Copyright Alcohol Medical Scholars Program1 Alcohol Abuse and Dependence in Gay and Lesbian Populations Marty H. Hoiness M.D. Acting Instructor Department.

Slides:

Advertisements

Similar presentations

Unifying science, education and service to transform lives Module 12 Related Health Issues A Provider’s Introduction to Substance Abuse for Lesbian, Gay,

Advertisements

Clinical Issues With Bisexuals

SPECIAL POPULATIONS Key Considerations for Youth.

Background Internalized homophobia (IH) is often conceptualized as “a set of negative attitudes and affects toward homosexuality in others and toward homosexual.

Copyright Alcohol Medical Scholars Program1 SUBSTANCE USE DISORDERS AND THE FAMILY Donna L. Londino, M.D. Medical College of Georgia Alcohol Medical Scholars.

Nationals HIV/AIDS Strategy and how the mission of Women Accepting Responsibility, Inc. is helping to meet this goal. By She’kell Hutchinson Program Director,

Same-Sex HSDD A Comparison with Straight Couples.

Sexual Risk Behaviors of Self- identified and Behaviorally Bisexual HIV+ Men. By: Matt G. Mutchler, PhD; Miguel Chion, MD, MPH; Nancy Wongvipat, MPH; Lee.

HIV/AIDS and Substance Use Disorders Olivera J. Bogunovic, M.D. State University of New York at Buffalo Alcohol Medical Scholars Program.

HIV/AIDS and Young People: Risk and Protective Factors November 2010 Meera Beharry, MD Division of Adolescent Medicine University of Rochester Medical.

Unifying science, education and service to transform lives Module 10 Clinical Issues with Transgender Individuals A Provider’s Introduction to Substance.

Families With Same-Sex Parents Authored by Julia Berardelli ECE 7513 Family Characteristics Mini-Presesntation.

African Americans and HIV: CA Office of AIDS Response Michelle Roland, MD Chief, Office of AIDS California Department of Public Health.

IMPORTANCE OF PSYCHOSOCIAL CARE IN HIV

Bheki Sithole 30 Nov Sibayeni Lodge Most at Risk Behavior Populations (MSM): Feedback, Challenges and Experiences.

Abstract Liana Frey  Ann Gleason  Nikki Johnson  Jenna Laube  Crystal Schmitt  Kelsey Switters Women’s Studies  University of Wisconsin-Eau Claire.

Prepared by JoAnne M. Zboyan, Esq. Of Identifying and Assisting Clients and Colleagues with Major Medical Issues.

Centers for Disease Control and Prevention CDC Half-Year of Diagnosis** Number of Cases **Adjusted for reporting delay AIDS Cases in Racial/Ethnic Minorities*

1 Co-occurring Alcohol and Other Drug and Mental Health Conditions in Alcohol and other Drug Treatment Settings Session 6: Specific Population Groups.

Milwaukee Partnership to Respond to 2009 EPI AID Study in Milwaukee Brenda Coley Diverse and Resilient, Inc.

Unifying science, education and service to transform lives Module 11 Clinical Issues with Youth A Provider’s Introduction to Substance Abuse for Lesbian,

C OMORBIDITY. W HAT IS COMORBIDITY ? When two disorders or illnesses occur concurrently in the same person, they are called comorbid Drug abuse and other.

Unifying science, education and service to transform lives Module 8 Clinical Issues with Gay Male Clients A Provider’s Introduction to Substance Abuse.

Specific Aims  Revise the REMAS intervention to be more culturally relevant to African American and Hispanic Men (Phase 1).  Conduct a pilot feasibility.

CHAPTER 23: Neurological Disorders in Women. Introduction Gender differences exist in the development and expression of several neurological disorders,

STDs among Men who Have Sex with Men (MSM), San Francisco 2007—2010 STD Prevention and Control Services San Francisco Department of Public Health.

Chapter 14 Profiles of Culturally Competent Care with Women, Sexual Minorities, Elderly Persons, and Those with Disabilities Multicultural Social Work.

