scholarly journals Smoking Protective and Risk Factors Among Transgender and Gender-Expansive Individuals (Project SPRING): Qualitative Study Using Digital Photovoice

10.2196/27417 ◽  
2021 ◽  
Vol 7 (10) ◽  
pp. e27417
Author(s):  
Andy SL Tan ◽  
Priscilla K Gazarian ◽  
Sabreen Darwish ◽  
Elaine Hanby ◽  
Bethany C Farnham ◽  
...  
Keyword(s):  
Focus Group ◽  
Protective Factors ◽  
Smoking Prevalence ◽  
Risk And Protective Factors ◽  
The United States ◽  
Critical Gap ◽  
Health Consciousness ◽  
Gender Affirmation ◽  
Experience Of Stress ◽  
And Gender

Background Transgender and gender-expansive (TGE) adults are twice as likely to smoke cigarettes than cisgender individuals. There is a critical gap in research on effective and culturally sensitive approaches to reduce smoking prevalence among TGE adults. Objective This study aims to qualitatively examine the risk and protective factors of cigarette smoking among TGE adults through real-world exemplars. Methods We conducted a digital photovoice study among a purposeful sample of 47 TGE adults aged ≥18 years and currently smoking in the United States (March 2019-April 2020). Participants uploaded photos daily that depicted smoking risk and protective factors they experienced over 21 days on either private Facebook or Instagram groups. Next, we conducted separate focus group discussions to explore the experiences of these factors among a subset of participants from each group. We analyzed participants’ photos, captions, and focus group transcripts and generated themes associated with smoking risk and protective factors. Results We identified 6 major themes of risk and protective factors of smoking among TGE individuals: experience of stress, gender affirmation, health consciousness, social influences, routine behaviors, and environmental cues. We describe and illustrate each theme using exemplar photos and quotes. Conclusions The findings of this study will inform future community-engaged research to develop culturally tailored interventions to reduce smoking prevalence among TGE individuals.

scholarly journals Smoking Protective and Risk Factors Among Transgender and Gender-Expansive Individuals (Project SPRING): Qualitative Study Using Digital Photovoice (Preprint)

2021 ◽  
Author(s):  
Andy SL Tan ◽  
Priscilla K Gazarian ◽  
Sabreen Darwish ◽  
Elaine Hanby ◽  
Bethany C Farnham ◽  
...  
Keyword(s):  
Focus Group ◽  
Protective Factors ◽  
Smoking Prevalence ◽  
Risk And Protective Factors ◽  
The United States ◽  
Critical Gap ◽  
Health Consciousness ◽  
Gender Affirmation ◽  
Experience Of Stress ◽  
And Gender

BACKGROUND Transgender and gender-expansive (TGE) adults are twice as likely to smoke cigarettes than cisgender individuals. There is a critical gap in research on effective and culturally sensitive approaches to reduce smoking prevalence among TGE adults. OBJECTIVE This study aims to qualitatively examine the risk and protective factors of cigarette smoking among TGE adults through real-world exemplars. METHODS We conducted a digital photovoice study among a purposeful sample of 47 TGE adults aged ≥18 years and currently smoking in the United States (March 2019-April 2020). Participants uploaded photos daily that depicted smoking risk and protective factors they experienced over 21 days on either private Facebook or Instagram groups. Next, we conducted separate focus group discussions to explore the experiences of these factors among a subset of participants from each group. We analyzed participants’ photos, captions, and focus group transcripts and generated themes associated with smoking risk and protective factors. RESULTS We identified 6 major themes of risk and protective factors of smoking among TGE individuals: experience of stress, gender affirmation, health consciousness, social influences, routine behaviors, and environmental cues. We describe and illustrate each theme using exemplar photos and quotes. CONCLUSIONS The findings of this study will inform future community-engaged research to develop culturally tailored interventions to reduce smoking prevalence among TGE individuals.

Primer on Depression

Depression ◽  
2019 ◽  
pp. 118-135
Author(s):  
Jennifer L. Hughes
Keyword(s):  
Public Health ◽  
United States ◽  
Protective Factors ◽  
Suicidal Behavior ◽  
Public Health Problem ◽  
Risk And Protective Factors ◽  
The United States ◽  
Health Concern ◽  
Research Findings ◽  
And Gender

Suicide is a public health problem worldwide and one of the leading causes of death in the United States. Suicidal behavior is also a major public health concern, with more than 1 million people per year attempting suicide in the United States. Suicide is a complex phenomenon, occurring because of a convergence of genetic, environmental, psychological, social, cultural, and systemic risk and protective factors. As such, suicide prevention efforts must include interventions across the spectrum of society, from healthcare to school to public health and community efforts. This chapter reviews the risk and protective factors related to suicide; research findings about the mechanisms and functions of suicidal behavior; principles of crisis intervention; treatments to address suicidal behavior; an overview of suicide risk and treatment in special populations, including youth, geriatric, and sexual and gender minority populations; and an overview of postvention efforts.

scholarly journals Bladder Health Experiences, Perceptions and Knowledge of Sexual and Gender Minorities

2019 ◽  
Vol 16 (17) ◽  
pp. 3170 ◽  
Author(s):  
Cecilia T. Hardacker ◽  
Anna Baccellieri ◽  
Elizabeth R. Mueller ◽  
Linda Brubaker ◽  
Georgia Hutchins ◽  
...  
Keyword(s):  
Focus Group ◽  
Community Based Participatory Research ◽  
Research Approach ◽  
Care Seeking ◽  
Sexual And Gender Minorities ◽  
Trans Men ◽  
Gender Minorities ◽  
Health Experiences ◽  
Gender Affirmation ◽  
And Gender

