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Transgender disparities

Ronni Hayon
Transgender and gender-nonconforming individuals experience significant health disparities. They are more likely to use drugs and alcohol, smoke, be diagnosed with HIV infection or other sexually transmitted infections, and experience depression or attempt suicide. Many also experience discrimination within the health care system. Office-level strategies to create a safe and affirming space for gender-expansive patients include posting of a nondiscrimination statement, use of intake forms that ask about current gender identity and birth-assigned sex, provision of gender-neutral restrooms, and staff training in use of appropriate language...
October 2016: FP Essentials
R I Bjarnadottir, W Bockting, D Dowding
AIMS AND OBJECTIVES: To examine patients' perceptions of being asked about their sexual orientation and gender identity in the health care setting. BACKGROUND: Health disparities exist in the lesbian, gay, bisexual and transgender (LGBT) population but further research is needed to better understand these disparities. To address this issue experts recommend the routine collection of sexual orientation and gender identity data in healthcare. Nurses on the front line of patient care play a key role in the collection of this data...
October 5, 2016: Journal of Clinical Nursing
Stefanie Russell, Frederick More
Lesbian, gay, bisexual, and transgender (LGBT) persons are a diverse group, but they share a common need for competent, accessible health care, dispensed without intolerance and with an understanding of their unique health needs. Dental practitioners need to understanding that LGBT persons have distinctive health (and oral health) needs. This article reviews the literature on oral and overall health of LGBT persons in the United States, and discusses ways in which dentists can improve the health care they provide to this vulnerable population, including how interprofessional education and collaborative practice may help to reduce oral health disparities within this group...
October 2016: Dental Clinics of North America
Carol A Sedlak, Amy J Veney, Margaret OʼBryan Doheny
Issues about transgender individuals (TIs) as a disparate population are now being more openly discussed in the general public. However, healthcare providers often express feeling uncomfortable in interacting with TIs because they have not been educated about care of TIs and often base their care on insensitive stereotyping. The purpose of this informational article is to provide a foundation of knowledge for nurses and healthcare professionals for providing competent patient-centered care for TIs. Topics discussed include a description of the transgender population, commonly used terms to describe TIs, health risks and healthcare needs of TIs, and how to provide quality healthcare for TIs...
September 2016: Orthopaedic Nursing
Donna J Biederman, Dana Hines
A public health nurse talks about her career trajectory, her entry into nursing research, and her research career in transgender health. Transgender people encounter many health and social disparities, yet medical and nursing professionals are often ill-prepared to care for this population of individuals. The nursing profession is well known for its contributions to population health and for developing nursing-led interventions to improve the health outcomes of marginalized populations. Hines urges nursing to take a more active stance in transgender health and is leading this effort by example...
May 2016: Creative Nursing
Maureen D Connolly, Marcus J Zervos, Charles J Barone, Christine C Johnson, Christine L M Joseph
This review provides an update on the growing body of research related to the mental health of transgender youth that has emerged since the 2011 publication of the Institute of Medicine report on the health of lesbian, gay, bisexual, and transgender people. The databases PubMed and Ovid Medline were searched for studies that were published from January 2011 to March 2016 in English. The following search terms were used: transgender, gender nonconforming, gender minority, gender queer, and gender dysphoria. Age limits included the terms youth, child, children, teenager*, and adolescen*...
August 17, 2016: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
Ayden I Scheim, Greta R Bauer, Mostafa Shokoohi
BACKGROUND: Drawing on a survey of transgender people in Canada's most populous province, we estimate the frequency of heavy episodic drinking (HED), compare HED prevalence to the age-standardized background population, and examine associations with socio-demographics, gender transition, and social exclusion. METHODS: 433 transgender persons aged 16+ completed a respondent-driven sampling survey in 2009-2010. Analyses were weighted using RDS II methods, including frequencies and prevalence ratios...
October 1, 2016: Drug and Alcohol Dependence
Helen Jin, Shoumita Dasgupta
STUDY QUESTION: Does the prevalence of online education in fertility center websites differ for lesbian, gay, bisexual, transgender (LGBT) couples compared to online education for heterosexual couples? SUMMARY ANSWER: This review of fertility center websites showed that the majority of websites with patient education for heterosexual couples do not have similar materials for LGBT couples. WHAT IS KNOWN ALREADY: In order to have biologically related children, LGBT individuals or couples utilize assisted reproductive technologies (ART)...
October 2016: Human Reproduction
Lorraine R Reitzel, Nathan Grant Smith, Ezemenari M Obasi, Margot Forney, Adam M Leventhal
Sexual orientation-related discrimination experiences have been implicated in elevated rates of anxiety symptoms within sexual minority groups. Theory suggests that chronic discrimination experiences may dampen the ability to tolerate distress, increasing vulnerability for anxiety. This study examined the role of distress tolerance, or the capacity to withstand negative emotions, as a construct underlying associations between discriminatory experiences and anxiety among sexual minority adults. Participants (N=119;Mage=36...
July 21, 2016: Journal of Anxiety Disorders
Cathleen E Willging, Tania Israel, David Ley, Elise M Trott, Catherine DeMaria, Aaron Joplin, Verida Smiley
Lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ) people are affected by mental health disparities, especially in rural communities. We trained peer advocates in rural areas in the fundamentals of mental health, outreach, education, and support for this population. The peer advocates were coached by licensed mental health professionals. We evaluated this process through iterative qualitative analysis of semi-structured interviews and written logs from coaches and advocates. The six major themes comprising the results centered on (1) coaching support, (2) peer advocate skills and preparation, (3) working with help seekers, (4) negotiating diversity, (5) logistical challenges in rural contexts, and (6) systemic challenges...
