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https://www.readbyqxmd.com/read/28191723/perceptions-of-hpv-and-attitudes-towards-hpv-vaccination-amongst-men-who-have-sex-with-men-a-qualitative-analysis
#1
Tom Nadarzynski, Helen Smith, Daniel Richardson, Alex Pollard, Carrie Llewellyn
OBJECTIVES: Men who have sex with men (MSM) are at risk of genital warts and anal cancer due to human papillomavirus (HPV) infection. This study explores MSMs' perceptions of HPV and HPV vaccination prior to the introduction of this programme. DESIGN: Focus groups and one-to-one interviews with self-identified MSM were conducted between November 2014 and March 2015 in Brighton, UK. METHODS: Participants were recruited from community-based lesbian-gay-bisexual-transgender (LGBT) venues and organizations...
February 13, 2017: British Journal of Health Psychology
https://www.readbyqxmd.com/read/28161526/low-fertility-preservation-utilization-among-transgender-youth
#2
Leena Nahata, Amy C Tishelman, Nicole M Caltabellotta, Gwendolyn P Quinn
PURPOSE: Research demonstrates a negative psychosocial impact of infertility among otherwise healthy adults, and distress among adolescents facing the prospect of future infertility due to various medical conditions and treatments that impair reproductive health. Guidelines state that providers should counsel transgender youth about potential infertility and fertility preservation (FP) options prior to initiation of hormone therapy. The purpose of this study was to examine the rates of fertility counseling and utilization of FP among a cohort of adolescents with gender dysphoria seen at a large gender clinic...
February 1, 2017: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/28159138/working-toward-family-attunement-family-therapy-with-transgender-and-gender-nonconforming-children-and-adolescents
#3
REVIEW
Deborah Coolhart, Daran L Shipman
Families of transgender and gender-nonconforming youth often seek therapy for assistance in understanding, accepting, and supporting their child. This article describes a gender-affirmative approach to family therapy and outlines strategies for addressing common challenges faced by the families of transgender and gender-nonconforming youth. Therapy begins by assessing family attunement and working with parents, siblings, and other family members to better support the youth. Once family attunement is achieved, therapy can begin to explore options for gender expression and/or transition...
March 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28130692/comprehensive-sexuality-education-as-a-longitudinal-predictor-of-lgbtq-name-calling-and-perceived-willingness-to-intervene-in-school
#4
Laura Baams, Judith Semon Dubas, Marcel A G van Aken
Comprehensive sexuality education and sexuality education that is inclusive to lesbian, gay, bisexual, transgender, queer, and questioning (LGBTQ) youth is thought to educate and support youth in their social relations. Despite the obligation for Dutch schools to cover sexuality education in their curricula, including the topic of sexual diversity, the content that is covered varies widely across schools. With the current study, we present an overview of the content of sexuality education as reported by a sample of 601 Dutch adolescents (58...
January 27, 2017: Journal of Youth and Adolescence
https://www.readbyqxmd.com/read/28103750/supporting-the-health-and-well-being-of-transgender-students
#5
Ethan C Cicero, Linda M Wesp
Throughout the United States, there has been a rise in public discourse about transgender people and transgender issues. Much of this attention stems from passed and proposed anti-LGBTQ (lesbian, gay, bisexual, transgender, queer or questioning) legislation, including "bathroom bills" that would require transgender people to use public facilities corresponding with the sex designated on their birth certificates. With the recent discussion and legislation impacting school-aged children and adolescents, what does this mean for school nurses and how can they care and advocate for their transgender students? In this article, we aim to empower school nurses to join the discussion, advocate for inclusive and equitable school policies, and deliver gender-affirming care to transgender students...
January 1, 2017: Journal of School Nursing: the Official Publication of the National Association of School Nurses
https://www.readbyqxmd.com/read/28069854/for-many-served-by-the-ryan-white-hiv-aids-program-disparities-in-viral-suppression-decreased-2010-14
#6
Rupali K Doshi, John Milberg, Theresa Jumento, Tracy Matthews, Antigone Dempsey, Laura W Cheever
For twenty-five years, the Ryan White HIV/AIDS Program has supported a comprehensive system of health services for vulnerable and under- or uninsured people living with HIV. Using data from the Health Resources and Services Administration about people living with HIV and served by the Ryan White HIV/AIDS Program, we found reductions in disparities in viral suppression rates between 2010 and 2014-with rates for Blacks/African Americans, adolescents and young adults, and people living in the South becoming more similar to rates for Whites, older adults, and people in other regions of the United States, respectively...
January 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28065519/enhancing-pediatric-trainees-and-students-knowledge-in-providing-care-to-transgender-youth
#7
Stanley R Vance, Madeline B Deutsch, Stephen M Rosenthal, Sara M Buckelew
PURPOSE: To enhance pediatric trainees' and students' knowledge of the psychosocial and medical issues facing transgender youth through a comprehensive curriculum. METHODS: During the 2015-2016 academic year, we administered a transgender youth curriculum to fourth-year medical students, pediatric interns, psychiatry interns, and nurse practitioner students on their 1-month adolescent and young adult medicine rotation. The curriculum included six interactive, online modules and an observational experience in a multidisciplinary pediatric gender clinic...
