LGBT health最新文献_第8页

Association Between Religious Salience and Past-Year Substance Use by Sexual Identity and Sex Among Adults in the United States. 在美国成年人中，宗教显著性与过去一年的性身份和性别物质使用之间的关系。

IF 4.8 2区医学

LGBT health Pub Date : 2024-05-01 Epub Date: 2023-11-21 DOI: 10.1089/lgbt.2023.0080

Victoria R Votaw, Ethan S Van, Alena Kuhlemeier, Felicia R Tuchman, Katie Witkiewitz

{"title":"Association Between Religious Salience and Past-Year Substance Use by Sexual Identity and Sex Among Adults in the United States.","authors":"Victoria R Votaw, Ethan S Van, Alena Kuhlemeier, Felicia R Tuchman, Katie Witkiewitz","doi":"10.1089/lgbt.2023.0080","DOIUrl":"10.1089/lgbt.2023.0080","url":null,"abstract":"Purpose: We examined if associations between religious salience and substance use outcomes differed by sexual identity and sex in a nationally representative sample of adults in the United States. Methods: Using data from the 2019 National Survey on Drug Use and Health (N = 41,216 adults), logistic regression models tested whether sexual identity and sex moderated the associations between religious salience (agreement on the importance of religious beliefs) and past-year alcohol and drug use and use disorders. Results: Religious salience reduced risk of alcohol use disorder, drug use, and drug use disorder for heterosexual, but not lesbian, gay, and bisexual (LGB), individuals. Three-way interactions indicated that religious salience was more protective against alcohol use and drug use and use disorder for bisexual men than bisexual women. Conclusions: Heterosexism common in dominant religious institutions in the United States might hamper the protective effect of religiosity on substance use for LGB individuals.","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":"326-333"},"PeriodicalIF":4.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138445200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Descriptive Data of Transgender and Nonbinary People's Experiences of Sexual Assault: Context, Perpetrator Characteristics, and Reporting Behaviors. 变性人和非二元人遭受性侵犯经历的描述性数据：背景、施暴者特征和报告行为。

IF 4.8 2区医学

LGBT health Pub Date : 2024-05-01 Epub Date: 2023-12-14 DOI: 10.1089/lgbt.2023.0088

Sasha N Canan, Jesse Denniston-Lee, Kristen N Jozkowski

{"title":"Descriptive Data of Transgender and Nonbinary People's Experiences of Sexual Assault: Context, Perpetrator Characteristics, and Reporting Behaviors.","authors":"Sasha N Canan, Jesse Denniston-Lee, Kristen N Jozkowski","doi":"10.1089/lgbt.2023.0088","DOIUrl":"10.1089/lgbt.2023.0088","url":null,"abstract":"Purpose: Nearly half of transgender and nonbinary (trans/NB) people will experience sexual assault in their lifetime. Beyond prevalence, little else is known about the general context in which sexual assault occurs in this community. In addition, whether and to whom trans/NB people report these experiences is also not well understood. As such, we examined these contextual factors regarding trans/NB people's sexual assault experiences. Methods: Using a cross-sectional online survey, we assessed sexual assault prevalence rates, contextual details, and reporting behaviors in a sample of 230 trans/NB adults in the United States. Data were gathered in 2016 and 2017 across two collections. Results: Eighty percent of the sample had experienced sexual assault; 62% reported experiencing completed penetrative behaviors (rape) and 37% reported repeat victimization-assault during both childhood and adulthood. Most participants indicated that their perpetrator was male (80%) and the plurality described perpetrators as dating partners (34%) or acquaintances (34%). Alcohol was involved in 26% of assaults. Approximately 8% characterized the event as a hate crime. Most trans/NB people reported their experience to a friend (64%), dating partner (50%), and/or therapist (35%). Only 6% reported their sexual assault to the police, and 20% stated that they have never told anyone. Conclusion: With the exception of substantially higher prevalence rates, many of our findings are similar to findings in the broader, typically cis-centric, sexual assault literature. We recommend that prevention and support services address both the high rates of sexual assault and the low rates of reporting to police and other support services.","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":"317-325"},"PeriodicalIF":4.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138795930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Substance Use Over Time Among Sexual and Gender Minority People: Differences at the Intersection of Sex and Gender. 性和性别少数群体长期使用药物的情况：性与性别交汇处的差异。

