“I Do Not Like Being Me”: the Impact of Self-hate on Increased Risky Sexual Behavior in Sexual Minority People

Background: Increased risky sexual behaviors (RSB) in sexual minority people relative to heterosexual individuals are well documented. However, the role of trans-diagnostic factors that are not sexual orientation-specific, such as self-criticism, in predicting RSB was understudied. The present study aimed to test participants’ gender and sexual orientation as moderators between self-criticism and RSB. Methods: Data were collected during 2019. The total sample included 986 sexual minority people (Nwomen = 51%) and 853 heterosexual people (Nwomen = 46%), ranging from 18 to 35 years of age. Self-criticism dimensions (self-hate, self-inadequacy, self-reassurance), types of positive affect (relaxed, safe/content, and activated affect), and RSB were assessed. Bivariate, multivariate analyses, and moderated regression analyses were conducted. Results: Sexual minority participants showed higher levels of RSB, self-hate, and self-inadequacy than heterosexual people. Only in sexual minority men, RSB correlated positively with self-hate and negatively with safe/content positive affect. Moderated regressions showed that only for sexual minority participants, higher RSB were predicted by higher levels of self-hate. At the same time, this association was not significant for heterosexual people controlling the effects of age, presence of a stable relationship, other self-criticism dimensions, and activation safe/content affect scale. The two-way interaction between sexual orientation and gender was significant, showing that regardless of self-hate, the strength of the association between sexual orientation and RSB is stronger for sexual minority men than sexual minority women and heterosexual participants. Conclusions: Findings highlight the distinctive role of self-hate in the occurrence of RSB in sexual minority people and support the usefulness of developing a compassion-focused intervention to target self-hate in sexual minority people

IENE 9 project: developing a culturally competent and compassionate LGBT + curriculum in health and social care education

Introduction The IENE projects (2008–2022) aim to promote a model for developing intercultural dialogue and enhance the ability to provide culturally competent and compassionate care for the health and social care professionals at national and European levels. The IENE 9 project, named “Developing a culturally competent and compassionate LGBT + curriculum in health and social care education,” builds on the work developed in the previous IENE projects and emphasizes the importance of addressing LGBT + issues in health and social care education. Method Through an innovative Massive Open Online Course (MOOC), professionals will learn the skills to work toward building an LGBT + inclusive health and social care system. Result Notwithstanding the progress made in recent years on LGBT + issues, research indicates that too little attention has been given to LGBT + needs in health and social care settings, and these remain substantial issues that are often ignored. Conclusion This letter to the editor aims to present the IENE 9 project given that greater efforts are needed to improve professionals’ skills regarding sexual and gender minority population. We strive to continue our efforts in promoting the well-being and mental health of LGBT + people in health and social care education

LGBT+ Training needs for health and social care professionals: a cross-cultural comparison among seven European countries

Introduction Research suggests that specific training on LGBT+ issues may improve the competencies and skills of health and social care (HSC) professionals, which reduces the negative attitudes toward LGBT+ people. Despite this, there seems to be a lack of coverage of LGBT+ needs in HSC education. The present study aims to explore the specific LGBT+ training needs of HSC professionals and to examine the relationship between these training needs and the four dimensions of the Papadopoulos model, i.e. cultural awareness, cultural knowledge, cultural sensitivity, and cultural competence. Methods The research used data from a cross-cultural project, “Intercultural Education for Nurses in Europe (IENE9),” which was administered to 412 HSC academics and workers (62% females; Mage=46.06, SDage=10.48) between February 2020 and July 2020, in seven European countries: UK (coordinator), Denmark, Spain, Germany, Cyprus, Italy, and Romania. Results Hierarchical multiple regression showed that higher training needs were associated with cultural awareness, cultural knowledge, and cultural competence. The need for training on LGBT+ issues was higher for Cyprus, Romania, Spain, Italy, and the UK, compared with Denmark (no differences between Germany and Denmark were found). Conclusions We believe that there has been a lack of focus on the LGBT+ training needs of HSC professionals: Greater efforts are required to develop a culturally competent and compassionate LGBT+ curriculum. Social Policy Implications Findings from the present study will inform the development of a free, Massive Open Online Course (MOOC), for culturally competent and compassionate HSC professionals in Europe to improve the quality of their car

Role of previous hospitalization in clinically-significant MRSA infection among HIV-infected inpatients: results of a case-control study

