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LGBTQ Elders Are More Likely to Be Socially Isolated, Suffer from Dementia Than Straight Peers

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A new report by University of California San Francisco is making a big claim: LGBT people are at heightened risk of dementia. Additionally, LGBT elders are more likely to be socially isolated than their straight cisgender counterparts, and this social isolation can lead to more physical and mental health problems in comparison.

The new data was released at the 2019 Alzheimer’s Association International Conference (AAIC) in Los Angeles. Data was collected via mainly phone-based surveys across nine U.S. states. Approximately 44,000 adults aged 45 and older participated wherein roughly 3% of respondents identified themselves as a “sexual or gender minority.”

Another study presented at AAIC 2019 investigated the effectiveness of a first-of-its-kind Alzheimer’s intervention designed specifically to improve physical function and independence for LGBT older individuals with dementia and their caregivers.

The study, conducted by researchers at the University of Washington, showed the importance of tailored interventions and strong community partnerships in designing care for LGBT individuals.

“Much too little is known about Alzheimer’s disease and dementia in the LGBT community. In fact, the first data on the prevalence of dementia among sexual and gender minorities was reported only last year at AAIC 2018,” said Maria C. Carrillo, PhD, Alzheimer’s Association chief science officer.

“As expanding research efforts continue to teach us more about the variability of Alzheimer’s and other dementias — for example by sex, race, genetics and exposure to environmental factors — the Alzheimer’s Association will fund, and encourage others to fund, more studies in LGBT and other diverse populations,” Carrillo added.

Increased Risk for Subjective Cognitive Decline Among Sexual and Gender Minorities
Few studies have investigated the symptoms and disease progression of Alzheimer’s and other dementias in the LGBT community.

To examine these associations, Jason Flatt, PhD, MPH, assistant professor at the Institute for Health & Aging at the University of California, San Francisco, and colleagues analyzed data from the 2015 Behavioral Risk Factor Surveillance System (BRFSS), a large phone-based survey led by the Centers for Disease Control and Prevention.

The study analyzed data from 44,403 adults aged 45 and older across nine states in the U.S. (Georgia, Hawaii, Illinois, Minnesota, Nevada, Ohio, Virginia, West Virginia, and Wisconsin) that participated in the 2015 BRFSS optional modules on the Healthy Brain Initiative, which included subjective cognitive decline and Sexual Orientation and Gender Identity.

Roughly three percent of participants (1,253) identified as a sexual or gender minority (SGM). Subjective cognitive decline was defined as self-reported confusion or memory problems that have been getting worse over the past year.

The researchers found that more than 14% of SGM participants reported subjective cognitive decline, significantly higher (p<0.0001) than the 10% rate among cisgender heterosexual participants. Even after adjusting for factors such as income, age and race, SGM participants were 29% more likely to report subjective cognitive decline.

More research is needed to understand why subjective cognitive decline may be higher in SGM individuals.

“Given that 1 in 7 adults who identified as a sexual or gender minority reported subjective cognitive decline, it is critical that more opportunities exist for people in these communities to receive regular evaluation for cognitive impairment and Alzheimer’s disease,” Flatt said. “There is also a need for greater education on Alzheimer’s risk, signs and symptoms, and training of health care providers to ensure inclusive and welcoming care for LGBTQ+ populations.”

“While we do not yet know for certain why sexual or gender minority individuals had higher subjective cognitive decline, we believe it may be due to higher rates of depression, inability to work, high stress, and a lack of regular access to healthcare,” Flatt added.

According to Flatt, less than half of SGM adults with SCD in the study talked to their health care provider about it. SGM adults with SCD were also more likely to report that they had to give up day-to-day activities (39% vs. 29%, p=0.003) and needed help with household tasks (44% vs. 35%, p=0.01) than cisgender heterosexual participants. Both groups were similar in terms of talking to their health care provider about their subjective cognitive decline.

First Study of an LGBT-Specific Alzheimer’s and Dementia Intervention
To advance research into Alzheimer’s in the LGBT community, Karen Fredriksen-Goldsen, PhD, professor and director of Healthy Generations Hartford Center of Excellence at the University of Washington, created the Aging with Pride: Innovations in Dementia Empowerment and Action (IDEA) study.

A multisite study in Seattle, San Francisco, and Los Angeles, Aging with Pride: IDEA is the first federally-funded study dementia intervention specifically designed for LGBT older adults with dementia and their caregivers.

The researchers had previously identified unique risk factors of LGBT older adults living with dementia through the first longitudinal study of this population (Aging with Pride: National Health, Aging, and Sexuality/Gender Study). Using longitudinal data with three time points (2014, 2015 and 2016), modifiable factors predicting physical functioning and quality of life (QOL) among LGBT older adults with dementia (n=646) were identified.

