{"title":"Stigma and Substance Use Among Transgender and Nonbinary Young Adults: Results from the Phoenix Study.","authors":"Don Operario, Wesley King, Kristi Gamarel, Mariko Iwamoto, Sandy Tan, Tooru Nemoto","doi":"10.1089/trgh.2022.0144","DOIUrl":"10.1089/trgh.2022.0144","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this research study was to describe and compare the prevalence of substance use behaviors in a sample of transgender and nonbinary young adults by gender subgroup (transgender men, transgender women, nonbinary people), and to examine relationships between substance use behaviors, racism, and antitransgender stigma.</p><p><strong>Methods: </strong>This was an analysis of a cross-sectional sample of 215 transgender and nonbinary young adults recruited from the San Francisco Bay area between January 2019 and July 2021. We used multivariable regression models to examine associations between self-reported experiences of antitransgender stigma, racism, and substance use behaviors.</p><p><strong>Results: </strong>Approximately half of the total sample reported recent heavy episodic drinking (52.8%) and club drug use (50.5%); 19.2% reported daily tobacco use, and 35.7% reported daily marijuana use. There were no gender differences in substance use behaviors. Antitransgender stigma was associated with daily marijuana use, heavy episodic drinking, and club drug use (cocaine, amphetamines, hallucinogens). Black/African American participants were more likely to report daily tobacco use and recent heavy episodic drinking than White participants, and multiracial/multiethnic participants reported greater levels of daily tobacco use compared with White participants. In addition to these main effects, a significant interaction between antitransgender stigma and racism on daily marijuana was found, suggesting risk exacerbation due to intersecting stigmas for participants of color.</p><p><strong>Conclusion: </strong>Findings demonstrate a need for prevention and treatment interventions addressing linkages between antitransgender stigma, racism, and substance use behaviors among transgender and nonbinary young adults.</p>","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":"1 1","pages":"317-325"},"PeriodicalIF":2.0,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11456760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60538543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Transgender HealthPub Date : 2024-01-31eCollection Date: 2024-02-01DOI: 10.1089/trgh.2021.0210
Atoosa Ghofranian, Devora Aharon, Jenna Friedenthal, William J Hanley, Joseph A Lee, Margaret Daneyko, Zoe Rodriguez, Joshua D Safer, Alan B Copperman
{"title":"Family Building in Transgender Patients: Modern Strategies with Assisted Reproductive Technology Treatment.","authors":"Atoosa Ghofranian, Devora Aharon, Jenna Friedenthal, William J Hanley, Joseph A Lee, Margaret Daneyko, Zoe Rodriguez, Joshua D Safer, Alan B Copperman","doi":"10.1089/trgh.2021.0210","DOIUrl":"10.1089/trgh.2021.0210","url":null,"abstract":"<p><strong>Purpose: </strong>Transgender and gender diverse (TGD) individuals continue to face adversity, stigma, and inequality, especially in health care. This study aimed to characterize the experience of TGD people and partners of TGD people with regard to fertility treatment.</p><p><strong>Methods: </strong>All TGD patients presenting to a single academic center between 2013 and 2021 were included. Baseline demographics collected included patient age, body mass index, anti-Mullerian hormone, basal antral follicle count, history of gender-affirming surgery, and/or gender-affirming hormone therapy. Outcomes included total patients who progressed to treatment, cycle type(s), and clinical outcomes.</p><p><strong>Results: </strong>In total, 82 patients who identified as TGD or had a partner who identified as TGD presented to care seeking fertility treatment. Of the 141 planned cycles, 106 (75.2%) progressed to treatment. Of the 15 <i>in vitro</i> fertilization (IVF) and co-IVF cycles, 12 achieved live birth. Of the 76 intrauterine inseminations 7 patients were discharged with ongoing pregnancies and one achieved live birth.</p><p><strong>Conclusion: </strong>These findings reaffirm that TGD individuals utilize the entire array of fertility services. With recent advances in access to care and modern medicine, assisted reproductive technology treatment has the power to support TGD patients in building contemporary family structures.</p>","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":"1 1","pages":"76-82"},"PeriodicalIF":2.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10835155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60538504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gabriel “Gabi” B. Gonzalez, E. Dusic, Don Operario, Mariebeth B. Velásquez, A. Restar
{"title":"Structural and Social Inclusivity of Transgender and Nonbinary Students in U.S. Medical Schools and Schools of Public Health Programming","authors":"Gabriel “Gabi” B. Gonzalez, E. Dusic, Don Operario, Mariebeth B. Velásquez, A. Restar","doi":"10.1089/trgh.2022.0076","DOIUrl":"https://doi.org/10.1089/trgh.2022.0076","url":null,"abstract":"","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":"55 18","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139385180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Madison Kolbow, Jade Cohen, S. Prathibha, S. Marmor, Marie-Claire Buckley, J. Hui
{"title":"Incidental Atypia in Patients Undergoing Chest Masculinization Surgery: An Observational Series","authors":"Madison Kolbow, Jade Cohen, S. Prathibha, S. Marmor, Marie-Claire Buckley, J. Hui","doi":"10.1089/trgh.2023.0011","DOIUrl":"https://doi.org/10.1089/trgh.2023.0011","url":null,"abstract":"","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":"16 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139149325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michael Ha, L. Ngaage, Emily R. Finkelstein, Caroline Simon, Nicholas Hricz, Kevin Y. Zhu, Joshua Yoon, Fan Liang, Jens Berli, Yvonne Rasko