2008 Minnesota HIV/AIDS Surveillance Report - Key Trends Lorraine Teel- Executive Director.

HIV Services for Young People A Regional Perspective from the Caribbean Korey Chisholm UNAIDS Special Youth Fellow Guyana 2008.

ANDROMEDA TRANSCULTURAL HEALTH RICARDO GALBIS, M.D. Executive Director MAY 20, Decatur Street NW Washington, DC

HIV/AIDs Case Study Australia, New Zealand, Papua New Guinea.

HIV and African M S M in England: A new wave of Challenge. Presented by Adebisi Alimi.

Older Gay and Lesbian Couples Gerontology 410 Jan /2008.

SS440: Unit 8 Sexual and Gender Identity Disorders Dr. Angie Whalen 1.

STATE OF THE STATE SHELLEY LUCAS HIV/STD PREVENTION & CARE BRANCH DEPT OF STATE HEALTH SERVICES AUGUST 3, 2015.

HIV Care Continuum Persons Living With HIV, Georgia, 2012.

How Does Trauma contribute to Substance Abuse and HIV Infection Among Ethnic Women Gail E. Wyatt, Ph.D. Professor, UCLA Department of Psychiatry and Biobehavioral.

C hapter Eleven Gender and Human Sexuality © 2012 John Wiley & Sons, Inc. All rights reserved.

Unifying science, education and service to transform lives Module 7 Clinical Issues with Lesbians A Provider’s Introduction to Substance Abuse for Lesbian,

Majid Abdul Psychology Period 5.  A condition in which people act in a very emotional and dramatic way that draws attention to themselves.

Darrin Aiken – Program Coordinator Christopher Jackson – Prevention Training Specialist.

Gay? Bi-? Lesbian? Straight?.  Being straight, gay, or bisexual is not something that a person can choose or choose to change.  In fact, people don't.

Inequality Based on Sexual Orientation

Overview of the Adverse Childhood Experiences (ACE) Study Robert F. Anda, MD, MS ACE Study Co-Principal Investigator Co-Founder ACE Interface

Allie Lyman.  Incidence and Prevalence  Risk Factors and Barriers to Prevention  Prevention  Conclusion.

Human rights violations, discrimination and homophobia in Kenya; The experience of a HIV positive Kenyan sex worker and the work of a community-based support.

Sexual Orientation © Robert J. Atkins, Ph.D..

Sexuality Chapter Copyright 2004 by Delmar Learning, a division of Thomson Learning, Inc. Sexual Health  Ability to form developmentally appropriate.

Chapter Twelve Same-Gender Orientation and Behavior.

Sexual Orientation The Elusive Search for an Explanation.

Lori A. J. Scott-Sheldon, Ph.D. Centers for Behavioral and Preventive Medicine The Miriam Hospital and Department of Psychiatry and Human Behavior Alpert.

Sexual Orientation. Kinsey’s Continuum Seven point scale –0=Heterosexual –6=Homosexual Kinsey (%Homosexual) –2% of females –4% of males Recent NHSL survey.

Housing Status and HIV Risk Behaviors Among Homeless and Housed Persons with HIV in the United States The findings and conclusions in this presentation.

Collaborative Effort of HIV, Domestic Violence and Homeless Service Organizations to Develop Integrated Services as Strategy for HIV Risk Reduction for.

HIV in America What’s New in 2012 Christopher Hurt, MD Clinical Assistant Professor NC AIDS Education and Training Center 2012 HIV Update.

Background  Substance abusers are at risk for HIV and other STIs.  Anal intercourse (AI) is riskier than vaginal intercourse.  Studies of AI have focused.

Immunize Milwaukee! Membership The IM! Coalition is an organization of volunteers consisting of individuals and representatives of agencies, business,

AIDS/ HIV Majo Alonso y Paola Gómez.  Hiv infections are higher in women than in men  There is no cure for aids  Hiv can be transmited through kissing.

Kathleen J. Farkas, PhD Case Western Reserve University, Mandel School of Applied Social Sciences Laurie Drabble, PhD San Jose State University, School.

Chapter Six The Sexual Self: Close Relationships in Adolescence.

