Evidence-Based Approaches for Sexual Health and Substance Use Problems in Sexual and Gender Minority Youth

2019 ◽  
pp. 51-73
Author(s):  
Michael E. Newcomb ◽  
Brian A. Feinstein
Keyword(s):  
Substance Use ◽  
Sexual Health ◽  
Evidence Based ◽  
Health Issues ◽  
Lgbtq Youth ◽  
Gender Minority ◽  
Substance Use Problems ◽  
Sexual And Gender Minority ◽  
And Bisexual ◽  
And Gender

Lesbian, gay, bisexual, transgender, and other sexual and gender minority (LGBTQ) youth are at higher risk for various behavioral health issues relative to their heterosexual counterparts, including sexual health outcomes and substance use problems. Despite these well-documented disparities, very little attention has been paid to mitigating these health issues, and few evidence-based interventions that are tailored to the unique needs of LGBTQ youth have been developed to address these problems. However, several newer programs have been developed to address the needs of some specific groups within the LGBTQ youth population (e.g., young gay and bisexual men, transgender women). This chapter reviews the current state of the literature on behavioral interventions for addressing sexual health and substance use in LGBTQ youth. Furthermore, it provides several case examples to illustrate the application of these strategies in clinical settings, and it summarizes gaps in the literature and opportunities for future research.

Sexual Disorders among Sexual and Gender Minority Populations

2020 ◽  
pp. 134-145
Author(s):  
Heather L. Armstrong
Keyword(s):  
Sexual Health ◽  
Sexual Disorders ◽  
Minority Populations ◽  
Gender Nonconforming ◽  
Complex Disorders ◽  
Gender Minority ◽  
Research Perspectives ◽  
Sexual Orientations ◽  
Sexual And Gender Minority ◽  
And Gender

Sexual disorders and dysfunction are common among people of all sexual orientations and gender identities. And while definitions and conceptions of sexual health are typically broad, the clinical and research perspectives on sexual function and dysfunction have traditionally relied on the four-phase model of sexual response and disorders are generally classified as “male” or “female.” This chapter reviews the diagnostic criteria for specific sexual dysfunctions and presents a summary of existing research among sexual and gender minority populations. Overall, research on sexual dysfunction among sexual and gender minority people is limited, and this is especially true for transgender and gender nonconforming individuals. Understanding these often complex disorders requires that individuals, clinicians, and researchers consider a range of biopsychosocial factors that can affect and be affected by one’s sexual health and sexuality.

Introduction

2020 ◽  
pp. xvi-8
Author(s):  
Esther D. Rothblum
Keyword(s):  
Mental Health ◽  
Clinical Social Work ◽  
Psychiatric Nursing ◽  
Health Programs ◽  
Evidence Based ◽  
Gender Minority ◽  
Minority Mental Health ◽  
Sexual And Gender Minority ◽  
And Gender ◽  
Mental Health Programs

The Oxford Handbook of Sexual and Gender Minority Mental Health provides an overview of the current research on the mental health of sexual and gender minority (SGM) populations. It is aimed at researchers conducting studies on the mental health of SGM populations, clinicians and researchers interested in psychiatric disorders that affect SGM populations, clinicians using evidence-based practice in the treatment of SGM patients/clients, students in mental health programs (clinical psychology, psychiatry, clinical social work, and psychiatric nursing), and policymakers. This chapter defines some terms and provides an overview of current and past SGM research methods.

Invisibility and intersectionality: Understanding and including sexual health needs of sexual and gender minority cancer survivors

2022 ◽  
Vol 164 (1) ◽  
pp. 6
Author(s):  
Stephanie Rieder ◽  
Ellen Burgess ◽  
Shoshana Adler Jaffe ◽  
Ariel Hurwitz ◽  
Miria Kano
Keyword(s):  
Sexual Health ◽  
Cancer Survivors ◽  
Health Needs ◽  
Gender Minority ◽  
Sexual And Gender Minority ◽  
And Gender

scholarly journals Stress and substance use among sexual and gender minority individuals across the lifespan

2019 ◽  
Vol 10 ◽  
pp. 100146 ◽  
Author(s):  
Mike C. Parent ◽  
Andrew S. Arriaga ◽  
Teresa Gobble ◽  
Lexie Wille
Keyword(s):  
Substance Use ◽  
Gender Minority ◽  
Sexual And Gender Minority ◽  
And Gender

scholarly journals Querying Patients With Cancer About Sexual Health and Sexual and Gender Minority Status: A Qualitative Study of Health-Care Providers

