMO

BACKGROUND: Swingers, heterosexuals who, as couples, practice mate swapping or group sex with other couples or heterosexual singles, are at risk for sexually transmitted infections (STIs). Therefore, the aim of this study was to assess changes in sexual behaviour and STI testing behaviour, as well as predictors of STI testing. METHODS: Two cross-sectional studies were performed, using the same internet survey in 2011 and 2018. For trend analysis, sexual behaviour and STI testing behaviour were used. Socio-demographics, swinger characteristics, sexual behaviour, and psycho-social variables were used to assess predictors of STI testing in the past year, using multivariable regression analysis. RESULTS: A total of 1173 participants completed the survey in 2011, and 1005 in 2018. Condom use decreased for vaginal (73% vs. 60%), oral (5% vs. 2%), and anal sex (85% vs. 75%). STI positivity was reported in 23% and 30% of the participants, respectively, although testing for STI was comparable between both years (~65%). The following predictors of STI testing were significant: being female (OR = 1.9, 95%CI: 1.2-2.9), having a high swinging frequency (>12 times a year, OR = 3.7, 95%CI: 1.9-7.3), swinging at home (OR = 1.6, 95%CI: 1.0-2.7), receiving a partner notification (OR = 1.7, 95%CI: 1.2-2.6), considering STI testing important (OR = 4.3, 95%CI: 2.2-8.5), experiencing no pressure from a partner to test (OR = 0.6, 95%CI: 0.3-0.9), partners test for STI regularly (OR = 10.0, 95%CI: 6.2-15.9), perceiving STI testing as an obligation (OR = 2.1, 95%CI: 1.3-3.5), experiencing no barriers such as being afraid of testing (OR = 1.9, 95%CI: 1.2-3.1), limited opening hours (OR = 1.6, 95%CI: 1.0-2.4), and forgetting to plan appointments (OR = 3.0, 95%CI: 2.0-4.6). CONCLUSIONS: Swingers exhibit self-selection for STI testing based on their sexual behaviour. However, STI prevention efforts are still important considering the increasing numbers of reported STIs, the decreased use of condom use, and the one-third of swingers who were not tested in the previous year.


Assuntos
Comportamento Sexual/estatística & dados numéricos , Doenças Sexualmente Transmissíveis/diagnóstico , Adolescente , Adulto , Busca de Comunicante/estatística & dados numéricos , Estudos Transversais , Escolaridade , Relações Extramatrimoniais/psicologia , Feminino , Heterossexualidade/psicologia , Heterossexualidade/estatística & dados numéricos , Humanos , Internet , Masculino , Pessoa de Meia-Idade , Países Baixos/epidemiologia , Comportamento Sexual/psicologia , Minorias Sexuais e de Gênero/psicologia , Minorias Sexuais e de Gênero/estatística & dados numéricos , Doenças Sexualmente Transmissíveis/etiologia , Doenças Sexualmente Transmissíveis/prevenção & controle , Inquéritos e Questionários , Adulto Jovem
8.
AIDS Patient Care STDS ; 34(9): 380-391, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32931316

RESUMO

Prior research found low acceptability of HIV treatment as prevention (TasP; or Undetectable = Untransmittable) among HIV-negative men who have sex with men (MSM). This study reports on qualitative data regarding TasP adoption in a sample of 170 self-reported HIV-negative MSM who had engaged in exchange sex (received money, drugs, or other things in exchange for sex). We classified participants along five stages of TasP adoption: 1-unaware of TasP (11.2%); 2-aware, but perceived ineffective (17.1%); 3-perceived effective, but unwilling to use (35.3%); 4-willing to rely on TasP, but had never done so (24.1%); and 5-had relied on TasP (12.4%). Obstacles to TasP adoption included the following: not believing that it could completely prevent HIV transmission; deeply ingrained fears of HIV/AIDS; concerns about viral load fluctuation; and reluctance to trust a partner's claimed undetectable status. TasP promotion efforts, which can decrease barriers to HIV testing and HIV stigma, will be more effective if tailored to the obstacles specific to each stage of TasP adoption.


