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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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‘Who Exactly Is Running the Government?’: Trump’s War Plans Leak Denial Backfires

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President Donald Trump’s claim that he was unaware of a cabinet-level breach of classified information—an incident reportedly involving up to 18 top national security officials discussing sensitive details of a planned military strike—appears to have backfired, raising questions about his knowledge of the actions of his top officials, and, as Commander-in-Chief, his knowledge of U.S. national security and military operations.

The Atlantic’s editor-in-chief, Jeffrey Goldberg, revealed Monday afternoon that he inadvertently had been included in the 18-person group chat on the unclassified messaging app Signal. Experts say those discussions should never have been held over the app, but rather inside a Sensitive Compartmented Information Facility, or inside multiple SCIFs.

On Monday afternoon at a press conference, a reporter asked the Commander-in-Chief for his reaction to the story in The Atlantic.

“I don’t know anything about it,” was Trump’s immediate response. His next response was to attack the media outlet.

“I’m not a big fan of The Atlantic, it’s, to me it’s a magazine that’s going out of business,” the President declared. “I think it’s not much of a magazine, but I know nothing about it.”

READ MORE: Alina Habba Immediately Targets Top NJ Democrats After Trump Names Her New US Attorney

He then asked the reporter to explain to him what had been reported in The Atlantic.

“You’re saying that they had what?” “Having to do with what?” he asked twice. “What were they talking about?”

After the reporter gave him more information, Trump, seemingly still not understanding all the details, declared that the leak “couldn’t have been very effective because the attack was very effective, I can tell you that.”

He again denied any knowledge of the leak.

“I don’t know anything about it,” Trump repeated. “You, you’re telling me about it for the first time.”

The White House has acknowledged the leak occurred. Axios called it a “mind-boggling security breach.” The Washington Post reported that “the disclosure raises questions about how the administration has discussed classified issues and whether anyone will be disciplined.”

“As the bombing campaign moved ahead, Hegseth’s [Signal] account shared details that Goldberg said he believed could put at risk the safety of U.S. troops or intelligence officials, especially those deployed in the Middle East,” the Post reported. “Those details, the Atlantic article says, allegedly included the specific weapons to be used and in which sequence the Houthi targets would be hit.”

Military and national security experts are stunned — not only that this massive leak occurred, but that the President was not informed until a reporter asked him about it on Monday.

“If the President is telling the truth and no one’s briefed him about this yet, that’s another story in itself. In any other administration, CoS would have been in the Oval within nanoseconds of learning about something like this, wrote The Atlantic’s Tom Nichols via social media, referring to the White House Chief of Staff Susie Wiles. Nichols is a retired U.S. Naval War College professor who is an expert on national security, international affairs, Russia, and nuclear weapons.

“Heads need to roll for this. They have broken laws and endangered the lives of our service members with this idiocy,” commented Army veteran of 22 years, Fred Wellman, a graduate of West Point and the Harvard Kennedy School.

Journalist Wajahat Ali wrote, “What’s worse is that he HAS no idea, allegedly, about the story, which makes it even worse and more terrifying. Like, bro, why don’t you know?”

“One wild thing about Trump,” observed journalist Isaac Saul, “is that he is notoriously insulated from certain information streams by his team. Absolutely believable that he went out to the podium having not been informed of this massive story bc the people who brief him on info were culpable in the leaks.”

READ MORE: Arkansas Senator Files Bill to Abolish State Library, Give Education Department Control

“Here’s some insight,” offered Sophia Kinzinger, a former press secretary for the U.S. Department of Homeland Security. “The White House has an entire department, staffed by military professionals, dedicated to facilitating secure communications. They travel with staff, provide devices, and set up SCIFs (Sensitive Compartmented Information Facilities) whenever and wherever needed, operating 24/7. There is absolutely no excuse for mishandling classified information, especially for someone leading the National Security Council at the White House. Their actions clearly demonstrate a lack of qualification for such a critical role. we deserve better!”

U.S. Rep. Veronica Escobar (D-TX) added: “If it’s true that the President of the United States had no idea that his war cabinet and VP were discussing war plans on a Signal chat that included a journalist, that is astounding ignorance and profound incompetence.”

Derek Martin, who conducted supply chain counterintelligence at the National Security Agency (NSA), asked: “If Trump doesn’t know about a major incident involving his VP, Chief of Staff, NatSec Advisor, Secretary of State, Secretary of Defense, Director of National Intelligence, and CIA Director, then who exactly is running the government?”

U.S. Senator Chris Coons (D-DE), according to Deadline, wrote: “Every single one of the government officials on this text chain have now committed a crime – even if accidentally – that would normally involve a jail sentence. We can’t trust anyone in this dangerous administration to keep Americans safe.”

