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Aim Background Methods Findings Conclusion Implications for nursing and nursing policy To explore factors associated with Taiwanese nurse educators’ behaviour or intention to teach lesbian, gay, bisexual and transgender (LGBT) health content.Nurse educators were found to have limited experiences and readiness to teach LGBT health content. However, limited evidence exists to comprehensively understand factors associated with nurse educators’ behaviour and intentions to teach LGBT health content.A qualitative descriptive study design was adopted. A total of 24 nurse educators were interviewed. One‐on‐one interviews were conducted employing a semi‐structured topic guide and were audio‐recorded. Interview data were analysed using the socio‐ecological model and constant comparative technique. This article was reported according to the Consolidated Criteria for Reporting Qualitative Research checklist.Most nurse educators had no experience of teaching LGBT health content and expressed their low or no intention to teach it. Factors associated with nurse educators’ behaviour and intention to teach LGBT content were categorised by the socio‐ecological model level: intrapersonal factors, interpersonal factors, community factors and societal and policy factors.This study identified multilevel factors associated with Taiwanese nurse educators’ behaviour and intention to teach LGBT health content. Recommendations were provided to address multilevel barriers to diminish nurse educators’ challenges in teaching LGBT health content.Supervisors of nurse educators should assess and discuss nurse educators’ concerns and competencies regarding teaching LGBT health content. To address schools’ or organisations’ adverse climates and conventional societal atmosphere, related policies and regulations should be developed and implemented. [ABSTRACT FROM AUTHOR]

Aims: The aim of the study was to explore plans, considerations and factors influencing long‐term care among older sexual minority (SM) women. Design: Qualitative interview study. Methods: Semi‐structured in‐depth interviews were conducted with 37 older Taiwanese SM women between May and September 2019. This study analysed interview data using a socio‐ecological model and constant comparative analysis. Results: The most frequently reported long‐term care plans were housing and institutions, private medical or long‐term care insurance, financial planning and medical decisions. Factors associated with women's long‐term care plans were categorized using the socio‐ecological model level: (1) intrapersonal factors: current physical and mental health status, ageing signs and women's attitudes towards ageing; (2) interpersonal‐level factors: receiving support from partners, child(ren), siblings or significant others, concerns about being a caregiver for parents and worries regarding social isolation; (3) community‐level factors: receiving support from lesbian, gay, bisexual and transgender (LGBT) organizations; private lesbian online groups; or religious groups; (4) societal‐level factors: concerns about negative social environments, concerns about the healthcare system and healthcare providers, inappropriate policies and insufficient resources. Conclusion: This study identified multi‐level factors related to long‐term care plans and concerns among older Taiwanese SM women. Recommendations for nurses, managers of long‐term care and healthcare settings, policymakers, and governments have been provided to diminish health disparities and reduce anxiety among older SM women. Impact: This study assists nurses in understanding older SM women's long‐term care concerns and worries when accessing long‐term care and healthcare services and helps nurses provide SM‐sensitive services and care for women. Patient or Public Contribution: SM older women were recruited from LGBT organizations, LGBT‐friendly bookstores, restaurants, coffee shops and LGBT online chatrooms using purposive and snowball sampling. [ABSTRACT FROM AUTHOR]

Background: A good classroom environment can promote students' learning motivation and affect their academic efficacy and adaptation. This study compares the perceptions of Taiwanese middle school students regarding actual and preferred classroom environments and explores the association with sex and grade level. Methods: Data were collected using cross-sectional research design from a national sample of 1932 middle school students. Data of 1897 valid questionnaires from the Chinese Elementary and Middle School Inventory of Classroom Environment were analyzed. Results: The actual and preferred classroom environments perceived by students differed significantly (p?

This study examined the effects of a school-based drug use prevention programme for middle-school students in Taiwan. The curriculum consisted of 10 lessons and 4 homework assignments involving parent-child activities. A quasi-experimental design was used. The study was conducted in an urban middle-school located in Taipei city and in a middle-school located in a rural area in Taoyuan county. A total of 327 middle-school students in the intervention group and 314 students in the comparison group successfully participated in the baseline (September 2011) and follow-up surveys (November 2011). A mixed-model approach was used to examine the effects. Multivariate analysis results indicated that the school-based drug-prevention programme increased the students' drug-related knowledge, drug-prevention attitudes, enhanced life skills, and improved perceived parental involvement in the prevention of drug use. The results of this study endorse the implementation of school-based drug use prevention programmes that include parent-child activities to enhance youth drug-prevention knowledge, attitudes, and life skills.

