The gay bowel syndrome: a mon problem of homosexual patients the emergency partment - PubMed

Contents:

• KEV MAXEN BE FIRST MALE ACH A US MEN’S PROFSNAL SPORTS LEAGUE TO PUBLICLY E OUT AS GAY
• THE GAY BOWEL SYNDROME: A MON PROBLEM OF HOMOSEXUAL PATIENTS THE EMERGENCY PARTMENT
• GAY MENTAL HEALTH: MENTAL HEALTH ISSU FACG GAY MEN
• GAY AND BISEXUAL MEN'S HEALTH ISSU
• PEOPLE WHO ARE GAY, LBIAN OR BI HAVE MORE MENTAL HEALTH AND SUBSTANCE E PROBLEMS, SURVEY FDS
• JACKSONVILLE JAGUARS ASSISTANT COACH KEV MAXEN MAK HISTORY AFTER COMG OUT AS GAY
• GAY AND BISEXUAL MEN'S HEALTH
• SEXUAL PROBLEMS AFFECTG GAY MEN
• WHEN GAY MEN GET PROSTATE CANCER
• WHEN TO PROSTATE NCER, 'GAY MEN ARE ERASED,' PATIENTS SAY
• GAY BOWEL SYNDROME

KEV MAXEN BE FIRST MALE ACH A US MEN’S PROFSNAL SPORTS LEAGUE TO PUBLICLY E OUT AS GAY

Per Outsports, Maxen is the “first publicly out male ach a major Amerin men’s pro sports league, ” wh WNBA ach Curt Miller, who publicly me out to the media as gay 2015, also a publicly out male ach an Amerin profsnal sports league. Bisexual men are perceived to sound more mascule than men who are straight, acrdg to a study of Atralian subjects.Amics at the Universy of Sydney pared the voic of gay, straight and bisexual men a study volvg 160 people.In the rearch led by clil psychologist Jam Morandi, people were reced to analyse the voic of 60 men, 20 of whom were gay, 20 straight and 20 bisexual.

THE GAY BOWEL SYNDROME: A MON PROBLEM OF HOMOSEXUAL PATIENTS THE EMERGENCY PARTMENT

They were then asked to rate the men on their sexual orientatn g a sle om zero (exclively heterosexual) to 10 (exclively homosexual).Listeners were also asked to rate each man’s perceived level of femy or masculy the voic on a siar sle.The men volved the study were asked to rerd themselv on a smartphone recg the first two l of the Atralian natnal anthem.Voice sampl were then modified to remove any background noise while volume levels were ma the same to ensure nsistency.Rults om the study showed listeners uld distguish between gay and straight men’s voic wh an accuracy of 62 per cent, apparently nsistent wh prev rearch.However, the study participants uld not terme any differenc between bisexual and straight men’s voic wh any gree of accuracy.

GAY MENTAL HEALTH: MENTAL HEALTH ISSU FACG GAY MEN

The thors said their rearch showed bisexual men’s voic were perceived as beg more exclively attracted to women pared wh both gay and straight men’s voic.Bisexual men’s voic were rated as more mascule than both gay and straight men’s voic.Rearchers claimed the abily to intify a man’s bisexual inty om his voice alone uld have cril social implitns such as helpg to rce feelgs of alienatn.‘Voice may unter visibily many bisexuals feel’An abstract of the study, tled Can listeners tect if a man is bisexual om his voice alone, reads: “The prent study examed whether bisexual men n be intified om their voic ak to how gay men n be intified on their voice alone.“If this is the se, voice may be an important target of discrimatn on the one hand but may also unter the visibily many bisexuals feel (if their bisexual inti n be apprehend by their voice alone, whout explic disclosure required).“The fdgs may also she light on whether bisexual male voic, like gay male voic, differ om straight voic terms of their genr non-nformy – a qutn that to date has not been examed.”But amics noted the rearch was limed on the grounds all men who participated the study are Atralian, which may not be reflected among wir cultur.And the thors nced the study did not ntrol for the rerdg environment or microphone-to-mouth distance, which uld have affected the qualy of the voice sampl.The thors said the fdgs suggted that while the voic of bisexual men the sample were perceived as more mascule and attracted to femal, listeners did not associate this imprsn wh bisexualy.As a rult, while bisexual men may appear to be at lower risk of facg voice-based intifitn and discrimatn than gay men, they may often be mistaken as beg straight.The study was published the Journal of Sex Rearch. -- Jaguars assistant strength and ndng ach Kev Maxen has bee the first male ach major Amerin men's profsnal sports to publicly e out as gay, tellg he ma the cisn bee he didn't want to hi who he is any longer and to possibly spire others siar suatns.It's a cisn and move that drew praise and support om owner Shad Khan, who was a vol and emphatic supporter of a cy ordance that expand protectns on the grounds of sexual orientatn, genr inty and genr exprsn."I don't want to feel like I have to thk about anymore," Maxen said the piece published Thursday afternoon. Although neher of our fantasi was fulfilled by the enunter, we end up havg an tertg nversatn about homosexualy, a topic the fellow was studyg graduate school, wh an obv personal vtment, and the topic of a paper I’d wrten my unrgraduate psychology class.