<p>Abstract</p> <p>Background</p> <p>HIV-infected subjects have high incidence rates of <it>Staphylococcus aureus </it>infections, with both methicillin-susceptible and methicillin-resistant (MRSA) strains. Possible explanations could include the high burden of colonization, the behavioral risk factors, and the frequent exposures to health care facilities of HIV-infected patients. The purpose of the study was to assess the risk factors for clinically- significant methicillin-resistant <it>Staphylococcus aureus </it>(CS-MRSA) infections in HIV-infected patients admitted to Infectious Diseases Units.</p> <p>Methods</p> <p>From January 1, 2002 to December 31, 2005, we conducted a retrospective case-control (1:2) study. We identified all the cases of CS-MRSA infections in HIV-infected patients admitted to the National Institute for Infectious Diseases (INMI) "Lazzaro Spallanzani" in the 4-year study period. A conditional logistic regression model was used to identify risk factors for CS-MRSA infection.</p> <p>Results</p> <p>We found 27 CS-MRSA infections, i.e. 0.9 CS-MRSA infections per 100 HIV-infected individuals cared for in our Institute. At multivariate analysis, independent predictors of CS-MRSA infection were cumulative hospital stay, invasive procedures in the previous year, and low CD4 cell count. Particularly, the risk for CS-MRSA increased by 14% per an increase of 5 days hospitalization in the previous year. Finally, we identified a low frequency of community-acquired MRSA infections (only 1 of 27; 3.7%) among HIV-infected patients.</p> <p>Conclusion</p> <p>Clinicians should be aware of the risk for CS-MRSA infection in the clinical management of HIV-infected patients, especially in those patients with a low CD4 cell count, longer previous hospital stay, and previous invasive procedures.</p

Urban women's socioeconomic status, health service needs and utilization in the four weeks after postpartum hospital discharge: findings of a Canadian cross-sectional survey

<p>Abstract</p> <p>Background</p> <p>Postpartum women who experience socioeconomic disadvantage are at higher risk for poor health outcomes than more advantaged postpartum women, and may benefit from access to community based postpartum health services. This study examined socioeconomically disadvantaged (SED) postpartum women's health, and health service needs and utilization patterns in the first four weeks post hospital discharge, and compared them to more socioeconomically advantaged (SEA) postpartum women's health, health service needs and utilization patterns.</p> <p>Methods</p> <p>Data collected as part of a large Ontario cross-sectional mother-infant survey were analyzed. Women (N = 1000) who had uncomplicated vaginal births of single 'at-term' infants at four hospitals in two large southern Ontario, Canada cities were stratified into SED and SEA groups based on income, social support and a universally administered hospital postpartum risk screen. Participants completed a self-administered questionnaire before hospital discharge and a telephone interview four weeks after discharge. Main outcome measures were self-reported health status, symptoms of postpartum depression, postpartum service needs and health service use.</p> <p>Results</p> <p>When compared to the SEA women, the SED women were more likely to be discharged from hospital within the first 24 hours after giving birth [OR 1.49, 95% CI (1.01–2.18)], less likely to report very good or excellent health [OR 0.48, 95% CI (0.35–0.67)], and had higher rates of symptoms of postpartum depression [OR 2.7, 95% CI(1.64–4.4)]. No differences were found between groups in relation to self reported need for and ability to access services for physical and mental health needs, or in use of physicians, walk-in clinics and emergency departments. The SED group were more likely to accept public health nurse home visits [OR 2.24, 95% CI(1.47–3.40)].</p> <p>Conclusion</p> <p>Although SED women experienced poorer mental and overall health they reported similar health service needs and utilization patterns to more SEA women. The results can assist policy makers, health service planners and providers to develop and implement necessary and accessible services. Further research is needed to evaluate SED postpartum women's health service needs and barriers to service use.</p

A Comparison of the SOCIT and DebriSat Experiments

This paper explores the differences between, and shares the lessons learned from, two hypervelocity impact experiments critical to the update of orbital debris environment models. The procedures and processes of the fourth Satellite Orbital Debris Characterization Impact Test (SOCIT) were analyzed and related to the ongoing DebriSat experiment. SOCIT was the first hypervelocity impact test designed specifically for satellites in Low Earth Orbit (LEO). It targeted a 1960's U.S. Navy satellite, from which data was obtained to update pre-existing NASA and DOD breakup models. DebriSat is a comprehensive update to these satellite breakup models- necessary since the material composition and design of satellites have evolved from the time of SOCIT. Specifically, DebriSat utilized carbon fiber, a composite not commonly used in satellites during the construction of the US Navy Transit satellite used in SOCIT. Although DebriSat is an ongoing activity, multiple points of difference are drawn between the two projects. Significantly, the hypervelocity tests were conducted with two distinct satellite models and test configurations, including projectile and chamber layout. While both hypervelocity tests utilized soft catch systems to minimize fragment damage to its post-impact shape, SOCIT only covered 65% of the projected area surrounding the satellite, whereas, DebriSat was completely surrounded cross-range and downrange by the foam panels to more completely collect fragments. Furthermore, utilizing lessons learned from SOCIT, DebriSat's post-impact processing varies in methodology (i.e., fragment collection, measurement, and characterization). For example, fragment sizes were manually determined during the SOCIT experiment, while DebriSat utilizes automated imaging systems for measuring fragments, maximizing repeatability while minimizing the potential for human error. In addition to exploring these variations in methodologies and processes, this paper also presents the challenges DebriSat has encountered thus far and how they were addressed. Accomplishing DebriSat's goal of collecting 90% of the debris, which constitutes well over 100,000 fragments, required addressing many challenges stemming from the very large number of fragments. One of these challenges arose in identifying the foam-embedded fragments. DebriSat addressed this by X-raying all of the panels once the loose debris were removed, and applying a detection algorithm developed in-house to automate the embedded fragment identification process. It is easy to see how the amount of data being compiled would be outstanding. Creating an efficient way to catalog each fragment, as well as archiving the data for reproducibility also posed a great challenge for DebriSat. Barcodes to label each fragment were introduced with the foresight that once the characterization process began, the datasheet for each fragment would have to be accessed again quickly and efficiently. The DebriSat experiment has benefited significantly by leveraging lessons learned from the SOCIT experiment along with the technological advancements that have occurred during the time between the experiments. The two experiments represent two ages of satellite technology and, together, demonstrate the continuous efforts to improve the experimental techniques for fragmentation debris characterization

