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1.
Soc Sci Med ; 298: 114860, 2022 04.
Artigo em Inglês | MEDLINE | ID: mdl-35231781

RESUMO

Suicide is the fourth leading cause of death amongst young people aged 15-29 globally and amongst this young population, lesbian, gay, bisexual and trans (LGBT+) young people have higher rates of suicidal thoughts and attempts than their cisgender (non-trans), heterosexual peers. However, despite well-established knowledge on the existence of this health inequality, in the UK there has been a paucity of research exploring why this disparity exists, and this is particularly the case in Scotland. This paper aims to address this gap, reporting on the first study specifically seeking to understand LGBT+ young people's suicidal thoughts and attempts in Scotland. We used a qualitative methodology to explore how young people with lived experience of suicidal distress make sense of the relationship between homophobia, biphobia and transphobia, and suicidal thoughts and attempts. We undertook in-depth, narrative interviews with twenty-four LGBT+ people aged 16-24, and analysed them using reflexive thematic analysis. Drawing on this analysis, we argue that suicide can be understood as a response to stigma, discrimination and harassment, made possible by a cultural climate that positions LGBT+ people as different or other, reinforcing norms regarding gender conformity and sexuality. We suggest in turn, that this cultural climate provides fertile ground from which more explicit acts of homophobia, biphobia and transphobia, such as bullying and family rejection are able to grow. In response to this, LGBT+ young people could begin to experience senses of entrapment, rejection and isolation, to which suicidal thoughts and attempts can be understood as responses. Consequently, we propose that these stigma experiences must be taken seriously and tackled directly in order to reduce LGBT + suicide in the future.


Assuntos
Homossexualidade Feminina , Minorias Sexuais e de Gênero , Adolescente , Feminino , Disparidades nos Níveis de Saúde , Homofobia , Humanos , Ideação Suicida
4.
Rev. psicol. (Fortaleza, Online) ; 13(1): 17-29, 01/01/2022.
Artigo em Português | LILACS, Index Psicologia - Periódicos | ID: biblio-1357547

RESUMO

Considerando a frequente ocorrência da homofobia no contexto escolar, os objetivos do estudo foram investigar retrospectivamente as experiências de homofobia na escola em jovens universitários, bem como analisar a percepção dos jovens sobre a ação da equipe escolar diante da homofobia. Para tanto, 104 estudantes universitários responderam a uma versão traduzida e adaptada do questionário National School Climate Survey - Gay, Lesbian, Straight, Education Network. Os participantes relataram ter vivenciado ou presenciado experiências de violência homofóbica, como comentários homofóbicos (93,1%); propagação de rumores e mentiras (61,5%); exclusão (85,7%); agressão física (48,1%); assédio sexual (61,5%); e cyberbullying (50%). Entre os 25 participantes que se identificaram como gay, lésbica, bissexual, transgênero ou em dúvida, 80% apontaram incômodo quando sua orientação sexual ou identidade de gênero foi revelada para pessoas da sua escola. Foram também relatadas situações que indicam homofobia por parte da equipe escolar: 58,6% afirmaram que ouviam comentários homofóbicos feitos por professores ou funcionários da escola e 30,8% relataram que a equipe escolar nunca tomava alguma atitude quando estava presente durante os comentários homofóbicos. Conclui-se que há necessidade de ações de prevenção e intervenção em situações de homofobia na escola, bem como preparo da equipe escolar para lidar com o tema.


