LGBTQ Health

This study expands upon syndemics, structural vulnerability, and health care utilization frameworks by examining individual and social factors influencing help-seeking, care barriers, and treatment satisfaction among sexual minority women (SMW; e.g., bisexual, lesbian) aged 50+ from Wave 3 of a community-based longitudinal study, the Chicago Health and Life Experiences of Women Study. Wave 3 data were collected in 2010–2012 (May 2010 to August 2012). Bivariate analyses were conducted to examine associations among help-seeking behaviors, self-rated physical and mental health, relationship status, and social support. We used multivariate logistic regression models to examine (1) associations between sociodemographic characteristics and help-seeking, (2) associations between help-seeking and treatment satisfaction variables and sociodemographic characteristics, (3) self-rated physical health and self-ratedmental health as predictors of help-seeking and treatment satisfaction, and (4) interpersonal factors as predictors of help-seeking and treatment satisfaction. Participants (N = 196) were, on average, 58.15 years of age (SD = 6.61). Physical health and issues related to depression, anxiety, memory, and eating are synergistic among older SMW. Those with insufficient household incomes and identifying as bisexual, Black, or younger were more likely to seek help. Black and Latinx SMW reported fewer help-seeking barriers than White SMW. Self-rated poorer mental health was associated with greater difficulty accessing services; sociodemographic variables weakened this association. Poorer mental health and lower social support were associated with treatment dissatisfaction. Results highlight the relevance of structural vulnerabilities and social determinants of health among older SMW, emphasizing the need for integrated, culturally competent care models that enhance access and improve treatment satisfaction.

In this review, analysis of the studies pertaining to the role of social media in body dissatisfaction eventually leading to body dysmorphia and eating disorders was conducted.Objective:The aim was to review how social media creates the urge of attaining unrealistic body images which is impossible in real life but possible in real-life.Methods:Different search mediums including PubMed, Sciencedirect, and Google Scholar were used in order to find out the effects of social media in influencing body dissatisfaction. The inclusion criteria were based on the selection of research articles from 2014-2021 which correlated social media with eating disorder & body dysmorphia. Additionally, the articles that were not original researches, abstract only and not in English were excluded. After exclusion of irrelevant sources, duplicated article, abstract only& articles published before 2014, Total 25 articles were selected for the purpose of systematic review. Result:As per this systematic revie...

This literature review examines mental health disparities among sexual and gender minorities (SGM) in Thailand, Japan, the Philippines, Indonesia, and Vietnam, highlighting the unique social, cultural, and historical factors that influence SGM experiences across these Asian countries. Most research on SGM mental health has come from liberal Western countries. This review addresses an important gap by analyzing SGM community prevalence (estimated between 2.8% and 10%), mental health challenges, societal attitudes, legal rights, and historical recognition within these contexts. The analysis draws on country-specific literature, national surveys, peer-reviewed studies, unpublished reports, and historical documents. The findings underscore serious mental health issues, notably depression and suicidality, prevalent in all five countries, compounded by persistent stigma and discrimination. Social acceptance has shown progress in Thailand and Japan, yet stigma remains strong throughout the region, often rooted in religious beliefs. Indonesia uniquely enforces legal restrictions on SGM individuals, although legal protections are limited in all countries examined. Despite some historical acknowledgment of SGM identities, these longstanding cultural legacies offer limited protection against current social challenges. Insights from this review can guide future research in creating mental health interventions and policy development to address the specific needs of SGM communities across diverse Asian contexts.

This paper explores the effects of perceived racial/ethnic and sexual orientation discrimination on African-American lesbians' relationships with friends, lovers, family, and community support systems. Data for this exploratory study were gathered from a series of semi-structured ethnographic interviews with self-identified Black lesbians. Results suggested that those who had been in relationships with White lesbians reported more frequent experiences of discrimination that influenced their later decision to seek a Black lesbian partner for their next love relationship. Reactions toward lesbian community events ranged from avoidance to determined participation in response to feelings of alienation and racism. Also, Black lesbians perceived the African-American community to be conservative in their views on homosexuality. Nevertheless, for half of the women their interest in participation in the African-American community overshadowed their concerns about negative reactions to their homosexuality. Data from this exploratory study isolated questions that need further empirically based exploration in order to understand how race/ ethnicity, culture, and sexual orientation influence the development, maintenance, and dissolution of intimate relationships in the lives of African-American lesbians. While the study of close heterosexual relationships has witnessed tremendous growth over the last decade, researchers have paid less attention to the influence of ethnicity or sexual orientation on the formation of intimate relationships . Examining how race/ethnicity and sexual orientation affect the initiation, development, and dissolution of close relationships could enhance our general knowledge of relationship theories by testing both their limits and generalizability . Some have begun to question the applicability of current models of close relationships to the lives of gays and lesbians (Kurdek &