The purpose of this study was to examine the association of cigarette smoking and 2 indicators of psychosocial distress (hopelessness and loneliness) among adolescents from 2 distinctly different regions of the world: Central-Eastern Europe (Hungary, Ukraine, Slovakia, Czech Republic, Romania, Poland) and Southeast Asia (Thailand, Taiwan, and the Philippines). Among Southeast Asian boys and girls, smokers had elevated hopelessness in comparison to nonsmokers but among Central-Eastern European students, this relationship was true only for girls and there was no relationship for boys. Across the country samples, there was only association of smoking with loneliness among Southeast Asian girls and Central-Eastern European girls. While Southeast Asian girls who smoked scored higher on loneliness than nonsmokers, the opposite was true among Central-Eastern European girls, with smokers scoring "lower" on loneliness. (Contains 5 tables.)

The aim of this study was to assess the level of suicide attempts in three school-based samples of Southeast Asian adolescents (Taipei, Taiwan; the Philippines; Chiang Mai, Thailand) and determine whether adolescent suicide attempters score higher on measures of hopelessness and loneliness relative to nonattempters. It was hypothesized that hopelessness and loneliness would be related to suicide attempts, and that hopelessness would continue to be associated with suicide attempts when controlling for loneliness. The prevalence of suicide attempts across the three samples of Asian youth were not consistent with Taiwanese girls and boys as the most likely to have ever attempted suicide. As expected, results showed that suicide attempters (in past 12 months and ever) scored higher on hopelessness and loneliness than nonattempters across all three samples and for both genders. However, the statistical control of loneliness demonstrably weakened the association between suicide attempt behaviour and hopelessness across the samples and for both genders, and resulted in nonsignificant ANCOVA tests for some of the sample-gender groups. These results attest to the need for more research investigating connections between youth suicide attempts, hopelessness and loneliness in adolescent populations. Loneliness should be included as a potential determinant of youth suicidal behaviour in future research. (Contains 5 tables.)

This study compared consistency of age- and gender-specific self-reported height and weight and calculated body mass index among a sample of high school students in Taipei County, Taiwan to reference values for Taiwanese school-aged youth obtained through national studies. Taipei high school students provided self-reports of height and weight that were similar to national reference values. Use of self-reported height and weight in this sample appeared warranted and may reliably be used to calculate aggregate indices of body mass, overweight, and obesity. This study compared prevalence of overweight and obesity in the current sample with other adolescent populations using international criteria (International TaskForce on Obesity). Using these criteria, 17.6% of boys and 9.4% of girls met the definition of overweight and 3.7% of boys and 1.6% of girls met the definition of obesity. While use of self-reported height and weight appears justified in this sample, researchers should not assume self-report measures will always be accurate. Researchers considering use of self-reported height and weight should compare their results to normative reference values when possible to increase confidence in using self-report measures of height and weight.

An additional affiliation is missing for the first author. Chun-Yin Hou is also affiliated with the Department of Health Promotion and Health Education, National Taiwan Normal University, Taipei, Taiwan.By Chun-Yin Hou; Ru Rutherford; Hsi Chang; Fong-Ching Chang; Liu Shumei; Chiung-Hui Chiu; Ping-Hung Chen; Jeng-Tung Chiang; Nae-Fang Miao; Hung-Yi Chuang and Chie-Chien TsengReported by Author; Author; Author; Author; Author; Author; Author; Author; Author; Author; Author [Extracted from the article]