Assuntos
Fármacos Anti-HIV/uso terapêutico , Infecções por HIV/tratamento farmacológico , Infecções por HIV/prevenção & controle , Soronegatividade para HIV/efeitos dos fármacos , Homossexualidade Masculina/psicologia , Profilaxia Pré-Exposição/métodos , Fármacos Anti-HIV/administração & dosagem , Infecções por HIV/epidemiologia , Humanos , Masculino , Parceiros Sexuais , Minorias Sexuais e de Gênero/psicologia , Carga Viral
9.
J Adolesc Health ; 67(5): 645-648, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32933837

RESUMO

PURPOSE: The abrupt closure of universities across the U.S. in March 2020 may have sent some lesbian, gay, bisexual, and transgender (LGBT) college students home to unsafe or unaccepting families and environments. The objective of this study was to examine the mental health needs of LGBT college students in the U.S. during the COVID-19 pandemic. METHODS: We fielded a rapid-response online survey in the spring of 2020. We recruited 477 LGBT-identifying college students aged 18-25 years by contacting LGBT-serving organizations on 254 college campuses and through targeted social media advertising. RESULTS: Nearly half (45.7%) of LGBT college students have immediate families that do not support or know their LGBT identity. Approximately 60% of sampled LGBT college students were experiencing psychological distress, anxiety, and depression during the pandemic. CONCLUSIONS: Health-care providers, college and university administrators, and campus counseling centers should take swift action to ensure that LGBT students receive mental health support during the pandemic.


Assuntos
Infecções por Coronavirus/psicologia , Necessidades e Demandas de Serviços de Saúde/estatística & dados numéricos , Serviços de Saúde Mental , Pneumonia Viral/psicologia , Minorias Sexuais e de Gênero/psicologia , Serviços de Saúde para Estudantes , Adolescente , Adulto , Feminino , Acesso aos Serviços de Saúde/economia , Humanos , Masculino , Pandemias , Viés de Seleção , Comportamento Sexual , Inquéritos e Questionários , Pessoas Transgênero/psicologia , Estados Unidos , Universidades , Adulto Jovem
10.
Am J Clin Oncol ; 43(9): 660-666, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32889837

RESUMO

OBJECTIVE: The objective of this study was to assess sexual minority and heterosexual survivors' perceived quality of cancer care and identify demographic, clinical, and psychosocial characteristics associated with patient-centered quality of care. MATERIALS AND METHODS: Four cancer registries provided data on 17,849 individuals who were diagnosed with stage I, II, or III colorectal cancer an average of 3 years prior and resided in predetermined diverse geographic areas. A questionnaire, which queried about sexual orientation and other eligibility criteria was mailed to all cancer survivors. Of these, 480 eligible survivors participated in a telephone survey. Quality of cancer care was defined by 3 measures of interpersonal care (physician communication, nursing care, and coordination of care) and by rating cancer care as excellent. We used generalized linear models and logistic regression with forward selection to obtain models that best explained each quality of care measure. RESULTS: Sexual minority survivors rated physician communication, nursing care, and coordination of care similarly to heterosexual survivors, yet a significantly higher percentage of sexual minority survivors rated the overall quality of their cancer care as excellent (59% vs. 49%). Sexual minority survivors' greater likelihood of reporting excellent care remained unchanged after adjusting for demographic, clinical, and psychosocial characteristics. CONCLUSIONS: Sexual minority survivors' ratings of quality of colorectal cancer care were comparable or even higher than heterosexual survivors. Sexual minority survivors' reports of excellent care were not explained by their interpersonal care experiences.


Assuntos
Sobreviventes de Câncer/estatística & dados numéricos , Neoplasias Colorretais/terapia , Heterossexualidade/estatística & dados numéricos , Qualidade da Assistência à Saúde/estatística & dados numéricos , Minorias Sexuais e de Gênero/estatística & dados numéricos , Adulto , Sobreviventes de Câncer/psicologia , Neoplasias Colorretais/enfermagem , Comunicação , Procedimentos Clínicos/normas , Feminino , Pesquisas sobre Serviços de Saúde , Heterossexualidade/psicologia , Humanos , Masculino , Pessoa de Meia-Idade , Cuidados de Enfermagem/normas , Relações Médico-Paciente , Sistema de Registros , Minorias Sexuais e de Gênero/psicologia , Estados Unidos , Adulto Jovem
11.
PLoS One ; 15(9): e0238761, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32881946