Considering the frequent occurrence of homophobia in the school context, the objectives of the study were to retrospectively investigate the experiences of homophobia at school among university students, as well as analyzing the perception of young people about the action of the school staff in the face of homophobia. Therefore, 104 university students responded to a translated and adapted version of the questionnaire National School Climate Survey - Gay, Lesbian, Straight, Education Network. Participants reported having experienced or witnessed experiences of homophobic violence, like homophobic comments (93.1%); spreading rumors and lies (61.5%); exclusion (85.7%); physical aggression (48.1%); sexual harassment (61.5%); e cyberbullying (50%). Among the 25 participants who identified themselves as gay, lesbian, bisexual, transgender or questioning, 80% pointed that was uncomfortable when their sexual orientation or gender identity was revealed to people in their school. Situations that indicate homophobia on the part of the school staff were also reported: 58.6% pointed that they heard homophobic comments made by teachers or school staff and 30.8% reported that the school staff never took any action when they were present during homophobic comments. The conclusion is that there is a need for prevention and intervention actions in situations of homophobia at school, as well as preparation of the school staff to deal with the issue.


Assuntos
Estudantes , Bullying , Homofobia , Identidade de Gênero
5.
J Homosex ; 69(1): 101-119, 2022 Jan 02.
Artigo em Inglês | MEDLINE | ID: mdl-32875957

RESUMO

There is wide research investigating negative attitudes and behaviors toward gays and lesbians within Western societies. However, only a small amount of studies have addressed attitudes toward transgender individuals, particularly in non-Western societies with younger populations. This study, therefore, aimed to examine the predictors of transphobic attitudes in north Cyprus using young adults. Participants were 148 (96 women, 51 men) Turkish speaking young adults, aged between 18 and 25 years (M =  20.29, SD =  2.38). Participants completed a questionnaire package containing measures of intergroup contact, ambivalent sexism, social dominance orientation, homophobic feelings and attitudes, and transphobia. As expected, results showed that intergroup contact, hostile sexism, and homophobia predicted transphobic attitudes. Implications to ameliorate discriminatory attitudes toward transgender individuals in non-Western cultures are discussed.


Assuntos
Pessoas Transgênero , Transexualidade , Adolescente , Adulto , Atitude , Feminino , Identidade de Gênero , Homofobia , Humanos , Masculino , Adulto Jovem
6.
J Homosex ; 69(1): 169-189, 2022 Jan 02.
Artigo em Inglês | MEDLINE | ID: mdl-32875966

RESUMO

Disclosure, or "coming out," videos on YouTube are a popular part of YouTube's global online video sharing culture. Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) coming out videos are among the most popular, as they allow for LGBTQ+ persons to share their stories with others. This study examines LGBTQ+ coming out videos and their potential to reduce prejudice through the parasocial contact hypothesis, particularly for non-LGBTQ+ persons who view these videos. Through a 2 × 2 experimental design, this study proposed a path model that explores how coming out YouTube videos and self-understanding imagined interactions helps to reduce homophobia, especially as they relate to emotional responses to the videos and stories. Results found strong effects for video admiration reducing homophobia and hatred increasing homophobia. Further, self-understanding imagined interactions reduced homophobia through admiration. Results and implications for these findings are discussed.


Assuntos
Minorias Sexuais e de Gênero , Pessoas Transgênero , Revelação , Emoções , Feminino , Homofobia , Humanos
7.
Estud. pesqui. psicol. (Impr.) ; 21(4): 1395-1415, dez. 2021.
Artigo em Português | LILACS, Index Psicologia - Periódicos | ID: biblio-1359219

RESUMO

Neste artigo analisamos as experiências de preconceito vivenciadas no contexto familiar por universitários autodeclarados homens gays. A pesquisa, de caráter qualitativo, contou com a participação de cinco estudantes, selecionados intencionalmente por meio da técnica Snowball. Como instrumentos de coleta foram utilizados entrevistas narrativas e grupo focal, e os dados produzidos foram submetidos à análise crítica do discurso. Contatou-se que, embora a família, em suas diversas configurações, desempenhe um papel ativo na proteção de seus membros, isso não reflete, necessariamente, na promoção do seu bem-estar individual e/ou coletivo, uma vez que quando não problematiza a lógica heteronormativa acaba por reproduzi-la, configurando-se como espaço de controle e violência, ainda que sob o disfarce do cuidado e proteção. Concluímos que tais famílias (re)produzem mecanismos de poder pautados na heteronormatividade e colaboram para a manutenção das hierarquias produtoras de modos subalternos de existência, levando à não aceitação, ocultação e silenciamento das experiências de homens gays e podendo trazer inúmeros prejuízos para sua saúde mental. (AU)