Substance Use and Aging

How does violence increase women’s vulnerability to HIV?

H azardous Drinking, Drinking Expectancies And Risky Sexual Behaviors In A Community Sample Of Adult Sexual Minority Women 33rd Annual Research.

Substance Use Disorders in People Living with HIV

Professor of Clinical Psychiatry

Sexual Orientations Copyright © 2017 Cengage Learning. All Rights Reserved.

Sexual Attitudes and Orientation

The Relationship between Recent Alcohol Use and Sexual Behaviors/STDs: Gender Differences among STD Clinic Patients Heidi E. Hutton PhD, Mary E. McCaul.

Reducing Heavy Drinking to Optimize HIV/AIDS Treatment and Prevention

North Carolina Medical Monitoring Project

Presentation transcript:

Copyright Alcohol Medical Scholars Program1 Alcohol Abuse and Dependence in Gay and Lesbian Populations Marty H. Hoiness M.D. Acting Instructor Department of Psychiatry & Behavioral Sciences University of Washington School of Medicine Harborview Medical Center

Copyright Alcohol Medical Scholars Program2 Alcohol Abuse and Dependence in Gay and Lesbian Populations FPrevalence Estimates FReasons for Possible Increased Prevalence FSubstance Abuse/Dependence and HIV FTreatment Recommendations

Copyright Alcohol Medical Scholars Program3 Prevalence Estimated to be approximately 30% in men True prevalence unknown Most studies have methodological errors Most studies have found greater prevalence compared to heterosexuals

Copyright Alcohol Medical Scholars Program4 Etiology of Increased Prevalence Biological Factors Societal / Cultural Factors Psychological Factors

Copyright Alcohol Medical Scholars Program5 Biological Factors Growing evidence that substance abuse / dependence and homosexuality have some genetic component

Copyright Alcohol Medical Scholars Program6 Societal / Cultural Factors Stigmata of homosexuality Homosexual culture is often focused around alcohol use with few alcohol-free social outlets Alcohol use allows individuals to experience their sexuality regardless of acceptance

Copyright Alcohol Medical Scholars Program7 Psychological Factors Internalized homophobia may cause psychological distress Many gay individuals have their first sexual experience under the influence of alcohol Self acceptance of homosexuality may be important in the treatment of alcohol abuse / dependence

Copyright Alcohol Medical Scholars Program8 Current Treatment Programs Less than 5% of individuals in treatment programs self-identified as homosexual Issues of gay and lesbian clients are rarely addressed in treatment programs Drug and alcohol programs report that they have relatively little knowledge of the special needs of gay and lesbian clients

Copyright Alcohol Medical Scholars Program9 HIV and Alcohol Alcohol intoxication may increase risky sexual behavior Men who don’t drink during sex are three times more likely to engage in safer sex Association between risky sex and alcohol has not been replicated in all studies

Copyright Alcohol Medical Scholars Program10 HIV and Alcohol Alcohol abuse / dependence leads to difficulties with adherence to HIV therapies Alcohol may increase the progression of HIV infection through immune suppression

Copyright Alcohol Medical Scholars Program11 Alcohol Problems in Lesbians Very few studies documenting prevalence Society focuses on men and neglects issues of women Few lesbian specific treatment centers

Copyright Alcohol Medical Scholars Program12 Alcoholics Anonymous Most cities have gay/lesbian AA meetings Clients may need to be reminded that AA is not specifically focused on religion Extending the powerlessness over alcohol concept to being powerless over being gay may be helpful

Copyright Alcohol Medical Scholars Program13 Recommendations Screen gay and lesbian clients for alcohol abuse and dependence Gay and lesbian individuals should be referred to gay and lesbian specific treatment centers Treatment should focus on acceptance of homosexuality

Copyright Alcohol Medical Scholars Program14 Summary Prevalence of alcohol problems may be elevated in gay and lesbian populations Multiple possible etiologies Current treatment program rarely address gay and lesbian issues

Copyright Alcohol Medical Scholars Program15 Summary HIV risk taking behaviors may be associated with alcohol use Lesbian clients may have special needs Treatment centers should address gay and lesbian issues