This article queries statistical ways of knowing about "LGBT substance use" and the subject positions they produce. We engage critically with how quantitative knowledge on this topic is generated across social science, psychology and public health and consider its disciplinary effects. This literature reports "higher rates of substance use" among sexual and gender minorities but struggles to explain the disparities it proposes. The most prominent explanation is Ilan Meyer's Minority Stress framework, which conceives substance use as a form of self-medication: a way of coping with the stressors of societal stigma, discrimination, and prejudice. We question whether self-medication adequately encapsulates the characteristic patterns of queer and gender-diverse substance use identified in prevalence studies, suggesting it betrays serious limitations in the professional imagination of psychoactive substances and their uses. Drawing on qualitative research among queer and gender-diverse drug-takers in urban Australia, we argue that the discourse of "disinhibition" gives better expression to their uses of substances to suspend or transform the clutch of heterosexual and gendered norms-an enduring problem for queer and gender-diverse self-formation that given measures of minority stress fail to capture. These uses of psychostimulants have as much to do with energization as self-palliation; connection with others as negative selfcoping. The disciplinary effects of psychosocial, quantitative discourse compound the impacts of drugs on individual health, producing people who take drugs as isolated, passive, docile subjects at the expense of registering the part psychostimulants may play in collective activities of queer worldmaking.

This article queries statistical ways of knowing about “LGBT substance use” and the subject positions they produce. We engage critically with how quantitative knowledge on this topic is generated across social science, psychology and public health and consider its disciplinary effects. This literature reports “higher rates of substance use” among sexual and gender minorities but struggles to explain the disparities it pro- poses. The most prominent explanation is Ilan Meyer’s Minority Stress framework, which conceives sub- stance use as a form of self-medication: a way of coping with the stressors of societal stigma, discrimination, and prejudice. We question whether self-medication adequately encapsulates the charac- teristic patterns of queer and gender-diverse substance use identified in prevalence studies, suggesting it betrays serious limitations in the professional imagination of psychoactive substances and their uses. Drawing on qualitative research among queer and gender-diverse drug-takers in urban Australia, we argue that the discourse of “disinhibition” gives better expression to their uses of substances to suspend or transform the clutch of heterosexual and gendered norms—an enduring problem for queer and gen- der-diverse self-formation that given measures of minority stress fail to capture. These uses of psychos- timulants have as much to do with energization as self-palliation; connection with others as negative self- coping. The disciplinary effects of psychosocial, quantitative discourse compound the impacts of drugs on individual health, producing people who take drugs as isolated, passive, docile subjects at the expense of registering the part psychostimulants may play in collective activities of queer worldmaking.

La niñez y adolescencia trans/no binarie se construye socialmente como un modelo de alteridad, confrontando, por un lado, la diferencia frente a lo adulto y, por otro, lo trans y no binarie en oposición a la cis-heteronormatividad. Desde una perspectiva antropológica, este estudio busca problematizar la fluidez de género que emerge a partir de la inconformidad con los modelos hegemónicos impuestos. Proponemos desnaturalizar el binarismo de género (varón – masculino, mujer – femenino), y visibilizar cuerpos e identidades que desafían la rigidez de estas categorías, demostrando que dicha rigidez es un mandato social que puede ser deconstruido. Si bien existe una extensa producción antropológica sobre estas temáticas en la edad adulta, este trabajo se centra en las implicaciones de vivir una infancia o adolescencia fuera del modelo cis-heteronormativo, tradicionalmente considerado como "natural" y, por ende, "correcto". Al transgredir las normas de socialización de género, niñxs y adolescentes trans y no binaries se ven inmersos en procesos de reflexión identitaria. En este contexto, nos enfocamos en la construcción de estrategias de cuidado dentro de las familias, donde adultxs, generalmente cisgénero, acompañan a sus hijxs en la afirmación de identidades que desafían las configuraciones hegemónicas desde edades tempranas. Así, exploraremos el concepto de cuidado y sus implicaciones, ante el reto de acompañar una identidad que transgrede los moldes sociales tradicionales desde la infancia y adolescencia.