Purpose: To examine suicide attempts and the influencing factors among Taiwanese lesbian, gay, bisexual, and transgender (LGBT) adults during the 2018 Taiwanese referendum on same‐sex issues. Research design and methods: The 2018 Taiwanese referendum was held on November 24. A cross‐sectional online survey was conducted between October 2018 and February 2019. A total of 1012 self‐identified LGBT adults were included in the final sample. Results: Among the 1012 Taiwanese LGBT adults, the rates of suicide attempts ranged from 9.1% to 24.4%. A younger age, being a student, having low income, having mental health issues, and having a high level of depressive symptoms were associated with a significantly higher risk of suicide attempts in the participants. Conversely, having a postgraduate degree, having high self‐esteem, and perceiving support from friends and family were associated with a lower risk of suicide attempts. Conclusion: This is the first study to investigate suicide attempts among LGBT individuals and the influencing factors within the context of a same‐sex marriage referendum in an Asian country. The results of this study demonstrate the importance of suicide prevention measures for the LGBT community, particularly during times of increased social stress and conflict between social groups with diverse sexual and gender identities. Clinical relevance: The results of this study suggest that nurses' and health‐care providers' sensitivity toward LGBT patients and their knowledge and skills in providing culturally competent care are key factors in suicide prevention for LGBT adults. Therefore, nurses and health‐care providers must be provided with training courses on culturally competent care. [ABSTRACT FROM AUTHOR]

This study compared consistency of age- and gender-specific self-reported height and weight and calculated body mass index among a sample of high school students in Taipei County, Taiwan to reference values for Taiwanese school-aged youth obtained through national studies. Taipei high school students provided self-reports of height and weight that were similar to national reference values. Use of self-reported height and weight in this sample appeared warranted and may reliably be used to calculate aggregate indices of body mass, overweight, and obesity. This study compared prevalence of overweight and obesity in the current sample with other adolescent populations using international criteria (International TaskForce on Obesity). Using these criteria, 17.6% of boys and 9.4% of girls met the definition of overweight and 3.7% of boys and 1.6% of girls met the definition of obesity. While use of self-reported height and weight appears justified in this sample, researchers should not assume self-report measures will always be accurate. Researchers considering use of self-reported height and weight should compare their results to normative reference values when possible to increase confidence in using self-report measures of height and weight., Body weight represents a major issue, not only in the United States and other Western nations, but in other areas of the world, including Asia. Overweight and obesity are widespread [...]

Accessible summary: What is known on the subject?: Sexual minority individuals are more likely to experience depressive disorders than heterosexual individuals.Factors associated with depressive symptoms among sexual minority individuals have been explored and examined; however, there is a limited evidence to understand the factors among sexual minority women in non‐western countries. What the paper adds to existing knowledge?: To the best our knowledge, this is the first study examining internalized homophobia, self‐esteem, social support and depressive symptoms among sexual minority women in Taiwan.Sexual minority women at risk of having depressive symptoms had a higher level of internalized homophobia, lower self‐esteem and fewer support from partners, friends, and families.Specifically, being single, being a student and having a higher personal income increased the risk of having depressive symptoms among sexual minority women. What are the implications for practice?: Mental health practitioners and nurses should be aware of and assess sexual minority women's level of internalized homophobia, self‐esteem, and received social support to reduce the risk of depressive symptoms and thus help prevent suicidal ideation.LGBT sex education and government involvement are essential to buffer the negative influences of a homophobic society on the mental health of sexual minority women. Introduction: Sexual minority women are more likely to report depressive symptoms than sexual minority men. However, there is a lack of evidence to understand factors associated with depressive symptoms among sexual minority women in non‐western countries. Aim: This study examined internalized homophobia, self‐esteem, social support and depressive symptoms among Taiwanese sexual minority women. Method: A total of 581 Taiwanese sexual minority women (Age range 20–48 years old, Mean 26.96, SD 5.718) completed an online survey. Results: Taiwanese sexual minority women at risk of having depressive symptoms had a higher level of internalized homophobia and lower self‐esteem. Perceived support from participants' partners, friends and families was related to lower risk of depressive symptoms. Being single, being a student and having a higher personal income were also found to increase the risk of having depressive symptoms among the women. Discussion: Mental health interventions are essential for sexual minority women with internalized homophobia and low self‐esteem. Implications for Practice: Mental health practitioners and nurses should be aware of and assess the concerns that sexual minority women have regarding healthcare services and provide culturally competent care to reduce the risk of depressive symptoms. [ABSTRACT FROM AUTHOR]