2019 ◽  
Vol 37 (6) ◽  
pp. 418-423 ◽  
Author(s):  
Elizabeth Cathcart-Rake ◽  
Jennifer M. O’Connor ◽  
Jennifer L. Ridgeway ◽  
Carmen Radecki Breitkopf ◽  
Lois J. Mc Guire ◽  
...  
Keyword(s):  
Health Care ◽  
Sexual Health ◽  
Health Care Providers ◽  
Minority Status ◽  
Care Providers ◽  
Gender Minority ◽  
Patients With Cancer ◽  
National Organizations ◽  
Sexual And Gender Minority ◽  
And Gender

Background: Although national organizations advocate that health-care providers ask patients about sexual health and sexual and gender minority status—to learn, for example, about side effects of treatment and to understand patients’ social support—these conversations often do not occur. This study explored health-care providers’ reasons for having/not having these conversations. Methods: This single-institution study recruited health-care providers from medical oncology, hematology, radiation oncology, and gynecology. Face-to-face interviews were recorded, transcribed, and analyzed qualitatively. Results: Three main themes emerged: (1) patient-centric reasons for discussing/not discussing sexual health and sexual and gender minority status (“So I think just the holistic viewpoint is important”); (2) health-care provider–centric reasons for discussing/not discussing these issues (“That’s going to take more time to talk about and to deal with…” or “I was raised orthodox, so this is not something we talk about…”; and (3) reasons that appeared to straddle both of the above themes (eg, acknowledgment of the sometimes taboo nature of these topics). Conclusion: Although many health-care providers favor talking with patients with cancer about sexual health and sexual and gender minority status, limited time, personal reluctance, and the taboo nature of these topics appear at times to hamper the initiation of these conversations.

Substance use patterns and awareness of biomedical HIV prevention strategies among sexual and gender minority men in Canada

AIDS Care ◽  
2020 ◽  
Vol 32 (12) ◽  
pp. 1506-1514 ◽  
Author(s):  
Kiffer G. Card ◽  
Anabelle Bernard Fournier ◽  
Justin T. Sorge ◽  
Jeffrey Morgan ◽  
Daniel Grace ◽  
...  
Keyword(s):  
Substance Use ◽  
Hiv Prevention ◽  
Prevention Strategies ◽  
Gender Minority ◽  
Use Patterns ◽  
Biomedical Hiv Prevention ◽  
Hiv Prevention Strategies ◽  
Sexual And Gender Minority ◽  
Minority Men ◽  
And Gender

scholarly journals Risk, Resilience, and Smoking in a National, Probability Sample of Sexual and Gender Minority Adults, 2017, USA

2020 ◽  
Vol 47 (2) ◽  
pp. 272-283 ◽  
Author(s):  
Joseph G. L. Lee ◽  
Bonnie E. Shook-Sa ◽  
Jeffrey Gilbert ◽  
Leah M. Ranney ◽  
Adam O. Goldstein ◽  
...  
Keyword(s):  
Substance Use ◽  
Protective Factors ◽  
Smoking Status ◽  
Risk And Resilience ◽  
Theoretical Frameworks ◽  
Targeted Interventions ◽  
Gender Minority ◽  
Sexual And Gender Minority ◽  
Advertising Skepticism ◽  
And Gender

Background. There are well-documented inequities in smoking between sexual and gender minority (SGM; e.g., lesbian, gay, bisexual, and transgender [LGBT]) and straight and cisgender people. However, there is less information about risk for and resilience against smoking among SGM people. Such information is critical for understanding etiology and developing interventions. Aims. To conduct a within-group assessment of risks and resiliencies relating to smoking status. Method. In 2017, we conducted a cross-sectional telephone survey with a national, probability-based sample of SGM adults ( N = 453). We assessed theory-informed risks (adverse childhood events, substance use–oriented social environment, mental distress, stigma, discrimination, social isolation, and identity concealment) and resiliencies (advertising skepticism, identity centrality, social support, and SGM community participation). We applied survey weights, standardized predictor variables, and fit logistic regression models predicting smoking status. We stratified by age and SGM identity. Results. Patterns of risk and resilience differ by age and identity. Effects were consistently in the same direction for all groups for participating in substance use–oriented social environments, pointing to a potential risk factor for all groups. Advertising skepticism and having people you can talk to about being LGBTQ were potential protective factors. Discussion. Intervention development should address risk and resilience that differs by SGM identity. Additionally, our findings suggest interventionists should consider theoretical frameworks beyond minority stress. Conclusion. While much of the literature has focused on the role of stress from stigma and discrimination in tobacco use, addressing social norms and bolstering protective factors may also be important in SGM-targeted interventions.

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