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Transgender disparities

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https://www.readbyqxmd.com/read/28922319/disparities-in-access-to-care-in-marginalized-populations
#1
Elizabeth A Silberholz, Nicola Brodie, Nancy D Spector, Amy E Pattishall
PURPOSE OF REVIEW: The current article reviews recent literature related to three groups whose health is affected by barriers to the healthcare system: refugee and immigrant populations; youth who are lesbian, gay, bisexual, transgender, queer, or questioning; and those with mental health problems. RECENT FINDINGS: Refugee and immigrant populations are increasing worldwide, and recent work has focused on improving their access to mental, dental, and preventive care...
September 15, 2017: Current Opinion in Pediatrics
https://www.readbyqxmd.com/read/28918540/a-mixed-method-assessment-of-a-pilot-peer-advocate-intervention-for-rural-gender-and-sexual-minorities
#2
Cathleen E Willging, Audrey Harkness, Tania Israel, David Ley, Patricia S Hokanson, Catherine DeMaria, Aaron Joplin, Verida Smiley
Mental health disparities affect lesbian, gay, bisexual, transgender, and queer (LGBTQ) people in rural America. There are few empirically-based mental health interventions for this population. This exploratory study uses a mixed-method approach to assess implementation issues related to the feasibility, acceptability, appropriateness, and preliminary impacts of a novel peer-based intervention designed to enhance support and treatment engagement among rural LGBTQ people with mental distress and/or addiction issues...
September 16, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28901829/resilience-to-discrimination-and-rejection-among-young-sexual-minority-males-and-transgender-females-a-qualitative-study-on-coping-with-minority-stress
#3
Laura Jane Bry, Brian Mustanski, Robert Garofalo, Michelle Nicole Burns
Sexual minority and transgender status is associated with mental health disparities, which have been empirically and theoretically linked to stressors related to social stigma. Despite exposure to these unique stressors, many sexual minority and transgender individuals will not experience mental health disorders in their lifetime. Little is known about the specific processes that sexual minority and transgender youth use to maintain their wellbeing in the presence of discrimination and rejection. Semi-structured interviews were conducted with 10 sexual minority males and transgender females aged 18-22 years, who currently met criteria for an operationalized definition of resilience to depression and anxiety...
September 13, 2017: Journal of Homosexuality
https://www.readbyqxmd.com/read/28888127/environmental-injustice-and-sexual-minority-health-disparities-a%C3%A2-national-study-of-inequitable-health-risks-from-air-pollution-among-same-sex-partners
#4
Timothy W Collins, Sara E Grineski, Danielle X Morales
Air pollution is deleterious to human health, and numerous studies have documented racial and socioeconomic inequities in air pollution exposures. Despite the marginalized status of lesbian, gay, bisexual, and transgender (LGBT) populations, no national studies have examined if they experience inequitable exposures to air pollution. This cross-sectional study investigated inequities in the exposure of same-sex partner households to hazardous air pollutants (HAPs) in the US. We examined cancer and respiratory risks from HAPs across 71,207 census tracts using National Air Toxics Assessment and US Census data...
September 6, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28876211/human-papillomavirus-related-cancer-surveillance-prevention-and-screening-among-transgender-men-and-women-neglected-populations-at-high-risk
#5
Brandon Brown, Tonia Poteat, Logan Marg, Jerome T Galea
Researchers and healthcare surveillance systems must clearly disaggregate data for transgender men and women from data for cisgender men and women to identify population-level health disparities and give every person an opportunity for cancer prevention. The limited human papillomavirus (HPV) vaccine recommendations for transgender men and women may be due to the scant literature on cancer prevalence coupled with poor understanding of HPV risks for these populations. Comprehensive cancer screening and prevention initiatives centered on relevant anatomy and sexual risk behaviors that are inclusive of transgender men and women are needed...
September 6, 2017: LGBT Health
https://www.readbyqxmd.com/read/28870282/transgender-women-and-hiv-related-health-disparities-falling-off-the-hiv-treatment-cascade
#6
Seth C Kalichman, Dominica Hernandez, Stephanie Finneran, Devon Price, Redd Driver
Background: Transgender women living with HIV infection experience poorer health outcomes across the HIV continuum of care. While disparities are well established, their underlying mechanisms are not well understood. This study examined the HIV continuum of care (also known as the HIV treatment cascade), including linkage and engagement in care and health status among transgender women and cisgender women and cisgender men living with HIV. Method: Case-control matching was applied to a cohort of 1101 people living with HIV; 70 transgender women living with HIV were matched on years since testing HIV positive with cisgender women and cisgender men...
September 5, 2017: Sexual Health
https://www.readbyqxmd.com/read/28861552/internal-medicine-resident-attitudes-prior-education-comfort-and-knowledge-regarding-delivering-comprehensive-primary-care-to-transgender-patients
#7
Carrie D Johnston, Lee S Shearer
Transgender patients face a multitude of health disparities and often a lack of understanding by healthcare professionals. A survey was undertaken of internal medicine residents in a large urban academic training program to determine prior education, attitudes, comfort, and knowledge in providing care for transgender individuals in a primary care setting. Total N=67 respondents (52% of those eligible). A full 97% of residents believe transgender medical issues are relevant to their practice, but only 45% had prior education about the care of transgender patients...