In this article we analyze the prejudice experiences lived in the family context by self-declared university students who are gay men. The qualitative research involved the participation of five students, selected intentionally through the Snowball technique. Narrative interviews and focus groups were used as data collection instruments, and data produced were subjected to critical discourse analysis. It was found that, even if the family, in its various configurations, plays an active role in protecting its members, this does not necessarily reflect in the promotion of their individual and/or collective well-being. It occurs because when the family does not problematize the heteronormative logic, ends up reproducing it, configuring itself as a space of control and violence, albeit under the guise of care and protection. We conclude that such families (re)produce mechanisms of power based on heteronormativity and collaborate for the maintenance of hierarchies that produce subaltern modes of existence, leading to the non-acceptance, concealment and silencing of the experiences of gay men and can bring numerous losses to their mental health. (AU)


En este artículo analizamos las experiencias de prejuicio vividas en el contexto familiar por universitarios autodeclarados hombres gay. La investigación cualitativa contó con la participación de cinco estudiantes, seleccionados intencionalmente mediante la técnica Snowball. Como instrumentos de recolección se utilizaron entrevistas narrativas y grupos focales, y los datos producidos fueron sometidos a análisis crítico del discurso. Se encontró que, aunque la familia, en sus diversas configuraciones, juega un papel activo en la protección de sus miembros, esto no necesariamente se refleja en la promoción de su bienestar individual y/o colectivo, ya que, cuando no problematiza la lógica heteronormativa, acaba reproduciéndola, configurándose como un espacio de control y violencia, a pesar de que bajo la apariencia de cuidado y protección. Concluimos que tales familias (re)producen mecanismos de poder basados en la heteronormatividad y colaboran para el mantenimiento de jerarquías que producen modos de existencia subalternos, conduciendo a la no aceptación, ocultación y silenciamiento de las vivencias de los hombres gay y pueden traer numerosas pérdidas a su salud mental. (AU)


Assuntos
Família , Homofobia , Normas de Gênero , Preconceito , Estudantes , Saúde Mental , Minorias Sexuais e de Gênero
9.
J Vasc Surg ; 74(2S): 111S-117S, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-34303450

RESUMO

Publication bias has been shown to exist in research across medical and surgical specialties. Bias can occur at any stage of the publication process and can be related to race, ethnicity, age, religion, sex, gender, or sexual orientation. Although some improvements have been made toward addressing this issue, bias still spans the publication process from authors and peer reviewers, to editorial board members and editors, with poor inclusion of women and underrepresented minorities throughout. The result of bias remaining unchecked is the publication of research that leaves out certain groups, is not applicable to all people, and can result in harm to some populations. We have highlighted the current landscape of publication bias and strived to demonstrate the importance of addressing it. We have also provided solutions for reducing bias at multiple stages throughout the publication process. Increasing diversity, equity, and inclusion throughout all aspects of the publication process, requiring diversity, equity, and inclusion statements in reports, and providing specific education and guidelines will ensure the identification and eradication of publication bias. By following these measures, we hope that publication bias will be eliminated, which will reduce further harm to certain populations and promote better, more effective research pertinent to all people.


Assuntos
Pesquisa Biomédica , Diversidade Cultural , Revisão da Pesquisa por Pares , Publicações Periódicas como Assunto , Preconceito , Viés de Publicação , Feminino , Equidade de Gênero , Homofobia , Humanos , Masculino , Fatores Raciais , Racismo , Fatores Sexuais , Sexismo , Minorias Sexuais e de Gênero
10.
J Vasc Surg ; 74(2S): 118S-124S, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-34303451

RESUMO

Vascular surgeons of all backgrounds play an important role in providing high quality vascular surgical care in their communities. In America, with our diverse population and communities, patients presenting with vascular disease are very common and could pattern the community demographic. Often faced with the challenges of community hospital politics and demand, the vascular surgical workforce has continued to be active members in their communities, focusing on their strengths to lead vascular surgery healthcare in an environment of high patient demand. Having a varied vascular surgery workforce provides all patients afflicted by vascular disease a comfortable opportunity for compassionate and empathic vascular care. This is a significant strength of vascular care when diversity, equity, and inclusion are supported by the leadership.


