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Article Reference Troff document (with manpage macros)Reconsidering Approaches to Estimating Health Disparities Across Multiple Measures of Sexual Orientation
Purpose:  We propose a new theoretically grounded approach for estimating sexual orientation-related health risk that accounts for the unique and shared variance of sexual identity across other measures of sexual orientation (i.e., attraction and behavior). We argue and illustrate that this approach provides specificity not demonstrated by approaches that independently estimate and compare health risk based on sexual identity, attraction, and behavior. Methods:  Data were from the National Epidemiologic Survey on Alcohol and Related Conditions-III, collected in 2012–2013 (N = 36,309, ages 18 and older). The Karlson-Holm-Breen method tested the degree to which attraction- and behavior-based disparities in mental health and substance use disorders change after adjusting for sexual identity. Results:  Sexual attraction- and behavior-based disparities in mental health and substance use disorders statistically varied when comparing models that did and did not adjust for sexual identity. Adjusting for sexual identity appeared to have a larger influence on attraction- and behavior-based health associations among men; sexual minority and majority differences were attenuated on nearly every outcome after adjusting for sexual identity. This attenuation was less common among women. Among women, some behavior-based disparities were wider in sexual identity-adjusted models relative to unadjusted models. Conclusion:  We demonstrate more accurate approaches to capturing and comparing sexual orientation-related health disparities across multiple measures of sexual orientation, which account for the shared variance between sexual identity and measures of attraction and behavior. Adjusted estimates provide more specificity regarding relative health risk across specific subgroups of sexual minority people, and the intervention and prevention strategies needed to address them.
Located in MPRC People / Jessica N Fish, Ph.D. / Jessica N Fish Publications
Article Reference Troff document (with manpage macros)Creating Supportive Environments for LGBT Older Adults: An Efficacy Evaluation of Staff Training in a Senior Living Facility
Supportive housing later in life tends to be a key concern for lesbian, gay, bisexual, and transgender (LGBT) elders. Most senior care providers are un(der)prepared to meet the needs of older LGBT adults. This study evaluated the efficacy of a 4 h, face-to-face, research-based, LGBT-diversity training designed to improve senior housing facility staff’s cultural competency regarding the needs of LGBT elders. Findings from this study found a significant increase in LGBT content knowledge between pre- and post-intervention assessments and a significant decrease in perceived preparedness when working with LGBT elders. These effects remained significant after controlling for staff designation, religion, educational attainment, and training session. Findings suggest that staff’s cultural competence affected their perceived readiness to address LGBT elders’ needs. Implications are related to the concept of cultural humility or the lifelong process of understanding others’ experiences based on the recognition of lack of un(der)preparedness to create a culturally supportive residential environment.
Located in MPRC People / Jessica N Fish, Ph.D. / Jessica N Fish Publications
Sonalde Desai cited in report on India survey differences
Detailing women's work changes employment perspective
Located in News
New York Times Article quotes Kearney in discussion of child care and opening the economy
Child care key to economy re-opening
Located in News
Person C headerSandra Hofferth, Ph.D.
Located in MPRC People
Journal Club Meeting with Monica Caudillo
How does the personal become political? Assessing the impact of mothers' employment on daughters' participation in political organizations
Located in Coming Up
Seminar: Anna Haskins - Cornell University
Schools as Surveilling Institutions? Paternal Incarceration, System Avoidance, and Parental Involvement in Schooling
Located in Coming Up
Seminar: Jim Raymo - University of Wisconsin
Women’s education and marriage in Japan: Insights into Social Change (and Stability)
Located in Coming Up
SPH Study Explores Maternal Experience of IPV in Young Children in Tanzania
Natalie Slopen and colleagues published a new study exploring the health implications of intimate partner violence on children
Located in Research / Selected Research
More Women Opting to Give Birth Outside of a Hospital
Data shows rate of births at home and in birth centers reaches highest level in 30 years; demand may actually be greater
Located in Research / Selected Research