RESUMO

The psychological impacts of the lockdown due to the Covid-19 pandemic are widely documented. In India, a family-centric society with a high population density and extreme social stratification, the impact of the lockdown might vary across diverse social groups. However, the patterning in the psychological impact of the lockdown among LGBT adults and persons known to be at higher risk of the complications of Covid-19 (such as persons with comorbidities or a history of mental illness) is not known in the Indian context. We used mixed methods (online survey, n = 282 and in-depth interviews, n = 14) to investigate whether the psychological influence of the lockdown was different across these groups of Indian adults. We fitted linear and logistic regression models adjusted for sociodemographic covariates. Thematic analysis helped us identify emergent themes in our qualitative narratives. Anxiety was found to be higher among LGBT adults (ß = 2.44, CI: 0.58, 4.31), the high-risk group (persons with comorbidities) (ß = 2.20, CI:0.36, 4.05), and those with a history of depression/loneliness (ß = 3.89, CI:2.34, 5.44). Persons belonging to the LGBT group reported a greater usage of pornography than the heterosexuals (ß = 2.72, CI: 0.09, 5.36) during the lockdown. Qualitative findings suggested that LGBT adults likely used pornography and masturbation to cope with the lockdown, given the limited physical access to sexual partners in a society that stigmatizes homosexuality. Moreover, both qualitative and quantitative study findings suggested that greater frequency of calling family members during lockdown could strengthen social relationships and increase social empathy. The study thereby urgently calls for the attention of policymakers to take sensitive and inclusive health-related decisions for the marginalized and the vulnerable, both during and after the crisis.


Assuntos
Ansiedade/epidemiologia , Infecções por Coronavirus/psicologia , Depressão/epidemiologia , Pneumonia Viral/psicologia , Quarentena/psicologia , Estresse Psicológico/epidemiologia , Adulto , Idoso , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Feminino , Humanos , Índia , Masculino , Pessoa de Meia-Idade , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Quarentena/estatística & dados numéricos , Minorias Sexuais e de Gênero/psicologia , Minorias Sexuais e de Gênero/estatística & dados numéricos
12.
J Sex Med ; 17(10): 1827-1834, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32883631

RESUMO

BACKGROUND: Social distancing in the wake of the coronavirus disease 2019 (COVID-19) pandemic may affect the sexual behavior of men who have sex with men (MSM). In early March 2020, Israel imposed travel restrictions and limited social contacts to household members only. The effects of these restrictions on the sexual behavior and mental health of MSM are unknown. AIM: To assess sexual behaviors and mental health of Israeli MSM during social distancing and to compare sexual behaviors before and during social distancing, due to the COVID-19 pandemic. METHODS: Data were collected through anonymous web-based questionnaires in a popular geospatial application used by MSM between March and April 2020 during the social-distancing period. OUTCOMES: The dependent variable was casual sex, in violation of social-distancing regulations. Independent variables were demographic characteristics, sexual behaviors before and during social-distancing restrictions, and mental health. RESULTS: Of the 2,562 participants, 1,012 (39.5%) continued to meet new casual sex partners during this period. Being of a younger age, single, and with higher levels of mental distress predicted engagement in casual sex during the social-distancing period. MSM reduced their sexual risk and limited sexual repertoire-in particular, kissing with their sexual partners. Participants also spent more time in dating applications than in the pre-social-distancing period and increased their use of sex phone, webcams, and porn consumption. They perceived the threat of severe acute respiratory syndrome coronavirus to be greater than that of HIV: only 3.2% could imagine themselves having sex with a partner who is infected with SARS-CoV-2 compared with 30.1% in case of HIV, P < .01. CLINICAL IMPLICATIONS: MSM reduced their risk behaviors during social distancing because of the threat of COVID-19. Casual sex during social distancing was associated with negative feelings of mental distress. Future public health response in the future waves of COVID-19 morbidity should strike a balance between containment measures and the need for social distancing with its possible mental and social burdens. STRENGTHS AND LIMITATIONS: This is the first study in Israel and one of the few in the world to examine sexual behaviors among MSM during the COVID-19 social distancing period. It involved a relatively large sample, through convenience sampling, which limits causality. Findings should be interpreted cautiously, specifically because COVID-19-related behaviors and circumstances may change rapidly. CONCLUSION: The negative feelings of distress due to social distancing should be considered as a potential barrier to adherence among vulnerable populations, such as MSM. Future public health response should strike a balance between containment measures and its possible mental, social, and financial burdens. Shilo G, Mor Z. COVID-19 and the Changes in the Sexual Behavior of Men Who Have Sex With Men: Results of an Online Survey. J Sex Med 2020;17:1827-1834.