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Trans/non-binary childhood and adolescence are socially constructed as a model of otherness, confronting, on the one hand, difference vis-à-vis adults and, on the other, trans and non-binary identities in opposition to cis-heteronormativity. From an anthropological perspective, this study seeks to problematize the gender fluidity that emerges from nonconformity with imposed hegemonic models. We propose to denaturalize gender binarism (male – masculine, female – feminine) and make visible bodies and identities that challenge the rigidity of these categories, demonstrating that such rigidity is a social mandate that can be deconstructed. While there is extensive anthropological work on these topics in adulthood, this work focuses on the implications of living a childhood or adolescence outside of the cis-heteronormative model, traditionally considered "natural" and, therefore, "correct." By transgressing gender socialization norms, trans and non-binary children and adolescents find themselves immersed in processes of identity reflection. In this context, we focus on the construction of care strategies within families, where adults, generally cisgender, support their children in affirming identities that challenge hegemonic configurations from an early age. Thus, we will explore the concept of care and its implications, given the challenge of supporting an identity that transgresses traditional social molds from childhood and adolescence.

The 2023 Texas Panhandle Report on LGBTQ+ Trends provides a focused examination of the experiences and challenges faced by LGBTQ+ individuals in Amarillo and surrounding areas. Drawing from responses of over 200 LGBTQ+ individuals, primarily youth, and more than 80 allies, this study highlights significant mental health concerns, alarmingly high suicide risk, substance use, bullying, and community isolation. Key findings indicate that LGBTQ+ youth aged 18-25 in the Panhandle experience notably higher rates of suicidal ideation (81.7%) and suicide attempts (43.3%) compared to national averages. Additionally, widespread bullying (up to 83% among certain age groups), limited community support, fear of being outed, and heightened substance use emphasize the urgent need for improved mental health services and inclusive community programs. The study highlights that despite some advances in visibility and advocacy, significant barriers persist, exacerbated by local cultural stigmas and inadequate resources. Recommendations include enhanced community engagement, expanded research targeting underrepresented groups, and proactive public education initiatives to create a safer and more inclusive environment for LGBTQ+ populations in the Texas Panhandle.

Aunque en la literatura académica se ha naturalizado referirse a la diversidad sexual y de género como "comunidad", es poco lo que se profundiza en este concepto. Para las ciencias sociales, buscar una "comunidad ideal" conlleva el riesgo de invisibilizar la riqueza del fenómeno humano en aras de una unidad superficial; por otra parte, una visión atomizada que niegue lo comunitario también resulta inapropiada. En este trabajo recorremos los matices asociados al concepto de comunidad y cómo se relaciona con el devenir de la diversidad sexogenérica en Chile. Finalmente, proponemos que la forma ética de aproximarse a ellas exige reconocer su capacidad de articulación y la existencia de un territorio simbólico de resistencia, pero sin negar sus quiebres, tensiones y contradicciones. La invitación es a relacionarse con esta y otras comunidades oprimidas desde un posicionamiento reflexivo, orientado a respetar la complejidad de su historia, intersecciones, multiplicidad y potencial social.

Background Transgender (trans) and gender-diverse (TGD) people are a small but increasingly visible population who experience worsening marginalisation characterised by toxic political and media discourse, violent hate crimes and discriminatory laws targeting healthcare and public access. Governments in both the United Kingdom (UK) and the United States (US) have pushed anti-trans policies which threaten to further exclude TGD people. Understanding the public health impacts of transphobia is vital, especially regarding disproportionate drug-related harms. Main body TGD people are more likely than their cisgender counterparts to experience both acute and chronic drug-related harm. This is, in part, driven by rising transphobia and perpetuated by limited access to gender-affirming and harm reduction services. Current health data systems fail to accurately capture the scale of drug-related harms faced by TGD people due to suboptimal gender measurement. Inclusive data collection and culturally competent harm reduction services are urgently needed to address these disparities. Digital interventions, such as telehealth, and peer-led support may improve the accessibility and effectiveness of care for this group. Evidence suggests that TGD individuals face disproportionate drug-related harm compared to cisgender people, a disparity likely to widen as government-led hostility increases in countries such as the UK and the US. Immediate action is required to ensure TGD people are fully represented in research, public health monitoring, and support services.