While recent efforts have been made to understand the bladder health experiences, perceptions, and knowledge of cisgender adolescent females and women, virtually nothing is known about the bladder health experiences of people who identify as sexual and gender minorities (SGMs). A community-based participatory research approach using a focus group methodology to engage 36 adult participants who identify as SGM, including individuals who identify as gender non-conforming, queer, transgender (trans) men, or lesbian, in one of six focus group discussions on bladder health. Using directed content qualitative data analysis from the six unique focus groups, three interrelated themes were revealed: gender socialization of voiding behavior and toilet environment culture producing identity threats, and risks to gender affirmation; consequences of hetero-cis normative bathroom infrastructure necessitating adaptive voiding behaviors; and, physical and psychosocial consequences of chronic anxiety and fear are associated with voiding experiences. Insight on how SGMs navigate voiding behaviors, toilet experiences, and health care seeking is needed to assure that bladder health promotion activities are inclusive of this population’s needs.

scholarly journals Risk and Protective Factors in the COVID-19 Pandemic: A Rapid Evidence Map

2020 ◽  
Vol 8 ◽  
Author(s):  
Rebecca Elmore ◽  
Lena Schmidt ◽  
Juleen Lam ◽  
Brian E. Howard ◽  
Arpit Tandon ◽  
...  
Keyword(s):  
Protective Factors ◽  
Risk And Protective Factors ◽  
Physiological Age ◽  
Evidence Map ◽  
Review Team ◽  
Automated Machine Learning ◽  
And Gender ◽  
Novel Coronavirus ◽  
Current Lines ◽  
The Impact

Background: Given the worldwide spread of the 2019 Novel Coronavirus (COVID-19), there is an urgent need to identify risk and protective factors and expose areas of insufficient understanding. Emerging tools, such as the Rapid Evidence Map (rEM), are being developed to systematically characterize large collections of scientific literature. We sought to generate an rEM of risk and protective factors to comprehensively inform areas that impact COVID-19 outcomes for different sub-populations in order to better protect the public.Methods: We developed a protocol that includes a study goal, study questions, a PECO statement, and a process for screening literature by combining semi-automated machine learning with the expertise of our review team. We applied this protocol to reports within the COVID-19 Open Research Dataset (CORD-19) that were published in early 2020. SWIFT-Active Screener was used to prioritize records according to pre-defined inclusion criteria. Relevant studies were categorized by risk and protective status; susceptibility category (Behavioral, Physiological, Demographic, and Environmental); and affected sub-populations. Using tagged studies, we created an rEM for COVID-19 susceptibility that reveals: (1) current lines of evidence; (2) knowledge gaps; and (3) areas that may benefit from systematic review.Results: We imported 4,330 titles and abstracts from CORD-19. After screening 3,521 of these to achieve 99% estimated recall, 217 relevant studies were identified. Most included studies concerned the impact of underlying comorbidities (Physiological); age and gender (Demographic); and social factors (Environmental) on COVID-19 outcomes. Among the relevant studies, older males with comorbidities were commonly reported to have the poorest outcomes. We noted a paucity of COVID-19 studies among children and susceptible sub-groups, including pregnant women, racial minorities, refugees/migrants, and healthcare workers, with few studies examining protective factors.Conclusion: Using rEM analysis, we synthesized the recent body of evidence related to COVID-19 risk and protective factors. The results provide a comprehensive tool for rapidly elucidating COVID-19 susceptibility patterns and identifying resource-rich/resource-poor areas of research that may benefit from future investigation as the pandemic evolves.

Sex and gender differences in genetic and lifestyle risk and protective factors for dementia

2021 ◽  
pp. 269-308
Author(s):  
Shireen Sindi ◽  
Sima Toopchiani ◽  
Mariagnese Barbera ◽  
Krister Håkansson ◽  
Jenni Lehtisalo ◽  
...  
Keyword(s):  
Gender Differences ◽  
Protective Factors ◽  
Risk And Protective Factors ◽  
Sex And Gender ◽  
Lifestyle Risk ◽  
And Gender ◽  
Sex And Gender Differences

Systematic Review of Risk and Protective Factors for Revictimization After Child Sexual Abuse

2019 ◽  
Vol 22 (1) ◽  
pp. 41-53 ◽  
Author(s):  
Arielle A. J. Scoglio ◽  
Shane W. Kraus ◽  
Jane Saczynski ◽  
Shehzad Jooma ◽  
Beth E. Molnar
Keyword(s):  
Public Health ◽  
Systematic Review ◽  
Sexual Abuse ◽  
Child Sexual Abuse ◽  
Protective Factors ◽  
Risky Sexual Behavior ◽  
Protective Factor ◽  
Public Health Problem ◽  
Risk And Protective Factors ◽  
The United States

Child sexual abuse (CSA) is a widespread public health problem in the United States. It has been associated with multiple long-term deleterious outcomes including revictimization in adulthood. This systematic review of 25 studies synthesizes research examining possible risk and protective factors that might explain the established link between CSA and future victimizations. Specific risk factors identified included co-occurring maltreatment in the home, risky sexual behavior (particularly in adolescence), post-traumatic stress disorder, emotion dysregulation, and other maladaptive coping strategies. Only one protective factor was identified: perceived parental care. The review also revealed considerable variability in definitions and measurement of both CSA and adult victimization, particularly in terms of how researchers conceptualized age. Many of the studies were limited in generalizability by including only college-age women. These findings have clinical and research implications. Public health interventions working to prevent revictimization among CSA survivors can utilize these findings when designing programs. For researchers, the results highlight the need for standardized definitions of both CSA and revictimization, for well-validated and consistent measurement, and for inclusion of additional population groups in future research.

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