2017: Transgender Health
https://www.readbyqxmd.com/read/28838578/prevalence-and-correlates-of-suicidal-ideation%C3%A2-among-transgender-youth-in-california-findings-from-a-representative-population-based-sample-of-high-school-students
#8
Amaya Perez-Brumer, Jack K Day, Stephen T Russell, Mark L Hatzenbuehler
OBJECTIVE: No representative population-based studies of youth in the United States exist on gender identity-related disparities in suicidal ideation or on factors that underlie this disparity. To address this, this study examined gender identity-related disparities in the prevalence of suicidal ideation; evaluated whether established psychosocial factors explained these disparities; and identified correlates of suicidal ideation among all youth and stratified by gender identity. METHOD: Data were derived from the 2013 to 2015 California Healthy Kids Survey (CHKS; N = 621,189) and a weighted subsample representative of the Californian student population (Biennial Statewide California Student Survey [CSS], N = 28,856)...
September 2017: Journal of the American Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/28806372/exploring-rural-disparities-in-medical-diagnoses-among-veterans-with-transgender-related-diagnoses-utilizing-veterans-health-administration-care
#9
Leigh A Bukowski, John Blosnich, Jillian C Shipherd, Michael R Kauth, George R Brown, Adam J Gordon
OBJECTIVES: Research shows transgender individuals experience pronounced health disparities compared with their nontransgender peers. Yet, there remains insufficient research about health differences within transgender populations. This study seeks to fill this gap by exploring how current urban/rural status is associated with lifetime diagnosis of mood disorder, alcohol dependence disorder, illicit drug abuse disorder, tobacco use, posttraumatic stress disorder, human immunodeficiency virus, and suicidal ideation or attempt among veterans with transgender-related diagnoses...
September 2017: Medical Care
https://www.readbyqxmd.com/read/28806370/will-veterans-answer-sexual-orientation-and-gender-identity-questions
#10
Mollie A Ruben, John R Blosnich, Melissa E Dichter, Lorry Luscri, Jillian C Shipherd
BACKGROUND: The Veterans Health Administration does not routinely collect and document sexual orientation and gender identity (SOGI) data, despite existing health disparities among sexual and gender minority Veterans. Because of the legacy of previous Department of Defense (DoD) policies that prohibited disclosure of sexual or gender minority identities among active duty personnel, Veterans may be reluctant to respond to SOGI questions. OBJECTIVES: This population-based study assesses item nonresponse to SOGI questions by Veteran status...
September 2017: Medical Care
https://www.readbyqxmd.com/read/28806361/health-disparities-in-veterans-a-map-of-the-evidence
#11
Karli Kondo, Allison Low, Teresa Everson, Christine D Gordon, Stephanie Veazie, Crystal C Lozier, Michele Freeman, Makalapua Motu'apuaka, Aaron Mendelson, Mark Friesen, Robin Paynter, Caroline Friesen, Johanna Anderson, Erin Boundy, Somnath Saha, Ana Quiñones, Devan Kansagara
BACKGROUND: Goals for improving the quality of care for all Veterans and eliminating health disparities are outlined in the Veterans Health Administration Blueprint for Excellence, but the degree to which disparities in utilization, health outcomes, and quality of care affect Veterans is not well understood. OBJECTIVES: To characterize the research on health care disparities in the Veterans Health Administration by means of a map of the evidence. RESEARCH DESIGN: We conducted a systematic search for research studies published from 2006 to February 2016 in MEDLINE and other data sources...
September 2017: Medical Care
https://www.readbyqxmd.com/read/28805403/where-s-the-lgbt-in-integrated-care-research-a-systematic-review
#12
Rachel L Hughes, Catherine Damin, Katie Heiden-Rootes
INTRODUCTION: Lesbian, gay, bisexual, and transgender (LGBT) individuals experience more negative health outcomes compared with their heterosexual peers. The health disparities are often related to family and social rejection of the LGBT individuals. Integrated care, and Medical Family Therapy in particular, may aid in addressing the systemic nature of the negative health outcomes. METHOD: To better understand the current state of the integrated care literature on addressing the health needs of LGBT individuals, a systematic review of the research literature was conducted from January 2000 to January 2016 for articles including integrated health care interventions for LGBT populations...
August 14, 2017: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/28782330/the-effects-of-educational-curricula-and-training-on-lgbt-specific-health-issues-for-healthcare-students-and-professionals-a-mixed-method-systematic-review
#13
Adekemi Oluwayemisi Sekoni, Nicola K Gale, Bibiane Manga-Atangana, Arjun Bhadhuri, Kate Jolly
INTRODUCTION: Poor access of lesbian, gay, bisexual and transgender (LGBT) people to healthcare providers with clinical and cultural competency contributes to health inequalities between heterosexual/cisgender and LGBT people. This systematic review assesses the effect of educational curricula and training for healthcare students and professionals on LGBT healthcare issues. METHODS: Systematic review; the search terms, strategy and process as well as eligibility criteria were predefined and registered prospectively on PROSPERO...
