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Tag: LGBTQ Issues

  • Study finds higher risk of sleep problems in gay, lesbian, and bisexual youth

    Study finds higher risk of sleep problems in gay, lesbian, and bisexual youth

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    Newswise — Toronto, ON – A new national study, published in LGBT Health, finds that lesbian, gay, and bisexual (LGB) youth are twice as likely to report trouble falling or staying asleep than their straight peers. Greater depression, stress, and family conflict contribute to the sleep problems of LGB youth.

    “Young people who identify as lesbian, gay, or bisexual may face discrimination and negative attitudes because of their sexual orientation. These experiences can make it harder for them to get a good night’s sleep,” says lead author, Jason Nagata, MD, assistant professor of pediatrics at the University of California, San Francisco. “Difficulties getting along with family, feeling sad and hopeless, and being under a lot of pressure could all make it hard for lesbian, gay, and bisexual youth to sleep well.”

    The researchers analyzed data from 8563 youth ages 10-14 years old who are part of the Adolescent Brain Cognitive Development Study, the largest long-term study of brain development and child health in the United States. Data were collected from 2018-2020. The youth and their parents answered questions about their sleep habits and youth were asked about their sexual orientation. Youth who were questioning their sexuality (e.g., who replied “maybe” to being gay, lesbian, or bisexual) also had greater risk for sleep problems compared to their straight peers.

    “Families should provide support by being present and encouraging young people’s exploration of their identity and development of a sense of self,” said co-author, Kyle T. Ganson, PhD, assistant professor at the University of Toronto’s Factor-Inwentash Faculty of Social Work. “Adolescent development is a challenging time for many given the social pressures and physical, psychological, and emotional changes that occur. Understanding this process and being present to support it is crucial for positive health outcomes.”

    “Getting enough sleep is crucial for teenagers because it helps their body and mind grow and develop properly,” Nagata says. “To sleep well, teenagers should follow a consistent sleep routine, make sure their sleeping environment is comfortable, and avoid using electronic devices before going to bed.”

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    University of Toronto

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  • Study highlights challenges facing transgender and non-binary workers

    Study highlights challenges facing transgender and non-binary workers

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    Newswise — New research led by the University of East Anglia (UEA) highlights some of the challenges that transgender and non-binary staff can face at work.

    The study also shows how their experiences can help us to see ways in which the working context might be changed to create a more inclusive environment that is receptive to more diverse gender identities.

    For example, through the provision of non-gendered changing and bathroom spaces, and processes that enable people to complete forms and choose pronouns in line with their identity.

    While there are various examples of good practice and initiatives to make workplaces more inclusive, there is little research that tells the story of employees being trans at work.

    Trans workers are often subject to discrimination, harassment and violence, despite gender identity being a protected characteristic in many contexts.

    This new study, published today in the journal Work, Employment & Society, looks at how individual experiences combine with organisational culture, processes and working relationships to produce moments where diverse gender identities can be accepted or denied, which can be very damaging for trans workers.

    Lead author Dr David Watson, associate professor in organisational behaviour at UEA’s Norwich Business School, said: “Our findings are important because trans and non-binary people do not have a strong voice in all workplaces, and where they are not inclusive or welcoming this can lead to significant harms.”

    The research team, from UEA and the University of Valle d’Aosta in Italy, met with 11 Italian trans workers to hear their stories, which were then analysed to understand how their experiences challenged binary gender norms and how they could inform the transformation of workplaces so they become more inclusive, such as providing awareness training for staff that embeds an understanding of gender identity as fluid and constructed.

    “Our encounters convey some of the stigma and harms that trans workers can experience, however, we also heard about positive experiences,” said co-author associate professor Angelo Benozzo, from the University of Valle d’Aosta.

    “Departing from expected gender norms exposes individuals to vulnerabilities, although it may also prompt reflection on the nature of gender, thereby encouraging acceptance in the workplace and reducing vulnerability for others.”

    The study is based on an understanding of gender that sees gender identity as a something which is performative and potentially fluid rather than fixed and given. Where cultural expectations of what constitute ‘acceptable’ gender identities shape how people ‘do’ gender, for example through the way they dress.

    When the heterosexual model of gender is considered the default gender identity, this concept of heteronormativity reinforces gender binarism – the idea that society only has two genders, male and female – that heterosexuality is expected, and other gender identities are regarded as less intelligible or even acceptable.

    Dr Watson added: “The desirability of subverting gender norms depends on what those gender norms are, how they constrain or harm individuals and the potential consequences for those who challenge them.

    “Therefore, our research does not point to the need for trans workers themselves to subvert gender norms, but rather we need to challenge binary gender norms in the workplace to enable all individuals to freely express their gender identity.”

    ‘Trans people in the workplace: possibilities for subverting heteronormativity’ by David Watson, Angelo Benozzo and Roberta Fida, is published in Work, Employment & Society on March 17.

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    University of East Anglia

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  • UCLA Health tip sheet: Pesticides & Parkinson’s symptoms; Gender-affirming hormones improve mental health; Body composition & cardiovascular disease

    UCLA Health tip sheet: Pesticides & Parkinson’s symptoms; Gender-affirming hormones improve mental health; Body composition & cardiovascular disease

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    UCLA Health Tip Sheet Feb. 21, 2023

    Below is a brief roundup of news and story ideas from the experts at UCLA Health. For more information on these stories or for help on other stories, please contact us at [email protected].

