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Sexual Health and the LGBTQ+ Community
Expand at first use ( “lesbian, gay, bisexual, transgender, queer (or questioning), and others”? Sexual health is a state of physical, emotional, mental, and social well-being in relation to sexuality. Factors that contribute to the sexual health of an LGBTQ+-identified patient include not only the physical state of the patient but also cultural and contextual factors that influence other aspects of well-being. To be effective in promoting sexual health, providers must maintain an attitude of accepting the patient’s sexual orientation and gender identity as core aspects of sexual health. Providers need to exa mine pa...
Source: Primary Care: Clinics in Office Practice - April 21, 2021 Category: Primary Care Authors: Nicole M. Taylor, Callie K. King Source Type: research

Immigrant Health
PRIMARY CARE: CLINICS IN OFFICE PRACTICE (Source: Primary Care: Clinics in Office Practice)
Source: Primary Care: Clinics in Office Practice - January 28, 2021 Category: Primary Care Authors: Fern R. Hauck, Carina M. Brown Source Type: research

Copyright
ELSEVIER (Source: Primary Care: Clinics in Office Practice)
Source: Primary Care: Clinics in Office Practice - January 28, 2021 Category: Primary Care Source Type: research

Contributors
JOEL J. HEIDELBAUGH, MD, FAAFP, FACG (Source: Primary Care: Clinics in Office Practice)
Source: Primary Care: Clinics in Office Practice - January 28, 2021 Category: Primary Care Source Type: research

Contents
Joel J. Heidelbaugh (Source: Primary Care: Clinics in Office Practice)
Source: Primary Care: Clinics in Office Practice - January 28, 2021 Category: Primary Care Source Type: research

Forthcoming Issues
LGBTQ+ Health (Source: Primary Care: Clinics in Office Practice)
Source: Primary Care: Clinics in Office Practice - January 28, 2021 Category: Primary Care Source Type: research

Common Infectious Diseases
This article provides discussion of a series of common tropical and infectious diseases providing refugee and geographic contexts and links to international resources that have been developed to improve the care of newly arriving immigrants and refugees. (Source: Primary Care: Clinics in Office Practice)
Source: Primary Care: Clinics in Office Practice - December 18, 2020 Category: Primary Care Authors: Kevin Pottie, Vincent Girard Source Type: research

Caring for Refugees and Immigrants: Challenges and Opportunities
Refugees, immigrants, and asylum seekers are moving throughout the world in record numbers, bringing innovation, cultural enhancement, and diversity to their destinations. Refugees and asylum seekers flee their country of origin in hopes of a better, safer life in the country of resettlement. Immigrants travel to a new country for a variety of reasons, many reuniting with family or seeking employment or education. These diverse individuals contribute to society in meaningful ways through the arts, culture, science, and multiple other facets of life, as well as working arduous and lower-paid positions seen as less desirable...
Source: Primary Care: Clinics in Office Practice - December 14, 2020 Category: Primary Care Authors: Fern R. Hauck, Carina M. Brown Tags: Preface Source Type: research

The Time is NOW
As I write this foreword, the 2020 Presidential Election is only 3 short weeks away, and we are in the throes of the COVID-19 global pandemic. Similar to previous elections, health care provisions for Americans will be a top consideration for all voters. In the last decade, the United States has seen a dramatic influx of immigrants and refugees from around the world, as well as the inherent challenges in providing adequate health care for them. These challenges come with many barriers in policy, poor understanding of inherent cultural beliefs, and often insufficient training for health care providers across all disciplines...
Source: Primary Care: Clinics in Office Practice - December 9, 2020 Category: Primary Care Authors: Joel J. Heidelbaugh Tags: Foreword Source Type: research

