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Transgender disparities

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https://www.readbyqxmd.com/read/29772104/transgender-health-research-must-serve-transgender-people
#1
E Kale Edmiston
Transgender health research is experiencing growing pains. More transgender people have been able to access careers as health professionals or researchers in recent years. Transgender community advocates and professionals have pushed the field forward. The literature has shifted from a pathology model to a minority stress model of health disparity. This article is protected by copyright. All rights reserved.
May 17, 2018: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29770215/heterogeneity-in-geographical-trends-of-hiv-epidemics-among-key-populations-in-pakistan-a-mathematical-modeling-study-of-survey-data
#2
Dessalegn Y Melesse, Leigh Anne Shafer, Faran Emmanuel, Tahira Reza, Baseer K Achakzai, Sofia Furqan, James F Blanchard
Background: Assessing patterns and trends in new infections is key to better understanding of HIV epidemics, and is best done through monitoring changes in incidence over time. In this study, we examined disparities in geographical trends of HIV epidemics among people who inject drugs (PWIDs), female sex workers (FSWs) and hijra /transgender/male sex workers (H/MSWs), in Pakistan. Methods: The UNAIDS Estimation and Projection Package (EPP) mathematical model was used to explore geographical trends in HIV epidemics...
June 2018: Journal of Global Health
https://www.readbyqxmd.com/read/29763683/sexual-and-gender-minority-cigarette-smoking-disparities-an-analysis-of-2016-behavioral-risk-factor-surveillance-system-data
#3
Leah Hoffman, Janine Delahanty, Sarah E Johnson, Xiaoquan Zhao
We examined the association between lesbian, gay, bisexual, and transgender (LGBT) identity, cigarette and e-cigarette use, and potential risk factors in the United States. Using data from 198,057 adults in 26 states in the 2016 Behavioral Risk Factor Surveillance System (BRFSS), we estimated the prevalence of cigarette use, e-cigarette use, and potential risk factors by gender identity and sexual identity. Overall and sex-stratified bivariate and multivariate logistic regressions examined whether the relationship between sexual and gender identity and cigarette and e-cigarette use persisted after adjusting for demographics, socio-economic status, and other unhealthy behaviors...
May 12, 2018: Preventive Medicine
https://www.readbyqxmd.com/read/29761263/measuring-the-health-of-an-invisible-population-lessons-from-the-colorado-transgender-health-survey
#4
Robin Christian, Amy Anderson Mellies, Alison Grace Bui, Rita Lee, Leo Kattari, Courtney Gray
BACKGROUND: Transgender people, those whose gender identity does not match their sex assigned at birth, face barriers to receiving health care. These include discrimination, prohibitive cost, and difficulty finding transgender-inclusive providers. As transgender identities are not typically recognized in public health research, the ability to compare the health of the transgender population to the overall population is limited. OBJECTIVE: The Colorado Transgender Health Survey sought to explore current disparities and their effects on the health of transgender people in Colorado...
May 15, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29718524/advocacy-and-awareness-integrating-lgbtq-health-education-into-the-prelicensure-curriculum
#5
Paula L McNiel, Kathleen M Elertson
BACKGROUND: An identified gap in the curriculum related to lesbian, gay, bisexual, transgender, and queer (LGBTQ) health needs prompted nursing faculty to implement a collaborative educational offering. LGBTQ individuals experience significant health disparities, compared with heterosexual counterparts. Enhancing established LGBTQ population-specific training to highlight health disparities and awareness of special health care needs was piloted with two clinical groups of senior baccalaureate nursing students (N = 16)...
May 1, 2018: Journal of Nursing Education
https://www.readbyqxmd.com/read/29715194/trends-in-the-use-of-puberty-blockers-among-transgender-children-in-the-united-states
#6
Carla Marisa Lopez, Daniel Solomon, Susan D Boulware, Emily R Christison-Lagay
BACKGROUND: The objective of the study was to identify national trends in the utilization of histrelin acetate implants among transgender children in the United States. METHODS: We analyzed demographic, diagnostic and treatment data from 2004 to 2016 on the use of histrelin acetate reported to the Pediatric Health Information System (PHIS) to determine the temporal trends in its use for transgender-related billing diagnoses, e.g. "gender identity disorder"...
May 1, 2018: Journal of Pediatric Endocrinology & Metabolism: JPEM
https://www.readbyqxmd.com/read/29699765/gay-and-gray-session-an-interdisciplinary-approach-to-transgender-aging
#7
Kevin Johnson, Brandon C Yarns, Janet M Abrams, Lilith A Calbridge, Daniel D Sewell
With the overarching goals of improving the healthcare of older transgender individuals and of inspiring pertinent clinical research, a session at the 2017 American Association for Geriatric Psychiatry Annual Meeting focused on an interdisciplinary approach to transgender aging. The older the transgender adult, the more likely the individual grew up in a historical context when there was greater social stigma towards their gender identity, even among mental health professionals. In order to provide optimal healthcare to transgender adults, mental health care providers should become familiar with the basic terminology presented in this article...