{"title":"Gender-Affirmation Surgery Training in United States Academic Plastic Surgery Residency Programs","authors":"Michael Ha, L. Ngaage, Emily R. Finkelstein, Caroline Simon, Nicholas Hricz, Kevin Y. Zhu, Joshua Yoon, Fan Liang, Jens Berli, Yvonne Rasko","doi":"10.1089/trgh.2022.0206","DOIUrl":"https://doi.org/10.1089/trgh.2022.0206","url":null,"abstract":"","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":"111 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138975507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Transgender HealthPub Date : 2023-12-13eCollection Date: 2023-12-01DOI: 10.1089/trgh.2021.0187
Sophie M Cannon, Laramie R Smith, Donna M Jacobsen, Michelle T Valderama, Jordan Silva, Jill Blumenthal
{"title":"Assessing Knowledge of, Experience with, and Willingness to Prescribe Hormone Therapy to Transgender Individuals with HIV: A National Survey of HIV Practitioners.","authors":"Sophie M Cannon, Laramie R Smith, Donna M Jacobsen, Michelle T Valderama, Jordan Silva, Jill Blumenthal","doi":"10.1089/trgh.2021.0187","DOIUrl":"10.1089/trgh.2021.0187","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to determine if human immunodeficiency virus (HIV) practitioners offer gender-affirming hormone therapy (GAHT) to their transgender patients living with HIV, as previous studies have shown that these patients are more likely to be virally suppressed and retained in care.</p><p><strong>Methods: </strong>We conducted an online survey sent to 2570 HIV practitioners who attended an International Antiviral Society-USA event between 2017 and 2019. We also assessed demographics, transgender care training, comfort, prescribing practices, and knowledge.</p><p><strong>Results: </strong>Respondents (<i>N</i>=385) were mainly primary care (49%) and infectious disease (ID)/HIV (42%) practitioners. Fifty-seven percent prescribed GAHT to transgender people living with HIV, but only 7% received formal training. Thirty-five percent were ID/HIV, 60% were primary care, and 5% were other specialty practitioners. Most felt that it would be beneficial to have formal education in GAHT practices during training (83%). There were statistically significant differences in GAHT education, experiences, knowledge, and interest in future training and prescribing by health care specialty. Commonly cited barriers to providing therapy included lack of training (33%), lack of transgender people living with HIV in practice (18%), and lack of qualified mental health professionals (15%).</p><p><strong>Conclusion: </strong>This survey is the first to assess GAHT practices among HIV practitioners from across the United States. The majority of those surveyed prescribe GAHT to their transgender patients living with HIV. Although most felt comfortable doing so, few had formal training and knowledge scores were low. We advocate for the integration of GAHT education into formal training programs and offer resources for those who wish to pursue education.</p>","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":"1 1","pages":"534-541"},"PeriodicalIF":2.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10732173/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41458460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mirjam Saarinen, Kaisu Ojala, M. Kolehmainen, Sinikka Suominen
{"title":"Quality of Chest Masculinization in Trans Men: A Retrospective Study Evaluating Surgical Technique, Complications, Secondary Corrections, and Trends","authors":"Mirjam Saarinen, Kaisu Ojala, M. Kolehmainen, Sinikka Suominen","doi":"10.1089/trgh.2023.0034","DOIUrl":"https://doi.org/10.1089/trgh.2023.0034","url":null,"abstract":"","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":"29 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139231045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Frances W. Grimstad, Steven J. Staffa, til kus, Elizabeth R. Boskey
{"title":"Gender-Affirming Hysterectomy and Oophorectomy Counseling Practices for Transmasculine Adolescents","authors":"Frances W. Grimstad, Steven J. Staffa, til kus, Elizabeth R. Boskey","doi":"10.1089/trgh.2022.0090","DOIUrl":"https://doi.org/10.1089/trgh.2022.0090","url":null,"abstract":"","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":"7 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139258419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Théo Duflot, N. Morel-Journel, Lucie Jurek, Xavier Plainard, Gauthier Delporte, D. Carnicelli, François Marcelli, P. Neuville
{"title":"Function, Satisfaction, and Sexual Activity of Trans Women After Vulvovaginoplasty: Results of a Multicenter Study","authors":"Théo Duflot, N. Morel-Journel, Lucie Jurek, Xavier Plainard, Gauthier Delporte, D. Carnicelli, François Marcelli, P. Neuville","doi":"10.1089/trgh.2023.0047","DOIUrl":"https://doi.org/10.1089/trgh.2023.0047","url":null,"abstract":"","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":"36 10","pages":""},"PeriodicalIF":2.0,"publicationDate":"2023-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139266487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mental Health Status and Its Psychosocial Correlates Among Help-Seeking Transgender Individuals: Experiences from a Clinic in South India","authors":"S. Srinivasan, Sruti Chandrasekaran","doi":"10.1089/trgh.2022.0150","DOIUrl":"https://doi.org/10.1089/trgh.2022.0150","url":null,"abstract":"","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":"4 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139274207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}