Assuntos
Serviços de Saúde Comunitária , Diversidade Cultural , Assistência à Saúde Culturalmente Competente , Disparidades em Assistência à Saúde , Corpo Clínico Hospitalar , Preconceito , Cirurgiões , Procedimentos Cirúrgicos Vasculares , Feminino , Equidade de Gênero , Disparidades em Assistência à Saúde/etnologia , Homofobia , Humanos , Liderança , Masculino , Papel do Médico , Formulação de Políticas , Fatores Raciais , Racismo , Fatores Sexuais , Sexismo , Minorias Sexuais e de Gênero
11.
J Vasc Surg ; 74(2S): 125S-131S, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-34303452

RESUMO

The presented glossary highlights the concepts and terminology related to diversity, equity, and inclusion. Although this list should not be considered all-inclusive, it will provide our vascular surgical community with a common vocabulary to help propel change toward improved diversity, equity, and inclusion policies, practices, and culture. As these concepts and terminology find their place in our everyday lives, the Society for Vascular Surgery and its leadership believe that expanding the diversity, equity, and inclusion of vascular surgical professionals is a mission-critical step. This mission will help us improve patient experience through successfully delivering culturally sensitive care for our diverse community. Now is the time.


Assuntos
Diversidade Cultural , Homofobia/classificação , Racismo/classificação , Sexismo/classificação , Terminologia como Assunto , Atitude do Pessoal de Saúde , Feminino , Equidade de Gênero , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Fatores Raciais , Fatores Sexuais , Minorias Sexuais e de Gênero/classificação , Sociedades Médicas , Procedimentos Cirúrgicos Vasculares
12.
J Vasc Surg ; 74(2S): 64S-75S, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-34303461

RESUMO

Many of the systemic practices in medicine that have alienated lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ) individuals persist today, undermining the optimal care for these patients and isolating LGBTQ medical providers from their colleagues. The 2020 Task Force on Diversity, Equity, and Inclusion Report recently published by the Society for Vascular Surgery marked the first publication advocating for the inclusion of sexual orientation and sexual identity in the development of initiatives promoting and protecting diversity across vascular surgery. Vascular providers should be aware that it is crucial to cultivate an environment that is inclusive for LGBTQ patients because a large proportion of these patients have reported not self-disclosing their status to medical providers, either out of concern over potential personal repercussions or failing to recognize the potential relevance of LGBTQ status to their medical care. Safe Zone training has provided a standard resource for providers and staff that can be integrated into onboarding and routine training. Clarifying the current terminology for sexual orientation and identity will ensure that vascular providers will recognize patients who could benefit from screening for additional vascular risk factors relevant to this population related to sexual health, social behavior, physical health, and medical therapies. The adoption of gender neutral language on intake forms and general correspondence with colleagues is key to reducing the unintended exclusion of those with LGBTQ identities in both inpatient and outpatient environments. In many locales across the United States, the professional and personal repercussions for openly reporting LGBTQ status persist, complicating efforts toward quantifying, recognizing, and supporting these patients, practitioners, and trainees. Contributing to an inclusive environment for patients and peers and acting as a professional ally are congruent with the ethos in vascular surgery to treat all patients and colleagues with respect and optimize the healthcare of every vascular patient.