IF 3.9 2区医学

LGBT health Pub Date : 2024-05-01 Epub Date: 2024-01-11 DOI: 10.1089/lgbt.2023.0055

Annesa Flentje, Gowri Sunder, Alexis Ceja, Nadra E Lisha, Torsten B Neilands, Bradley E Aouizerat, Micah E Lubensky, Matthew R Capriotti, Zubin Dastur, Mitchell R Lunn, Juno Obedin-Maliver

{"title":"Substance Use Over Time Among Sexual and Gender Minority People: Differences at the Intersection of Sex and Gender.","authors":"Annesa Flentje, Gowri Sunder, Alexis Ceja, Nadra E Lisha, Torsten B Neilands, Bradley E Aouizerat, Micah E Lubensky, Matthew R Capriotti, Zubin Dastur, Mitchell R Lunn, Juno Obedin-Maliver","doi":"10.1089/lgbt.2023.0055","DOIUrl":"10.1089/lgbt.2023.0055","url":null,"abstract":"Purpose: Sexual and gender minority (SGM) people are at greater risk for substance use than heterosexual and cisgender people, but most prior work is limited by cross-sectional analyses or the examination of single substance use. This study examined substance use over time among SGM people to identify patterns of polysubstance use at the intersection of sex and gender. Methods: Data were collected annually over 4 years from SGM respondents (n = 11,822) in The Population Research in Identity and Disparities for Equality (PRIDE) Study. Differences in substance use patterns (any prior 30-day use of 15 substances) by gender subgroup were examined with latent class analysis, and multinomial regression models tested relationships between gender subgroup and substance use. Results: Eight classes of substance use were observed. The three most common patterns were low substance use (49%), heavy episodic alcohol use (≥5 alcoholic drinks on one occasion) with some cannabis and tobacco use (14%), and cannabis use with some tobacco and declining heavy episodic alcohol use (13%). Differences observed included lower odds of patterns defined by heavy episodic alcohol use with some cannabis and tobacco use in all gender subgroups relative to cisgender men and persons with low substance use (odds ratios [ORs] 0.26-0.60). Gender expansive people assigned female at birth, gender expansive people assigned male at birth, and transgender men had greater odds of reporting cannabis use with small percentages of heavy episodic alcohol and tobacco use (ORs: 1.41-1.60). Conclusion: This study suggests that there are unique patterns of polysubstance use over time among gender subgroups of SGM people.","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":"269-281"},"PeriodicalIF":3.9,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11522414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139425062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Effect of Minority Stress Processes on Stage of Change and Nicotine Dependence Level for Sexual and Gender Minority Smokers in the Deep South. 少数群体压力过程对南部深处性少数群体和性别少数群体吸烟者的变化阶段和尼古丁依赖程度的影响。

IF 4.8 2区医学

LGBT health Pub Date : 2024-05-01 Epub Date: 2023-12-14 DOI: 10.1089/lgbt.2022.0331

Mirandy Li, Jackson Fritz, Gabrielle Gonzalez, Claudia Leonardi, Stephen Phillippi, Edward Trapido, Michael Celestin, Qingzhao Yu, Tung Sung Tseng