But studi by Michael Bailey, my own lleagu, and other rearchers repeatedly fd that homosexual men are most attracted to men their late teens and early twenti, and they don’t re much about stat, stead prrizg physil attractivens.

All this suggts that the old “social learng” theori don’t apply well to homosexual preferenc—if so, gay guys would learn om media and the social environment what mak for an attractive man, and go after the same featur that women fd attractive. Homosexual men are famoly promiscuo, a fact that beme well-known wh the onset of AIDS, when studi of gay men who were HIV-posive revealed average numbers of partners the hundreds (and even though gay men who were HIV negative had much lower numbers, the average for them was still dramatilly higher than the average numbers for heterosexual men).

GAY AND BISEXUAL MEN'S HEALTH ISSU

Homosexual men are cled toward promiscuy, attracted to youth and good looks, and unrg about stat—hence many of the sexual swch homosexual men are set the same posn as they are heterosexual men—if gay guys were straight, their preferenc would lead them to pick fertile femal. The majory of MSM [men who have sex wh men] are highly rilient and able to pe succsfully wh many negative life strsors, such as those associated wh homophobia and discrimatn;"1 however, this don't mean that there aren't specific gay mental health challeng.

There are a few optns for gay men and bisexual men same-sex relatnships who aspire to have children, cludg surrogacy, where sperm is ed to fertilize a donated egg, which is then rried to term by a surrogate mother.

Dpe creasg acceptance of the LGBTQ+ muny, at least some circl, adults who intify as gay, lbian or bisexual are more likely than those who intify as straight to have ser thoughts of suici and mental health ndns cludg major prsive episos, and they are more likely to mise substanc like alhol or dgs, acrdg to a new US ernment report. However, gay, bi and straight men seemed to have siar substance e patterns: There was no difference smokg between straight and gay mal, for example, and the rate of bge and heavy drkg the month before they took the survey was the same among gay, bi and straight men. “LGBT dividuals experience addnal strs as a rult of discrimatn and stigma, stigma both at the societal level but also the way that livg a society that privileg heterosexualy that has homophobic laws and polici to sort of teach LGB people even to view themselv as ferr, ” Kidd said.

PEOPLE WHO ARE GAY, LBIAN OR BI HAVE MORE MENTAL HEALTH AND SUBSTANCE E PROBLEMS, SURVEY FDS

“For stance, you n image beg environments that might be validatg of people who have gay and lbian inti but might eher not regnize bisexual inty – so they are sort of visible that space – or might be really validatg of dividuals wh bisexual inty, even while the environment is affirmg or at least a ltle more ntral to folks who are gay or lbian, ” Kidd said.

As gay people mt ci on a daily basis whether to reveal and to whom they will reveal, g out is a procs that never the jargon of ntemporary homosexual culture, those who hi their sexual inti are referred to as eher closeted or said to be the closet. While regnizg their homosexual feelgs, the dividuals reject the feelgs and, spe the low odds of succs, may even seek to change their sexual orientatn (Shidlo et al., 2001) above classifitn of homosexual inti privileg the role of self-fn. Clil prentatns of closeted gay people may lie somewhere severy between selective attentn--most monly seen the se of homosexually self-aware patients thkg about "the possibily" that they might be gay--to more severe dissociatn-- which any ht of same-sex feelgs ris totally out of nsc awarens.