January 5, 2017: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/28035497/diagnosed-hiv-infection-in-transgender-adults-and-adolescents-results-from-the-national-hiv-surveillance-system-2009-2014
#8
Hollie Clark, Aruna Surendera Babu, Ellen Weiss Wiewel, Jenevieve Opoku, Nicole Crepaz
Publications on diagnosed HIV infection among transgender people have been limited to state- or local-level data. We analyzed data from the National HIV Surveillance System and present results from the first national-level analysis of transgender people with diagnosed HIV infection. From 2009 to 2014, HIV surveillance jurisdictions from 45 states plus the District of Columbia identified and reported at least one case of newly diagnosed HIV infection for transgender people; jurisdictions from 5 states reported no cases for transgender people...
December 29, 2016: AIDS and Behavior
https://www.readbyqxmd.com/read/28029539/disordered-weight-management-behaviors-nonprescription-steroid-use-and-weight-perception-in-transgender-youth
#9
Carly E Guss, David N Williams, Sari L Reisner, S Bryn Austin, Sabra L Katz-Wise
PURPOSE: Disordered weight management behaviors are prevalent among youth; recent case reports suggested that these behaviors might also be common in transgender youth. We studied associations of gender identity with disordered weight management behaviors, nonprescription steroid use, and weight perception among transgender and cisgender (nontransgender) high-school students in Massachusetts. METHODS: Data were analyzed from the 2013 Massachusetts Youth Health Survey, an anonymous survey in a random sample of Massachusetts public high schools...
October 28, 2016: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/28007056/mental-health-disparities-among-canadian-transgender-youth
#10
Jaimie F Veale, Ryan J Watson, Tracey Peter, Elizabeth M Saewyc
PURPOSE: This study documented the prevalence of mental health problems among transgender youth in Canada and made comparisons with population-based studies. This study also compared gender identity subgroups and age subgroups (14-18 and 19-25). METHODS: A nonprobability sample of 923 transgender youth from Canada completed an online survey. Participants were recruited through community organizations, health care settings, social media, and researchers' networks...
January 2017: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/28002311/committee-opinion-no-685-care-for-transgender-adolescents
#11
(no author information available yet)
Gender nonconforming youth are an underserved population who obstetrician-gynecologists are seeing increasingly in their practices. Currently, there are large gaps in training, knowledge, and comfort with transgender patients among obstetrician-gynecologists. The purpose of this document is to review current recommendations that apply to an obstetrician-gynecologist. It is important for obstetrician-gynecologists to be aware of the social and mental health risks for the transgender population. Consensus guidelines support initiating medical therapy after an adolescent has an established diagnosis of transgender identity and has reached Tanner stage II development...
January 2017: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28002306/committee-opinion-no-685-summary-care-for-transgender-adolescents
#12
(no author information available yet)
Gender nonconforming youth are an underserved population who obstetrician-gynecologists are seeing increasingly in their practices. Currently, there are large gaps in training, knowledge, and comfort with transgender patients among obstetrician-gynecologists. The purpose of this document is to review current recommendations that apply to an obstetrician-gynecologist. It is important for obstetrician-gynecologists to be aware of the social and mental health risks for the transgender population. Consensus guidelines support initiating medical therapy after an adolescent has an established diagnosis of transgender identity and has reached Tanner stage II development...
January 2017: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27900502/values-and-preferences-on-the-use-of-oral-pre-exposure-prophylaxis-prep-for-hiv-prevention-among-multiple-populations-a-systematic-review-of-the-literature
#13
Florence M Koechlin, Virginia A Fonner, Sarah L Dalglish, Kevin R O'Reilly, Rachel Baggaley, Robert M Grant, Michelle Rodolph, Ioannis Hodges-Mameletzis, Caitlin E Kennedy
Daily oral pre-exposure prophylaxis (PrEP) is the use of antiretroviral drugs by HIV-negative people to prevent HIV infection. WHO released new guidelines in 2015 recommending PrEP for all populations at substantial risk of HIV infection. To prepare these guidelines, we conducted a systematic review of values and preferences among populations that might benefit from PrEP, women, heterosexual men, young women and adolescent girls, female sex workers, serodiscordant couples, transgender people and people who inject drugs, and among healthcare providers who may prescribe PrEP...
November 29, 2016: AIDS and Behavior
https://www.readbyqxmd.com/read/27883300/should-psychiatrists-prescribe-gender-affirming-hormone-therapy-to-transgender-adolescents
#14
Cary S Crall, Rachel K Jackson
Gender-affirming hormone therapy is a safe and effective way to improve quality of life and mental health outcomes for transgender adolescents. Access to this treatment is limited, with the most vulnerable transgender people experiencing the greatest gaps in care. Because some psychiatrists help transgender patients receive needed medical interventions, we analyze the ethical values they must balance when deciding whether to provide hormone therapy to patients who seek it.