The role of peer victimization, sexual identity, and gender on unhealthy weight control behaviors in a representative sample of Texas youth

Objective: The aim of the study is to examine the association between victimization and unhealthy weight control behaviors (UWCB), accounting for other key correlates of UWCB while considering the moderating role of sexual identity and gender. Method: This study used data from the 2017 Texas Youth Risk Behavior Survey (YRBS), a representative sample of students in grades 9–12 in the U.S. state of Texas, including 2,067 students (1,754 heterosexuals and 313 sexual minorities). We used survey-weighted logistic regression to examine the association of sexual identity, gender, and victimization (dating violence, cyberbullying, and school bullying) with UWCB, after adjusting for demographic information and indicators of weight, physical activity, and support from adults. Results: Unhealthy weight control behaviors were associated with older age, being obese, lack of support from adults, low physical activity, and cyberbullying. A significant three-way interaction between gender, sexual identity and bullying showed that bullying was associated with high levels of UWCB among sexual minority males. Discussion: Our study highlights the role of victimization in health behaviors for stigmatized groups, and the importance of school efforts to implement an equitable and safe learning environment for all students

Relational variables and psychological well-being in lesbian, gay, bisexual and transgender elders: A critical review

Only recently the psychological literature started paying more attention to lesbian, gay, bisexual and transgender (LGBT) elders, partly because of the methodological challenges that characterise the study of this population. This paper aims to research in depth the relational life of older LGBT adults and its impact on several fundamental processes such as coming-out and isolation, which in turn influence psychological well-being and physical health. When it comes to LGBT elderly, one of the main risk factors concerns the invisibility and marginalization in dealing with social and health care. On the other hand, the presence of a social support and care network is an important protective factor

Queer generativity in lesbian, gay, and bisexual older adults: Personal, relational, and political/social behaviours

Lesbian, gay, and bisexual (LGB) older adults may have had the opportunity to reflect on and process stressful life experiences, and they may be more inclined to practice queer generative behaviours aimed at strengthening sexual minority identities and supporting the sexual minority community. The present study explored the unique patterns of generativity practiced by 27 Italian LGB older adults (60 years and older) through semi-structured interviews. Using a constructive grounded theory approach, we identified three main forms of queer generativity: (a) personal, involving the reception of generativity from others, the redefinition of religious values, and adjustment to parenting styles according to one's LGB identity, motivated by a desire for personal growth; (b) relational, involving the provision of resources and the pursuit of a career that supports the LGBT+ community, motivated by a desire to care for others; and (c) political/social, involving the creation of new LGBT+ contexts and the transmission of knowledge and experiences to younger LGBT+ persons and allies, motivated by a desire to fight for LGBT+ rights. Queer generativity emerged as a community resilience strategy practiced by LGB older adults to cope with heterosexist and/or ageist social contexts. Implications for policy and community practice are discussed. Please refer to the Supplementary Material section to find this article's Community and Social Impact Statement

Well-being in a group of deaf adults: Sexual orientation and perception of deafness as a disability

This research aims to investigate the impact of sexual orientation and perception of deafness as disability on deaf people's well-being. 47 deaf adults (28 women and 19 men), of whom 21 self-identified as lesbian women or gay man, participated in the study. Translation videos in sign language were produced for the entire survey (instructions, items and answers), while also maintaining written Italian for deaf people who do not use sign language. In line with literature, perceiving deafness as a characteristic, rather than a pathology, is associated with greater levels of life satisfaction. Sexual orientation does not seem to influence levels of loneliness, social avoidance, and life satisfaction