{"title":"The Effect of Minority Stress Processes on Stage of Change and Nicotine Dependence Level for Sexual and Gender Minority Smokers in the Deep South.","authors":"Mirandy Li, Jackson Fritz, Gabrielle Gonzalez, Claudia Leonardi, Stephen Phillippi, Edward Trapido, Michael Celestin, Qingzhao Yu, Tung Sung Tseng","doi":"10.1089/lgbt.2022.0331","DOIUrl":"10.1089/lgbt.2022.0331","url":null,"abstract":"Purpose: Minority stress has been posited as a cause for sexual and gender minority (SGM) individuals to smoke as a coping mechanism. The purpose of this study was to elucidate the relationship between minority stress processes and nicotine dependence level and stage of change for SGM smokers living in the Deep South region of the United States. Methods: A one-time, cross-sectional online survey was administered to SGM smokers living in the Deep South. Survey measurements included demographics, minority stress processes (prejudice events, perceived stigma, and internalized queerphobia), and smoking cessation outcomes (nicotine dependence level and stage of change). Multivariable linear regression was used to assess the effect of each minority stress process on smoking outcomes, after adjusting for demographics and stratifying by gender and sexual identity. Results: Across all participants (n = 1296), lower levels of perceived stigma were significantly associated with further stage of change. Greater levels of internalized queerphobia were significantly associated with greater nicotine dependence level. After stratifying by gender and sexual identity, these significant associations were only maintained in cisgender males and gay individuals. An additional significant association between lower prejudice events and further stage of change for smoking cessation was found only for individuals whose sexual identity was labeled as \"other.\" Conclusion: Addressing minority stress in smoking cessation and prevention programs has the potential to decrease nicotine dependence and further stage of change.","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":"301-309"},"PeriodicalIF":4.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138796127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Building a Cohort of Transgender and Nonbinary Patients from the Electronic Medical Record. 从电子病历中建立变性和非二元患者队列。

IF 4.8 2区医学

LGBT health Pub Date : 2024-05-01 Epub Date: 2023-12-28 DOI: 10.1089/lgbt.2022.0107

Lauren B Beach, Paige Hackenberger, Mona Ascha, Natalie Luehmann, Dylan Felt, Kareem Termanini, Christopher Benning, Danny Sama, Cynthia Barnard, Sumanas W Jordan

{"title":"Building a Cohort of Transgender and Nonbinary Patients from the Electronic Medical Record.","authors":"Lauren B Beach, Paige Hackenberger, Mona Ascha, Natalie Luehmann, Dylan Felt, Kareem Termanini, Christopher Benning, Danny Sama, Cynthia Barnard, Sumanas W Jordan","doi":"10.1089/lgbt.2022.0107","DOIUrl":"10.1089/lgbt.2022.0107","url":null,"abstract":"Purpose: Sexual orientation, gender identity, and sex recorded at birth (SOGI) have been routinely excluded from demographic data collection tools, including in electronic medical record (EMR) systems. We assessed the ability of adding structured SOGI data capture to improve identification of transgender and nonbinary (TGNB) patients compared to using only International Classification of Diseases (ICD) codes and text mining and comment on the ethics of these cohort formation methods. Methods: We conducted a retrospective chart review to classify patient gender at a single institution using ICD-10 codes, structured SOGI data, and text mining for patients presenting for care between March 2019 and February 2021. We report each method's overall and segmental positive predictive value (PPV). Results: We queried 1,530,154 EMRs from our institution. Overall, 154,712 contained relevant ICD-10 diagnosis codes, SOGI data fields, or text mining terms; 2964 were manually reviewed. This multipronged approach identified a final 1685 TGNB patient cohort. The initial PPV was 56.8%, with ICD-10 codes, SOGI data, and text mining having PPV of 99.2%, 47.9%, and 62.2%, respectively. Conclusion: This is one of the first studies to use a combination of structured data capture with keyword terms and ICD codes to identify TGNB patients. Our approach revealed that although structured SOGI documentation was <10% in our health system, 1343/1685 (79.7%) of TGNB patients were identified using this method. We recommend that health systems promote patient EMR documentation of SOGI to improve health and wellness among TGNB populations, while centering patient privacy.","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":"310-316"},"PeriodicalIF":4.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139049009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Childhood Gender Nonconformity and Sexual Orientation Disparities in Depressive Symptoms: The Role of Parental Attitudes. 儿童期性别不一致与抑郁症状中的性取向差异：父母态度的作用》。

IF 4.8 2区医学

LGBT health Pub Date : 2024-05-01 Epub Date: 2024-03-08 DOI: 10.1089/lgbt.2023.0203

