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https://www.readbyqxmd.com/read/29241986/the-effects-of-gender-and-sexuality-based-harassment-on-lesbian-gay-bisexual-and-transgender-substance-use-disparities
#1
Robert W S Coulter, Melina Bersamin, Stephen T Russell, Christina Mair
PURPOSE: We tested three competing models about whether gender- and sexuality-based harassment at school have nonindependent, additive, or interactive effects on adolescents' electronic cigarette use (i.e., vaping), cigarette smoking, alcohol use, and heavy episodic drinking (HED). We also tested whether harassment mediated substance use disparities between lesbian, gay, bisexual, transgender (LGBT) adolescents and their cisgender heterosexual peers. METHODS: We analyzed cross-sectional data from the 2013-2014 California Healthy Kids Survey, including 316,766 students in grades 7, 9, and 11 from more than 1,500 middle and high schools...
December 11, 2017: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/29238237/adolescent-pre-exposure-prophylaxis-for-hiv-prevention-current-perspectives
#2
REVIEW
Daisy Maria Machado, Alexandre Machado de Sant'Anna Carvalho, Rachel Riera
Adolescents are a critical population that is disproportionately impacted by the HIV epidemic. More than 2 million adolescents between the age group of 10 and 19 years are living with HIV, and millions are at risk of infection. HIV risks are considerably higher among girls, especially in high-prevalence settings such as eastern and southern Africa. In addition to girls, there are other vulnerable adolescent subgroups, such as teenagers, who use intravenous (IV) drugs, gay and bisexual boys, transgender youth, male sex workers, and people who fall into more than one of these categories...
2017: Adolescent Health, Medicine and Therapeutics
https://www.readbyqxmd.com/read/29231956/gender-diversity-sexual-orientation-and-bone-health-in-the-maturing-dancer
#3
REVIEW
Derrick D Brown
Gender identity forms an important aspect of still developing youths. Gender is traditionally classified into two distinct categories, female and male. Transgender is a general term that describes individuals who self-identity as male, female, both, or neither (i.e., gender fluid) and do not match the assigned at-birth gender. Adolescent transgender individuals are currently a marginal population. There are limited demographics on youths, but as of 2014 an estimate of 1.4 million adults in the USA identified as transgender...
December 2017: Medical Problems of Performing Artists
https://www.readbyqxmd.com/read/29214408/anticipated-hiv-stigma-and-delays-in-regular-hiv-testing-behaviors-among-sexually-active-young-gay-bisexual-and-other-men-who-have-sex-with-men-and-transgender-women
#4
Kristi E Gamarel, Kimberly M Nelson, Rob Stephenson, Olga J Santiago Rivera, Danielle Chiaramonte, Robin Lin Miller
Young gay, bisexual and other men who have sex with men (YGBMSM) and young transgender women are disproportionately affected by HIV/AIDS. The success of biomedical prevention strategies is predicated on regular HIV testing; however, there has been limited uptake of testing among YGBMSM and young transgender women. Anticipated HIV stigma-expecting rejection as a result of seroconversion- may serve as a significant barrier to testing. A cross-sectional sample of YGBMSM (n = 719, 95.5%) and young transgender women (n = 33, 4...
December 6, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/29211514/hiv-care-providers-intentions-to-prescribe-and-actual-prescription-of-pre-exposure-prophylaxis-to-at-risk-adolescents-and-adults
#5
Tanya L Kowalczyk Mullins, Gregory Zimet, Michelle Lally, Jiahong Xu, Sarah Thornton, Jessica A Kahn
Pre-exposure prophylaxis (PrEP) is indicated for use in US adults, and little is known about clinician intentions to prescribe and actual prescription of PrEP to adolescents younger than 18. Fifty-six clinicians who care for HIV-infected and at-risk youth completed an anonymous online survey in 2014. Primary outcomes were (1) intentions to prescribe PrEP to adolescents and adults in four risk categories [men who have sex with men (MSM), transgender women, heterosexuals with multiple partners of unknown HIV status, heterosexuals with HIV-infected partners]; and (2) actual prescription of PrEP to adolescents and adults in these risk groups...
December 2017: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/29184488/brain-maturation-cognition-and-voice-pattern-in-a-gender-dysphoria-case-under-pubertal-suppression
#6
Maiko A Schneider, Poli M Spritzer, Bianca Machado Borba Soll, Anna M V Fontanari, Marina Carneiro, Fernanda Tovar-Moll, Angelo B Costa, Dhiordan C da Silva, Karine Schwarz, Maurício Anes, Silza Tramontina, Maria I R Lobato
Introduction: Gender dysphoria (GD) (DMS-5) is a condition marked by increasing psychological suffering that accompanies the incongruence between one's experienced or expressed gender and one's assigned gender. Manifestation of GD can be seen early on during childhood and adolescence. During this period, the development of undesirable sexual characteristics marks an acute suffering of being opposite to the sex of birth. Pubertal suppression with gonadotropin releasing hormone analogs (GnRHa) has been proposed for these individuals as a reversible treatment for postponing the pubertal development and attenuating psychological suffering...