This text/curriculum guide promotes responsible attitudes and behavior toward health, wellness, and sexuality. The student workbook and instructor's manual dispel commonly held misconceptions about sexually transmitted diseases (STD) and present accurate information on their danger and prevention. The instructor's manual presents the goals of STD education and offers suggestions for implementing an STD education program. A lesson plan is presented in the second chapter that utilizes five class periods. Chapter 3 presents 11 learning opportunities that provide suggestions for class activities. The final two chapters are comprised of test questions and answers to commonly asked STD questions. Lesson plans and additional worksheets are included. The student manual includes fact sheets and self-tests. (JD)

La niñez y adolescencia trans/no binarie se construye socialmente como un modelo de alteridad, confrontando, por un lado, la diferencia frente a lo adulto y, por otro, lo trans y no binarie en oposición a la cis-heteronormatividad. Desde una perspectiva antropológica, este estudio busca problematizar la fluidez de género que emerge a partir de la inconformidad con los modelos hegemónicos impuestos. Proponemos desnaturalizar el binarismo de género (varón – masculino, mujer – femenino), y visibilizar cuerpos e identidades que desafían la rigidez de estas categorías, demostrando que dicha rigidez es un mandato social que puede ser deconstruido. Si bien existe una extensa producción antropológica sobre estas temáticas en la edad adulta, este trabajo se centra en las implicaciones de vivir una infancia o adolescencia fuera del modelo cis-heteronormativo, tradicionalmente considerado como "natural" y, por ende, "correcto". Al transgredir las normas de socialización de género, niñxs y adolescentes trans y no binaries se ven inmersos en procesos de reflexión identitaria. En este contexto, nos enfocamos en la construcción de estrategias de cuidado dentro de las familias, donde adultxs, generalmente cisgénero, acompañan a sus hijxs en la afirmación de identidades que desafían las configuraciones hegemónicas desde edades tempranas. Así, exploraremos el concepto de cuidado y sus implicaciones, ante el reto de acompañar una identidad que transgrede los moldes sociales tradicionales desde la infancia y adolescencia.

This thesis explores the multifaceted challenges women encounter in addiction recovery, encompassing biological, psychological, and societal dimensions. By examining hormonal influences, co-occurring mental health disorders, and societal stigmas, the paper highlights the necessity for gender-responsive treatment approaches. A case study conducted by Megan Rochelle and Sean Donato at Design to Recover provides empirical evidence on the efficacy of different sober living environments, underscoring the importance of tailored recovery programs for women.

Esta publicación compilada por el Dr. Fabián Vera del Barco, desarrolla una critica a la heteronormatividad institucionalizada en diferentes ámbitos de la provincia de Tucumán. Estos contextos de abordaje se exponen desde realidades por las que pasan las personas pertenecientes al colectivo LGBTIQ+, en aspectos referidos a los derechos laborales y educativos. Se explicitan las experiencias de las salidas de armario y sus construcciones de identidades, todas ellas marcadas por las influencias de las políticas neoliberales que hasta, hoy se concretizan en la provincia.

This paper investigates the experience of motherhood and employment within the UK accounting profession by examining the oral history narratives of a small group of accountants who have recently become mothers and returned to work, thereby undertaking a process of redefinition and transformation of the self. Drawing from contemporary theories on identity, it considers how individuals make sense of the different social identities, which they take on over their life course, and to what extent social, institutional and cultural factors shape and restrict the ways in which the self is experienced. The paper extends the use of oral history methods in accounting research, arguing for the use of narrative to conceptualise identity formation, and also explores the implications for both the self and the accounting profession of interconnections and juxtapositions between the ostensibly private sphere of the home and the public sphere of employment.

Este capítulo busca contribuir a la problematización de la pornografía como pedagogía sexual y reflexionar sobre los desafíos de su alfabetización desde la ESI. Pues se trata de una cuestión que no sólo ha cobrado relevancia pública en el campo de la investigación en educación sexual sino también en la vida cotidiana de las instituciones educativas y las familias. Para ello, en primer lugar, reviso brevemente algunas investigaciones que ponen el vínculo entre educación sexual y pornografía en el centro del debate y en cómo la alfabetización pornográfica se percibe como un horizonte posible de abordaje crítico y pedagógico en el trabajo con juventudes. Tras ello, y como foco principal de este texto, comparto algunas reflexiones acerca de estos procesos de alfabetización pornográfica a partir del relevamiento de experiencias concretas con chicos y chicas en el contexto escolar. El análisis de las demandas estudiantiles de hablar de porno en la escuela, lo que ellxs saben acerca del porno, cómo interpretan su rol educativo, de qué modo relacionan (o no) el porno con la violencia sexual, entre otras cuestiones, nos permite conocer más ajustada y sensiblemente los desafíos que comporta trabajar una alfabetización pornográfica desde el marco de la ESI y los derechos.