July 19, 2017: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/28752285/hiv-prevention-among-transgender-populations-knowledge-gaps-and-evidence-for-action
#14
REVIEW
Tonia Poteat, Mannat Malik, Ayden Scheim, Ayana Elliott
PURPOSE OF REVIEW: The purpose of this review is to summarize the available evidence-based HIV prevention interventions tailored for transgender people. RECENT FINDINGS: A limited number of evidence-based HIV prevention interventions have been tested with transgender populations. Most existing interventions target behavior change among transgender women, with only one HIV prevention program evaluated for transgender men. Studies addressing biomedical interventions for transgender women are ongoing...
July 27, 2017: Current HIV/AIDS Reports
https://www.readbyqxmd.com/read/28749876/lgbt-older-adults-in-long-term-care
#15
Joy Jacobson
Lesbian, gay, bisexual, and transgender elders continue to face health care disparities.
August 2017: American Journal of Nursing
https://www.readbyqxmd.com/read/28738421/cardiovascular-disease-among-transgender-adults-receiving-hormone-therapy-a-narrative-review
#16
REVIEW
Carl G Streed, Omar Harfouch, Francoise Marvel, Roger S Blumenthal, Seth S Martin, Monica Mukherjee
Recent reports estimate that 0.6% of adults in the United States, or approximately 1.4 million persons, identify as transgender. Despite gains in rights and media attention, the reality is that transgender persons experience health disparities, and a dearth of research and evidence-based guidelines remains regarding their specific health needs. The lack of research to characterize cardiovascular disease (CVD) and CVD risk factors in transgender populations receiving cross-sex hormone therapy (CSHT) limits appropriate primary and specialty care...
August 15, 2017: Annals of Internal Medicine
https://www.readbyqxmd.com/read/28736148/risk-and-protective-factors-in-the-lives-of-transgender-gender-nonconforming-adolescents
#17
Marla E Eisenberg, Amy L Gower, Barbara J McMorris, G Nicole Rider, Glynis Shea, Eli Coleman
PURPOSE: Research suggests that transgender and gender nonconforming (TGNC) youth may be at greatly increased risk of high-risk health behaviors compared with cisgender youth, but existing studies are limited by convenience samples and small numbers. This study uses a large school-based sample of adolescents to describe the prevalence of TGNC identity, associations with health risk behaviors and protective factors, and differences across birth-assigned sex. METHODS: This study analyzes existing surveillance data provided by 9th and 11th grade students in Minnesota in 2016 (N = 81,885)...
July 20, 2017: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/28719246/disparities-in-exposure-to-intimate-partner-violence-among-transgender-gender-nonconforming-and-sexual-minority-primary-care-patients
#18
Sarah E Valentine, Sarah M Peitzmeier, Dana S King, Conall O'Cleirigh, Samantha M Marquez, Cara Presley, Jennifer Potter
PURPOSE: We investigated the odds of intimate partner violence (IPV) among primary care patients across subgroups of transgender and gender nonconforming (TGNC) individuals relative to cisgender women, and cisgender sexual minority men and women relative to cisgender heterosexual men and women. METHODS: Participants completed an IPV screener as part of routine primary care visits at an urban community health center (N = 7572). Electronic medical record data were pooled for all patients who received the IPV screener January 1 to December 31, 2014...
August 2017: LGBT Health
https://www.readbyqxmd.com/read/28716460/ten-most-important-things-to-know-about-caring-for-transgender-patients
#19
REVIEW
Stuart R Chipkin, Fred Kim
Transgender people have a gender that is not in agreement with their birth sex. Previous barriers, including lack of provider knowledge, have created significant healthcare disparities for this population. Recent societal changes are increasing the numbers of transgender people seen by primary care practitioners. Ten key principles are provided to help primary care practitioners create more welcoming environments and provide quality care to transgender patients. Overall, all members of the healthcare team (primary and specialty) need to become aware of the transition process and maintain communication regarding risks, benefits, and goals...
July 14, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28679645/when-gender-identity-doesn-t-equal-sex-recorded-at-birth-the-role-of-the-laboratory-in-providing-effective-healthcare-to-the-transgender-community
#20
REVIEW
Zil Goldstein, Trevor A Corneil, Dina N Greene
BACKGROUND: Transgender is an umbrella term used to describe individuals who identify with a gender incongruent to or variant from their sex recorded at birth. Affirming gender identity through a variety of social, medical, and surgical interventions is critical to the mental health of transgender individuals. In recent years, awareness surrounding transgender identities has increased, which has highlighted the health disparities that parallel this demographic. These disparities are reflected in the experience of transgender patients and their providers when seeking clinical laboratory services...
August 2017: Clinical Chemistry
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