    Body composition, not BMI, may signal risk for cardiovascular disease  Body mass index has long been a measure of a person’s risk of developing cardiovascular disease, but body composition and its role in the disease have not been well studied. In a new study, UCLA researchers predicted higher fat mass would be linked to higher levels of coronary artery calcification (CAC) — a marker of subclinical cardiovascular disease – and higher fat-free mass would be linked to lower levels of CAC. Using computed tomography scans and bioelectrical impedance analysis to study CAC and body composition in 3,129 non‐Hispanic Whites, Blacks, Hispanics, and Chinese patients, the researchers unexpectedly found that higher fat-free mass and, to a lesser extent, higher fat mass were linked to high levels of CAC. The researchers cautioned that bioelectrical impedance analysis could not identify the quality of fat or fat-free mass. Given these findings, the researchers say measuring body composition rather than using BMI to assess obesity may be a better approach to evaluating cardiovascular disease risk. Read the study published Feb. 8, 2023 in the Journal of the American Heart Association.

    Bariatric surgery reduces risks of hospitalization for heart failure Bariatric surgery has been found to reverse the ill effects of diabetes and may be protective against obesity-related cancers. Because obesity rates are on the rise across the globe, UCLA researchers set out to study other health benefits weight loss surgeries confer, in particular the link between the procedures and acute heart failure hospitalizations. After analyzing data from the Nationwide Readmissions Database from 2016 to 2019, the researchers found bariatric surgery was associated with lower odds of being hospitalized with acute heart failure. Among patients hospitalized with acute heart failure, prior bariatric surgery was associated with lower risks of death, prolonged ventilation, and acute renal failure. Beyond the health benefits, those who had undergone surgery stayed one fewer day in the hospital and incurred about $1,200 less in hospital costs compared to age matched cohorts. Read the study in Surgery for Obesity and Related Diseases. 

    Pesticides may also worsen Parkinson’s symptoms: While researchers have consistently found an association between pesticide exposure and higher risk of developing Parkinson’s disease, there has been little study of whether such exposure can accelerate the course of the disease. In a new study of 53 pesticides associated with Parkinson’s onset, researchers led by UCLA assistant professor of neurology Kimberly Paul, PhD, identified 10 pesticides that are associated with faster progression of motor and non-motor symptoms. Furthermore, exposure to six of those pesticides was associated with worsening of multiple endpoints researchers measured. Two pesticides, copper sulfate (pentahydrate) and MCPA (dimethylamine salt), were associated with all three endpoints measured: motor function, cognitive function, and depressive symptoms. Read the study in the journal Science of the Total Environment.

    Repurposing an old drug for a rare disease: A drug used to treat epilepsy, retigabine, may help manage episodic attacks of paralysis in patients with the rare inherited muscle disease Hypokalemic Periodic Paralysis (HypoPP), according to a new study that tested retigabine in genetically engineered mice. There’s a strong need to identify new HypoPP treatments since existing ones only improve symptoms in about half of patients and have considerable side effects. HypoPP is often marked by reduced potassium levels in the blood during episodes of muscle weakness. While it was known that retigabine affects a potassium channel that plays an important role in the heart and brain, the channel wasn’t previously known to exist in skeletal muscle. However, the new study led by Dr. Stephen C. Cannon, chair of the physiology department at the UCLA David Geffen School of Medicine, found that retigabine helps stabilize the membrane potential of skeletal muscle, thereby protecting against attacks of muscle weakness. Read the study, published online Jan. 30, in the journal Brain.

    Women treated with thrombectomy for pulmonary embolism fare worse A new study led by UCLA researchers analyzed the different outcomes in men and women with a pulmonary embolism who are treated by a percutaneous pulmonary artery thrombectomy- a procedure in which a catheter is placed in a patient’s lung to dissolve or remove a blood clot. After analysis of a national cohort of US patients from an inpatient claims-based database, researchers reported that women had higher rates of procedural bleeding, vascular complications, and needed more blood transfusions compared to men. They also found that women had higher in-hospital death rates and were more likely to go a nursing home or an assisted living facility instead of returning home after discharge. Given these disparities in outcomes, study authors are calling for more sex-based research. Read the study in the January 1, 2023 issue of CHEST. 

    A new clue about Parkinson’s progression The transmission of misfolded proteins in the brain is a key mechanism for the progression of various neurodegenerative diseases including Parkinson’s disease and Alzheimer’s disease. Chao Peng, PhD, an assistant professor of neurology, found a novel mechanism that regulates the transmission of one of these pathological proteins, misfolded alpha-synuclein, which leads to disease progression in Parkinson’s. This mechanism is the discovery that many modifications that a cell makes in these proteins alter their ability for transmission in the brain and disease progression. This discovery not only provides critical insights into disease mechanism but also facilitates the development of novel therapy for neurodegenerative diseases. Read the study, published Jan. 23, in Nature Neuroscience.

