Lifetime prevalence of syphilis infection among predominantly Black sexual and gender minorities living with HIV in Atlanta, Georgia: a cross-sectional analysis

2021 ◽  
pp. 1-11
Author(s):  
John Mark Wiginton ◽  
Lisa A. Eaton ◽  
Jolaade Kalinowski ◽  
Ryan J. Watson ◽  
Seth C. Kalichman
Keyword(s):  
Lifetime Prevalence ◽  
Sexual And Gender Minorities ◽  
Predominantly Black ◽  
Syphilis Infection ◽  
Cross Sectional ◽  
Cross Sectional Analysis ◽  
Gender Minorities ◽  
And Gender ◽  
Living With Hiv ◽  
Sectional Analysis

scholarly journals Experience of and factors associated with violence against sexual and gender minorities in nine African countries: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alex Müller ◽  
◽  
Kristen Daskilewicz ◽  
Mc Lean Kabwe ◽  
Anna Mmolai-Chalmers ◽  
...  
Keyword(s):  
Sexual Orientation ◽  
Gender Identity ◽  
Cross Sectional Study ◽  
Sexual And Gender Minorities ◽  
African Countries ◽  
Cross Sectional ◽  
Factors Associated ◽  
Gender Minorities ◽  
And Gender ◽  
Living With Hiv

Abstract Objective The objective of this research was to assess physical and sexual violence experienced by sexual and gender minorities in nine African countries, and to examine factors associated with violence. Methods We conducted an exploratory multi-country cross-sectional study among self-identifying sexual and gender minorities, using a survey tool available in paper and online. Participants were sampled through venue-based and web-based convenience sampling. We analysed data using descriptive statistics and logistic regression, with Stata15. Findings Of 3798 participants, 23% were gender minorities, 20% were living with HIV, and 18% had been coerced into marriage. Fifty-six per cent of all participants had experienced physical or sexual violence in their lifetime, and 29% in the past year. Gender minorities had experienced significantly higher levels of violence compared to cisgender (sexual minority) participants. The variable most strongly associated with having experienced violence was being coerced into marriage (AOR, 3.02), followed by people living nearby knowing about one’s sexual orientation and/or gender identity (AOR, 1.90) and living with HIV (AOR, 1.47). Conclusion Sexual and gender minorities in Eastern and Southern Africa experience high levels of violence. Sexual orientation and gender identity need to be recognised as risk factors for violence in national and regional law and policy frameworks. States should follow the African Commission Resolution 275 and provide protection against violence based on real or perceived sexual orientation or gender identity.

scholarly journals Perceptions of Emergency Care by Sexual and Gender Minorities in Colorado: Barriers, Quality, and Factors Affecting Identity Disclosure

2021 ◽  
Vol 22 (4) ◽  
pp. 903-910
Author(s):  
William LaPlant ◽  
Leonardo Kattari ◽  
Lexie Ross ◽  
Jennifer Zhan ◽  
Jeffrey Druck
Keyword(s):  
Sexual Minority ◽  
Emergency Care ◽  
Sexual Minorities ◽  
Care Quality ◽  
Sexual And Gender Minorities ◽  
Cross Sectional ◽  
Gender Minority ◽  
Gender Minorities ◽  
Identity Disclosure ◽  
And Gender

Introduction: Expanding on data concerning emergency department (ED) use and avoidance by the sexual minority (those who identify as lesbian, gay, bisexual, queer, other [LGTBQ+]) and gender minority (those who identify as transgender, gender nonconforming, other) community may inform future ED LGTBQ+ training and clinical practice. Investigation objectives included characterizing rates of emergency care avoidance, identifying barriers to emergency care, and assessing emergency care quality and cultural competency for sexual and gender minorities. Methods: In this population-based, cross-sectional needs assessment, sexual minority, gender minority, and/or cisgender heterosexual-identified participants were selected based on participants’ subscription to newsletters or social media accounts for One Colorado, an LGBTQ+ advocacy organization. Each participant completed a single digital survey that collected qualitative and quantitative data about ED perception, use, and demographics. Results: A total of 477 LGBTQ+ or heterosexual-identified individuals (mean age = 44.3 (standard deviation [SD] = 16.7)) participated in the study. Lifetime emergency care avoidance rates for gender minorities were markedly increased (odds ratio [OR] 3.8, 95% confidence interval [CI], 2.2 – 6.6; P <.001), while avoidance rates for sexual minorities were similar to those of cisgender heterosexual respondents (17% vs 14%; P <.001). Gender minorities were more likely than sexual minorities to both avoid emergency care due to fear of discrimination (43% vs 15%; P =.002) and to have experienced discrimination during their last ED visit (OR 11, [95% CI, 5–24]; P <.001). No significant differences were observed between participants in care avoidance due to financial reasons or prior negative experiences. No cited ED factors that influenced identity disclosure decisions were distinctly predictive. Conclusion: Gender minorities are more likely than sexual minorities and heterosexual cisgender individuals to report ED avoidance and discrimination at last ED visit. Future work characterizing deficits in LGBTQ+ ED care might reduce these avoidance and discrimination rates, enhancing the level of patient care provided to this population.

scholarly journals Factors associated with unsuppressed viremia in women living with HIV on lifelong ART in the multi-country US-PEPFAR PROMOTE study: A cross-sectional analysis

PLoS ONE ◽  
2019 ◽  
Vol 14 (10) ◽  
pp. e0219415
Author(s):  
Patience Atuhaire ◽  
Sherika Hanley ◽  
Nonhlanhla Yende-Zuma ◽  
Jim Aizire ◽  
Lynda Stranix-Chibanda ◽  
...  
Keyword(s):  
Cross Sectional ◽  
Factors Associated ◽  
Cross Sectional Analysis ◽  
Women Living With Hiv ◽  
Living With Hiv ◽  
Sectional Analysis

Prevalence and associations of gender concordance in general practice consultations: a cross-sectional analysis.