More severe forms of dissociatn are monly observed married men who are homosexually self-aware but nnot perm the thought of themselv as gay (Roughton, 2002) and the ClosetSome closeted gay people n reflexively speak whout revealg the genr of the person beg discsed or whout providg any genred tails of their personal liv. Transparency, visibily, losg one's voice, and beg stuck behd walls or other barriers are some of the terms ed to scribe the subjective experience of dissociative tachment (Drcher, 1998) Closet and Gay-BashgFor some gay men, "Hidg and passg as heterosexual be a lifelong moral hatred of the self; a maze of rptns, petty li, and half tths that spoil social relatns fay and iendship" (Herdt and Boxer, 1993).

JACKSONVILLE JAGUARS ASSISTANT COACH KEV MAXEN MAK HISTORY AFTER COMG OUT AS GAY

Herdt and Boxer (1993) classified g out as a rual procs of passage that requir a gay person to 1) unlearn the prcipl of natural or sentialist heterosexualy; 2) unlearn the stereotyp of homosexualy; and 3) learn the ways of the lbian and gay culture they are enterg. After makg such a move, gay people may pletely (and perhaps dissociatively) sever relatnships wh their past Therapist's RoleA therapist's regnn and rpect for dividual differenc allows multiple possibili the g out procs. It is a prerequise of this work that therapists be able to accept their patients' homosexualy as a normal variatn of human sexualy, and that they value and rpect same-sex feelgs and behavrs as well (Drcher, 1998).

Conversely, the same is te if a patient cis not to e the social stigma, the severy of antihomosexual attus the culture and the difficulti associated wh revealg one's sexual inty, why would a gay person e out at all? Mental health unselg and support groups that are sensive to the needs of gay and bisexual men n be pecially eful if you are g to terms wh your sexual orientatn or are experiencg prsn, anxiety, or other mental health problems.

GAY AND BISEXUAL MEN'S HEALTH

While many gay, bisexual, and other men who have sex wh men may not seek re om a mental health provir bee of a fear of discrimatn or homophobia, is important to keep this as an optn and to fd a provir that is tstworthy and patible.

Though the ter landspe has changed sce his diagnosis 2003, Rose's experience is still reprentative of the lack of awarens and rearch surroundg how prostate ncer may affect gay men differently than straight men.

Much of the fundg for rearchg diseas that may affect gay men has been funneled toward HIV; and some of the gay men who may have gotten prostate ncer – which is more mon wh age – died of AIDS and therefore are theoretilly missg om the data, says Simon Rosser, a profsor and director of the HIV/STI Interventn and Preventn Studi at the Universy of Mnota School of Public Health.

SEXUAL PROBLEMS AFFECTG GAY MEN

Sce more gay and bisexual men are htg high-risk ag for prostate ncer the days, he says, "'s gog to bee a bigger issue for gay and bisexual men the next , and no doc on the pla n practice evince-based medice" sce there is no strong evince base. Not that there's been an easy way to study the populatn; surveillance data ncer rearch isn't typilly nducted by sexual orientatn, adds Rosser, who's recg participants for the first treatment study on gay and bisexual men wh prostate ncer.

It don't matter if you're gay or straight, " says Michael Hoyt, an associate psychology profsor at Hunter College New York whose rearch based on a small foc group of gay prostate ncer survivors will soon be published. " Other Battl Some Gay Men Wh Prostate Cancer FaceWhile gay men seem to have about the same rat of prostate ncer as men general – makg the most diagnosed ncer among all men, acrdg to the Centers for Disease Control and Preventn – a review nducted by Rosser and lleagu suggts that gay survivors have poorer sexual functng and lower qualy of life. But for many gay men, workg wh a provir who knows and honors their sexual orientatn is important part bee more often than straight men, "sex, at some pot has been a cril part of their personal story, " Hoyt one participant his study, for example, who felt that his provirs' failure to acknowledge his sexualy was a blow to who he was as a person – and a patient.

"Havg to fight battl and then havg a sexual self that you’ve fought for" should be acknowledged, he told the rearch a practil, medil standpot, too, unrstandg a patient's sexualy is important bee while all prostate ncer survivors have some sexual si effects om treatment, ankly, gay sex is different om straight sex – and treatment optns should be discsed acrdgly.

WHEN GAY MEN GET PROSTATE CANCER

For example, erectile dysfunctn is a mon si effect of both radiatn and surgery to treat prostrate ncer – and n affect gay men's sex liv differently sce "they need firmer erectns for peratn" than they'd need for vagal terurse, Wtmann says. " But support om the gay muny is cril for men wh prostate ncer, pecially nsirg some of them have been rejected by their own fay members or geographic muni for their sexual orientatn, Hoyt and others have reported. But the unique challeng facg gay and bisexual men wh prostate ncer have largely gone who have sex wh men (MSM) are ls likely to get regular prostate ncer screengs, and those who are diagnosed are ls likely to have faial and social support, acrdg to rearch ced by the Natnal Instut of Health.