    Urban heat islands, redlining and kidney stones The persistent rise in kidney stone prevalence in recent decades has prompted much speculation as to the causes. There has been some discussion about the effect of heat on nephrolithiasis. A review of recent data suggests that heat may play a role in stone formation on a large scale and among African-Americans in particular. A new UCLA-led study led by Dr. Kymora B. Scotland states that African-Americans are the race/ancestry group with faster rates of increasing incidence and prevalence of kidney stones. Researchers also found that urban heat islands in the United States have resulted in part from the effects of redlining, a practice of systematic segregation and racism in housing that led to the development of neighborhoods with substantial disparities in environmental conditions. Dr. Scotland and her team hypothesize that the increased temperatures experienced by residents in redlined communities, many of whom are African American may contribute to the 150% increase in the prevalence of kidney stones in African Americans in recent decades. Read the study in the January 1, 2023 issue of Current Opinion in Nephrology and Hypertension.

    Gender-affirming hormones tied to mental health for transgender youth Transgender and nonbinary teens who receive gender-affirming hormones experience improvement in body satisfaction, life satisfaction and less depression and anxiety than before treatment. These findings are according to newly-published research by a four-site prospective, observational study and co-authored by Marco A. Hidalgo, PhD. Dr. Hidalgo is a clinical psychologist and Associate Clinical Professor of Medicine at the David Geffen School of Medicine at UCLA. Read the study published January 19, 2023 in the New England Journal of Medicine.

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    University of California, Los Angeles (UCLA), Health Sciences

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  • American University Experts Share Insights on 2nd Anniversary of January 6th Insurrection

    American University Experts Share Insights on 2nd Anniversary of January 6th Insurrection

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    What:  As we reach the 2nd anniversary of the January 6th insurrection, American University has various scholars who are experts in extremism, far-right ideologies, white supremacy, militias and organized political violence. Below please find their insights on last year and their outlook for 2023. They are also available to comment on the January 6th hearings and the anniversary.

    When: Thursday, January 5, 2022 – ongoing

    Background:  American University experts who are available for interviews are:

    Kurt Braddock is an Assistant Professor of Public Communication in the School of Communication. His research focuses on the persuasive strategies used by violent extremist groups to recruit and radicalize audiences targeted by their propaganda. He is the author of Weaponized Words: The Strategic Role of Persuasion in Violent Radicalization and Counter-Radicalization.

    2022 saw an intensification of far-right extremism in the United States, with motivations for violence evolving as the year progressed. In parallel with increased rhetoric by some far-right politicians and pundits about so-called “grooming”, attacks against LGBTQIA+ individuals grew over the course of the year. I expect this trend to continue through at least the first part of 2023, as some far-right politicians and pundits show no signs of abating their rhetoric in this regard. 

    White supremacy, white nationalism, and related topics are also likely to continue being key motivators of political violence, as communication surrounding these topics — by both extremists and some elected officials — shows no signs of abating. As these trends continue, I expect we will see continued — and possibly increasing — incidents of lone-actor plots and attacks against those they perceive as viable targets (e.g., the attack on Paul Pelosi).”


    Carolyn Gallaher
    is an expert on extremism and the right-wing, organized violence by non-state actors and urban politics, including the politics, internal dynamics, and patterns of violence of militias, paramilitaries, and private military contractors, among others. Gallaher is the author of On the Fault Line: Race, Class, and the American Patriot Movement.

    Prof. Gallaher said: “In 2022, the January 6th Committee revealed how President Donald Trump inspired a failed insurrection that almost toppled 245 years of American democracy. Much of 2022 was spent on holding insurrectionists and other participants to account. The Department of Justice has arrested more than 900 people who participated in the assault and recently successfully prosecuted several members of the violent Oathkeepers militia, including two for seditious conspiracy. As 2023 begins, Trump’s star may be growing dimmer, but right-wing conspiracy theories, online disinformation, and a distressing lack of trust in the basic institutions of democracy continue apace. In particular, it will be important to see whether the Republican Party will reject those within its ranks who have embrace election disinformation and spread false claims about the so-called ‘deep state.’  The fate of the party, and American democracy may hinge on whether the party embraces or rejects right wing extremists within its ranks.”  


    Brian Hughes
    is the Co-Founder and Associate Director of the Polarization and Extremism Research and Innovation Lab (PERIL), where he develops studies and interventions to reduce the risk of radicalization to extremism. His scholarly research explores the impact of communication technology on political and religious extremism, terrorism, and fringe culture.

    Prof. Hughes said: “2022 saw a troubling continuation of ongoing trends in the radicalization of mainstream American politics. Anti-LGBTQ violence and antisemitism were on the rise, while racism, male supremacy, and other forms of extremism have not abated. Unfortunately, these trends are spurred on and exploited for profit and power by a large cohort of media and political figures. It is even more crucial that in 2023 we continue our work inoculating the public against their divisive, hateful, and manipulative rhetoric.”


    Janice Iwama
    is an assistant professor in AU’s School of Public Affairs. Her research focuses on examining local conditions and social processes that influence hate crimes, gun violence, racial profiling, and the victimization of immigrants. Iwama has served as a co-principal investigator and lead researcher in projects funded by the Department of Justice Civil Rights Unit and the National Institute of Justice.