Assuntos
Atitude do Pessoal de Saúde , Equidade de Gênero , Identidade de Gênero , Conhecimentos, Atitudes e Prática em Saúde , Homofobia , Sexismo , Comportamento Sexual , Minorias Sexuais e de Gênero , Cirurgiões , Procedimentos Cirúrgicos Vasculares , Comunicação , Feminino , Disparidades nos Níveis de Saúde , Disparidades em Assistência à Saúde , Humanos , Masculino , Relações Médico-Paciente , Cirurgiões/educação , Cirurgiões/psicologia , Terminologia como Assunto , Procedimentos Cirúrgicos Vasculares/educação
14.
PLoS One ; 16(7): e0253589, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34288911

RESUMO

Transgender and gender diverse people have unique risks and needs in the context of sexual health, but little is known about sexual health care for this population. In 2018, a national, online survey of sexual health and well-being was conducted with trans and gender diverse people in Australia (n = 1,613). Data from this survey were analysed to describe uptake of sexual health care and experiences of interpersonal and structural cisgenderism and transphobia. Experiences of cisgenderism and transphobia in sexual health care were assessed using a new, four-item scale of 'gender insensitivity', which produced scores ranging from 0 (highly gender sensitive) to 4 (highly gender insensitive). Logistic and linear regression analyses were conducted to determine if experiences of gender insensitivity in sexual health care were associated with uptake and frequency of HIV/STI testing in the 12 months prior to participation. Trans and gender diverse participants primarily accessed sexual health care from general practice clinics (86.8%), followed by publicly funded sexual health clinics (45.6%), community-based services (22.3%), and general hospitals (14.9%). Experiences of gender insensitivity were common overall (73.2% of participants reported ≥2 negative experiences) but most common in hospitals (M = 2.9, SD = 1.3) and least common in community-based services (M = 1.3, SD = 1.4; p<0.001). When controlling for sociodemographic factors, social networks, general access to health care, and sexual practices, higher levels of gender insensitivity in previous sexual health care encounters were associated with a lower likelihood of recent HIV/STI testing (adjusted prevalence ratio = 0.92, 95% confidence interval [CI]:091,0.96, p<0.001) and less-frequent HIV/STI testing (B = -0.07, 95%CI:-0.10,-0.03, p = 0.007). Given the high rates of HIV and other STIs among trans and gender diverse people in Australia and overseas, eliminating cisgenderism and transphobia in sexual health care may help improve access to diagnostic testing to reduce infection rates and support the overall sexual health and well-being of these populations.


Assuntos
Atitude do Pessoal de Saúde , Atenção à Saúde , Acesso aos Serviços de Saúde , Preconceito , Comportamento Sexual/psicologia , Minorias Sexuais e de Gênero/psicologia , Doenças Sexualmente Transmissíveis/diagnóstico , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Austrália/epidemiologia , Estudos Transversais , Feminino , Infecções por HIV/diagnóstico , Infecções por HIV/epidemiologia , Pesquisas sobre Serviços de Saúde , Homofobia , Humanos , Masculino , Pessoa de Meia-Idade , Sexismo , Doenças Sexualmente Transmissíveis/epidemiologia , Pessoas Transgênero/psicologia , Transexualidade/psicologia , Adulto Jovem
15.
Rev. bioét. (Impr.) ; 29(3): 630-640, jul.-set. 2021.
Artigo em Português | LILACS | ID: biblio-1347141

RESUMO

Resumo O artigo analisa, à luz da bioética principialista, a experiência de lésbicas, gays, bissexuais, travestis e transexuais, queers, intersexuais, assexuais e outras identidades de gênero e orientações sexuais no acesso a serviços de saúde. Trata-se de pesquisa transversal, de abordagem qualitativa, realizada em 2018, no município de Iguatu/CE, Brasil, com 26 pessoas lésbicas, gays, bissexuais e transexuais, que participaram de grupos focais com entrevistas semiestruturadas. Os resultados apontam graves violações aos princípios básicos da corrente principialista, com violência institucional de cunho psicológico, desrespeito à dignidade, recusa de doação de sangue, não aceitação de nome social, falta de acolhimento e humanização do atendimento. A persistência e a gravidade das situações de discriminação relatadas mostram que, apesar dos avanços e da existência de uma política de saúde específica para essa população, as medidas de combate ao preconceito institucional têm se mostrado insuficientes.