November 1, 2016: AMA Journal of Ethics
https://www.readbyqxmd.com/read/27865339/development-and-mental-health-of-lesbian-gay-bisexual-or-transgender-youth-in-pediatric-practice
#15
REVIEW
Stewart L Adelson, Oliver M Stroeh, Yiu Kee Warren Ng
Assessing, monitoring, and supporting children and adolescents' mental health are integral parts of comprehensive pediatric primary care. These are especially relevant for LGBT youth, who frequently experience unique stressors, often including having an identity different from family and peer expectations, whether to reveal it, and stigma like peer bullying, family rejection, social intolerance, and self nonacceptance. Pediatricians should know key mental health practice principles for LGBT youth, how to adapt these to various pediatric settings, the continuum of mental health interventions, and their local resources...
December 2016: Pediatric Clinics of North America
https://www.readbyqxmd.com/read/27865337/what-the-primary-care-pediatrician-needs-to-know-about-gender-incongruence-and-gender-dysphoria-in-children-and-adolescents
#16
REVIEW
Annelou L C de Vries, Daniel Klink, Peggy T Cohen-Kettenis
The recognition and acknowledgment that gender identity and birth-assigned sex may be incongruent in children and adolescents have evolved in recent decades. Transgender care for children and adolescents has developed and is now more widely available. Controversies exist, however, around clinical management of gender dysphoria and gender incongruence in children and adolescents. Clinical guidelines are consensus based and research evidence is limited. Puberty suppression as part of clinical management has become a valuable element of adolescent transgender care, but long-term evidence of success is limited...
December 2016: Pediatric Clinics of North America
https://www.readbyqxmd.com/read/27865334/body-image-and-eating-disorders-among-lesbian-gay-bisexual-and-transgender-youth
#17
REVIEW
Zachary McClain, Rebecka Peebles
Adolescence is a crucial period for emerging sexual orientation and gender identity and also body image disturbance and disordered eating. Body image distortion and disordered eating are important pediatric problems affecting individuals along the sexual orientation and gender identity spectrum. Lesbian, gay, bisexual, transgender (LGBT) youth are at risk for eating disorders and body dissatisfaction. Disordered eating in LGBT and gender variant youth may be associated with poorer quality of life and mental health outcomes...
December 2016: Pediatric Clinics of North America
https://www.readbyqxmd.com/read/27845262/effect-of-pubertal-suppression-and-cross-sex-hormone-therapy-on-bone-turnover-markers-and-bone-mineral-apparent-density-bmad-in-transgender-adolescents
#18
Mariska C Vlot, Daniel T Klink, Martin den Heijer, Marinus A Blankenstein, Joost Rotteveel, Annemieke C Heijboer
Puberty is highly important for the accumulation of bone mass. Bone turnover and bone mineral density (BMD) can be affected in transgender adolescents when puberty is suppressed by gonadotropin-releasing hormone analogues (GnRHa), followed by treatment with cross-sex hormone therapy (CSHT). We aimed to investigate the effect of GnRHa and CSHT on bone turnover markers (BTMs) and bone mineral apparent density (BMAD) in transgender adolescents. Gender dysphoria was diagnosed based on diagnostic criteria according to the DSM-IV (TR)...
November 11, 2016: Bone
https://www.readbyqxmd.com/read/27835629/the-association-of-health-seeking-behaviors-with-human-papillomavirus-vaccination-status-among-high-risk-urban-youth
#19
Holly B Fontenot, Terrence Lee-St John, Ralph Vetters, Danielle Funk, Chris Grasso, Kenneth H Mayer
BACKGROUND: Vaccination is the primary strategy to reduce the burden of human papillomavirus (HPV) related diseases in the United States. Unvaccinated youth are at risk for HPV infection and associated diseases, and limited research has explored factors associated with HPV vaccination among those who are disadvantaged and at high risk, including lesbian, gay, bisexual, transgender and queer and/or homeless. METHODS: A retrospective electronic medical record review was conducted at an urban, homeless, and lesbian, gay, bisexual, transgender and queer focused health center in northeastern US logistic regression models examined the associations between HPV vaccination and demographic/social characteristics and health behaviors...
December 2016: Sexually Transmitted Diseases
https://www.readbyqxmd.com/read/27776134/gender-incongruence-of-adolescence-and-adulthood-acceptability-and-clinical-utility-of-the-world-health-organization-s-proposed-icd-11-criteria
#20
Titia F Beek, Peggy T Cohen-Kettenis, Walter P Bouman, Annelou L C de Vries, Thomas D Steensma, Gemma L Witcomb, Jon Arcelus, Christina Richards, Els Elaut, Baudewijntje P C Kreukels
The World Health Organization (WHO) is currently updating the tenth version of their diagnostic tool, the International Classification of Diseases (ICD, WHO, 1992). Changes have been proposed for the diagnosis of Transsexualism (ICD-10) with regard to terminology, placement and content. The aim of this study was to gather the opinions of transgender individuals (and their relatives/partners) and clinicians in the Netherlands, Flanders (Belgium) and the United Kingdom regarding the proposed changes and the clinical applicability and utility of the ICD-11 criteria of 'Gender Incongruence of Adolescence and Adulthood' (GIAA)...
2016: PloS One
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