    Prof. Iwama said: “Following the recent spike in hate crimes, I expect federal and state legislators to introduce new legislation in 2023 that will actively seek to improve our data collection on hate crimes, develop better preventative measures against bias incidents, and improve law enforcement responses to hate crimes.”

     

    About American University

    American University leverages the power and purpose of scholarship, learning, and community to impact our changing world. From sustainability to social justice to the sciences, AU’s faculty, students, staff, and alumni are changemakers. Building on our 129-year history of education and research in the public interest, we say ‘Challenge Accepted’ to addressing the world’s pressing issues. Our Change Can’t Wait comprehensive campaign creates transformative educational opportunities, advances research with impact, and builds stronger communities.

     

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    American University

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  • New Equitable Giving Lab will provide insights into equity and funding gaps for under-represented populations

    New Equitable Giving Lab will provide insights into equity and funding gaps for under-represented populations

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    Newswise — The Indiana University Lilly Family School of Philanthropy at IUPUI is creating a new digital resource, The Equitable Giving Lab, that will bring an equity lens to philanthropy by measuring funding for under-resourced groups. The Equitable Giving Lab will address the current lack of centralized data on charitable giving to diverse communities and is made possible through anchor funding from Google.org.

    The Lab will provide information about charitable giving to nonprofits focused on the LGBTQ+, BIPOC, military veteran, and women’s and girls’ communities. It will be the first resource to measure charitable contributions from individuals, foundations, and corporations to these organizations, including trends over time.

    The Equitable Giving Lab will be a one-stop source for high-quality, publicly available data about charitable giving to organizations focused on each of these under-resourced communities. It will help nonprofits, journalists, researchers and the public understand giving patterns to these organizations. The Lab will also better equip donors and funders who want to prioritize equity and inclusion with data to inform effective strategies and to create greater impact.

    “The Equitable Giving Lab will serve as the gold standard for understanding the current funding landscape and where gaps exist. The COVID-19 pandemic, along with the movement for racial justice, brought renewed attention to vast disparities among diverse populations. Measuring the scale of under-investment in specific communities is the next step needed to better align resources with society’s most urgent needs,” said Una Osili, Ph.D., Associate Dean for Research and International Programs and Dean’s Fellow for the Mays Family Institute on Diverse Philanthropy, both at the school.

    The Women & Girls Index (WGI)—the first comprehensive index that measures charitable giving to women’s and girls’ organizations in the United States—was created in 2019 by the Women’s Philanthropy Institute, part of the Lilly Family School of Philanthropy, and is updated annually. The WGI will serve as the model for creating and updating similar indices for the LGBTQ+ community, racial and ethnic groups, and military veterans over the next few years, and will be incorporated into the Equitable Giving Lab. In addition to informing practice, data from the indices will help scholars of nonprofits and philanthropy apply an equity lens to their research.

    “While there is growing awareness of the equity gaps in philanthropy, there is a significant lack of research on this topic,” said Amir Pasic, Ph.D., the Eugene R. Tempel Dean of the school. “Most philanthropy data is in aggregate form; the Equitable Giving Lab will bring a more nuanced lens to this information. We thank Google.org for supporting this advancement in understanding and addressing these equity gaps.”

    “The expertise needed to analyze and share high-quality, longitudinal data can be costly and time-consuming, and only a handful of organizations have the requisite interest and skill,” said Andrew Dunckelman, Head of Impact and Insights at Google.org. “We are impressed by the Lilly Family School of Philanthropy’s research accomplishments, especially their development of the Women & Girls Index, and we are pleased to support this important innovation in measuring charitable giving to these communities.”

    Community leaders and sector experts will be recruited to provide insights on research and development of the Lab and the individual indices.     

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    Indiana University

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  • Keck Medicine of USC launches Gender-Affirming Care Program

    Keck Medicine of USC launches Gender-Affirming Care Program

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    Newswise — LOS ANGELES — When Bridget, 57, moved from the East Coast to Los Angeles, she sought health care to maintain and monitor her hormone therapy. 

    She was quickly disappointed. One provider admitted they knew nothing about transgender health, and another labeled her transgender status as a “medical problem.” 

    She then discovered the Keck Medicine of USC Gender-Affirming Care Program and met with Laura Taylor, MD, a Keck Medicine family medicine specialist and medical director of the program. Taylor has been Bridget’s primary care doctor ever since.

    As Bridget experienced, transgender people often face barriers to equitable health care. According to a 2021 study from the Center for American Progress, one in three transgender adults said they had to teach their doctors about transgender health to receive appropriate care. Nearly one-half reported having negative or discriminatory experiences with a health care provider. 

    To address the many health care disparities faced by transgender individuals, Keck Medicine has launched the Gender-Affirming Care Program to meet the comprehensive needs of the transgender, nonbinary and gender-diverse community. Services include everything from routine health care, such as preventive cancer screenings, yearly checkups and flu shots, to gender-affirming hormone therapy and surgery.  

    The program is comprised of physicians from several disciplines including family medicine, plastic surgery, gynecology, urology and otolaryngology. Specialists in voice, occupational and physical therapy are also available to patients.