Yin Xu, Qazi Rahman

{"title":"Childhood Gender Nonconformity and Sexual Orientation Disparities in Depressive Symptoms: The Role of Parental Attitudes.","authors":"Yin Xu, Qazi Rahman","doi":"10.1089/lgbt.2023.0203","DOIUrl":"10.1089/lgbt.2023.0203","url":null,"abstract":"Purpose: This study tested whether sexual orientation disparities in depressive symptoms are partially explained by recalled childhood gender nonconformity and whether the proportion of this association explained by childhood gender nonconformity is moderated by recalled parental attitudes toward childhood gender nonconformity. Methods: A convenience sample of young adults was recruited from two Chinese online survey platforms (272 heterosexual males, 272 bisexual males, 272 gay males, 272 heterosexual females, 272 bisexual females, and 272 lesbian females). Both mediation and moderated mediation models were conducted. Results: For both sexes, bisexual and gay/lesbian individuals reported significantly higher levels of depressive symptoms than heterosexual individuals, with total effects (standardized path coefficients) ranging from 0.25 to 0.38, all ps < 0.01. These sexual orientation disparities in depressive symptoms were partially explained by childhood gender nonconformity, with indirect effects ranging from 0.08 to 0.17, all ps < 0.001. The effect of childhood gender nonconformity on depressive symptoms was significantly moderated by parental attitudes. The mediating effect of childhood gender nonconformity on sexual orientation disparities in depressive symptoms was strongest at the more negative levels (one standard deviation [SD] above the mean) of parental attitudes and weakest at more tolerant levels (one SD below the mean) of parental attitudes. Conclusions: Childhood gender nonconformity may be a partial contributor to sexual orientation disparities in depressive symptoms and this indirect effect may be moderated by parental attitudes toward childhood gender nonconformity, with the indirect effect decreasing when parental attitudes move from negative toward more tolerant levels.","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":"282-291"},"PeriodicalIF":4.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140065445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Moderated Mediation Analysis of Structural Stigma and Suicidal Ideation and Behaviors Among Sexual and Gender Minority Adults. 性少数群体和性别少数群体成年人中结构性污名与自杀意念和行为的调节中介分析》（Moderated Mediation Analysis of Structural Stigma and Suicidal Idement and Behaviors Among Sexual and Gender Minority Adults）。

IF 4.8 2区医学

LGBT health Pub Date : 2024-04-01 Epub Date: 2024-01-30 DOI: 10.1089/lgbt.2022.0349

Jennifer R Pharr, Lung-Chang Chien, Maxim Gakh, Jason D Flatt, Krystal Kittle, Emylia Terry

{"title":"Moderated Mediation Analysis of Structural Stigma and Suicidal Ideation and Behaviors Among Sexual and Gender Minority Adults.","authors":"Jennifer R Pharr, Lung-Chang Chien, Maxim Gakh, Jason D Flatt, Krystal Kittle, Emylia Terry","doi":"10.1089/lgbt.2022.0349","DOIUrl":"10.1089/lgbt.2022.0349","url":null,"abstract":"Purpose: This study aimed to conduct a moderated mediation analysis to understand further the complex pathways through which structural stigma in the form of transgender sports bans was associated with suicidal ideation and behaviors among sexual and gender minority (SGM) adults. Methods: A cross-sectional survey of 1033 adults who identified as SGM from across the 50 U.S. states and Washington, DC was conducted between January 28 and February 7, 2022. Distal discrimination distress was the mediation variable; individual resilience and social resources were the moderation variables. Familiarity with transgender sports bans represented structural stigma. The conditional process analysis was applied to build a moderated mediation model. Both conditional direct and indirect effects were computed by estimated coefficients. All models were based on linear regression. Results: Our final model explained nearly half (46%) of the variation in suicidal ideation and behaviors between those SGM adults familiar and those not familiar with transgender sports bans. Social resources significantly moderated the conditional indirect effect of distal discrimination distress (adjusted estimate = -0.23; 95% confidence interval = -0.37 to -0.08). Conclusion: Both discrimination distress and social resources influenced the association between structural stigma as measured by familiarity with transgender sports bans and suicidal ideation and behaviors among SGM adults. Findings support the need for future research examining the pathway between structural stigma and suicidal ideation and behaviors among SGM adults and how minority stress, social safety, and other constructs shape this pathway.","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":"239-248"},"PeriodicalIF":4.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139575687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Family Discordance in Gender Identification Is Not Associated with Increased Depression and Anxiety Among Trans Youth. 跨性别青年在性别认同方面的家庭不和谐与抑郁和焦虑的增加无关。

