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Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Case Study
The article presents a mental health intervention for LGBTQ+ youth delivered by telehealth. This article describes the application of a Cognitive Behavioral Therapy (CBT) approach through an online telehealth program called AFFIRM. The affirm approach covered 8 group sessions focusing on youth LGBTQ+ populations and included a brief case study highlighting the approach and feedback from one individual. Though the case study discussed in this article is brief, the Affirmative CBT model has been addressed in other studies and was found to reduce depression, mental health risks, and increase coping skills.The intervention may be useful to bridge access gaps presented by COVID-19.
Best Practices that show evidence of effectiveness in improving public health outcomes when implemented in multiple real-life settings, as indicated by achievement of aims consistent with the objectives of the activities.
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Case Study
This article summarizes the approach taken by Florida CBO the Contigo Fund, which created two relief funds to address structural inequities among the LGBTQ+ and Black communities. These funds were used to provide grants to other organizations that support these communities and direct small grants to applicants.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Summary Report/Recommendations
This article presents recommendations for planning and implementing high-quality sexual orientation and gender identity data collection in primary care settings in order to address disparities and care for people within this minority population.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Peer Review Study
This study seeks to examine the impact of incarceration on the health of sexual and gender minority populations using publicly accessible, representative health datasets from 2010 to 2020. The study reveals a lack of diverse gender minority data that could address how this population is impacted on large levels.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Peer Review Study
This study utilized an online survey to gain insight into perceptions of COVID-19 testing, vaccinations, and symptoms. The results found disparities in vaccination and prevention interest amongst LGBT individuals, specifically Black and Latino communities, in specific categories.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Summary Report/Recommendations
This article provides insight and recommendations into how providers and healthcare systems can address the disproportionate impact of COVID-19 on sexual and gender minority groups by ensuring equitable treatment. Sexual and gender minority populations are an underserved and marginalized demographic that could be affected disproportionately by the social, psychological, financial, physiological, and mental health impacts of COVID-19. The authors provide steps for equitable treatment by healthcare staff, which include: (1) maintain and increase cultural responsiveness training and preparedness for SGM populations, (2) increase use of sexual orientation and gender identity measures in surveillance, (3) conduct research on the impacts of COVID-19 on SGM populations, and (4) include equity-focused initiatives in disaster preparedness plans. These actions toward equity would begin to allow for our current health system to care more appropriately for SGM populations.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
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Peer Review Study
The objectives of the study were to describe patterns of COVID-19 testing among LGBTQ+ people and to differentiate rates of COVID-19 testing and test results by sociodemographic characteristics. Participants completed an internet-based survey from May through July 2020 that assessed COVID-19 testing and test results and sociodemographic characteristics. Data were analyzed on receipt and results of PCR and antibody testing for COVID-19 in relation to sociodemographic characteristics. The study confirms the need to create COVID-19 public health messaging and programming that attend to LGBTQ+ populations.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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White Paper/Brief
The paper outlines the work of the Gender Harmony Project, which has developed a gender-inclusive Health Level Seven International (HL7) logical model: the HL7 Gender Harmony Model. The Gender Harmony Model is a logical model that provides a standardized approach that is both backwards-compatible and an improvement to the meaningful capture of gender identity, recorded sex or recorded gender, sex for clinical use, the name to use, and pronouns that are affirmative and inclusive of gender-marginalized people. The Gender Harmony Project was formed to create more inclusive health information exchange standards to enable a safer, higher-quality, and embracing healthcare experience. The Gender Harmony Model provides the informative guidance for standards for developers to implement a more thorough technical design that improves the narrow binary design used in many legacy clinical systems.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Summary Report/Recommendations
To begin bridging the gap in knowledge about COVID-19 risk among sexual minority adults, the Centers for Disease Control and Prevention examined disparities between sexual minority and heterosexual adults in the prevalence of underlying conditions with strong or mixed evidence of associations with severe COVID-19-related illness, by using data from the 2017–2019 Behavioral Risk Factor Surveillance System (BRFSS). Collecting data on sexual orientation in COVID-19 surveillance and other studies would improve knowledge about disparities in infection and adverse outcomes by sexual orientation, thereby informing more equitable responses to the pandemic.