    A nurse navigator coordinates care with the providers to ensure patients receive seamless specialized treatment. The physicians and program staff have collectively received more than 600 hours of gender-affirming sensitivity and inclusivity training.

    “Our program brings together a multidisciplinary group of physicians across specialties to address the specialized needs of this underserved population,” said Taylor. “We’re proud to offer a full range of health care services in a safe and supportive environment.”

    Another key aspect of the Gender-Affirming Care Program is that it was designed with input from the local transgender community.

    “Due to historic marginalization of the transgender population, some within the community view medical providers with distrust,” said Roberto Travieso, MD, surgical director of the program. “It was important to make our local community part of the process as we built the program.”

    As part of its outreach, Keck Medicine partnered with The [email protected] Coalition, the largest trans-led nonprofit organization in Los Angeles that advocates for the needs of transgender, gender non-conforming and intersex immigrants across the country.

    This collaboration helps Keck Medicine establish a strong foundation within the transgender community and provides ongoing feedback on how the program can best serve patients.

    The Gender-Affirming Care Program was in development for several years, but came to full fruition with the arrival of Taylor and Travieso to Keck Medicine, respectively in 2020 and 2021. Taylor is trained in LGBTQ+ health care and Travieso is fellowship-trained in gender-affirming surgery.

    The program leaders hope to hire and train more gender-affirming practitioners, build more mental health services into care and foster additional community partnerships.

    Meanwhile, for patients like Bridget, the Gender-Affirming Care Program is a gift.

    “I am doing really well under Dr. Taylor’s care, and feeling happy and healthy,” she said.

    ###

    For more information about Keck Medicine of USC, please visit news.KeckMedicine.org.

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    Keck Medicine of USC

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  • How a GOP Congress Could Roll Back Nationwide Freedoms

    How a GOP Congress Could Roll Back Nationwide Freedoms

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    If Republicans win control of one or both congressional chambers this week, they will likely begin a project that could reshape the nation’s political and legal landscape: imposing on blue states the rollback of civil rights and liberties that has rapidly advanced through red states since 2021.

    Over the past two years, the 23 states where Republicans hold unified control of the governorship and state legislature have approved the most aggressive wave of socially conservative legislation in modern times. In highly polarizing battles across the country, GOP-controlled states have passed laws imposing new restrictions on voting, banning or limiting access to abortion, retrenching LGBTQ rights, removing licensing and training requirements for concealed carry of firearms, and censoring how public-school teachers (and in some cases university professors and even private employers) can talk about race, gender, and sexual orientation.

    With much less attention, Republicans in the U.S. House and Senate have introduced legislation to write each of these red-state initiatives into federal law. The practical effect of these proposals would be to require blue states to live under the restrictive social policies that have burned through red states since President Joe Biden’s victory in 2020. “I think the days of fealty [to states’ rights] are nearing an end, and we are going to see the national Republicans in Congress adopting maximalist policy approaches,” Peter Ambler, the executive director of Giffords, a group that advocates for stricter gun control, told me.

    None of the proposals to nationalize the red-state social agenda could become law any time soon. Even if Republicans were to win both congressional chambers, they would not have the votes to overcome the inevitable Biden vetoes. Nor would Republicans, even if they controlled both chambers, have any incentive to consider repealing the Senate filibuster to pass this agenda until they know they have a president who would sign the resulting bills into law—something they can’t achieve before the 2024 election.

    But if Republicans triumph this week, the next two years could nonetheless become a crucial period in formulating a strategy to nationalize the red-state social-policy revolution. Particularly if Republicans win the House, they seem certain to explore which of these ideas can attract enough support in their caucus to clear the chamber. And the 2024 Republican presidential candidates are also likely to test GOP primary voters’ appetite for writing conservative social priorities into national law. Embracing such initiatives “may prove irresistible for a lot of folks trying to capture” the party’s socially conservative wing, Patrick Brown, a fellow at the conservative Ethics and Public Policy Center, told me.

    It starts with abortion. Senator Lindsey Graham of South Carolina in September introduced a bill that would ban the procedure nationwide after 15 weeks of pregnancy. In the House, 167 Republicans have co-sponsored the “Life Begins at Conception Act,” which many legal analysts say would effectively ban all abortions nationwide.

    In elections, Senator Rick Scott of Florida has proposed legislation that would impose for federal elections nationwide many of the voting restrictions that have rapidly diffused across red states, including tougher voter-identification requirements, a ban on both unmonitored drop boxes and the counting of any mail ballots received after Election Day, and a prohibition on same-day and automatic voter registration.

    In education, Senator Tom Cotton of Arkansas has proposed to federalize restrictions on how teachers can talk about race by barring any K–12 school that receives federal money from using “critical race theory” in instruction. Several Republicans (including Senator Josh Hawley of Missouri) have introduced a “Parents’ Bill of Rights,” which would mandate parental access to school curriculum and library materials nationwide—a step toward building pressure for the kind of book bans spreading through conservative states and school districts. Nadine Farid Johnson, the Washington director for PEN America, a free-speech advocacy group, predicts that these GOP proposals “chipping away” at free speech are likely to expand beyond school settings into other areas affecting the general population, such as public libraries or private companies’ training policies. “This is not something that is likely to stop at the current arena, but to go much more broadly,” she told me.