2017: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/29178596/knowledge-and-attitudes-toward-transgender-health
#7
Jack L Turban, Joel Winer, Susan Boulware, Timothy VanDeusen, John Encandela
BACKGROUND: Hormonal interventions for transgender adolescents have become increasingly common; however, there is a paucity of research on medical student knowledge of, and attitudes toward, these interventions following didactic instruction. Furthermore, no studies have examined whether students can be aware of the literature on the mental health benefits of these treatments yet continue to find them unethical. METHODS: An anonymous online survey was administered to students, from first to fourth year (n = 407), who had received one or two lectures on the treatment of youths with gender dysphoria (GD)...
November 27, 2017: Clinical Teacher
https://www.readbyqxmd.com/read/29177485/primary-care-access-and-foregone-care-a-survey-of-transgender-adolescents-and-young-adults
#8
Beth A Clark, Jaimie F Veale, Devon Greyson, Elizabeth Saewyc
Objective: To examine the issues of primary care access and foregone health care among transgender adolescents and young adults. Methods: This cross-sectional analysis of data from the Canadian Trans Youth Health Survey was conducted online during 2013-2014. Participants included 923 youth aged 14-25 (323 adolescents aged 14-18 and 600 young adults aged 19-25). Main outcome measures were self-reported general and mental health status, comfort discussing transgender identity and health care needs with general practitioners, and types of and reasons for self-identified foregone health care...
November 21, 2017: Family Practice
https://www.readbyqxmd.com/read/29159312/perceived-parental-attitudes-of-gender-expansiveness-development-and-preliminary-factor-structure-of-a-self-report-youth-questionnaire
#9
Marco A Hidalgo, Diane Chen, Robert Garofalo, Catherine Forbes
Purpose: Parental acceptance of gender identity/expression in lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) youth moderates the effects of minority stress on mental health outcomes. Given this association, mental health clinicians of gender-expansive adolescents often assess the degree to which these youth perceive their parents/primary caregivers as accepting or nonaffirming of their gender identity and expression. While existing measures may reliably assess youth's perceptions of general family support, no known tool aids in the assessment an adolescent's perceived parental support related to adolescent gender-expansive experiences...
2017: Transgender Health
https://www.readbyqxmd.com/read/29153445/prevalence-and-correlates-of-youth-homelessness-in-the-united-states
#10
Matthew H Morton, Amy Dworsky, Jennifer L Matjasko, Susanna R Curry, David Schlueter, Raúl Chávez, Anne F Farrell
PURPOSE: Unaccompanied youth homelessness is a serious concern. Response, however, has been constrained by the absence of credible data on the size and characteristics of the population and reliable means to track youth homelessness over time. We sought to address these gaps. METHODS: Using a nationally representative phone-based survey (N = 26,161), we solicited household and individual reports on different types of youth homelessness. We collected household reports on adolescents aged 13-17 and young adults aged 18-25, as well as self-reports from young adults aged 18-25...
November 9, 2017: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/29057520/editorial-minding-the-gap-research-on-sexual-minority-and-gender-nonconforming-children-and-adolescents
#11
EDITORIAL
Charles H Zeanah, Myo Thwin Myint
There is often a gap between politics and science, but the influence across the gap is bidirectional. This editorial considers a longitudinal, community-based sample of children and adolescents and asks about risks from early childhood gender non-conformity and adolescent reported sexual minority status for subsequent anxiety disorders. It is especially valuable to have longitudinal data from a non-referred sample to address questions of risk, and the investigators must be complemented for having foresight about these questions twenty years ago...
November 2017: Journal of Child Psychology and Psychiatry, and Allied Disciplines
https://www.readbyqxmd.com/read/29056436/physiologic-response-to-gender-affirming-hormones-among-transgender-youth
#12
Johanna Olson-Kennedy, Vivian Okonta, Leslie F Clark, Marvin Belzer
PURPOSE: The purpose of this study was to examine the physiologic impact of hormones on youth with gender dysphoria. These data represent follow-up data in youth ages 12-23 years over a two-year time period of hormone administration. METHODS: This prospective, longitudinal study initially enrolled 101 youth with gender dysphoria at baseline from those presenting consecutively for care between February 2011 and June 2013. Physiologic data at baseline and follow-up were abstracted from medical charts...
October 19, 2017: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/29032496/school-practices-to-foster-lgbt-supportive-climate-associations-with-adolescent-bullying-involvement
#13
Amy L Gower, Myriam Forster, Kari Gloppen, Abigail Z Johnson, Marla E Eisenberg, John E Connett, Iris W Borowsky
Lesbian, gay, bisexual, and transgender (LGBT) youth experience disproportionate rates of bullying compared to their heterosexual peers. Schools are well-positioned to address these disparities by creating supportive school climates for LGBT youth, but more research is needed to examine the variety of practices and professional development opportunities put in place to this end. The current study examines how school practices to create supportive LGBT student climate relate to student reports of bullying. Student-level data come from the 2013 Minnesota Student Survey, a state-wide survey of risk and protective factors...