2015 ◽  
Vol 3 (4) ◽  
pp. 470 ◽  
Author(s):  
Allison Thomson ◽  
Simon Morgan ◽  
Amanda Tapley ◽  
Mike Van Driel ◽  
Kim Henderson ◽  
...  
Keyword(s):  
General Practice ◽  
Female Physician ◽  
Gender Effects ◽  
Male Physician ◽  
Cross Sectional ◽  
Cross Sectional Analysis ◽  
Gender Concordance ◽  
And Gender ◽  
Sectional Analysis ◽  
Physician Patient

Rationale, aims and objectives: Gender effects on physician-patient interactions are well-established and gender concordance of the physician-patient dyad influences consultation dynamics, person-centeredness and outcomes. We aimed to establish the prevalence and associations of gender-concordant and gender-discordant consultations of general practice (family medicine) trainees and to compare outcomes of gender-concordant and gender-discordant consultations.Method: A cross-sectional analysis from an ongoing cohort study. The outcome measure was whether a consultation included a gender concordant (female-female, male-male) or discordant (male-female, female-male) physician-patient dyad. Independent variables related to patient, physician (registrar), practice, consultation content and consultation outcome.Results: Five hundred and ninety-two general practice (GP) registrars (trainees) in 4 of Australia’s 17 regional training programs provided data on 56,234 individual consultations. Sixty-two point nine percent of consultations were gender-concordant (73.5% female-female, 26.5% male-male) and 37.1% were gender-discordant (47.0% male physician-female patient, 53% female physician-male patient). Associations of having a gender-concordant consultation were patient female gender and younger age (<55), the patient not being new to the registrar and the registrar being part-time, younger and having worked at the practice previously. Addressing a reproductive/contraceptive/ genital problem was associated with gender concordance. Gender-concordant consultations were  ‘complex’: significantly longer than gender-discordant consultations, addressed a greater number of problems, resulted in more pathology ordered, more follow-up organised and more learning goals generated.Conclusions: Gender-concordant consultations may be more complex and gender-concordance is ‘sought’ by patients rather than being random.  Thus, efforts could be made in general practice to provide access to both male and female GPs, especially for female patients or groups or patients with particular needs. 

scholarly journals Association of pain with HbA1cin a predominantly black population of community-dwelling adults with diabetes: a cross-sectional analysis

2013 ◽  
Vol 30 (12) ◽  
pp. 1466-1471 ◽  
Author(s):  
M. S. Herbert ◽  
A. L. Varley ◽  
S. J. Andreae ◽  
B. R. Goodin ◽  
L. A. Bradley ◽  
...  
Keyword(s):  
Black Population ◽  
Community Dwelling ◽  
Predominantly Black ◽  
Cross Sectional ◽  
Cross Sectional Analysis ◽  
Sectional Analysis

scholarly journals Sexual and Gender Minorities and Risk Behaviours among University Students in Italy

2021 ◽  
Vol 18 (21) ◽  
pp. 11724
Author(s):  
Marco Fonzo ◽  
Silvia Cocchio ◽  
Matteo Centomo ◽  
Tatjana Baldovin ◽  
Alessandra Buja ◽  
...  
Keyword(s):  
Sexual Orientation ◽  
University Students ◽  
Single Step ◽  
Risk Behaviours ◽  
Sexual And Gender Minorities ◽  
Cross Sectional ◽  
Sexual Partnerships ◽  
Gender Minorities ◽  
And Gender ◽  
Multiple Sexual Partnerships

Sexual and gender minorities (SGM) may experience stigma, discrimination and show higher prevalence of behavioural risk factors than heterosexual counterparts. In Italy, the information on SGM is scarce and outdated. The present cross-sectional study aims to provide a more up-to-date estimate of the SGM proportion in young adults and to assess differences in the adoption of risk behaviours compared to their heterosexual counterparts. The study involved university students aged 18–25. Information on socio-demographic and behavioural characteristics were collected. The effect of sexual orientation on risk behaviours was assessed with a multinomial single-step logistic regression analysis. A total of 9988 participants were included. Overall, 518 students (5.2%) self-identified as SGM. While lesbians showed significantly higher odds of only non-regular use of protective barriers (AOR: 11.16), bisexuals showed higher odds for frequent drinking (AOR: 2.67), smoking (AOR: 1.85), multiple sexual partnerships (AOR: 1.78) and non-regular use of protective barriers (AOR: 1.90) compared with heterosexual women. Gay men showed higher odds of multiple sexual partnerships compared with heterosexual males (AOR: 5.52). SGM accounted for 5.2% of the sample, slightly more than the proportion found in the general population, but substantially in line with similarly aged populations abroad. Our findings confirm that unhealthy risk behaviours are more frequent among LGBTQ+, in particular among bisexual women. Rather than targeting specific subpopulations, our study aims to show the need for health promotion interventions that aim at the empowerment of all students regardless of sexual orientation, being aware that SGMs can benefit to a relatively greater extent.

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