ISBN 978-631-6514-16-5

Background: Transgender individuals are overrepresented among Veterans. However, little is known regarding their satisfaction with Veterans Administration (VA) care and unmet health needs. Objectives: This study examined transgender Veterans' satisfaction with VA medical and mental health care, prevalence of delaying care, and correlates of these outcomes. Research Design: We used data from transgender Veterans collected in 2014 through an online, national survey. In total, 298 transgender Veterans living in the United States. We assessed patient satisfaction with VA medical and mental health care and selfreported delays in seeking medical and mental health care in the past year. Potential correlates associated with these 4 outcomes included demographic, health, and health care variables. Results: Over half of the sample used VA (56%) since their military discharge. Among transgender Veterans who had used VA, 79% were satisfied with medical care and 69% with mental health care. Lower income was associated with dissatisfaction with VA medical care, and

El presente informe tiene como objetivo entregar las evidencias de los trabajos realizados en clases durante estos meses, evaluar y describir la entrega y la calidad de las actividades preparatorias realizadas en el marco del desarrollo de la Guía de Orientaciones sobre Género y Diversidad para la Familia. Este documento, aborda temas esenciales relacionados con la diversidad sexual y de género.

En un contexto donde la discriminación y el desconocimiento pueden limitar el bienestar de las personas LGBTQ+, el informe propone estrategias educativas, emocionales y sociales para promover la aceptación y el apoyo. El desarrollo de las actividades previas a la intervención ha sido fundamental para garantizar que el contenido de este informe sea pertinente, accesible y sensible a las necesidades de las familias.

A través de este informe, se detallan las acciones realizadas, los resultados obtenidos y los estándares de calidad aplicados para asegurar que la guía cumpla su propósito de ser un recurso valioso y transformador para las familias.

This study examined the associations among heterosexual women (HW) and sexual minority women (SMW; for example, lesbian and bisexual), adolescent and adult sexual victimization experiences, childhood experiences of abuse, coping strategies, and mental health symptoms. Participants were 177 women recruited across the United States via the Internet to complete an online survey. Participants first completed the Sexual Experiences Survey and then described qualitatively their most distressing and/or severe sexual victimization experience. They were asked to include situational (e.g., location, alcohol, and drug use) and interpersonal features (e.g., relationship to perpetrator) of their experience. They then completed self-report questionnaires on childhood sexual abuse, coping with substances, coping through self-blame, social reactions to their assault disclosure, and symptoms of anxiety, depression, and somatization. Nonparametric tests were used to examine associations among the var...

This article explores the complexities surrounding LGBTQ2+ sexual orientation in Nigeria, emphasizing the cultural, legal, and ethical challenges faced by counsellors. The article examines human sexual orientation from a biological and social perspective to properly situate sexual orientation issues within the context of therapeutic intervention. Given the socio-cultural landscape that predominantly rejects non-heteronormative identities, it is essential for counsellors to navigate their practices with sensitivity and cultural competence. The article discusses various counselling approaches tailored to align with traditional values while addressing clients' psychological needs. Key strategies include engaging family and community leaders, utilizing religious and cultural resources, and promoting awareness through collaboration with religious institutions. Recommendations emphasize the importance of training for counsellors and ongoing research to enhance support for LGBTQ2+ individuals. Ultimately, the article advocates for a balanced approach that respects cultural norms while promoting mental health and well-being for all individuals.

Her research focuses on family rituals, women and healthy aging, same-sex families, qualitative methodology, and qualitative data analysis software. She is currently working on an edited book with Dr. Elise Radina about qualitative data analysis.

Her research focuses on family rituals, women and healthy aging, same-sex families, qualitative methodology, and qualitative data analysis software. She is currently working on an edited book with Dr. Elise Radina about qualitative data analysis.

social inputs like, "curse," "rebirth" etc is faith by which manipulated vision is directed away from verifiable truth. It is time we look into the mirror of reality and start living in the present, based on current achievements of science, technology, philosophy and thought. Let us stop shouting like jackals that my father was a king. Risley, H (1969) The People of India. Oriental Books reprint Corporation, Delhi. Senart Emil (1975) Caste in India: the facts and the system. Ess Ess Publications Delhi.

Drug policy affects the health of queer people and communities. The health of queer people who use drugs must not be overlooked in our fight for sensible drug policy. And 2SLGBTQ+ rights organizations must not ignore the rights and health of queer people who use drugs.