February 7, 2018: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29672234/transgender-college-students-academic-resilience-and-striving-to-cope-in-the-face-of-marginalized-health
#8
Jenna B Messman, Leigh A Leslie
OBJECTIVE: To examine health behavior and outcome disparities between transgender, female, and male participants in a national sample of US college students. Participants and Method Summary: Analyses utilized secondary data from 32,964 undergraduate and graduate students responding to the Fall 2013 American College Health Association-National College Health Assessment; 65.8% were female, 0.4% were transgender, 67.9% were white, and 90.4% were heterosexual. RESULTS: Transgender students reported more mental health diagnoses, trauma, and suicidality; experienced more violence and less safety, reported more sex partners and sexually transmitted infections (STIs); higher rates of illicit and non-prescription substance use and binge drinking use while engaging in less harm reduction behavior; and reported more barriers to academic success...
April 19, 2018: Journal of American College Health: J of ACH
https://www.readbyqxmd.com/read/29661940/disparities-for-lgbtq-and-gender-nonconforming-adolescents
#9
Laura Baams
OBJECTIVES: To identify patterns of childhood adversity in a sample of adolescents and assess disparities in these experiences for lesbian, gay, bisexual, transgender, and questioning adolescents and by level of gender nonconformity. METHOD: By using the cross-sectional, statewide, anonymous 2016 Minnesota Student Survey, 81 885 students were included in the current study (50.59% male; mean age = 15.51). Participants were enrolled in grades 9 and 11 in a total of 348 schools...
April 16, 2018: Pediatrics
https://www.readbyqxmd.com/read/29658846/tobacco-free-policies-and-tobacco-cessation-systems-at-health-centers-serving-lesbian-gay-bisexual-and-transgender-clients
#10
Joseph G L Lee, Megan E DeMarco, Matthew R Beymer, Chelsea L Shover, Robert K Bolan
PURPOSE: LGBT populations have high rates of tobacco use. Health centers serving LGBT clients are an important source of care. The researchers aimed to assess the implementation of recommended systems-level tobacco cessation interventions at these health centers. METHODS: Using systematic searching, directories, and expert review, we identified health centers serving LGBT clients that provide primary care. We conducted phone-based, semi-structured interviews with administrators (n = 11) between September 2016 and March 2017 regarding implementation of the Clinical Practice Guideline, Treating Tobacco Use and Dependence: 2008 Update (the Guideline)...
April 16, 2018: LGBT Health
https://www.readbyqxmd.com/read/29650073/the-clinical-examination-and-socially-at-risk-populations-the-examination-matters-for-health-disparities
#11
REVIEW
Karly A Murphy, Alejandra Ellison-Barnes, Erica N Johnson, Lisa A Cooper
Data from the United States show that persons from low socioeconomic backgrounds, those who are socially isolated, belong to racial or ethnic minority groups, or identify as lesbian, gay, bisexual, or transgender experience health disparities at a higher rate. Clinicians must transition from a biomedical to a biopsychosocial framework within the clinical examination to better address social determinants of health that contribute to health disparities. We review the characteristics of successful patient-clinician interactions...
May 2018: Medical Clinics of North America
https://www.readbyqxmd.com/read/29629811/transgender-patients-what-radiologists-need-to-know
#12
John S Sowinski, Richard B Gunderman
OBJECTIVE: The purposes of this article are to examine a few of the barriers the transgender population faces in achieving equitable health care, to suggest ways radiologists and radiology staff can help to address these obstacles and provide high-quality care to transgender patients, and to discuss a number of evidence-based guidelines regarding appropriate imaging and screening tests for the transgender population. CONCLUSION: Lesbian, gay, bisexual, and transgender individuals face numerous health care disparities, including stigmatization and discrimination in health care environments...
April 9, 2018: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/29627104/a-systematic-review-of-social-stress-and-mental-health-among-transgender-and-gender-non-conforming-people-in-the-united-states
#13
REVIEW
Sarah E Valentine, Jillian C Shipherd
Transgender and gender non-conforming (TGNC) populations, including those who do not identify with gender binary constructs (man or woman) are increasingly recognized in health care settings. Research on the health of TGNC people is growing, and disparities are often noted. In this review, we examine 77 studies published between January 1, 1997 and March 22, 2017 which reported mental health outcomes in TGNC populations to (a) characterize what is known about mental health outcomes and (b) describe what gaps persist in this literature...
March 28, 2018: Clinical Psychology Review
https://www.readbyqxmd.com/read/29589137/barriers-and-facilitators-to-oral-prep-use-among-transgender-women-in-new-york-city
#14
Christine Tagliaferri Rael, Michelle Martinez, Rebecca Giguere, Walter Bockting, Caitlin MacCrate, Will Mellman, Pablo Valente, George J Greene, Susan Sherman, Katherine H A Footer, Richard T D'Aquila, Alex Carballo-Diéguez
Transgender women may face a disparate risk for HIV/AIDS compared to other groups. In 2012, Truvada was approved for daily use as HIV pre-exposure prophylaxis (PrEP). However, there is a dearth of research about barriers and facilitators to PrEP in transgender women. This paper will shed light on transgender women living in New York City's perceived and actual challenges to using PrEP and potential strategies to overcome them. After completing an initial screening process, four 90-min focus groups were completed with n = 18 transgender women...