In his report at The Atlantic, Goldberg noted that “coordinating a national-security-related action over Signal, may have violated several provisions of the Espionage Act, which governs the handling of ‘national defense’ information, according to several national-security lawyers interviewed by my colleague Shane Harris for this story.”

Goldberg also explained that he chose to not publish all of the texts, noting that, “if [some] had been read by an adversary of the United States, [they] could conceivably have been used to harm American military and intelligence personnel, particularly in the broader Middle East, Central Command’s area of responsibility. What I will say, in order to illustrate the shocking recklessness of this Signal conversation, is that the Hegseth post contained operational details of forthcoming strikes on Yemen, including information about targets, weapons the U.S. would be deploying, and attack sequencing.”

Watch the video below or at this link.

READ MORE: Trump Claims US ‘Doesn’t Need Anything From Canada’, Yet Still Wants It as a State

 

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Alina Habba Immediately Targets Top NJ Democrats After Trump Names Her New US Attorney

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President Donald Trump has named his former personal attorney Alina Habba, who has been serving as White House Counselor, the interim, or acting, United States Attorney for the District of New Jersey. Habba immediately lashed out at the Garden State’s top Democrats.

Trump said the he is also nominating the current acting U.S. Attorney, John Giordano, who has been in that role for a mere three weeks, to a new post: U.S. ambassador to Namibia. Giordano is listed as a member of the White House Historical Association.

Habba, who recently faced backlash for suggesting that veterans dismissed from federal jobs may be “not fit to have a job at this moment,” quickly went on the offensive against U.S. Senator Cory Booker and New Jersey Governor Phil Murphy (video below), claiming they have “failed the state of New Jersey.”

READ MORE: ‘Fake Tough Guy’: JD and Usha Vance Blasted for Greenland Threat and ‘Aggressive’ Visit

Telling reporters that “there is corruption, there is injustice, and there is a heavy amount of crime right in Cory Booker’s backyard and right under Governor Murphy,” Habba vowed, “that will stop.”

“I look forward to working with Pam Bondi and with the Department of Justice and making sure that we further the president’s agenda of putting America first, cleaning up mess, and going after the people that we should be going after, not the people that are falsely accused,” she said, a possible reference to the numerous state and federal charges Trump had faced until winning back the White House.

Politico describes Habba as Trump’s “legal attack dog.” Trump remains a convicted felon after being convicted by a jury in the State of New York on 34 counts of business fraud in what prosecutors said was an effort to influence the 2016 election.

The New York Post’s Manhattan Courts reporter Molly Crane-Newman noted on Monday that “Habba’s behavior during Trump’s defamation trial last year was so far outside the bounds that Judge Kaplan threatened to imprison her.”

READ MORE: Arkansas Senator Files Bill to Abolish State Library, Give Education Department Control

The Guardian’s Hugo Lowell reported that “Habba previously represented Trump in the New York civil cases where he was ordered to pay $450m for inflating his net worth and $83m for defaming E Jean Carroll.”

“In 2023, a federal judge also ordered Trump and Habba to pay $1m in sanctions for filing a frivolous claim against Hillary Clinton and others, calling the lawsuit ‘a hodgepodge of disconnected, often immaterial events, followed by an implausible conclusion,'” Lowell added.

Critics blasted the decision to name Habba.

Talking Points Memo founder and editor Josh Marshall appeared to compare Habba to an underboss in the Mafia, writing: “lol Alina Habba is now the capo of New Jersey.”

Former federal prosecutor Mitchell Epner wrote, “I served as an AUSA in the District of NJ from 2001-04.”

“I’m disgusted by this,” he said, adding: “Caligula’s horse would have been a better choice.”

Watch the video below or at this link.

READ MORE: Trump Claims US ‘Doesn’t Need Anything From Canada’, Yet Still Wants It as a State

 

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‘Fake Tough Guy’: JD and Usha Vance Blasted for Greenland Threat and ‘Aggressive’ Visit

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Vice President JD Vance and Second Lady Usha Vance are launching a coordinated campaign targeting Greenland, the semi-autonomous Danish territory that President Donald Trump has repeatedly expressed interest in acquiring for the United States—despite firm resistance from Denmark, Greenland’s residents, and NATO allies such as France.

Over the weekend, the White House announced that the Second Lady will travel to Greenland, the world’s largest island, on Thursday with one of the Vances’ sons.


It could be considered a cultural charm offensive given her published agenda, but also traveling to Greenland are Trump National Security Adviser Michael Waltz and U.S. Secretary of Energy Chris Wright. According to The New York Times, Wright and Waltz are not traveling with the Second Lady, while others, including Sky News, report that Vance “will lead the delegation.”

‘WHAT IS THE SECURITY ADVISER DOING IN GREENLAND?’

Waltz is a former Army Special Forces officer who is seen as a war hawk. A Republican former U.S. Congressman, he was the sponsor of the American Critical Mineral Exploration and Innovation Act of 2020, which highlights the importance of the U.S. becoming independent from China for critical rare earth minerals. Some experts say Trump’s desire to take over Greenland is due to its rare earth minerals.