Brass’ said his sexual functn was relatively good, but stead he stggled wh ntence for weeks — g as many as ne “pads” a day and stayg wh yards of a bathroom at all you’re gay and you go to a urologist who hasn’t alt wh gay men, they’ll tell you, 'Brg your wife wh you. '"He joed a prostate ncer support group specifilly for gay and bisexual men at Mount Sai Hospal Manhattan, one of several anized by the natnal advocy anizatn wh other queer men “allowed to be very open about our feelgs — and our sexualy — and to be empathetic wh each other, ” Brass said. “The medil muny say, ‘We don’t want to ask olr heterosexual men qutns that might upset them, ’" Simon Rosser, an LGBTQ health specialist and -thor of "Gay and Bisexual Men Livg Wh Prostate Cancer, " told NBC Rosser, PhD, MPH, is a profsor at the Universy of Mnota School of Public Health.

Universy of MnotaA profsor at the Universy of Mnota School of Public Health, Rosser has received a $3 ln grant om the Natnal Cancer Instute to put together the first prehensive rehabilatn program specifilly for gay and bisexual men wh prostate ncer. Gettg the disease, ironilly, is somethg of a luxury for a gay men of Brass’ age: Too many had their liv cut short by the AIDS epimic long before they’d typilly be diagnosed (the average age for a prostate ncer diagnosis is 66) the advent of lifavg antiretroviral dgs the mid-1990s, though, gay men are fally reachg their goln years. Purpose of Review: This article aims to review the term 'gay bowel syndrome', cludg the recent rearch lookg at creased rat of bowel fectns men who have sex wh men (MSM), particularly light of the recent Shigella outbreaks MSM London and New York, and nsirs whether 'gay bowel syndrome' is a syndrome that really exists and is worthy of further rearch and specific treatment, or whether the term ntu to be obsolete and not eful.

WHEN TO PROSTATE NCER, 'GAY MEN ARE ERASED,' PATIENTS SAY

Bartlett which stated that gay bowel syndrome is a signifint issue regards HIV fectn (In 2004, the Johns Hopks HIV Gui webse also featured a lerature review article about gay bowel syndrome by the John G. Sohn and JG Robilotti Jr., who were among the thors of the prevly ced article the Annals of Clil and Laboratory Science wrote the Amerin Journal of Gastroenterology regardg gay bowel syndrome that "It is important to regnize homosexual patients and the ndns to which they are predisposed.

GAY BOWEL SYNDROME

Glen Hastgs and Richard Weber 1993 wrote the followg regardg gay bowel syndrome the peer reviewed medil journal Amerin Fay Physician: "The 1980s brought a regnn of gay bowel disease and s siari to flammatory bowel disease. Michael Heller's medil journal article the Annals of Emergency Medice entled The Gay Bowel Syndrome: A Common Problem of Homosexual Patients the Emergency stat regardg gay bowel syndrome the followg: "Frequently and promiscuy of sexual terurse is probably a major risk factor. A September 2010 report of the Centers for Disease Control and Preventn (CDC) clared: "Gay, bisexual, and other men who have sex wh men (MSM) reprent approximately 2% of the US populatn, yet are the populatn most severely affected by HIV and are the only risk group which new HIV fectns have been creasg steadily sce the early 1990s.

The feral Centers for Disease Control and Preventn (CDC) says homosexual men acunted for 65 percent of the nearly 12, 000 s of syphilis the Uned Stat 2007, makg them the “primary driver” of creased syphilis rat overall. In rpect to homosexualy and gonorrhea, Concerned Women of Ameri issued an article entled Health and Homosexualy which stated the followg: "In a study published by the Canadian Medil Associatn Journal 1991, '...

[51] In Augt of 2007, the Norweigan medil journal Tidsskrift for n Norske laegeforeng stated that LGV has been a rare ndn the wtern world but sce 2004 there have been equent reports om larger ci Europe and the Uned Stat and the outbreaks have been limed homosexual men. Histolyti fectn almost exclively afflicted middle-aged mal the big ci of Japan, that a majory of the patients were probably exposed to the ative anism durg homosexual activy, and that an creasg number of patients will be -fected wh HIV.