March 27, 2018: AIDS and Behavior
https://www.readbyqxmd.com/read/29546337/lesbian-gay-bisexual-and-transgender-lgbt-view-it-differently-than-non-lgbt-exposure-to-tobacco-related-couponing-e-cigarette-advertisements-and-anti-tobacco-messages-on-social-and-traditional-media
#15
Kristen Emory, Francisco O Buchting, Dennis R Trinidad, Lisa Vera, Sherry L Emery
Background: LGBT populations use tobacco at disparately higher rates nationwide, compared to national averages. The tobacco industry has a history targeting LGBT with marketing efforts, likely contributing to this disparity. This study explores whether exposure to tobacco content on traditional and social media is associated with tobacco use among LGBT and non-LGBT. Methods: This study reports results from LGBT (N=1,092) and non-LGBT (N=16,430) respondents to a 2013 nationally representative cross-sectional online survey of US adults (N=17,522)...
March 12, 2018: Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
https://www.readbyqxmd.com/read/29546228/multiple-minority-stress-and-lgbt-community-resilience-among-sexual-minority-men
#16
Elizabeth A McConnell, Patrick Janulis, Gregory Phillips, Roky Truong, Michelle Birkett
Minority stress theory has widespread research support in explaining health disparities experienced by sexual and gender minorities. However, less is known about how minority stress impacts multiply marginalized groups, such as lesbian, gay, bisexual, and transgender people of color (LGBT POC). Also, although research has documented resilience in the face of minority stress at the individual level, research is needed that examines macro-level processes such as community resilience (Meyer, 2015). In the current study, we integrate minority stress theory and intersectionality theory to examine multiple minority stress (i...
March 2018: Psychology of Sexual Orientation and Gender Diversity
https://www.readbyqxmd.com/read/29532735/-in-the-north-you-can-t-be-openly-gay-contextualising-sexual-practices-among-sexually-and-gender-diverse-persons-in-northern-canada
#17
Carmen H Logie, Candice L Lys, Nicole Schott, Lisa Dias, Makenzie R Zouboules, Kayley Mackay
Scant research has addressed health and well-being among lesbian, gay, bisexual, transgender, and queer (LGBTQ) persons in the Arctic. The Northwest Territories (NWT) has among Canada's highest rates of sexually transmitted infections (STIs). LGBTQ persons in NWT are at the nexus of LGBTQ and Arctic health disparities. Yet little is known of their sexual health needs. This qualitative study explored the sexual health needs of LGBTQ persons in the NWT. We conducted semi-structured, in-depth interviews with 51 participants, including 16 LGBTQ youth aged 15-24, 21 LGBTQ adults aged 25 and above, and 14 key informants who worked with LGBTQ persons...
March 13, 2018: Global Public Health
https://www.readbyqxmd.com/read/29466055/nature-vs-nurture-have-performance-gaps-between-men-and-women-reached-an-asymptote
#18
Mindy Millard-Stafford, Ann E Swanson, Matthew T Wittbrodt
Men outperform women in sports requiring muscular strength and/or endurance, but the relative influence of "nurture" versus "nature" remains difficult to quantify. Performance gaps between elite men and women are well-documented using world records in second, centimeter or kilogram sports. However, this approach is biased by global disparity in reward structures and opportunities for women. Despite policies enhancing female participation (Title IX legislation), USA women only closed performance gaps by 2 and 5% in Olympic Trial swimming and running, respectively, from 1972 to 1980 (with no change thereafter through 2016)...
February 21, 2018: International Journal of Sports Physiology and Performance
https://www.readbyqxmd.com/read/29464427/minority-stressors-associated-with-sexual-risk-behaviors-and-hiv-testing-in-a-u-s-sample-of-transgender-individuals
#19
Brian A Rood, Jennifer J Kochaver, Elizabeth A McConnell, Miles Q Ott, David W Pantalone
The majority of published research on transgender health focuses on associations between external minority stressors (e.g., discrimination) and health. Little is known about how internal minority stressors (e.g., identity concealment and expecting rejection) might predict HIV disparities. The current study addresses this gap by examining the association between external and internal minority stressors and sexual risk behaviors and HIV testing history in a sample of 300 transgender adults across the U.S. Transgender-related discrimination and expecting rejection were associated with sexual risk behaviors...
February 20, 2018: AIDS and Behavior
https://www.readbyqxmd.com/read/29437859/health-disparities-facing-transgender-and-gender-nonconforming-youth-are-not-inevitable
#20
Daniel Shumer
No abstract text is available yet for this article.
February 5, 2018: Pediatrics
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