Abstract In light of principlist bioethics, this article analyzes the experiences of lesbian, gay, bisexual, travesti and transgender, queer, intersex, asexual and other gender identities and sexual orientations regarding access to health services. Conducted in 2018, in the municipality of Iguatu, Ceará, Brazil, this cross-sectional, qualitative research conducted semi-structured interviews with 26 lesbian, gay, bisexual and transgender individuals who participated in focus groups. Results reveal serious violations of basic bioethical principles, including institutional violence of psychological nature, disrespect to dignity, refusal of blood donation, non-acceptance of social name, lack of receptive and humanized care. The persistence and severity of the reported situations of discrimination show that, despite the progress and the existence of a specific health policy for this population, the measures to combat institutional prejudice have proven insufficient.


Resumen El artículo analiza, a la luz de la bioética principialista, la experiencia de lesbianas, gays, bisexuales, transexuales y travestis, queers intersexuales, asexuales y otras identidades de género y orientaciones sexuales en el acceso a los servicios de salud. Se trata de una investigación transversal, con enfoque cualitativo, realizada en 2018, en el municipio de Iguatu/CE, Brasil, con 26 personas lesbianas, gays, bisexuales y transexuales, que participaron en grupos focales con entrevistas semiestructuradas. Los resultados indican graves violaciones de los principios básicos de la corriente principialista, con violencia institucional de carácter psicológico, desprecio por la dignidad, negativa a donar sangre, no aceptación del nombre social, falta de recepción y humanización del cuidado. La persistencia y gravedad de las situaciones de discriminación denunciadas muestran que, a pesar de los avances y la existencia de una política de salud específica para esta población, las medidas para combatir el prejuicio institucional han resultado insuficientes.


Assuntos
Humanos , Masculino , Feminino , Adulto , Adulto Jovem , Serviços Básicos de Saúde , Temas Bioéticos , Homofobia/ética , Minorias Sexuais e de Gênero , Estudos Transversais , Pesquisa Qualitativa
16.
Epidemiol Psychiatr Sci ; 30: e52, 2021 Jun 29.
Artigo em Inglês | MEDLINE | ID: mdl-34185635

RESUMO

Homophobia is still a scourge in the modern era. Despite a greater acceptance of sexual variations and same-sex marriage in many countries, homophobia is widely sustained by religious, political and cultural values and beliefs at individual and social level. Most of homophobic attitudes are based on the principle of heteronormativity according to which heterosexuality is the standard for legitimating social and sexual relationships and homosexuality is considered as an abnormal variant. Homophobia may be also recognised at institutional level (state-sponsored homophobia, social homophobia) and supported by laws or religious beliefs. Moreover, internalised homophobia (IH) is defined as the inward direction of societal homophobic behaviours at individual level and refers to the subjective psychological impact of these negative attitudes. In fact, IH is significantly associated with a high prevalence of internalising mental disorders such as depression, anxiety, stress/trauma-related disorders, etc. We believe that a set of immediate actions are needed in order to contrast homophobia and its impact on mental health, in particular political initiatives, educational trainings and scientific research should be promoted with a specific focus on mental health needs of people target of homophobia.


Assuntos
Homofobia , Saúde Mental , Ansiedade , Transtornos de Ansiedade , Homossexualidade , Humanos
18.
J Assoc Nurses AIDS Care ; 32(4): 495-511, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34101701

RESUMO

ABSTRACT: In the United States, 13 million people identify as sexual and gender minorities. The purposes of this article were to (a) examine the associations among sexual orientation concealment and internalized homophobia with HIV knowledge, health literacy, and transactional sex through sexual identity; and (b) assess whether gender expression moderates those relationships in sexual minority men of color. A multigroup mediation path model examined the association between sexual orientation concealment and internalized homophobia on HIV knowledge, health literacy, and transactional sex through sexual identity by gender expression. Results suggest that, among those with a masculine gender expression, as sexual concealment increased, health literacy decreased. The association between sexual orientation concealment and transactional sex varied by participant's gender expression as did the association between internalized homophobia and HIV knowledge. Multiple intersecting identities, when faced with anticipated discrimination and homophobia, can negatively affect health outcomes and increase HIV risk in sexual minority men of color.


