Search

The objective of this scoping review is to examine the empirical literature related to multimorbidity (2 or more chronic conditions) among lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) and identify gaps and priorities.

Supplemental material, sj-docx-1-wjn-10.1177_01939459221115152 for Associations between Paternal Co-residence and Child Health among African American Children by Veronica Barcelona, Ambre Flowers, Billy A. Caceres, Cindy A. Crusto and Jacquelyn Y. Taylor in Western Journal of Nursing Research

Supplemental material, sj-docx-1-wjn-10.1177_01939459221115152 for Associations between Paternal Co-residence and Child Health among African American Children by Veronica Barcelona, Ambre Flowers, Billy A. Caceres, Cindy A. Crusto and Jacquelyn Y. Taylor in Western Journal of Nursing Research

Supplemental Material, sj-pdf-1-jah-10.1177_0898264320983663 for Differences in Multimorbidity among Cisgender Sexual Minority and Heterosexual Adults: Investigating Differences across Age-Groups by Billy A. Caceres, Jasmine Travers and Yashika Sharma in Journal of Aging and Health

There is mounting evidence that lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ) adults experience disparities across several cardiovascular risk factors compared to their heterosexual and/or cisgender peers. These disparities are posited to be driven primarily by exposure to psychosocial stressors across the lifespan. This American Heart Association scientific statement reviews the extant literature on the cardiovascular health of LGBTQ adults. Informed by the minority stress and social ecological models, the objectives of this statement were to: 1) present a conceptual model to elucidate potential mechanisms underlying cardiovascular health disparities in LGBTQ adults, 2) identify research gaps, and 3) provide suggestions for improving cardiovascular research and care of LGBTQ people. Despite the identified methodological limitations, there is evidence that LGBTQ adults (particularly lesbian, bisexual, and transgender women) experience disparities across several cardiovascular health metrics. These disparities vary by race, sex, sexual orientation, and gender identity. Future research in this area should incorporate longitudinal designs, elucidate physiological mechanisms, assess social and clinical determinants of cardiovascular health, and identify potential targets for behavioral interventions. There is a need to develop and test interventions that address multi-level stressors that impact the cardiovascular health of LGBTQ adults. Content on LGBTQ health should be integrated in health professions curricula and continuing education for practicing clinicians. Advancing the cardiovascular health of LGBTQ adults requires a multi-faceted approach that includes stakeholders from multiple sectors to integrate best practices into health promotion and cardiovascular care of this population.

Elder mistreatment (EM) is a potentially fatal and largely unrecognised problem in the United States. The purpose of this study was to determine the prevalence of EM in busy clinics and specifically, we report on the feasibility of screening for EM as well as the appropriate instrumentation for screening.Prevalence estimates for elder mistreatment vary, but recent data from a national sample of community-residing adults over 60 years of age indicate that 11.4% of older adults report some form of elder mistreatment. There is a paucity of research related to screening in dental and medical clinics to understand the prevalence in such practice settings.A cross-sectional study was conducted from January 2008 to March 2009. We enrolled 241 patients at two clinics: a medical clinic (n = 102) and dental clinics (n = 139). A mini-mental status exam was conducted with a minimum of 18 or better for inclusion. An elder mistreatment screen was next used [elder assessment instrument (EAI-R) for medical and Hwalek-Sengstock elder abuse screening test (HS-EAST) for dental].For the 241 patients, we were able to compare data from the EAI-R with the HS-EAST. This pilot work demonstrates the feasibility of screening for EM in busy clinics since we documented patient enrolment of 20% in the medical clinics and 66% in dental clinics. Patients are willing to answer extremely-sensitive questions related to elder mistreatment and are also willing to use computer technology for interviewing.Dental and medical clinics are important practice venues to screen for elder mistreatment.