Complementing an earlier Summary Report, this Agenda for Action, presents nearly 30 recommendations for action in multiple areas. including: improving data collection; challenging stigma through public education; making services more accessible; ensuring 2SLGBTQ+ communities are more inclusive and strengthen their advocacy for sensible drug policy; enhancing funding for the health of GBT2Q people who use drugs; and enacting key legal and policy reforms.

Drug policy affects the health of queer people and communities. The health of queer people who use drugs must not be overlooked in our fight for sensible drug policy. And 2SLGBTQ+ rights organizations must not ignore the rights and health of queer people who use drugs.

This Summary Report by the HIV Legal Network reviews the evidence about substance use — including problematic use — among GBT2Q people and includes insights from queer people working in the field of harm reduction.

Özet Kalıtsal tromboz nedenleri venöz tromboembolilerin ortalama % 30'unu oluşturur. Kalıtsal ve edinsel trombofilik risk faktörleri, çoğu durumda venöz tromboembolilerin nedenlerini açıklamaya yeter. Ancak hala altta yatan bir risk faktörü saptanamadığı için idiyopatik olarak değerlendirilen olgular vardır. Bu yazıda hastanemizde tromboz nedeniyle yatarak tedavi alan hastalarda saptanabilen etiyolojik nedenler araştırılarak, çocukluk çağı kalıtsal nedenli trombozlarının bu olgulardaki payı incelenmiştir. Anahtar kelimeler: çocukluk çağı, edinsel tromboz nedenleri, kalıtsal tromboz nedenleri Summary The etiology of thromboembolism in hospitalized children Inherited thrombophilia can explain approximately 30% of venous thromboembolism. Putting together all thrombophilic conditions, inherited or acquired, we can probably explain the great majority of venous thromboembolism cases. Yet, there are cases still classified as idiopathic because no risk factor could be identified. In thi...

we discussed sexual minorities living in Turkish culture and the prejudice and discrimination they can experience. We also discussed the training of Turkish mental health practitioners and how some of the psychodynamic, behavioral, and learning theories they may have been exposed to could lead them to believe that being a sexual minority is not a biological phenomenon but one that stems from early childhood experiences or is based on learned behavior.
After reading this chapter, we hope that all Turkish mental health practitioners will agree and operate based on the fact that one’s sexual orientation is not a personal choice but inherent at birth. We also hope that these practitioners will understand the dangers of conversion therapy and speak up against its use.
In Türkiye, despite the principle of equality in the Constitution, there are no protective provisions regarding sexual orientation and gender identity. Sexual minority individuals face numerous challenges in their daily lives due to societal discrimination and homophobia. Given these challenges, psychological support becomes critically important. Mental health practitioners should also evaluate their biases, be open to continuous education and development, and pay close attention to the latest literature when working with sexual minority individuals.

Este libro es el producto del intercambio de experiencias de colegas de Ecuador, Colombia, México y Puerto Rico que presentan procesos de promoción de la ciudadanía y de defensa de los derechos humanos, a través de las múltiples facetas de la intervención del Trabajo Social, con perspectiva de construcción de paz y equidad, los cuales permiten a los lectores conocer sobre las convergencias entre estos dos campos.
Los capítulos que se exponen aquí, no son disertaciones teóricas, sino reflexiones de profesionales con distintas trayectorias, concepciones y militancias que generosamente comparten las formas en las que han sistematizando sus procesos de lucha por la defensa de los derechos humanos y que presentan sus ideas y vivencias con lenguajes diversos desde la tribuna de una editorial independiente, sin las prevenciones y condicionamientos característicos de los documentos financiados por gobiernos, universidades y agencias de cooperación para el desarrollo.

OBJECTIVE The objectives of this research were to develop an epidemiological profile of tobacco use in the Puerto Rico lesbian, gay, bisexual, transgender, and transsexual (LGBTT) populations and identify whether there are any statistically significant differences (in terms of health conditions and risk factors) between LGBTT smokers (LGBTT-S), LGBTT non-smokers (LGBTT-NS), general-populationnon-smokers (GP-NS), and general-population smokers (GP-S). METHODS Using the Puerto Rico Behavioral Risk Factor Surveillance System database (2013-2015), we conducted a univariate analysis to obtain an epidemiological profile, and a bivariate analysis was performed to compare LGBTT-S, LGBTT-NS, GP-NS, and GP-S. Finally, to determine the odds ratios (ORs), an age-adjusted logistic regression model with a 95% level of reliability was used. RESULTS During the period of 2013 through 2015, the Puerto Rico LGBTT population was reported to have a higher tobacco use prevalence than the general populati...