IF 3.9 2区医学

LGBT health Pub Date : 2024-04-01 Epub Date: 2023-11-08 DOI: 10.1089/lgbt.2023.0143

Luis Martinez Agulleiro, F Xavier Castellanos, Aron Janssen, Argelinda Baroni

{"title":"Family Discordance in Gender Identification Is Not Associated with Increased Depression and Anxiety Among Trans Youth.","authors":"Luis Martinez Agulleiro, F Xavier Castellanos, Aron Janssen, Argelinda Baroni","doi":"10.1089/lgbt.2023.0143","DOIUrl":"10.1089/lgbt.2023.0143","url":null,"abstract":"Purpose: We examined the relationship between parent- and child-reported gender identity of the youth with internalizing symptoms in transgender and gender-diverse (TGD) youth. In addition, we investigated differences in sex assigned at birth ratios and pubertal development stages in TGD and cisgender youth. Methods: We analyzed longitudinal data from the Adolescent Brain Cognitive Development study (ABCD), corresponding to baseline and 1st-to-3rd-year follow-up interviews (n = 6030 to n = 9743, age range [9-13]). Sociodemographic variables, self- and parent-reported gender identity, and clinical measures were collected. Results: TGD youth showed higher levels of internalizing symptoms compared with cisgender youth. However, this was not worsened by discordance in gender identification between TGD youth and parents. Over the 3-year follow-up period, the proportion of TGD participants increased from 0.8% (95% confidence interval (CI) [0.6-1.0]) at baseline to 1.4% (95% CI [1.1-1.7]) at the 3rd-year follow-up (χ2 = 10.476, df = 1, false discovery rate (FDR)-adjusted p = 0.00256), particularly among those assigned female at birth (AFAB) in relation to people assigned male at birth (AMAB) (AMAB:AFAB at baseline: 1:1.9 vs. AMAB:AFAB at 3rd-year follow-up: 1:4.7, χ2 = 40.357, df = 1, FDR-adjusted p < 0.0001). Conclusions: TGD youth in ABCD reported higher internalizing symptoms than cisgender youth, although this was not affected by parental discordance in gender identification. A substantial increase over time in TGD children AFAB was documented. More research is needed to understand the clinical implications of these preliminary results, for which the longitudinal design of ABCD will be crucial.","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":"193-201"},"PeriodicalIF":3.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71483172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Transgender Patients Report Lower Satisfaction with Care Received than Cisgender Patients Receiving Care in an Academic Medical Care System. 变性患者对所接受护理的满意度低于在学术医疗护理系统接受护理的顺性别患者。

IF 3.9 2区医学

LGBT health Pub Date : 2024-04-01 Epub Date: 2023-12-15 DOI: 10.1089/lgbt.2023.0034

Mai-Han Trinh, Meg Quint, Devin Coon, Shalender Bhasin, Benjamin Tocci, Sari L Reisner

