13 research outputs found

    Mental healthcare for young and adolescent LGBTQ+ individuals in the Indian subcontinent

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    The coronavirus disease (COVID-19) pandemic has led to a significant change in the way healthcare is dispensed. During the pandemic, healthcare inequities were experienced by various sections of society, based on gender, ethnicity, and socioeconomic status. The LGBTQ individuals were also affected by this inequity. There is a lack of information on this topic especially in the developing countries. Hence this issue requires further exploration and understanding. Previous literature briefly explored the mental, physical, and emotional turmoil faced by the LGBTQ community on a regular basis. They feared rejection by family and friends, bullying, physical assault, and religious biases. These issues prevented them from publicly speaking about their sexual orientation thereby making it difficult to collect reliable data. Although they require medical and psychological treatment, they are afraid to ask for help and access healthcare and mental health services. Being mindful of these difficulties, this article explores the various underlying causes of the mental health problems faced by LGBTQ individuals, especially, in the Indian subcontinent. The article also examines the status of healthcare services available to Indian sexual minorities and provides recommendations about possible remedial measures to ensure the well-being of LGBTQ individuals

    Gender Equity in Academic Medicine

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    Health insurance coverage among farmworkers in California before and after the introduction of the Affordable Care Act (ACA): A mixed methods study

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    Abstract Background: Previous studies have found that although health insurance coverage expanded for farmworkers after the introduction of the Patient Protection and Affordable Care Act (ACA), coverage levels were lower than the general population. California recently introduced policies to expand coverage for previously excluded undocumented workers. This study examines the impact of the ACA on insurance coverage for farmworkers and identifies barriers to further expansion.Methods: A mixed methods approach was utilized. Weighted statistical analyses were conducted on the National Agriculture Worker Survey (NAWS) data for 2011-12, 2015-16 and 2017-18 to study health insurance coverage before and after the introduction of the ACA. Qualitative interviews were conducted with growers, healthcare providers and community-based organizations to examine ACA related changes in health insurance for farmworkers.Results: The ACA led to doubling of health insurance coverage for farmworkers in California (32.0%: 2011-12 to 64.8%: 2017-18), with higher rates for documented (43.0%: 2011-12: to 77.7%: 2017-18) than undocumented workers (2011-12: 26.0% to 2017-18: 46.8%), which were lower than rates for non-agricultural workers (73%). Barriers to obtaining coverage include the high cost of insurance for growers, high deductibles and copays for farmworkers and distrust of government agencies.Conclusions: While the ACA led to significant improvements in health insurance coverage for farmworkers in CA, significant barriers remain for farmworkers seeking to obtain insurance and for growers seeking to provide coverage.Policy Implications: States should consider funding a farmworker specific Medicaid program to provide health insurance coverage and care coordination across counties and states

    The social media Infodemic of health-related misinformation and technical solutions

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    This paper discusses the role of social media algorithms in the spread of misinformation during the COVID-19 pandemic. It aims to propose solutions to combat misinformation and promote accurate, evidence-based public health information.</p
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