Recommendations for Promoting the Health and Well-Being of Lesbian, Gay, Bisexual, and Transgender Adolescents: A Position Paper of the Society for Adolescent Health and Medicine

Reitman, David; Austin, Bryn; Belkind, Uri; Chaffee, Tonya; Hoffman, Neal D.; Moore, Eva; Morris, Robert E.; Olson, Joanna; Ryan, Caitlin

doi:10.1016/j.jadohealth.2013.01.015

Cited by 105 publications

(36 citation statements)

References 12 publications

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“…These findings point to the need to better understand the nature and extent of unmet medical needs among male sexual minority adolescents, and underscore the importance of targeted prevention and intervention for this group of adolescents. Consistent with recommendations by SAHM, 25 it is important to more fully incorporate sensitive assessment of sexual orientation as part of routine care, such that physicians and health care providers may better serve sexual minority males by addressing possible health-related and/or sexual orientation-related questions or needs that they may have.…”

Section: Discussionmentioning

confidence: 98%

“…Multiple clinical guidelines recommend screening of health-related behaviors in the domains of substance use, weight-related, and sexual risk behaviors, 18,22,24 as well as tailoring clinical care for sexual minority adolescents, 25 as part of routine care. Our study was the first to examine possible sexual orientation disparities in physician screening.…”

Section: Discussionmentioning

confidence: 99%

“…18 In addition, adolescent health care providers are particularly encouraged to attend to the specific needs of sexual minority adolescents, screen for possible mental health issues, and provide tailored health information and/or intervention as appropriate. 25 …”

Section: Introductionmentioning

confidence: 99%

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Sexual Orientation Differences in Adolescent Health Care Access and Health-Promoting Physician Advice

Luk

Gilman

Haynie

et al. 2017

Journal of Adolescent Health

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Purpose Physician screening and advice on health-related behaviors are an integral part of adolescent health care. Sexual minority adolescents encounter more barriers to health services, yet no prior research has examined whether they also experience disparity in physician screening and advice. We examined possible sexual orientation disparities in health care access, physician screening and advice on six health-related behaviors. Methods Data were from a national sample of U.S. adolescents who participated in Wave 2 of the NEXT Generation Health Study (n = 2023). Poisson regressions were conducted separately for males and females to estimate sexual orientation differences in health care access and health-related screening and advice. Results Compared to heterosexual males, sexual minority males were more likely to report unmet medical needs in the past year (ARR = 2.23), but did not differ with respect to receiving physician advice concerning health-related behaviors. Compared to heterosexual females, sexual minority females were more likely to report no routine physical check-up in the past year (ARR = 1.67), but were more likely to receive physician advice to reduce or stop drinking, smoking, drug use, increase physical activity, and improve diet (ARRs = 1.56–1.99), even after controlling for corresponding health-related behaviors. Sexual minority females were also more likely to receive advice about risk associated with sexual behavior (ARR = 1.35) and advice to avoid sexually transmitted diseases (ARR = 1.49). Conclusions Both sexual minority males and females experienced disparities in aspects of health care access. Improved health-promoting advice would better serve sexual minority males. Implications and Contribution Clinical guidelines recommend physician screening and advice as part of routine care. Compared to heterosexual females, sexual minority females received more health-promoting advice and did not report greater unmet medical needs. The reverse pattern was found among males, highlighting the potential benefits of increasing health-promoting advice targeting sexual minority males.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

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Sexual Orientation Differences in Adolescent Health Care Access and Health-Promoting Physician Advice

Luk

Gilman

Haynie

et al. 2017

Journal of Adolescent Health

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“…1,5,27,28 Recognizing the unique biological, developmental, and psychosocial needs of children, adolescents, and young adults, and especially those who are LGBTQ, health services for youth should be optimized with regard to availability , accessibility , acceptability , and equity . 19 …”

Section: Systems-level Principles Underlying Lgbtq Youth-friendly Sermentioning

confidence: 99%

Caring for Lesbian, Gay, Bisexual, Transgender, and Questioning Youth in Inclusive and Affirmative Environments

Hadland

Yehia

Makadon

2016

Pediatric Clinics of North America

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“…Furthermore, there is increasing recognition of the importance of integrating sexual identity-specific factors (e.g., sexual orientation identity) and barriers (e.g., stigma, prejudice) into the delivery of care. Compared to ongoing efforts focused on strengthening medical providers’ delivery of LGBT competent healthcare [10–13], there are limited resources focused on ensuring the quality and cultural competency of HIV/STI testing providers who work with young gay and bisexual men (YGBM). A specific discussion of YGBM’s HIV/STI testing needs from a cultural competency perspective is crucial, as it may provide insight into how to use identity-related processes (e.g., coming out, relationship status) to understand the client’s social context, and provide tailored risk reduction counseling beyond a non-specific risk reduction discussion based on their risk category (e.g., YMSM) [14].…”

Section: Introductionmentioning

confidence: 99%

The Use of Mystery Shopping for Quality Assurance Evaluations of HIV/STI Testing Sites Offering Services to Young Gay and Bisexual Men

et al. 2015

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Young men who have sex with men (YMSM) are at increased risk for HIV and STI infection. While encouraging HIV and STI testing among YMSM remains a public health priority, we know little about the cultural competency of providers offering HIV/STI tests to YMSM in public clinics. As part of a larger intervention study, we employed a mystery shopper methodology to evaluate the LGBT cultural competency and quality of services offered in HIV and STI testing sites in Southeast Michigan (n = 43).We trained and deployed mystery shoppers (n = 5) to evaluate the HIV and STI testing sites by undergoing routine HIV/STI testing. Two shoppers visited each site, recording their experiences using a checklist that assessed 13 domains, including the clinic’s structural characteristics and interactions with testing providers. We used the site scores to examine the checklist’s psychometric properties and tested whether site evaluations differed between sites only offering HIV testing (n = 14) versus those offering comprehensive HIV/STI testing (n = 29). On average, site scores were positive across domains. In bivariate comparisons by type of testing site, HIV testing sites were more likely than comprehensive HIV/STI testing clinics to ascertain experiences of intimate partner violence, offer action steps to achieve safer sex goals, and provide safer sex education. The developed checklist may be used as a quality assurance indicator to measure HIV/STI testing sites’ performance when working with YMSM. Our findings also underscore the need to bolster providers’ provision of safer sex education and behavioral counseling within comprehensive HIV/STI testing sites.

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Recommendations for Promoting the Health and Well-Being of Lesbian, Gay, Bisexual, and Transgender Adolescents: A Position Paper of the Society for Adolescent Health and Medicine

Cited by 105 publications

References 12 publications

Sexual Orientation Differences in Adolescent Health Care Access and Health-Promoting Physician Advice

Sexual Orientation Differences in Adolescent Health Care Access and Health-Promoting Physician Advice

Caring for Lesbian, Gay, Bisexual, Transgender, and Questioning Youth in Inclusive and Affirmative Environments

The Use of Mystery Shopping for Quality Assurance Evaluations of HIV/STI Testing Sites Offering Services to Young Gay and Bisexual Men

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