This project examines butch and crossdresser communities in Northern Europe in the late 20th century, and their transformation into the non-binary movement of the last ten years. This research investigates the recent trajectory of gender-diverse communities and evaluates the role of the non-binary moment in the history of gender-diverse people in the Western world. Findings come from interviews with Dutch individuals who identify as non-binary, genderqueer, or otherwise outside of the gender binary, as well as periodicals and other materials related to crossdresser and butch identities from the IHLIA LGBT Heritage Archives and the Atria Institute. This study demonstrates that the non-binary movement represents a significant shift in communities of gender variance and an opening for gender liberation. While butch and crossdresser communities transgress binaries in important ways, the non-binary identity allows gender-diverse people in the Western world, for the first time in centuries, to have the freedom to imagine their identities beyond the categories of male and female.

El diagnóstico oportuno de la infección por VIH es una estrategia clave en el control de la epidemia. El uso de las pruebas rápidas facilita el acceso al diagnóstico en el primer nivel de atención y en espacios por fuera del sistema de salud. MÉTODOS: Se describió el proceso de implementación del test rápido para VIH en la Ciudad Autónoma de Buenos Aires (CABA), analizando indicadores epidemiológicos para evaluar el impacto sanitario. RESULTADOS: Desde el inicio de esta estrategia en 2012 y hasta 2018, el test rápido se implementó en 36 centros de la ciudad, tanto en el sistema de salud como en organizaciones de la sociedad civil. En 2014 se inició una campaña de promoción con testeos mensuales en el espacio público de distintos barrios. El número de personas sometidas a la prueba se duplicó en los centros de testeo y aumentó progresivamente en los laboratorios de los hospitales públicos, con un descenso en la proporción de diagnósticos en estadios sintomáticos. CONCLUSIONES: La imp...

La transmisión del VIH de mujer a mujer parece ser algo muy raro. No obstante, los informes de casos de contagio del VIH de mujer a mujer y el riesgo bien documentado de la transmisión del VIH de mujer a hombre indica que las secreciones vaginales y la sangre menstrual son potencialmente infecciosas y que la exposición de la membrana mucosa (p. ej. oral, vaginal) a estas secreciones tiene el potencial de conducir a la infección del VIH. El concepto de que las lesbianas están en una categoría de "bajo riesgo" ha resultado en una percepción errónea de que ellas "no están en riesgo". Sin embargo, ciertas prácticas sexuales en las que se intercambian fluidos vaginales o sangre menstrual, tales como el compartir juguetes sexuales, sí son riesgosas. Los casos de transmisión del VIH entre mujeres no son muy comunes, pero sí posibles, y no se han hecho bastantes investigaciones sobre este aspecto. Además, las lesbianas también pueden estar a riesgo de contraer el virus por el hecho de tener parejas masculinas o por compartir jeringas.

Asexual patients face unique healthcare challenges that result in and maintain health disparities. Among health professionals, a general lack of cultural competence related to asexual identities perpetuates negative healthcare experiences and subsequent avoidance of care. This article provides an overview of asexual communities, the related culture of compulsory sexuality, and healthcare challenges facing asexual patients. Following the overview, the authors outline the necessity of providing asexual- affirming and person-centered mental health care through the presentation of a clinical vignette about a patient questioning whether he identifies as asexual. Through the vignette, a comprehensive, asexual-affirming framework for mental health practice with asexual patients is reviewed, which addresses culturally competent assessment and psychotherapy practices, ethical considerations, common clinical challenges, and incorporation of intersecting minoritized identities.

This report presents the findings of landmark research conducted at UNE into the experiences of our LGBTQIA+ staff and students. It also outlines the steps that were taken to establish the Queer Allyship program of research and advocacy at UNE.

