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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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Fox News Host Suggests Trump ‘Force’ Court to Throw Him in Jail – by Quoting Him

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April 19, 2024

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The Fox News host who targeted a juror serving on Donald Trump’s criminal New York trial is now suggesting the ex-president should violate his gag order and “force” the court to throw him in jail, by quoting the Fox News host.

Jesse Watters came under fire earlier this week for profiling juror number two, sharing possibly identifying information published by a myriad of reporters but then using that information to pass judgment on her ability to serve.

“I’m not so sure about juror number two,” Watters concluded on Fox News.

Jurors, at the judge’s direction, were to remain anonymous, for their protection and the protection of the trial.

The judge excused her, after she said she felt she was not able to be impartial because friends and family were calling her asking if she had been chosen to serve on the Trump trial, after the media blitz.

New York Supreme Court Judge Juan Merchan admonished the press for reporting the information, but some news outlets appeared to ignore his warning.

Watters on Wednesday “did a segment with a jury consultant, revealing details about people who had been seated on the jury and questioning whether some were ‘stealth liberals’ who would be out to convict Trump,” the Associated Press reported.

READ MORE: Gaetz: ‘Corrupt’ Republicans Could ‘Take a Bribe’ and Throw House to Dems, Blocking Trump Run

Trump later posted Watters’ quote on his Truth Social platform, leading some, including New York prosecutors, to ask the judge to cite him for allegedly breaking his gag order.

Judge Merchan ordered Trump to not mention witnesses, jurors, prosecutors, court staff, or the family members of prosecutors and court staff, CNN has reported.

New York prosecutors told Juge Merchan Trump has violated the gag order at least ten times.

“Prosecutor Christopher Conroy described the ‘most disturbing’ example as a social media message Trump posted on Wednesday evening quoting a Fox News host as saying, ‘They are catching undercover Liberal Activists lying to the Judge in order to get on the Trump Jury,'” Politico reports.

That host was Jesse Watters.

RELATED: ‘Afraid and Intimidated’: Trump Trial Juror Targeted by Fox News Dismissed

Friday afternoon, Watters appeared to egg Trump on, urging the ex-president to violate the gag order.

“I would make them put me in jail,” Watters said on Fox News. “I would have a tweet about something perhaps I said on ‘The Five’ or ‘Jesse Watters Primetime,’ and I would force them to throw me in jail.”

Watch Watters’ remark below or at this link.

 

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Gaetz: ‘Corrupt’ Republicans Could ‘Take a Bribe’ and Throw House to Dems, Blocking Trump Run

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18 hours ago

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April 19, 2024

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U.S. Rep. Matt Gaetz (R-FL) says some of his fellow House Republicans would “take a bribe” to throw the razor-thin GOP majority to the Democrats if a far-right faction calls up a motion to oust Speaker of the House Mike Johnson, allowing Democrats to hand the gavel to the Minority Leader, Hakeem Jeffries. he warned if that happens, Democrats would immediately declare Trump ineligible to be President, pack the U.S. Supreme Court, and pass numerous laws like the American Rescue Plan.

“I do believe in a one seat majority there could be one or two or three of my colleagues who would take a bribe in one form or another in order to deprive the Republicans of a majority at all,” Gaetz said Friday on his podcast (video below.)

He added, “the risk that one or two of my corrupt Republican colleagues might take a bribe, take a walk, feign an ailment and flip this thing to the Democrats is a risk that is too high for me at this time.”

Gaetz’s fellow far-right Florida Republican member of Congress, Anna Paulina Luna, told listeners, “I heard that when, if and when the motion vacate is introduced, that there will be immediate resignations of a couple of more moderate members of Congress. And in the event that that happens, that ultimately means it does go to a Democrat speaker.”

RELATED: Jeffries Vows Democrats Will Ensure Ukraine Aid Passes as Johnson Defectors Grow

U.S. Rep. Marjorie Taylor Greene (R-GA) last month filed a “motion to vacate,” which she can use at any time to force a vote to oust the GOP Speaker, Mike Johnson. U.S. Rep. Tim Massie (R-KY) and just today, U.S. Rep. Paul Gosar (R-AZ) has signed on as co-sponsors.

Congressman Gaetz told listeners if Democrats do take the House through a force vote to remove Johnson, Democrats would “be declaring Donald Trump an insurrectionist and setting up a barrier to him being able to become the president United States.”

“That’ll be their leadoff hitter, and then the chaser to that shot will be a massive spending package that looks a lot more like the American Rescue Plan. They will blow past every concept of every cap ever imagined. You’ll be looking at Universal Basic Income, you could be looking at packing the Supreme Court.”

Watch a short clip of Gaetz’s remarks below or at this link.

READ MORE: ‘Stop Bringing Up Nazis and Hitler’: Marjorie Taylor Greene Smacked Down by Democrats

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Jeffries Vows Democrats Will Ensure Ukraine Aid Passes as Johnson Defectors Grow

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21 hours ago

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April 19, 2024

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Democratic House Minority Leader Hakeem Jeffries vowed Friday the majority of Democrats will support Republicans’ Ukraine, Israel, Taiwan, and Gaza foreign aid legislation as Republican Speaker Mike Johnson lost support of another member of his conference to a faction determined to oust him.

“Democrats will provide a majority of our majority as it relates to funding Israel, humanitarian assistance, Ukraine, and our allies in the Indo Pacific,” Minority Leader Jeffries said. “It remains to be seen what Republicans will do in terms of meeting the national security needs of the American people, but it was important for House Democrats to ensure that the national security bills are going to be considered.”

Despite Republicans having a one-vote majority, more Democrats on Friday voted to move the critical and long-awaited foreign aid bills forward than did Republicans.

READ MORE: ‘Stop Bringing Up Nazis and Hitler’: Marjorie Taylor Greene Smacked Down by Democrats

The 316-94 vote included 165 Democrats and 151 Republicans voting yes, and 55 Republicans and 39 Democrats voting no.

Axios’ Juliegrace Brufke posted the list of Republicans voting against their party’s legislation.

Calling it a “rare” moment in modern congressional history to have to rely on opposition party votes to pass legislation, BBC News reports Speaker Johnson’s “hold on power is tenuous, and the legislators who oppose him – and his bid to provide aid to Ukraine – occupy some key positions within the House’s power structure.”

Amid the procedural vote to move the foreign aid funding bills forward, U.S. Rep. Paul Gosar, a far-right Republican of Arizona, announced he is joining Congresswoman Marjorie Taylor Greene (R-GA), and Congressman Tim Massie (R-KY) in formally announcing their will vote to oust Speaker Johnson.

Gosar, like Greene, is reportedly a Christian nationalist. In 2022 CNN reported his “lengthy ties to White nationalists, [a] pro-Nazi blogger and far-right fringe received little pushback for years.”

RELATED: ‘Repercussions’: Democrats and Republicans Stand Against ‘Pro-Putin’ House GOP Faction

“We’ve been very honest in our assessment of the situation from the beginning,” Jeffries on Friday also declared. “At the appropriate time as House Democrats, we will have a conversation about how to deal with any hypothetical motion to vacate.”

“Moscow Marjorie Taylor Greene, Massie, and Gosar are quite a group. But central to our conversation is to make sure that the national security legislation in totality is passed by the House of Representatives.”

Watch the videos above or at this link.

 

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