Abstract PO-014: Assessment of training needs for clinicians who provide reproductive health counseling for sexual and gender minority adolescents and young adults with cancer

2020 ◽  
Author(s):  
Rhyan J. Toldeo ◽  
Amani Sampson ◽  
Paige W. Lake ◽  
Megan E. Sutter ◽  
Ash B. Alpert ◽  
...  
Keyword(s):  
Young Adults ◽  
Reproductive Health ◽  
Training Needs ◽  
Adolescents And Young Adults ◽  
Health Counseling ◽  
Gender Minority ◽  
Minority Adolescents ◽  
Sexual And Gender Minority ◽  
And Gender

scholarly journals Efficacy of affirmative cognitive behavioural group therapy for sexual and gender minority adolescents and young adults in community settings in Ontario, Canada

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Shelley L. Craig ◽  
Andrew D. Eaton ◽  
Vivian W. Y. Leung ◽  
Gio Iacono ◽  
Nelson Pang ◽  
...  
Keyword(s):  
Young Adults ◽  
Adolescents And Young Adults ◽  
Post Intervention ◽  
Community Based ◽  
Stress Appraisal ◽  
Gender Minority ◽  
Minority Adolescents ◽  
Cognitive Behavioural ◽  
Sexual And Gender Minority ◽  
And Gender

Abstract Objective This study tested the efficacy of AFFIRM, a brief affirmative cognitive-behavioural group intervention tailored to reduce psychosocial distress and improve coping among sexual and gender minority adolescents and young adults (SGMY). Method SGMY (n = 138; M age = 22.44) were allocated to immediate 8-week AFFIRM intervention delivered at 12 community-based organisations or an 8-week waitlisted control. At baseline, post-intervention or post-waitlist, participants completed self-reported assessments of depression, hope, coping, and stress appraisal. Implementation outcomes of feasibility and acceptability were also assessed. Results Compared to waitlist, SGMY in the intervention condition significantly reduced their depressive symptoms (b = − 5.79, p = .001) as well as increased reports of hope (agency: b = 0.84, p = .001; pathway: b = 0.79, p = .001), and coping by emotional support (b = 0.59, p < .001), instrumental support (b = 0.67, p < .001), positive framing (b = 0.59, p < .001), humour (b = 0.36, p = .014), planning (b = 0.49, p < .001) as well as reflective coping (b = 0.27, p = .009). Intervention participants were also less likely to perceive stress as a threat (b = − 0.43, p = .001), and more likely to perceive stress as challenge (b = 0.67, p < .001) and have the resources to deal with that stress (b = 0.38, p = .016) in comparison to waitlisted control participants. All outcomes had medium to large effect sizes. AFFIRM participants reported low attrition (8.5%) and high levels of engagement and acceptability (e.g. 99% agreed intervention was relevant to their lives). Over 63% of the community organizations that participated in the training hosted AFFIRM at least once during the study. Conclusions Results demonstrate efficacy for the community-based implementation of an affirmative clinical intervention designed for SGMY to address depression and foster coping with universal and minority stressors.

scholarly journals CLINICIAN TRAINING NEEDS IN REPRODUCTIVE HEALTH COUNSELING FOR SEXUAL AND GENDER MINORITY AYA WITH CANCER

2020 ◽  
Vol 114 (3) ◽  
pp. e545-e546
Author(s):  
Gwendolyn P. Quinn ◽  
Amani Sampson ◽  
Ash B. Alpert ◽  
Rhyan Jenifer Toledo ◽  
Megan E. Sutter ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Training Needs ◽  
Health Counseling ◽  
Clinician Training ◽  
Gender Minority ◽  
Sexual And Gender Minority ◽  
And Gender

Trainings needs of allied health professionals caring for sexual and gender minority adolescents and young adults with cancer: A qualitative analysis.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e18532-e18532
Author(s):  
Ash B. Alpert ◽  
Vikas Gampa ◽  
Susan Thomas Vadaparampil ◽  
Gwendolyn P. Quinn
Keyword(s):  
Reproductive Health ◽  
Health Professionals ◽  
Allied Health ◽  
Educational Interventions ◽  
Adolescent And Young Adult ◽  
Allied Health Professionals ◽  
Gender Minority ◽  
Minority Adolescents ◽  
Sexual And Gender Minority ◽  
And Gender

e18532 Background: Little is known about the training needs of allied health professionals who provide reproductive health counseling and other support services to sexual and gender minority (SGM) adolescent and young adult (AYA) people with cancer. Methods: A 28-item electronic survey with 4 qualitative items was distributed to 601 allied health professionals who had participated in a training focused on reproductive health needs in AYA people with cancer. Open-ended questions invited respondents to describe personal experiences, reservations, and suggestions for improving SGM AYA cancer care. Using an interpretive description methodology, two investigators independently analyzed qualitative survey responses noting thematic saturation. Together, they refined themes, resolving disagreements with consensus. Interrater reliability was 88%. Results: 321 people participated in the survey and 190 answered open-ended questions. Themes included: 1) an ecosystem exists around patients’ interactions with clinicians and institutions; 2) institutional and individual assumptions result in stigmatization of SGM AYA people with cancer; 3) accommodating patients and providing clinicians with relevant education and experiences are initial steps to decrease stigma; and 4) improving the care for SGM AYA people with cancer may require transformative approaches that incorporate intersectional frameworks and challenge current systems. Conclusions: Improving the quality of care for SGM AYA people with cancer will require systemic and institutional change as well as educational interventions.