    Representative Mike Johnson of Louisiana, along with several dozen co-sponsors, recently introduced a federal version of the “Don’t Say Gay” legislation that Governor Ron DeSantis of Florida pushed into law. Johnson’s bill is especially sweeping in its scope. It bars discussion of “sexually-oriented material,” including sexual orientation, with children 10 and younger, not only in educational settings, but in any program funded by the federal government, including through public libraries, hospitals, and national parks. The language is so comprehensive that it might even prevent “any federal law enforcement talking to a kid about a sexual assault or sexual abuse,” David Stacy, the government-affairs director at the Human Rights Campaign, an LGBTQ advocacy group, told me.

    Johnson’s bill is only one of several Republican proposals to nationalize red-state actions on LGBTQ issues. During budget debates in both 2021 and 2022, Republican senators offered  amendments to establish a nationwide ban on transgender girls participating in school sports. Representative Marjorie Taylor Greene of Georgia has introduced a bill (the “Protect Children’s Innocence Act”) that would set felony penalties for doctors who provide gender-affirming care to minors. Cotton, in a variation on the theme, has proposed to allow any minor who receives gender-affirming surgery to sue the doctor for physical or emotional damages for the next 30 years.

    Meanwhile, Senator Steve Daines and Representative Richard Hudson of North Carolina have introduced legislation requiring every state to accept a concealed-carry gun permit issued in any state—a mechanism for overriding blue-state limits on these permits. When Republicans controlled the House, they passed such a bill in 2017, but the implications of this idea have grown even more stark since then because so many red states have passed laws allowing residents to obtain concealed-carry permits without any background checks or training requirements.

    Ambler told me he expects that the NRA and congressional Republicans will eventually seek not only to preempt blue states and city limits on who can carry guns, but also to invalidate their restrictions on where they can do so, such as the New York State law, now facing legal challenge, barring guns from the subway.

    Brown, of the conservative EPPC, said it’s difficult to predict which of these proposals will gather the most momentum if Republicans win back one or both chambers. Some congressional Republicans, he said, may still be constrained by traditional GOP arguments favoring federalism. The strongest case for contravening that principle, he said, is in those instances that involve protecting what he calls “fundamental rights.” Graham’s national 15-week abortion ban can be justified on those grounds because “we are talking about, from my perspective, the life of an unborn baby, so having a federal ceiling on when states can’t encroach on protecting that fetus in the womb in the later stage of pregnancy makes a lot of sense to me.”

    In practice, though, Brown thinks that congressional Republicans may hesitate about passing a nationwide abortion ban, particularly with no hope of Biden signing it into law. He believes they are more likely to coalesce first around proposals to bar transgender girls from participating in sports and to prohibit gender-affirming surgery for minors, in part because those issues have proved “so galvanizing” for cultural conservatives in red states.

    Stacy, from the Human Rights Campaign, said that although Senate Republicans may be less enthusiastic about pursuing legislation restricting transgender rights, he hasn’t ruled out the possibility of a GOP-controlled Congress advancing those ideas. “It’s hard to know how far a Republican majority in either chamber would go on these issues,” he told me. “But what we’ve seen again and again in the states is that when they can, they have moved in these directions. Even when you take a look at more moderate states, when they have the power to do these things, they move these things forward.” That precedent eventually may apply not just to LGBTQ issues, but to all the red-state initiatives some Republicans want to inscribe into national law.

    These approaching federal debates reframe the battle raging across the red states during the past few years as just the first act of what’s likely to become an extended struggle.

    This first act has played out largely within the framework of restoring states’ rights and local prerogatives. As I’ve written, the red-state moves on social issues amount to a systematic effort to reverse the “rights revolution” of the past six decades. Over that long period, the Supreme Court, Congress, and a succession of presidents nationalized more rights and reduced states’ leeway to abridge those rights, on issues including civil rights, contraception, abortion, and same-sex marriage.

    Now the red states have moved to reverse that long trajectory toward a stronger national floor of rights by setting their own rules on abortion, voting, LGBTQ issues, classroom censorship, and book bans, among other issues. In that cause, they have been crucially abetted by the Republican-appointed Supreme Court majority, which has struck down or weakened previously nationally guaranteed rights (including abortion and voting access).

    But the proliferation of these congressional-Republican proposals to write the red-state rules into federal law suggests that this reassertion of states’ rights was just a way station toward restoring common national standards of civil rights and liberties—only in a much more restrictive and conservative direction. “All of these things have been building for years,” Alvin Tillery, the director of the Center for the Study of Diversity and Democracy at Northwestern University, told me. “It’s just that Mr. Trump gave them the idea they can succeed being more [aggressive] in the advocacy of these policies.”

    Like many students of the red-state social-policy eruption, Tillery believes that Republicans and social conservatives feel enormous urgency to write their cultural priorities into law before liberal-leaning Millennials and Generation Z become the electorate’s dominant force later this decade. “The future ain’t bright for them looking at young people, so they are acting in a much more muscular and authoritarian way now,” he said.