Preventive Care and Management of Chronic Diseases in Immigrant Adults
Immigrants may have variable access to chronic disease screening and treatment in their countries of origin and host country, often limited by their immigration status. Immigrants face barriers to chronic disease management and preventive care, including health insurance access, linguistic challenges, lack of culturally sensitive care, limited records, and acculturation. Health care providers should prioritize chronic disease screening and follow up regularly to encourage preventive care and self-management of chronic disease. (Source: Primary Care: Clinics in Office Practice)
Source: Primary Care: Clinics in Office Practice - December 7, 2020 Category: Primary Care Authors: Colleen Payton, Sarah Kimball, Nicole Chow Ahrenholz, Mark L. Wieland Source Type: research

Mental Health and Illness
Circumstances forcing individuals and families to flee set the stage for disruptions in mental health and forge resilience. Individual characteristics and conditions premigration, perimigration, and postmigration influence health, mental health, care-seeking behavior, and stages of well-being and successful resettlement. Primary care providers have strategies to promote mental well-being, including focusing on resilience and social determinants of health. Integrated or collaborative care models are ideal for delivering optimum care for refugee and immigrant communities. Connecting primary and behavioral care promotes a tea...
Source: Primary Care: Clinics in Office Practice - December 3, 2020 Category: Primary Care Authors: Kim S. Griswold, Dianne M. Loomis, Patricia A. Pastore Source Type: research

Preventive Care in Children and Adolescents
This article describes the current state of migration of immigrant children into the United Sates and the various categories of immigrant children, including refugees, asylum seekers, unaccompanied minors, adoptees, and Special Immigrant Visa holders, hereafter called immigrant children. It focuses on guidelines for medical screening and management of newcomer immigrant children and adolescents and their ongoing preventive care. This article also addresses challenges unique to immigrant children and adolescents and the importance of culturally sensitive anticipatory guidance. (Source: Primary Care: Clinics in Office Practice)
Source: Primary Care: Clinics in Office Practice - November 27, 2020 Category: Primary Care Authors: Shruti Simha, Amy C. Brown Source Type: research

Common Hematologic, Nutritional, Asthma/Allergic Conditions and Lead Screening/Management
This article describes hematologic, nutritional, allergic/asthmatic conditions, lead screening, and management of these among immigrants and refugees. Some of these conditions present more frequently or differently in the newcomer population. Early identification and treatment are key to improving health outcomes. Screening and treatment suggested in this article are based on current guidelines and are intended for primary care providers who are caring for refugee and immigrant patients, especially within a medical home. Special considerations include level of education, instruction, demonstration, and cultural humility. (...
Source: Primary Care: Clinics in Office Practice - November 27, 2020 Category: Primary Care Authors: Brittany DiVito, Rachel Talavlikar, Sarah Seifu Source Type: research

Models of Health Care: Interprofessional Approaches to Serving Immigrant Populations
This article provides an in-depth understanding of the components necessary to develop a model of care addressing the needs of immigrants and to share opportunities and challenges associated with these models. This includes highlighting population- and individual-level factors important to caring for immigrant populations, providing guidance on creating a model of care that addresses these factors, and describing established clinics that exemplify various models of care. (Source: Primary Care: Clinics in Office Practice)
Source: Primary Care: Clinics in Office Practice - November 27, 2020 Category: Primary Care Authors: Catherine E. Elmore, Rebekah Compton, Erica Uhlmann Source Type: research

Refugee Medical Screening
The domestic medical examination of newly arrived refugees is a comprehensive medical visit. It includes a review of the overseas medical examination and a thorough medical and immigration history. It should include laboratory testing for infectious diseases, pregnancy, and other conditions as recommended by the Centers for Disease Control and Prevention and resettlement state, as well as a comprehensive physical examination with attention paid to conditions known to specific refugee groups. It should also include vaccinations for age-appropriate vaccine-preventable diseases. The concept of preventive care should be introd...
Source: Primary Care: Clinics in Office Practice - November 26, 2020 Category: Primary Care Authors: Kelly Reese, Brianna Moyer Source Type: research