Assuntos
Infecções por Coronavirus/epidemiologia , Homossexualidade Masculina/psicologia , Pneumonia Viral/epidemiologia , Comportamento Sexual/psicologia , Minorias Sexuais e de Gênero/psicologia , Adulto , Estudos Transversais , Infecções por HIV/epidemiologia , Humanos , Israel , Masculino , Pessoa de Meia-Idade , Pandemias , Assunção de Riscos , Parceiros Sexuais/psicologia , Inquéritos e Questionários
13.
PLoS One ; 15(8): e0237327, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32797074

RESUMO

INTRODUCTION: In order to foster dental and dental hygiene practices that are inclusive, sensitive to diversity, equitable, and without prejudice, a call to broadly teach cultural diversity within dental and dental hygiene education has been made. The research question of this study was "to what extent can an interactive and open dialogue about substance use, queer health, and social responsibility foster transformative learning?" METHODS: A collaborative and interdisciplinary project engaged the community as a teacher over the Summer and Fall of 2019 to address issues of substance use, queer health, and social responsibility and was delivered to 55 first-year undergraduate dental and 23 third-year dental hygiene students over three educational sessions. Dental and dental hygiene students were asked to reflect, in writing, on each session using between 200 and 400 words. Textual information from students' self-reflections and from the community's feedback were analyzed thematically for content (e.g., codes and themes). RESULTS: In total, 128 written reflections-for an average of 42 reflections per session-were gathered and analyzed interactively by the authors. Three major themes emerged: feeling privileged, breaking stereotypes, and coalescing learning. Feedback from the participating community members highlighted changes to be implemented in these sessions in the future, including more opportunities for small group activities in class. CONCLUSIONS: The three major themes that emerged from the thematic analysis of the self-reflections and community member feedback (feeling privileged, breaking stereotypes, and coalescing leaning) further highlighted the impact of community-driven curricula on students' learning in regard to substance use, queer health, and social responsibility. Further work is critical to understand the impact of such a pedagogy on students' practices once they leave their undergraduate programs.


Assuntos
Participação da Comunidade , Educação em Odontologia/métodos , Práticas Interdisciplinares , Higiene Bucal/psicologia , Canadá , Currículo , Humanos , Aprendizagem , Educação de Pacientes como Assunto , Minorias Sexuais e de Gênero/psicologia , Responsabilidade Social , Estudantes de Odontologia , Transtornos Relacionados ao Uso de Substâncias/prevenção & controle
14.
PLoS One ; 15(8): e0238031, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32853213

RESUMO

OBJECTIVES: In the Netherlands, there was a sharp increase in the number of suicides among 10- to 19-year-olds in 2017. A multi-method psychological autopsy study (PA) was conducted to assess feasibility, identify related factors, and study the interplay of these factors to inform suicide prevention strategies. METHODS: Coroners identified youth suicides in 2017 in their records and then general practitioners (GPs) contacted the parents of these youths. Over a period of 7 months, 66 qualitative interviews were held with the parents, peers, and teachers, providing information on precipitating factors and five topics involving 35 cases (17 boys and 18 girls, mean age 17 years). Furthermore, 43 parents and care professionals filled in questionnaires to examine risk and care-related factors. Qualitative and quantitative analyses were performed. RESULTS: Although registration problems faced by coroners and resistance to contacting bereaved families by GPs hampered the recruitment, most parents highly appreciated being interviewed. Several adverse childhood experiences played a role at an individual level, such as (cyber) bullying, parental divorce, sexual abuse, as well as complex mental disorders, and previous suicide attempts. Two specific patterns stood out: (1) girls characterized by insecurity and a perfectionist attitude, who developed psychopathology and dropped out of school, and (2) boys with a developmental disorder, such as autism, who were transferred to special needs education and therefore felt rejected. In addition, adolescents with complex problems had difficulty finding appropriate formal care. Regarding potential new trends, contagion effects of social media use in a clinical setting and internet use for searching lethal methods were found. CONCLUSION: This first national PA study showed that, as expected, a variety of mostly complex clusters of problems played a role in youth suicides. An infrastructure is needed to continuously monitor, evaluate, and support families after each youth suicide and thereby improve prevention strategies.