    With Republicans likely to win control of the House, and possibly the Senate, the next two years may become the off-Broadway stage of testing different strategies for imposing the red-state social regime on blue America. The curtain on the main event will rise the next time Republicans hold unified control of the White House and Congress—a day that may seem less a distant possibility if the GOP makes gains as big as those that now seem possible this week.

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    Ronald Brownstein

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  • Endocrine Society Condemns Florida Ban on Gender-Affirming Care

    Endocrine Society Condemns Florida Ban on Gender-Affirming Care

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    Newswise — WASHINGTON—The Endocrine Society rebukes the Florida Board of Medicine’s decision to ban gender-affirming care for transgender and gender-diverse teenagers.

    We call on the Florida Board of Medicine to reverse the ban and allow physicians to provide evidence-based care and protect the lives of minors.

    The Florida ban is blatantly discriminatory and contradicts medical evidence followed by the Endocrine Society, the American Academy of Pediatrics, the American Medical Association, the American Psychological Association, the Pediatric Endocrine Society and other mainstream medical organizations.

    When an individual’s gender identity is not respected and they cannot access medical care, it can result in higher psychological problem scores and can raise the person’s risk of committing suicide or other acts of self-harm. Research has found denying access to puberty-delaying medication and/or hormone therapy raises the risk of suicidal ideation and self-harm.

    According to the Endocrine Society’s globally recognized evidence-based Clinical Practice Guidelines, only reversible treatments to delay puberty are recommended for adolescents.  Puberty-delaying medication is safe, reversible, and the conservative approach that gives teenagers and their families more time to explore their options. The same treatment has been used for decades to treat precocious puberty.

    Teenagers who continue to demonstrate gender incongruence and who demonstrate the ability to provide informed consent can be offered gender-affirming hormone therapy, which is partially reversible. The Florida Medicaid ban prevents teenagers from accessing these important treatment options.

    Medical evidence, not politics, should inform treatment decisions. The Endocrine Society submitted comments earlier this year during the abbreviated public comment period on the Board’s guidance on “treating gender dysphoria for children and adolescents, yet the Florida Board of Health opted to rely on controversial research that is not recognized by the mainstream medical community in crafting its ban on gender-affirming care. Consequently, the state blocked transgender residents from receiving gender-affirming care through Medicaid coverage.

    Twenty states have proposed legislation to limit access to care during the 2022 legislative session, according to Freedom for All Americans. The Endocrine Society is alarmed that misinformation about medical care recommended for transgender and gender-diverse adolescents is fueling efforts to limit access to gender-affirming care. The move by the Florida Board of Health to ban gender-affirming care based on a political agenda rather than on science sets a dangerous precedent for all health care decisions.

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    Endocrinologists are at the core of solving the most pressing health problems of our time, from diabetes and obesity to infertility, bone health, and hormone-related cancers. The Endocrine Society is the world’s oldest and largest organization of scientists devoted to hormone research and physicians who care for people with hormone-related conditions.

    The Society has more than 18,000 members, including scientists, physicians, educators, nurses and students in 122 countries. To learn more about the Society and the field of endocrinology, visit our site at www.endocrine.org. Follow us on Twitter at @TheEndoSociety and @EndoMedia.

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    Endocrine Society

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  • Socially Responsible Companies Laid Off More Workers Than Their Peers During the COVID-19 Pandemic

    Socially Responsible Companies Laid Off More Workers Than Their Peers During the COVID-19 Pandemic

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    Newswise — A good track record in corporate social responsibility (CSR) is not a guarantee that the company will continue to focus on CSR in times of crisis. According to a new study from the University of Vaasa, US companies with a history of high CSR laid off more employees during the COVID-19 pandemic than their peers.

    Doctoral candidate Veda Fatmy says that the high level of CSR may not be a good indicator of job security during economic crises, such as the financial and unemployment crisis brought on by the Covid-19 pandemic.
    – In fact, high-CSR firms were shown to have laid off significantly more employees in the U.S. in 2020. The number of laid-off workers was 1.5 times higher, says Fatmy, who defended her doctoral dissertation on Friday 4th of November.
    According to Fatmy, this phenomenon may be due to these companies’ higher resources and strategic agility, which improves the outcomes of complicated restructuring decisions.
    – This new finding serves also as a warning that CSR may not always benefit workers and other vulnerable stakeholders. Employees should remain cautious about the effectiveness of CSR. While social responsibility is meant to safeguard the well-being of the employees and the community at large, during crises these values may be left by the wayside in pursuit of short-term gains.

    Do companies and their employees benefit from CSR?
    Veda Fatmy’s doctoral dissertation focuses on contemporary CSR-related policies and how they shape stakeholders’ expectations, corporate behaviour, and financial outcomes.
    Companies with high levels of social responsibility are more likely to be inclusive and diverse, uphold a higher standard of transparency, and offer higher benefits and compensation. These features help attract highly skilled workers, which contributes to the competitive advantage of the firm. However, it is not a good idea to rely blindly on the company’s track record on corporate social responsibility.
    Fatmy has researched, whether CSR policies that support sexual minorities have an effect on the company’s financial performance. The results show that LGBTQ friendliness has a positive effect on the profitability and value of US companies. The doctoral study also finds that LGBTQ-friendly companies are more innovative and produce more useful patents than other companies.