2016: Journal of Gay & Lesbian Mental Health
Sari L Reisner, Asa Radix, Madeline B Deutsch
Transgender (trans) communities worldwide, particularly those on the trans feminine spectrum, are disproportionately burdened by HIV infection and at risk for HIV acquisition/transmission. Trans individuals represent an underserved, highly stigmatized, and under-resourced population not only in HIV prevention efforts but also in delivery of general primary medical and clinical care that is gender affirming. We offer a model of gender-affirmative integrated clinical care and community research to address and intervene on disparities in HIV infection for transgender people...
August 15, 2016: Journal of Acquired Immune Deficiency Syndromes: JAIDS
Sarah C Fogel, Jane A McElroy, Samantha Garbers, Cheryl McDonnell, Jacquetta Brooks, Michele J Eliason, Natalie Ingraham, Ann Osborn, Nada Rayyes, Sarah Davis Redman, Susan F Wood, Suzanne G Haynes
PURPOSE: Adult lesbian and bisexual (LB) women are more likely to be obese than adult heterosexual women. To address weight- and fitness-related health disparities among older LB women using culturally appropriate interventions, the Office on Women's Health (OWH) provided funding for the program, Healthy Weight in Lesbian and Bisexual Women (HWLB): Striving for a Healthy Community. This paper provides a description of the interventions that were implemented. METHODS: Five research organizations partnered with lesbian, gay, bisexual, and transgender community organizations to implement healthy weight interventions addressing the needs of LB women 40 years and older...
July 7, 2016: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
Megan A Dean, Elizabeth Victor, Laura Guidry Grimes
In an effort to address healthcare disparities in lesbian, gay, bisexual, transgender, and queer (LGBTQ) populations, many hospitals and clinics institute diversity training meant to increase providers' awareness of and sensitivity to this patient population. Despite these efforts, many healthcare spaces remain inhospitable to LGBTQ patients and their loved ones. Even in the absence of overt forms of discrimination, LGBTQ patients report feeling anxious, unwelcome, ashamed, and distrustful in healthcare encounters...
July 7, 2016: Journal of Bioethical Inquiry
Carmen H Logie, Ashley Lacombe-Duncan, Nakia Lee-Foon, Shannon Ryan, Hope Ramsay
BACKGROUND: Stigma and discrimination harm the wellbeing of lesbian, gay, bisexual and transgender (LGBT) people and contribute to migration from contexts of sexual persecution and criminalization. Yet LGBT newcomers and refugees often face marginalization and struggles meeting the social determinants of health (SDOH) following immigration to countries such as Canada. Social isolation is a key social determinant of health that may play a significant role in shaping health disparities among LGBT newcomers and refugees...
2016: BMC International Health and Human Rights
Clare Barrington
No abstract text is available yet for this article.
July 2016: Sexually Transmitted Diseases
Kate Winskell, Gaëlle Sabben
There is growing recognition of the health disparities faced by sexual minority populations and the critical role played by sexual stigma in increasing their vulnerability. Experienced, anticipated, and internalized, stigma based on sexual orientation reduces access to HIV/STI prevention and treatment services among African men who have sex with men and has been linked to compromised mental health, risk-taking, and HIV status. It is likely that similar processes undermine the health of sexual minority African women and transgender and non-binary people...
July 2016: Social Science & Medicine
Kate Jackman, Judy Honig, Walter Bockting
AIMS AND OBJECTIVES: To conduct an integrative review of nonsuicidal self-injury among lesbian, gay, bisexual and transgender populations to better understand the prevalence; to identify the lesbian, gay, bisexual and transgender subgroups at increased risk for nonsuicidal self-injury; and to examine the risk factors associated with nonsuicidal self-injury among lesbian, gay, bisexual and transgender populations. BACKGROUND: Nonsuicidal self-injury, defined as intentional injury to the body's surface without intent to die, is a significant mental health concern among adolescents and adults...
June 7, 2016: Journal of Clinical Nursing
Sari L Reisner, Sabra L Katz-Wise, Allegra R Gordon, Heather L Corliss, S Bryn Austin
PURPOSE: This study investigates depression and anxiety in gender minority (i.e., transgender and/or gender nonconforming) compared with nongender minority (cisgender) young adults. METHODS: Data were from the Growing Up Today Study, a national cohort of U.S. young adults. A two-step method (maternal-reported natal sex in 1996 cross-classified with participant-reported current gender identity in 2010) was used to identify gender minority and nongender minority respondents (n = 7,831; mean age = 26 years)...
August 2016: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
Matthew W Hollar, Matthew M Zhang, Louise A Mawn
Transgender individuals experience unique challenges with regards to discrimination and access to health care. Further, their unique health-care needs and challenges lead to greater rates of morbidity. This article seeks to review the unique biology of transgender patients and the effects of cross-sex hormone therapy on ophthalmic and non-ophthalmic pathology. Attention is given to topics in neuro-ophthalmology, oculoplastics, and retinal disease.
2016: Seminars in Ophthalmology
Erin C Wilson, Yea-Hung Chen, Sean Arayasirikul, H Fisher Raymond, Willi McFarland
Significant health disparities exist for transgender female (trans*female) youth. We assessed differences in mental health outcomes based on exposure to discrimination among transgender female youth in the San Francisco Bay Area aged 16-24 years. Youth were recruited using a combination of respondent driven sampling with online and social media methods. Logistic regression models were used to estimate odds ratios for the mental health outcomes, comparing levels of discrimination and levels of resiliency promoting protective factors among sexually active youth in the sample (N = 216)...
October 2016: AIDS and Behavior
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