Assuntos
Suicídio/psicologia , Adolescente , Estudos de Viabilidade , Feminino , Humanos , Entrevistas como Assunto , Masculino , Países Baixos , Minorias Sexuais e de Gênero/psicologia , Minorias Sexuais e de Gênero/estatística & dados numéricos , Mídias Sociais/estatística & dados numéricos , Suicídio/prevenção & controle
15.
PLoS One ; 15(8): e0236880, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32764776

RESUMO

Sexual minority (SM) youth are at high risk for intimate partner violence (IPV) and suicidal ideation/attempts compared to their heterosexual peers. We examined whether SM identity enhanced the relationship between experiences of IPV and suicidal ideation/attempts. Weighted logistic regression models were run using the 2017 Youth Risk Behavior Survey. All main effects were significant; each SM identity and both physical and sexual IPV were significantly associated with suicidal ideation and suicide attempts. The interaction between bisexual identity and physical IPV was significant for suicidal ideation; as physical IPV experiences increased, the difference between bisexual identity and heterosexual youth was non-significant. Findings suggest exploring trauma and suicidal ideation by aggregate groups and increasing support for SM youth in schools and communities.


Assuntos
Violência por Parceiro Íntimo/estatística & dados numéricos , Minorias Sexuais e de Gênero/psicologia , Minorias Sexuais e de Gênero/estatística & dados numéricos , Ideação Suicida , Tentativa de Suicídio/estatística & dados numéricos , Adolescente , Criança , Feminino , Humanos , Violência por Parceiro Íntimo/psicologia , Modelos Logísticos , Masculino , Fatores de Risco , Tentativa de Suicídio/psicologia
16.
Psychiatry Res ; 292: 113365, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32862107

RESUMO

The impact of COVID-19 on mental health has begun to be widely recognized, but there is an absence of studies on how the mental health of lesbian, gay, and bisexual (LGB) people have been affected by the COVID-19 pandemic. A total of 857 LGB people in Hong Kong participated in a community-based survey study. Over one-fourth of them met the criteria for probable clinical depression (31.5%) and generalized anxiety disorder (27.9%). Besides general stressors, we identified sexual minority-specific stressors during the pandemic. 4.2% of the participants indicated that they had frequently experienced family conflict related to sexual orientation. One-third responded that they had largely reduced connection to the lesbian, gay, bisexual, and transgender plus (LGBT+) community (34.7%). The results showed that sexual minority-specific COVID-19-related stressors explained significant variance in depressive and anxiety symptoms, above and beyond the contribution of general COVID-19-related stressors. Since LGB people are particularly vulnerable to poor mental health during the COVID-19 pandemic, LGB people-targeting organizations need to understand more about family, space, and privacy concerns in order to provide better support, and LGB safe spaces and shelters may be needed as a policy response.


