The Moral Hazard Paradox of PrEP and Condom Use

The Moral Hazard Paradox of PrEP and Condom Use

A recent study out of Australia now represents one of the strongest evidence bases for the association between PrEP and decreased condom use in men who have sex with men (MSM). How does a moral hazard framework impact stigma and harm reduction principles in HIV prevention?

Sexual Minority Women Less Likely to Seek Mental Health and Alcohol Treatment

Sexual Minority Women Less Likely to Seek Mental Health and Alcohol Treatment

An Australian study found that very few same-sex attracted women (SSAW) utilize treatment for alcohol and mental health related issues, despite increased rates of related problems. The authors suggest that the enabling of SSAW to have a regular doctor could improve service use and that patients should feel comfortable disclosing sexual identity to their provider, as this is also predictive of treatment use.

Questions for BRCA1+ Trans-Feminine Youth

Questions for BRCA1+ Trans-Feminine Youth

A new case study this week in the journal LGBT Health explores the story of a trans-feminine youth identified as BRCA1+ at the onset of hormone therapy. Little is known about best practices for BRCA1+ trans youth, even though many physical and hormonal considerations exist. This case presents an emotional and personal justification for the visibility of trans lives in research and care recommendations.

Community and Social Support Impact LGB Health Outcomes

Community and Social Support Impact LGB Health Outcomes

A recent study looked at the relationship between support for same-sex marriage in local communities in Australia and LGB health and wellbeing. Poor levels of social support were an important mechanism linking community support of same-sex marriage to the health of LGB people.

Psychosocial Stressors and Sexual Health of Sexual Minority African American Women

Psychosocial Stressors and Sexual Health of Sexual Minority African American Women

A study of Southern sexual minority African American women found associations between psychosocial stressors (depressive symptoms, incarceration, intimate partner violence) and STI history. The authors make recommendations for healthcare providers on treating this population for both mental health and sexual health.

Lesbians and Bisexual Women May Have Greater Risk for Type 2 Diabetes

Lesbians and Bisexual Women May Have Greater Risk for Type 2 Diabetes

This study found that lesbian and bisexual (LB) women have a 27% higher risk of developing type 2 diabetes. In addition to behavioral factors, minority stress and social stigma may be influencing LB women’s BMI, which completely explained the relationship between sexual orientation and type 2 diabetes.

Telemedicine for Trans and Gender Nonconforming Patients

Telemedicine for Trans and Gender Nonconforming Patients

In rural areas with little opportunity for finding alternate providers, telemedicine offers a way to reach patients who might otherwise avoid care. Telemedicine for trans and gender nonconforming patients is one promising way to reduce financial and emotional burdens.

An Integrated Approach: Geriatric Transgender Mental Healthcare

An Integrated Approach: Geriatric Transgender Mental Healthcare

For older individuals struggling with gender identity, mental healthcare providers are often a primary entry point into the healthcare system. New research suggests hidden strengths: integration of family-centered and interdisciplinary care teams.

HIV Care for Trans Women

HIV Care for Trans Women

The Fenway Institute published a guide on how providers can help trans women living with HIV remain in care and achieve better health outcomes. Here we explore the barriers that these patients face and the ways that healthcare professionals might help patients overcome them.

Providing Healthcare for Genderqueer and Nonbinary Patients

Providing Healthcare for Genderqueer and Nonbinary Patients

Genderqueer/nonbinary individuals face even higher rates of discrimination in healthcare settings than their binary transgender peers. This study investigates the healthcare experiences of some of these patients and provides recommendations for providers.

Resource: Taking Comprehensive Sexual Health Histories for STD Awareness Month

Resource: Taking Comprehensive Sexual Health Histories for STD Awareness Month

April is STD Awareness Month and the 2018 theme is “Treat Me Right,” which focuses on the relationship between healthcare providers and patients. The CDC has a variety of resources for providers, including a comprehensive guide to taking sexual histories that includes information about LGBTQ patients.

Using Chosen Names for Trans Youth Helps Reduce Risk of Suicide and Depression

Using Chosen Names for Trans Youth Helps Reduce Risk of Suicide and Depression

For transgender youth with chosen names that differ from the one given to them at birth, use of their chosen name in multiple contexts is associated with reduced mental health risks, according to a recent study. Providers and other people who interact with trans youth can support them and their mental health by using their chosen name.

LGBT Content in Health Assessment Textbooks

LGBT Content in Health Assessment Textbooks

A new study evaluated nursing textbooks for LGBT inclusivity and found very little relevant content, especially content that demonstrated deeper understanding of LGBT health concerns. Textbook content is important in guiding discussions and promoting inclusivity, and providers would benefit from improvements in training and education around LGBT-specific issues.