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Wright is the former CEO of a hydraulic fracturing company who served on the boards of companies related to nuclear technology and mineral and mining rights royalty payments.

Ahead of the visits, the Prime Minister of Greenland is sounding the alarm.

“The Trump administration’s posture is ‘now so serious that the level cannot be raised any higher,’ Prime Minister Múte Egede said in an interview with Greenlandic publication Sermitsiaq Sunday, according to a translation,” Axios reports.

“We are now at a level where it can in no way be characterized as a harmless visit from a politician’s wife,” Egede reportedly also said.

Asking, “what is the security adviser doing in Greenland?”  the Prime Minister said Waltz’s presence is a “demonstration of power.”

The New York Times added that Egede “said on Sunday that Greenlanders’ effort to be diplomatic just ‘bounces off Donald Trump and his administration in their mission to own and control Greenland.'”

The Trump administration’s posture is that this is just a friendly visit.

“The United States has a vested security interest in the Arctic region, and it should not be a surprise the national security adviser and secretary of energy are visiting a U.S. space base to get firsthand briefings from our service members on the ground,” Brian Hughes, the National Security Council spokesman, said in a statement. “We also look forward to experiencing Greenland’s famous hospitality and are confident that this visit presents an opportunity to build on partnerships that respects Greenland’s self-determination and advances economic cooperation. This is a visit to learn about Greenland, its culture, history and people.”

VP VANCE TARGETS GREENLAND

Meanwhile, Vice President Vance has come under fire in the U.S. for remarks he made on Sunday, which were anything but friendly.

“Denmark, which controls Greenland, it’s not doing its job, and it’s not being a good ally,” Vice President Vance told Fox News (video below). “So you have to ask yourself, how are we going to solve that problem, solve our own national security?”

“If that means that we need to take more territorial interest in Greenland, that is what President Trump is going to do, because he doesn’t care about what the Europeans scream at us. He cares about putting the interests of American citizens first.”

CRITICS BLAST VP

Former U.S. Ambassador to Russia Michael McFaul, now a Stanford University professor of political science wrote: “Trump and Vance have never explained what US national security would be advanced by invading Greenland. Not once. We can buy their minerals without invading. We can open new bases without invading. And even buying Greenland would be a giant waste of money. And Denmark is doing its job providing on a per capita basis much more to Ukraine than we are.”

“The US has real security challenges to address. We don’t need to be inventing new ones by threatening to invade an ally,” Ambassador McFaul added.

READ MORE: Trump Claims US ‘Doesn’t Need Anything From Canada’, Yet Still Wants It as a State

Former U.S. Ambassador to Jamaica, Luis Moreno, noted that “Denmark lost 43 soldiers killed and over 200 wounded defending the United States of America in Afghanistan. But they’re ‘not a good ally.’ These people have no shame, no honor. Hope Denmark is taking steps to avoid a ‘Reichstag Fire’ type incident during provocative US VIP visits.”

Journalist, attorney, and former House Oversight Committee counsel Sophia A Nelson, a Republican turned independent, called Vance “a quack,” and added: “Threatening to take the territory of a sovereign nation, just because is sick, demented and dangerous. Also illegal.”

U.S. Rep. Don Bacon, a Republican of Nebraska, chastised the vice president: “Denmark has been a great ally. They’ve served with us in the Middle East. They’ve been key contributors to Ukraine. Greenland is also our ally. We have a great base there and they’re willing to partner more. Let’s be a better ally and not a bully in our own right.”

Journalist John Harwood criticized the Vice President’s remarks, writing: “yes, you and Trump are bold enough to harm our allies and surrender to our enemies congratulations, fake tough guy anti-American freak.”

Healthcare advocate and former Democratic congressional candidate Melanie D’Arrigo said, “Trump wants to take Greenland because Elon wants to control the critical minerals his companies’ products rely on. Cut through the gaslighting and don’t overthink it. $390 million of Musk’s money buys a lot of policy.”

Joerg Lau, international correspondent for the German weekly DIE ZEIT warned: “We are heading for a clash. At some point, someone in Europe will have to stand up to this outrage. The US Vice President is threatening an EU member, a NATO member. We need a collective response to this. Appeasement is not working.”

Former Republican U.S. Congressman Adam Kinzinger added, “In fact, Denmark is one of our best allies, and one of the top donors to Ukraine relative to their size. Shut your stupid mouth @JDVance.”

Author and former FBI agent Joe Navarro warned, “Beware when out of nowhere, a leader says there is a security problem when none exists. Jethro needs to tune it down just a bit, Greenland Is part of a sovereign nation. Nation states are not up for grabs unless you are Mussolini, Hitler, or Putin, or . . .”

Watch the video below or at this link.

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