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Decision-making has been identified as one of the most important skillsets in sexual health. This exploratory qualitative study explored how US middle and high school textbooks integrate the recommended sexual health decision-making skills recommended by Future of Sex Education (FOSE), a collaboration of organisations in the USA supporting comprehensive sex education. Using content analysis, we assessed 13 U.S. middle and high school health education textbooks recommended by school districts, state boards of education, and publishers. While textbooks touched on the knowledge and content areas for each skill set, skills were not taught to the extent that the skill was achieved or using a scaffolded approach that showed significant growth from middle to high school textbooks. As a result, young people receive inadequate content to competently perform the skills recommended by current National Standards. Changing state and district level health and sex education policies and aligning the curriculum with these standards, can better promote youth sexual decision-making. [ABSTRACT FROM AUTHOR]

The focus of this pilot study was to ascertain how bereaved African American caregivers prepared for the death of an older family member who died from a dementia-related diagnosis and the role of hospice care; an area with little research to date. Because African American older adults in the United States are at greater risk than Caucasian older adults for dementia-related health problems though less likely to be diagnosed, treated, or to enroll in hospice services, this exploratory study asked questions of the family caregivers' experiences in preparing for the death. Purposive criterion sampling was used to identify six African American bereaved caregivers whose family member lived in a nursing home (five who were enrolled in hospice services) who were extensively interviewed, with the use of conventional content analysis of the transcripts to identify the findings. Because of the limited sample size, themes identified were considered preliminary and may help guide ongoing and further research. Five primary themes revealed ways caregivers prepared: accepting reality; "I just kind of knew;" person with dementia "was ready;" "spending time;" and, getting your "business in order." All caregivers believed it was important to be prepared for the death, with the five who received hospice services reporting that they were prepared. Further research is needed to explore these preliminary findings of African American caregivers of family members with dementia at end-of-life to further inform social work and hospice team care. [ABSTRACT FROM AUTHOR]

Background: Given the broader social contexts in which transgender people and their families live, the latter can be either an important source of support, or bring with them yet another source of discrimination. Although historically transgender people almost uniformly experienced discrimination from families of origin, recent research suggests that growing numbers of transgender people are supported by their families. Aims: The study reported in this article sought to examine the relationships between family support and discrimination, and psychological distress and resilience. Methods: A convenience sample of 345 transgender people living in North America completed an online questionnaire constructed by the authors. The questionnaire included demographic questions and single items questions about emotional closeness to family, gender-related support from family, and discrimination from family. The questionnaire also included standardized measures of gender-related discrimination, resiliency, social support, and psychological distress. Results: Participants reported moderate levels of gender-related family support, with non-binary participants reporting the lowest levels of gender-related family support. Participants whose families provided greater gender-related support reported greater resilience and lower levels of psychological distress; however participants who reported higher levels of gender-related discrimination from their families reported greater psychological distress. The findings suggest that emotional closeness to family may help mitigate the effects of general discrimination on psychological distress. Discussion: Drawing on the findings reported, the paper concludes by discussing the importance of focusing on family members in the context of affirming clinical approaches to working with transgender adults. [ABSTRACT FROM AUTHOR]