LGBT older adults living with dementia were significantly more likely to live alone (nearly 60%), not be partnered or married (65%), not have children (72%), and not have a caregiver (59%), when compared to older non-LGBT adults living with dementia. Previous experiences of discrimination and victimization (b=-0.19, p<.001) were negatively associated with QOL among LGBT older adults living with dementia. Socializing with friends or family (b=1.11, p<.05) was positively associated with QOL, and physical activity (b = 0.26, p<.001) were associated with better physical functioning.

As reported at AAIC 2019, Aging with Pride: IDEA includes a tailored approach in which trained coaches identify and modify challenging behaviors that are adversely affecting older adults living with dementia and their caregivers, either of whom are LGBT. The coaches delivered an individualized program of exercise, and behavioral and coping strategies designed to improve physical function, independence and QOL.

The exercise intervention is a low-impact physical exercise program including nine one-hour sessions over six weeks designed to improve physical functioning and maintain independence. The behavior and coping strategies include: techniques for working with LGBT-specific trauma, identity management and disclosure of their LGBT identities to providers and others, plus support engagement in the LGBT community and dementia services.

Testing of the intervention is now underway and will be delivered to 225 pairs of LGBT older adults living with dementia and their caregivers.

“Given their lifetime experiences of victimization, discrimination and bias, many LGBT older adults forgo seeking needed medical care,” said Fredriksen Goldsen. “LGBT people living with dementia and their caregivers often have difficulty accessing information and support services, which can be especially challenging when memory loss and dementia enter the equation.”

Image via GenPride.

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‘They’re Coming After Our Children’: Watch Casey DeSantis’ Dystopian Fear-Mongering Ad

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The imagery is dark. The words are defiant. The message is dystopian. An ad for Republican Governor Ron DeSantis‘s presidential campaign, currently “in turmoil,” features the First Lady of Florida, Casey DeSantis, issuing a warning: “They’re coming after our children.”

The ad never quite says who is coming after the kids, but the video (below) includes clips of President Joe Biden and former Dr. Anthony Fauci, the face of the war on COVID and the now-retired Director of the National Institute of Allergy and Infectious Diseases.

While it was first released over the summer, it received little attention. Casey DeSantis on Friday reposted her “Mamas for DeSantis” ad. It comes in the wake of the alleged ménage à trois sex scandal involving an unnamed woman who has accused Christian Ziegler, the head of the Florida Republican Party of rape. His wife, Moms for Liberty co-founder Bridget Ziegler, who reportedly confirmed the consensual three-way sexual relationship, is Casey DeSantis’ “best friend,” according to Florida Politics publisher Peter Schorsch.

“In America, we’ve witnessed a lot and put up with enough,” Casey DeSantis says in a voiceover at the start of the two-and-a-half minute video.

“We’ve been forced into silence,” she charges, amid a baby crying and a COVID mask being put over a child’s face. “Into compliance.”

“Told that we must ‘trust the science,'” DeSantis continues, in a direct attack on Dr. Fauci, showing him speaking during the height of COVID in the Trump administration.

READ MORE: ‘Significant and Imminent Threat’: Trump Gag Order Largely Upheld by Appeals Court

And in an attack on LGBTQ children and adults, she says: “We’ve been told that we must deny truth. Back down. And look the other way.”

“Enough is enough. When you come after our kids, we fight back. Because there’s nothing we won’t do to protect our children,” she says.

Seconds later, the video shows President Joe Biden declaring, “Our nation’s children are all our children.”

“We will not allow you to exploit their innocence to advance your agenda. We are no longer silent,” Casey DeSantis declares. “We are united. We have finally found our fighter.”

Casey DeSantis praises her husband, saying he will do for America what he did for Florida: “Schools: opened. Parents’ rights: defended. School choice: universal. Critical race theory: prohibited. DEI: stopped. Child mutilation: illegal. Girls’ sports: saved. Communities: protected. Our economy: growing. And freedom: guaranteed.”

READ MORE: ‘Dystopian’: Potential Trump Cabinet Picks Send ‘5-Alarm’ Shock Waves of Terror

In the section where President Biden says, “Our nation’s children are all our children,” Casey DeSantis doesn’t explain that those words came from a White House celebration honoring Teachers of The Year from across the country. The President was praising an Oklahoma Teacher of the Year whose district includes students who speak 62 different languages, so she had to work hard to ensure everyone felt included. She had said, “There’s no such thing as someone else’s child.”

Nor did DeSantis acknowledge that Governor DeSantis’ performance for children has been poor.

The Florida Policy Institute, which says it is “an independent, non-partisan, and non-profit organization,” in September warned “368,728 youth aged 20 and younger” have been cut from Medicaid. “Because Florida has not expanded Medicaid, the vast majority of those losing insurance during this time have been children, parents, young adults, and new mothers.”