Assuntos
Infecções por Coronavirus/psicologia , Saúde Mental/estatística & dados numéricos , Pneumonia Viral/psicologia , Comportamento Sexual , Minorias Sexuais e de Gênero/psicologia , Adulto , Ansiedade , Betacoronavirus , Bissexualidade/psicologia , Infecções por Coronavirus/epidemiologia , Feminino , Homossexualidade Feminina , Homossexualidade Masculina , Hong Kong/epidemiologia , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , Pneumonia Viral/epidemiologia , Angústia Psicológica , Estigma Social , Estresse Psicológico , Inquéritos e Questionários , Adulto Jovem
18.
Artigo em Inglês | MEDLINE | ID: mdl-32796759

RESUMO

This study used data collected from an online survey study on coronavirus disease 2019 (COVID-19) in Taiwan to examine changes in sex life during the pandemic and the factors affecting such changes. In total, 1954 respondents were recruited from a Facebook advertisement. The survey inquired changes in sex life during the pandemic, including satisfaction with the individual's sex life, frequency of sexual activity, frequency of sex-seeking activity, and frequency of using protection for sex. The associations of change in sex life with risk perception of COVID-19, general anxiety, gender, age, and sexual orientation were also examined. For each aspect of their sex life, 1.4%-13.5% of respondents reported a decrease in frequency or satisfaction, and 1.6%-2.9% reported an increase in frequency or satisfaction. Risk perception of COVID-19 was significantly and negatively associated with frequencies of sexual and sex-seeking activities. Higher general anxiety was significantly and negatively associated with satisfaction of sex life and frequencies of sexual and sex-seeking activities. Sexual minority respondents were more likely to report decreased satisfaction with sex life and frequencies of sexual activity and sex-seeking activities during COVID-19. Health care providers should consider these factors when developing strategies for sexual wellness amid respiratory infection epidemics.


Assuntos
Ansiedade/epidemiologia , Infecções por Coronavirus/epidemiologia , Pneumonia Viral/epidemiologia , Comportamento Sexual/psicologia , Fatores Socioeconômicos , Adulto , Fatores Etários , Idoso , Betacoronavirus , Coronavirus , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , Medição de Risco , Fatores Sexuais , Minorias Sexuais e de Gênero/psicologia , Inquéritos e Questionários , Taiwan/epidemiologia , Adulto Jovem
20.
PLoS One ; 15(8): e0237670, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32790797

RESUMO

BACKGROUND: Efforts to characterize healthcare professional students' lesbian, gay, bisexual, and transgender (LGBT) cultural competency are necessary to recommend educational initiatives. Very few studies have evaluated LGBT cultural competency across multiple healthcare disciplines, and no known studies have included students of other healthcare disciplines such as occupational therapy, pharmacy, physical therapy, and physician assistant. METHODS: Healthcare professional students (N = 1701) at three universities across the United States completed a survey consisting of demographics, experiential variables (i.e., LGBT patients and LGBT curricular hours), and the 7-point Likert LGBT-Development of Clinical Skills Scale (LGBT-DOCSS). LGBT-DOCSS scores, annual LGBT patients, and annual LGBT curricular hours were compared across healthcare disciplines. RESULTS: While students reported very high Attitudinal Awareness (M = 6.48, SD = 0.92), they endorsed moderate Basic Knowledge (M = 5.54, SD = 1.16) and low Clinical Preparedness (M = 3.78, SD = 1.28). After controlling for several demographic and experiential variables, there were significant differences among healthcare disciplines on LGBT-DOCSS scores, with social work students reporting the highest on all scores, and dental students reporting the lowest on all scores except Clinical Preparedness. There were also significant differences among healthcare disciplines on annual LGBT patients [mean range: 0.57 (dental) to 7.59 (physician assistant)] and annual LGBT curricular hours [mean range: 0.51 (occupational therapy) to 5.64 (social work)]. Experiential variables were significant predictors for Overall LGBT-DOCSS, Clinical Preparedness, and Basic Knowledge (all p < 0.001); LGBT patients was also a significant predictor for Attitudinal Awareness (p < 0.05). CONCLUSIONS: Taken together, significant differences in LGBT cultural competency exist across healthcare disciplines, which may result from inadequate experiences with LGBT patients and LGBT curricular education. Future efforts should consider increasing LGBT patient contact hours and LGBT formal education hours to enhance healthcare students' LGBT cultural competency.


Assuntos
Competência Clínica/estatística & dados numéricos , Competência Cultural , Ocupações em Saúde/educação , Minorias Sexuais e de Gênero/psicologia , Estudantes de Ciências da Saúde/estatística & dados numéricos , Adulto , Currículo , Feminino , Humanos , Masculino , Estados Unidos , Adulto Jovem
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