{"title":"Transgender Patients Report Lower Satisfaction with Care Received than Cisgender Patients Receiving Care in an Academic Medical Care System.","authors":"Mai-Han Trinh, Meg Quint, Devin Coon, Shalender Bhasin, Benjamin Tocci, Sari L Reisner","doi":"10.1089/lgbt.2023.0034","DOIUrl":"10.1089/lgbt.2023.0034","url":null,"abstract":"Purpose: Transgender and gender diverse (TGD) patients experience challenges in health care settings, including stigma, lack of culturally competent providers, and suboptimal gender-affirming care. However, differences in patient satisfaction between TGD patients compared with cisgender patients have been inadequately studied. This study aimed to assess such differences in patient satisfaction with care received in a large academic medical care system in Boston, Massachusetts. Methods: Routine patient satisfaction surveys were fielded from January to December 2021 and were summarized. Logistic regression models compared low net promoter scores (NPS; ≤6) between gender identity groups (cisgender women, transmasculine and nonbinary/genderqueer people assigned female at birth [AFAB], transfeminine and nonbinary/genderqueer people assigned male at birth) relative to cisgender men, adjusting for age, race, ethnicity, education, inpatient/outpatient service delivery, and distance from medical center. Results: Of 94,810 patients, 246 (0.3%) were TGD and 94,549 (99.7%) were cisgender. The mean age was 58.3 years (standard deviation = 16.6). Of the total sample, 17.0% of patients were people of color, 6.6% were Hispanic/Latinx, 48.6% were college graduates, and 2.6% had received inpatient care. In general, patient satisfaction with health care received was lower for TGD patients than for cisgender patients (7.3% vs. 4.5% reporting low NPS; adjusted odds ratio [aOR] = 1.14; 95% confidence interval [CI] = 0.70-1.85). Transmasculine and nonbinary/genderqueer patients AFAB had elevated odds of low NPS compared with cisgender men (8.8% vs. 3.6%; aOR = 1.71; 95% CI = 1.02-2.89). Conclusion: Future research is warranted to better understand factors driving lower ratings among TGD patients. Health care quality improvement efforts are needed to address gender identity inequities in care.","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":"202-209"},"PeriodicalIF":3.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138796299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cognitive Impairment in Sexual and Gender Minority Groups: A Scoping Review of the Literature. 性和性别少数群体的认知障碍：文献综述。

IF 3.9 2区医学

LGBT health Pub Date : 2024-04-01 Epub Date: 2023-10-12 DOI: 10.1089/lgbt.2023.0095

Robert J Romanelli, Andrew S Rosenblatt, Zachary A Marcum, Jason D Flatt

{"title":"Cognitive Impairment in Sexual and Gender Minority Groups: A Scoping Review of the Literature.","authors":"Robert J Romanelli, Andrew S Rosenblatt, Zachary A Marcum, Jason D Flatt","doi":"10.1089/lgbt.2023.0095","DOIUrl":"10.1089/lgbt.2023.0095","url":null,"abstract":"Purpose: The purpose of this review was to synthesize evidence on differences in cognitive impairment by sexual orientation/gender identity (SOGI) status. Methods: A scoping review of the literature was conducted. Five databases (PubMed/Medline, Cumulated Index to Nursing and Allied Health Literature, Web of Science, PsycInfo, and Embase) were searched for primary articles comparing incidence or prevalence of cognitive impairment among sexual and gender minority (SGM) groups versus non-SGM groups. Two reviewers independently screened articles and conducted risk-of-bias assessment on eligible articles. Results: Fifteen primary studies were eligible. Most studies (n = 13) were cross-sectional, with moderate to critical risk of bias. Among eight studies examining self-reported cognitive impairment, seven reported a higher prevalence among some SGM groups versus non-SGM groups. Among seven studies using objective measures of cognitive impairment, three examined prevalence of clinician-documented diagnosis of dementia, of which two reported a higher prevalence specifically among transgender versus cisgender individuals. Among the other four studies examining objective measures, two reported poorer cognitive performance or memory, one reported better performance, and another reported no difference. Comparisons across studies were challenging due to inconsistencies in how SOGI and cognitive impairment were operationalized, and the factors used for statistical adjustment; some studies adjusted for putative intermediary factors that potentially explain differences in cognitive impairment. Conclusions: Whereas most published studies identified a positive relationship between SOGI status and self-reported cognitive impairment, evidence is mixed with regard to objective cognitive performance. Well-designed longitudinal, observational studies are needed, using objective measures of cognitive function, with careful consideration of confounding versus intermediary risk factors.","PeriodicalId":18062,"journal":{"name":"LGBT health","volume":" ","pages":"178-192"},"PeriodicalIF":3.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41204449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0