Aunque puede resultar evidente, no es trivial subrayar que referirnos a identidades no normativas supone, al mismo tiempo, legitimar que existen identidades que sí lo son: ¿cuáles son esas identidades? Se trata de  aquellas que se ajustan a una correlación entre genitalidad y género: vulva-mujer, pene-varón. Las identidades no normativas, serán
entonces las que disloquen este vínculo.
De lo anterior es fácil deducir que la categoría de género se refiere a ser varón/mujer/no binarie. Mientras que la noción de sexo suele entenderse como una serie de variables biológicas vinculadas con la reproducción: cromosomas-gónadas genitales externos. Excede los límites del presente texto discutir esta idea generalizada en torno la noción de sexo. Sin embargo, sí es importante subrayar que la descripción del sexo como algo natural, presocial, fue desarrollada durante la modernidad por el discurso
científico acerca de la diferencia sexual. Un discurso que, a partir de dicha descripción, justificó biológicamente una lectura de los cuerpos  jerarquizada. Tal justificación se fundó en la idea de dimorfismo sexual (dos formas biológicas sobre la base de las posibilidades reproductivas)

Social and sexual contact networks between men who have sex with men (MSM) play an important role in understanding the transmission of HIV and other sexually transmitted infections (STIs). In Salvador (Bahia State, Brazil), one of the cities in the survey Behavior, Attitudes, Practices, and Prevalence of HIV and Syphilis among Men Who Have Sex with Men in 10 Brazilian Cities, data were collected in 2008/2009 from a sample of 383 MSM using Respondent Driven Sampling (RDS). Network analysis was used to study friendship networks and sexual partner networks. The study also focused on the association between the number of links (degree) and the number of sexual partners, in addition to socio-demographic characteristics. The networks' structure potentially facilitates HIV transmission. However, the same networks can also be used to spread messages on STI/HIV prevention, since the proximity and similarity of MSM in these networks can encourage behavior change and positive attitudes towards prevention.

Intimate partner violence (IPV) in lesbian, gay, bisexual, transgender, queer, and intersex (LGBTQI +) relationships remains under-researched, particularly in the Global South. We call on research-to-action partnerships in higher education settings to address IPV in LGBTQI + relationships in partnership with queer communities as leaders in conceptualizing, designing, and conducting research activities.

The health of minority populations has been a priority for the nation since the 1985 landmark report released by the Department of Health and Human Services (DHHS). The report, prepared by the DHHS Secretary's Task Force on Black and Minority Health, documented disparities between minority populations and whites and began what has become a national discourse on health disparities and, ultimately, health equity. This paper presents an overview of a panel presentation titled "The Minority Health Perspective" which was held during the

From racial health disparities to politically charged nicknames, the COVID-19 pandemic has revealed issues in all realms of the public health system. These issues, however, are not unique to the COVID pandemic and share stark similarities to the AIDS crisis. With Pittsburgh at the epicenter of both health crises in research and cases, this region serves as a fascinating focus for health disparities. This paper utilizes disease history, healthcare delivery, and political discourse to analyze the relationship between these health crises and their subsequent effects on vulnerable populations. These two epidemics can teach valuable lessons for the ongoing pandemic and future, as the "Gay Virus" meets the "ChinaVirus".

This document reports on Task 2 of the project Health4LGBTI: Reducing health inequalities experienced by LGBTI people (SANTE/2015/C4/035). This is a pilot project by the European Commission to increase understanding of how best to reduce specific health inequalities experienced by lesbian, gay, bisexual, trans and intersex (LGBTI) people. Task 2 sought to map the barriers faced both by LGBTI people and healthcare professionals (HCPs) in six European Member States (MS), and support the development of training for healthcare professionals (HCPs)

La acción se desarrolla en la España de la mitad de los ochenta (1987) con el cambio producido en la sociedad española y con la aparición de los primeros casos de SIDA en nuestro país. Desde un punto de vista cómico, se describen las peripecias de una dermatóloga especialmente interesada en la venereología para conseguir hacer medicina preventiva e información sobre enfermedades de transmisión sexual a pacientes con conductas de riesgo, especialmente homosexuales, prostitutas y adictos a drogas por vía parenteral. Toda la película gira en torno a la importancia del uso del preservativo en la prevención de todas las enfermedades de transmisión sexual.

Although research and scholarship on weightbased stigma have increased substantially in recent years, the disproportionate degree of bias experienced by fat women has received considerably less attention. This paper reviews the literature on the weight-based stigma experienced by women in North America in multiple domains, including employment, education settings, romantic relationships, health care and mental health treatment, and portrayals in the media. We also explore the research examining the intersection of gender and ethnicity related to weight stigma. Across numerous settings, fat women fare worse than thinner women and worse than men, whether the men are fat or thin. Women experience multiple deleterious outcomes as a result of weight bias that have a significant impact on health, quality of life, and socioeconomic outcomes. Because of this gender disparity, we argue that feminist scholars need to devote as much attention to the lived experiences of fat women as they have to the "fear of fat" experienced by thin women.