    The positive effects of CSR are influenced by local socio-political factors
    Local values may influence how socially responsible activities affect the bottom line. According to the dissertation, the effect of progressive LGBTQ policies on profitability and market value was weaker or non-existent for US companies headquartered in politically or religiously conservative regions.
    Demographic and cultural factors not only transform the effects of CSR on firm performance but also help determine the extent to which a firm may engage in socially responsible practices. For instance, religiosity, factored in as both external influence from the community and internal firm culture, is positively associated with overall CSR. Specifically, firms that are more religious perform better at product responsibility, emissions reductions, and responsible use of resources.
    Fatmy’s doctoral research was conducted using a sample of publicly traded U.S. firms. The effects of LGBTQ-friendliness on firm performance are studied over the period 2003–2016, and on innovation over 2003–2017. Religiosity’s effect on CSR is studied over the period 2012–2020, and the effects of CSR on COVID-19 layoffs are studied using data from 2012–2020.

    Dissertation
    Fatmy, Veda (2022) Essays on Corporate Social Responsibility and its Efficacy in Value Creation. Acta Wasaensia 493. Doctoral dissertation. University of Vaasa.

    Public defence
    The public examination of M.Sc. Veda Fatmy’s doctoral dissertation”Essays on Corporate Social Responsibility and its Efficacy in Value Creation” was successfully held on Friday, 4th of November at noon at the University of Vaasa. Professor Markku Kaustia (Aalto University) acted as the opponent and Professor Sami Vähämaa as the custos.

    https://www.uwasa.fi/en/newshub/news/socially-responsible-companies-laid-more-workers-others-during-covid-19-pandemic

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  • Opioid abuse decreases during pandemic, yet higher rates persist for sexual minorities

    Opioid abuse decreases during pandemic, yet higher rates persist for sexual minorities

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    Newswise — NEW ORLEANS — Although opioid abuse in the U.S. is trending downward overall, it remains higher among non-heterosexuals than heterosexuals, according to an analysis of national survey data being presented at the ANESTHESIOLOGY® 2022 annual meeting.

    “This is the first analysis to look at the status of opioid abuse during COVID-19 in this population,” said Mario Moric, M.S., lead author of the research and a biostatistician at Rush University Medical Center, Chicago. “We thought the pandemic would prompt a spike in opioid abuse, but we are happy that this was not the case. However, the higher level of abuse among sexual minorities compared to heterosexuals is a concern. It underscores the need to focus on the risk factors and formulate strategies to reduce opioid abuse in this vulnerable population.”

    The researchers analyzed data collected through the annual National Survey on Drug Use and Health, which provides estimates of the prevalence of alcohol and drug use in the United States. More than 89,000 survey participants self-reported their sexual identity as heterosexual, homosexual or bisexual. The authors determined opioid abuse decreased between 2019 and 2020 among all three groups: from 3.5% to 3.2% for heterosexuals; 7.4% to 4.6% for homosexuals; and 10.3% to 7.6% for bisexuals. Overall, opioid abuse among adults 18 and older, regardless of sexual identity, declined by nearly 1 million, from 8 million adults in 2019 to 7.1 million adults in 2020.

    While opioid abuse went down, drug overdose deaths rose to an all-time high during the pandemic, according to the Centers for Disease Control and Prevention. 

    “We need to conduct more research to understand exactly why overdose deaths spiked during the pandemic,” Moric said. “It’s important to understand that our analysis measured the incidence of opioid abuse, and not the amount of consumption. It could be that while casual abuse declined, patients who tend to abuse opioids in higher amounts and more frequently used them at an even higher rate during the stress of the pandemic, increasing the rate of overdose deaths.”

    This analysis opens the door for future research to focus on identifying possible risk factors for these groups that will lead the development of programs aimed at reducing opioid abuse, the researchers noted. It also provides care teams with important insights that can impact their approach to treating vulnerable patient populations.

    “Clinicians need to be aware of the higher likelihood of recreational use of opioids among sexual minorities compared to non-LGBTQ populations,” Moric added. “With greater awareness of these disparities, we can foster a more compassionate understanding of these patients and provide the most appropriate care and education to address the issue and reduce the stigma.”

    THE AMERICAN SOCIETY OF ANESTHESIOLOGISTS

    Founded in 1905, the American Society of Anesthesiologists (ASA) is an educational, research and scientific society with more than 55,000 members organized to raise and maintain the standards of the medical practice of anesthesiology. ASA is committed to ensuring physician anesthesiologists evaluate and supervise the medical care of patients before, during and after surgery to provide the highest quality and safest care every patient deserves. 

    For more information on the field of anesthesiology, visit the American Society of Anesthesiologists online at asahq.org. To learn more about the role physician anesthesiologists play in ensuring patient safety, visit asahq.org/MadeforThisMoment. Join the ANESTHESIOLOGY® 2022 social conversation today. Like ASA on Facebook, follow ASALifeline on Twitter and use the hashtag #ANES22.

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    American Society of Anesthesiologists (ASA)

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