Assuntos
Infecções por HIV , Minorias Sexuais e de Gênero , Feminino , Homofobia , Homossexualidade Masculina , Humanos , Masculino , Comportamento Sexual , Pigmentação da Pele
19.
Am J Public Health ; 111(9): 1620-1626, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-34111944

RESUMO

Public health surveillance can have profound impacts on the health of populations, with COVID-19 surveillance offering an illuminating example. Surveillance surrounding COVID-19 testing, confirmed cases, and deaths has provided essential information to public health professionals about how to minimize morbidity and mortality. In the United States, surveillance has also pointed out how populations, on the basis of geography, age, and race and ethnicity, are being impacted disproportionately, allowing targeted intervention and evaluation. However, COVID-19 surveillance has also highlighted how the public health surveillance system fails some communities, including sexual and gender minorities. This failure has come about because of the haphazard and disorganized way disease reporting data are collected, analyzed, and reported in the United States, and the structural homophobia, transphobia, and biphobia acting within these systems. We provide recommendations for addressing these concerns after examining experiences collecting race data in COVID-19 surveillance and attempts in Pennsylvania and California to incorporate sexual orientation and gender identity variables into their pandemic surveillance efforts.


Assuntos
COVID-19/epidemiologia , COVID-19/diagnóstico , COVID-19/etnologia , COVID-19/mortalidade , Homofobia , Humanos , Vigilância em Saúde Pública , Fatores de Risco , Índice de Gravidade de Doença , Minorias Sexuais e de Gênero , Isolamento Social , Fatores Socioeconômicos , Estados Unidos/epidemiologia
20.
LGBT Health ; 8(5): 349-358, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-34142861

RESUMO

Purpose: No prior study has been published on suicide-related behaviors among gay, bisexual, transgender, and queer (GBTQ) men in Singapore, where sexual relations between men are criminalized. This study explores the association and mediational pathways between experienced homophobia and suicidal ideation or suicide attempts among young GBTQ men in Singapore. Methods: Results of this study were derived from baseline data of the Pink Carpet Y Cohort Study, Singapore's first prospective cohort study among young GBTQ men. The sample comprised 570 young GBTQ men 18 to 25 years of age who were HIV negative or unsure of their HIV status. Statistical analyses were conducted through descriptive statistics, multivariable logistic regression, and structural equation modeling techniques. Results: Of 570 participants, 58.9% (n = 308) reported ever contemplating suicide, whereas 14.2% (n = 76) had ever attempted suicide. Controlling for key demographic variables, multivariable logistic regression revealed that experienced homophobia and depression severity were positively associated with a history of suicidal ideation, whereas depression severity and outness were positively associated with a history of suicide attempts. Mediation analyses revealed that depression severity and self-esteem partially accounted for the relationship between experienced homophobia and suicidal ideation, whereas depression severity and outness partially accounted for the relationship with suicide attempts. Conclusions: The prevalence of suicidal ideation and past suicide attempts was found to be high in a sample of young GBTQ men in Singapore. Interventions to address experienced homophobia and discrimination among young GBTQ men are needed urgently in Singapore.


Assuntos
Homofobia/psicologia , Minorias Sexuais e de Gênero/psicologia , Ideação Suicida , Suicídio/estatística & dados numéricos , Adolescente , Adulto , Depressão/epidemiologia , Humanos , Masculino , Estudos Prospectivos , Autoimagem , Índice de Gravidade de Doença , Minorias Sexuais e de Gênero/estatística & dados numéricos , Singapura/epidemiologia , Adulto Jovem
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