Florida ranks 35th in child well-being (with 1 being the best), according WUSF, citing the Kids Count Databook from the Annie E. Casey Foundation.

Some critics on social media blasted Casey DeSantis’ remarks.

“Republicans refused to extend child tax credits that pulled 2 million children out of poverty. They resist the idea of free school lunches. Yet they come up with bullshit about their opponents ‘coming after our children.’ Yes, we’re coming after them, to give them a sandwich,” wrote former Chicago Tribune editor Mark Jacob.

READ MORE: Jobs Report Forces Fox News to Admit Biden Economy ‘A Lot Stronger Than Anybody Understands’

Watch the Casey DeSantis video below or at this link.

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‘Significant and Imminent Threat’: Trump Gag Order Largely Upheld by Appeals Court

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A Washington, D.C. federal appeals court Friday afternoon largely upheld and reinstated U.S. District Judge Tanya Chutkan’s very narrow and limited gag order on Donald Trump for his trial on charges related to his alleged efforts to subvert the U.S. Constitution and overturn the results of the 2020 election.

“We agree with the district court that some aspects of Mr. Trump’s public statements pose a significant and imminent threat to the fair and orderly adjudication of the ongoing criminal proceeding, warranting a speech-constraining protective order,” reads Judge Patricia Millett unanimous three-judge panel ruling, posted by Lawfare’s Anna Bower. “The district court’s order, however, sweeps in more protected speech than is necessary. For that reason, we affirm the district court’s order in part and vacate it in part.”

The judges upheld the gag order “to the extent it prohibits all parties and their counsel from making or directing others to make public statements about known or reasonably foreseeable witnesses concerning their potential participation in the investigation or in this criminal proceeding.”

READ MORE: Jobs Report Forces Fox News to Admit Biden Economy ‘A Lot Stronger Than Anybody Understands’

They also upheld the gag order “to the extent it prohibits all parties and their counsel from making or directing others to make public statements about (1) counsel in the case other than the Special Counsel, (2) members of the court’s staff and counsel’s staffs, or (3) the family members of any counsel or staff member—if those statements are made with the intent to materially interfere with, or to cause others to materially interfere with, counsel’s or staff’s work in this criminal case, or with the knowledge that such interference is highly likely to result.”

The judges removed from the gag order “speech beyond those specified categories.”

“We do not allow such an order lightly,” the judges added. “But Mr. Trump is also an indicted criminal defendant, and he must stand trial in a courtroom under the same procedures that govern all other criminal defendants.”

Bower explains, “Chutkan’s order would have prohibited statements that refer to special counsel Jack Smith as a ‘thug’ or ‘deranged.’ But the appeals court order does not apply to speech about the special counsel himself.”

CBS News congressional correspondent Scott MacFarlane sums up the ruling: “Much of the gag order in Donald Trump’s 2020 election conspiracy criminal case in DC is *REINSTATED*.”

READ MORE: Peter Doocy Admits No ‘Concrete Evidence Joe Biden Personally Profited’ From Hunter’s Business

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Peter Doocy Admits No ‘Concrete Evidence Joe Biden Personally Profited’ From Hunter’s Business

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In a report focused on House Republicans’ plan to vote on a resolution to open an official impeachment inquiry of President Joe Biden, Fox News White House correspondent Peter Doocy told viewers there is no evidence of impeachable offenses.

“The House Oversight Committee has been at this for years, and they have so far not been able to provide any concrete evidence that Joe Biden personally profited from his son Hunter’s overseas business but they are going to try again with this impeachment inquiry set to start next week,” Doocy, who often criticizes President Biden in White House press briefings, said Friday on Fox News Business.

Other news outlets this week have also stressed Republicans have come up empty-handed.

The right-leaning news outlet The Hill, reporting on the resolution Thursday, noted Republicans’ current investigation “has struggled to connect President Biden to the activities of his son, and they’ve failed to prove their most salacious allegation — and the one that would be most key for impeachment: that the president accepted a bribe.”

READ MORE: Jobs Report Forces Fox News to Admit Biden Economy ‘A Lot Stronger Than Anybody Understands’

One of the main pillars of Republicans’ allegations against President Biden, the “narrative that President Biden pushed Ukraine to fire its prosecutor to help his son, who served on the board of Ukrainian energy company Burimsa, has largely been refuted,” The Hill also reported.

“Republicans have engaged in wide-ranging inquiry into Mr. Biden for months,” The New York Times reported Tuesday, “hunting for evidence to back up their allegations that he corruptly profited from his family members’ overseas business dealings and accepted bribes. To date, they have failed to deliver compelling evidence to back up their boldest claims.”

Watch Doocy below or at this link.

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