October 14, 2017: Prevention Science: the Official Journal of the Society for Prevention Research
https://www.readbyqxmd.com/read/28976234/gender-fluidity-and-child-abuse-a-personal-view
#14
Charles Lewis
Gender fluidity and a failure to respect biological norms may have potentially horrific implications for children and adolescents who express doubt about their bodies. Are transgender activists driving an agenda that will result in inappropriate interventions that block normal development in children and adolescents from which there can be no return? Can the Law protect children and adolescents from harm committed with the intention of helping them?
January 1, 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/28945902/endocrine-treatment-of-gender-dysphoric-gender-incongruent-persons-an-endocrine-society-clinical-practice-guideline
#15
Wylie C Hembree, Peggy T Cohen-Kettenis, Louis Gooren, Sabine E Hannema, Walter J Meyer, M Hassan Murad, Stephen M Rosenthal, Joshua D Safer, Vin Tangpricha, Guy G T'Sjoen
Objective: To update the "Endocrine Treatment of Transsexual Persons: An Endocrine Society Clinical Practice Guideline," published by the Endocrine Society in 2009. Participants: The participants include an Endocrine Society-appointed task force of nine experts, a methodologist, and a medical writer. Evidence: This evidence-based guideline was developed using the Grading of Recommendations, Assessment, Development, and Evaluation approach to describe the strength of recommendations and the quality of evidence...
November 1, 2017: Journal of Clinical Endocrinology and Metabolism
https://www.readbyqxmd.com/read/28945660/hormone-therapy-and-venous-thromboembolism-in-a-transgender-adolescent
#16
Kaitlin Stanley, James Cooper
Venous thromboembolism can be precipitated by both genetic and acquired factors, but the role of testosterone therapy is less clear. Here, we present a 17-year-old transgender adolescent, transitioning from female to male, receiving both estrogen and testosterone therapy, who developed a pulmonary embolism without an underlying genetic thrombophilic condition. As transgender medical care evolves, the use of testosterone as cross-sex hormone therapy in adolescents is likely to increase. Our review suggests that care must be taken when initiating treatment with testosterone, and modification of other thrombophilic risks should be explored before starting therapy in this population...
September 22, 2017: Journal of Pediatric Hematology/oncology
https://www.readbyqxmd.com/read/28891717/longitudinal-viral-suppression-among-a-cohort-of-adolescents-and-young-adults-with-behaviorally-acquired-human-immunodeficiency-virus
#17
Sarah M Wood, Elizabeth Lowenthal, Susan Lee, Sarah J Ratcliffe, Nadia Dowshen
Youth living with HIV (YLWH) are less likely than older adults to achieve and sustain viral suppression. While treatment guidelines recommend decreased viral load (VL) monitoring in individuals with well-controlled HIV, the appropriateness of this strategy for adolescents is unknown. We conducted a retrospective cohort study to describe longitudinal viral suppression and identify incidence of, and risk factors for, virologic failure among YLWH at a US adolescent HIV clinic from 2002 to 2015. We utilized Cox proportional hazards modeling to compare hazard ratios (HRs) for virologic failure stratified by baseline characteristics...
September 2017: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/28861551/access-to-medical-and-mental-health-services-across-the-hiv-care-continuum-among-young-transgender-women-a-qualitative-study
#18
Nadia Dowshen, Susan Lee, Joshua Franklin, Marné Castillo, Frances Barg
Purpose: (1) To describe psychosocial, medical, and mental health outcomes of young transgender women (YTW) living with or at risk for HIV infection and (2) to explore barriers and facilitators to medical and mental health services across the HIV care continuum. Methods: We conducted a cross-sectional observational study of YTW aged 16-24 years who were at risk for contracting or living with HIV. Participants were recruited from an adolescent HIV clinic and local community-based organizations that serve YTW...
2017: Transgender Health
https://www.readbyqxmd.com/read/28846516/how-should-physicians-help-gender-transitioning-adolescents-consider-potential-iatrogenic-harms-of-hormone-therapy
#19
Thomas D Steensma, S Annelijn Wensing-Kruger, Daniel T Klink
Counseling and treatment of transgender youth can be challenging for mental health practitioners, as increased availability of gender-affirming treatments in recent years raises ethical and clinical questions. Is a gender identity diagnosis helpful? What is the right time to treat, and should the adolescent's age matter in decision making? In this article, we discuss these questions in light of a case in which an adolescent wishes to pursue hormone therapy. Our analysis focuses on the importance of balanced decision making when counseling and treating adolescents with nonconforming gender identities...
August 1, 2017: AMA Journal of Ethics
https://www.readbyqxmd.com/read/28842070/abstinence-only-until-marriage-policies-and-programs-an-updated-position-paper-of-the-society-for-adolescent-health-and%C3%A2-medicine
#20
(no author information available yet)
Abstinence from sexual intercourse can be a healthy choice for adolescents, particularly if an adolescent is not ready to engage in sex. However, government programs exclusively promoting abstinence-only-until-marriage (AOUM) are problematic from scientific and ethical viewpoints. Most young people initiate sexual intercourse as adolescents or young adults, and given a rising age at first marriage around the globe, increasingly fewer adolescents wait until marriage to initiate sex. While theoretically fully protective, abstinence intentions often fail, as abstinence is not maintained...
September 2017: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
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