HIV and STI testing among substance-using sexual and gender minority adolescents and young adults (Preprint)

2021 ◽  
Author(s):  
Jayelin Nicole Parker ◽  
Seul Ki Choi ◽  
Jose A. Bauermeister ◽  
Erin E. Bonar ◽  
Adam W. Carrico ◽  
...  
Keyword(s):  
Substance Use ◽  
Young Adults ◽  
Adolescents And Young Adults ◽  
Gender Minority ◽  
Sti Testing ◽  
Increased Risk ◽  
Hiv And Sti Testing ◽  
Sexual And Gender Minority ◽  
And Gender ◽  
Sex With Men

BACKGROUND Gay, bisexual and other men who have sex with men (GBMSM) and transgender individuals are more heavily impacted by HIV and other sexually transmitted infections (STIs) than their cisgender, heterosexual peers. Additionally, sexual and gender minorities who use substances are often at a further increased risk of HIV and other STIs. Increasing testing for HIV and other STIs allows for this hardly reached population allows for early intervention, prevention, and education. OBJECTIVE We explored HIV and STI testing patterns among 414 sexual and gender minority substance-using adolescents and young adults (AYAs) (aged 15-29). METHODS We fit multinomial logistic regression models to two categorical HIV and STI testing variables (lifetime, past 12-months) based on self-report of testing (never, STIs only, HIV only, or both). RESULTS Only 41% of the sample achieved the CDC recommendation of past-year HIV and STI testing. We observed HIV and STI testing disparities across sociodemographic (e.g., sexual identity, education, and income) and health correlates (e.g., substance use). Specifically, cisgender men who have sex with men were more likely to report testing compared to gender minority participants. CONCLUSIONS These results illustrate the need for HIV prevention interventions that leverage structural factors, psychosocial barriers, and substance-use as key drivers of achieving HIV and STI testing rates to meet CDC’s guidelines. CLINICALTRIAL ClinicalTrials.gov NCT02945436; http://clinicaltrials.gov/ct2/show/NCT02945436 INTERNATIONAL REGISTERED REPORT RR2-10.2196/resprot.9414

Daily stressors and diurnal cortisol among sexual and gender minority young adults.

2020 ◽  
Author(s):  
Wilson S. Figueroa ◽  
Peggy M. Zoccola ◽  
Andrew W. Manigault ◽  
Katrina R. Hamilton ◽  
Matt C. Scanlin ◽  
...  
Keyword(s):  
Young Adults ◽  
Daily Stressors ◽  
Diurnal Cortisol ◽  
Gender Minority ◽  
Sexual And Gender Minority ◽  
And Gender

scholarly journals Associations of Relationship Experiences, Dating Violence, Sexual Harassment, and Assault With Alcohol Use Among Sexual and Gender Minority Adolescents

2021 ◽  
pp. 088626052110014
Author(s):  
W. J. Kiekens ◽  
L. Baams ◽  
J. N. Fish ◽  
R. J. Watson
Keyword(s):  
Sexual Assault ◽  
Alcohol Use ◽  
Sexual Harassment ◽  
Dating Violence ◽  
Heavy Episodic Drinking ◽  
Gender Minority ◽  
Minority Adolescents ◽  
Relationship Experiences ◽  
Sexual And Gender Minority ◽  
And Gender

Sexual and gender minority (SGM) adolescents report higher rates of dating violence victimization compared with their heterosexual and cisgender peers. Research on dating violence often neglects diversity in sexual and gender identities and is limited to experiences in relationships. Further, given that dating violence and alcohol use are comorbid, research on experiences of dating violence could provide insights into alcohol use disparities among SGM adolescents. We aimed to map patterns of relationship experiences, sexual and physical dating violence, and sexual and physical assault and explored differences in these experiences among SGM adolescents. Further, we examined how these patterns explained alcohol use. We used a U.S. non-probability national web-based survey administered to 13–17-year-old SGM adolescents ( N = 12,534). Using latent class analyses, four patterns were identified: low relationship experience, dating violence and harassment and assault (72.0%), intermediate dating experiences, sexual harassment, and assault and low levels of dating violence (13.1%), high dating experiences, dating violence, and sexual assault (8.6%), and high dating experiences, dating violence, and sexual harassment and assault (6.3%). Compared to lesbian and gay adolescents, bisexual adolescents reported more experiences with dating, dating violence, and sexual assault, whereas heterosexual adolescents reported fewer experiences with dating, dating violence, and sexual harassment and assault. Compared to cisgender boys, cisgender girls, transgender boys, and non-binary/assigned male at birth adolescents were more likely to experience dating violence inside and outside of relationship contexts. Experiences of dating, dating violence, and sexual harassment and assault were associated with both drinking frequency and heavy episodic drinking. Together, the findings emphasize the relevance of relationship experiences when studying dating violence and how dating violence and sexual harassment and assault might explain disparities in alcohol use.

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