Transgender Health最新文献

{"title":"Gender Inclusivity of Canadian Clinical Practice Guidelines Intended to Be Applied or Implemented Based on Sex or Gender: A Descriptive Study","authors":"Richard S. Henry, Erin Allen-Flanagan, Catherine S. J. Wall, Zack Marshall, Brett Thombs","doi":"10.1089/trgh.2023.0172","DOIUrl":"https://doi.org/10.1089/trgh.2023.0172","url":null,"abstract":"","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141669584","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":"Quantitative Assessment of Forehead Morphology Following Facial Feminization Surgery","authors":"Neil Parikh, Kevin G. Hu, Jacqueline M Ihnat, Mariana N. Almeida, Mica Williams, David P. Alper, O. Allam, Ali Aral, John A. Persing, Michael Alperovich","doi":"10.1089/trgh.2024.0019","DOIUrl":"https://doi.org/10.1089/trgh.2024.0019","url":null,"abstract":"","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141669318","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":"Barriers to Health Care and Mental Health Among Parents of Transgender and Gender Diverse Youth","authors":"A. Martin‐Storey, Roberto L Abreu, Russell B. Toomey, Karina A. Gattamorta","doi":"10.1089/trgh.2023.0177","DOIUrl":"https://doi.org/10.1089/trgh.2023.0177","url":null,"abstract":"","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141708961","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":"The Role of Body Composition Assessment in Tailoring Gender-Affirming Treatment for Transgender/Gender Diverse Youth","authors":"Liat Perl, A. Brener, Ophir Borger, Anat Segev-Becker, Galit Israeli, Y Lebenthal, A. Oren","doi":"10.1089/trgh.2022.0218","DOIUrl":"https://doi.org/10.1089/trgh.2022.0218","url":null,"abstract":"","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141704783","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":"Re: “Sublingual Estradiol Offers No Apparent Advantage over Combined Oral Estradiol and Cyproterone Acetate for Gender-Affirming Hormone Therapy of Treatment-Naive Trans Women: Results of a Prospective Pilot Study” by Yaish et al.","authors":"Tomi Ruggles, Ada S. Cheung","doi":"10.1089/trgh.2024.0048","DOIUrl":"https://doi.org/10.1089/trgh.2024.0048","url":null,"abstract":"","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141710483","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":"Is #Gender Affirmation Surgery Trending? An Analysis of Plastic Surgery Residency Social Media Content.","authors":"Rose S Maisner, Kailash Kapadia, Ryan Berlin, Edward S Lee","doi":"10.1089/trgh.2021.0215","DOIUrl":"10.1089/trgh.2021.0215","url":null,"abstract":"<p><strong>Purpose: </strong>Given rising demand for gender affirmation surgery (GAS), lesbian, gay, bisexual, transgender, queer, and others' (LGBTQ+) patient care, and sexual and gender minority (SGM) representation in plastic surgery, we sought to analyze integrated residency programs' posts for LGBTQ+ content.</p><p><strong>Methods: </strong>Programs were identified from the American Council of Academic Plastic Surgeons website. Accounts were searched for on Instagram, Facebook, and Twitter. Posts uploaded through June 24, 2021 were analyzed. Mann-Whitney <i>U</i>- and Kruskal-Wallis tests were used to compare content between programs.</p><p><strong>Results: </strong>Of 82 programs, 76 (92.7%), 31 (37.8%), and 30 (36.6%) have Instagram, Facebook, and Twitter accounts, respectively. Two hundred eighty-one (1.3%) posts displayed LGBTQ+ content, including educational (29.9%), research (17.4%), news (11.0%), resident interests (10.7%), pride/diversity (9.6%), posts to attract applicants/patients (7.5%), operative/clinic cases (6.8%), faculty spotlights (6.4%), and patient testimonials (1.1%). One hundred eighty-one (64.4%) posts described GAS overall, 42 (23.2%) described top, 32 (17.7%) described genital, and 32 (17.7%) described facial surgery. Instagram and Facebook have more LGBTQ+ content than Twitter (<i>p</i>≤0.037). Newly accredited programs have significantly more LGBTQ+ content on Facebook (<i>p</i>=0.036). Programs in the West, having more perceived prestige, or GAS fellowships tended to have more LGBTQ+ content.</p><p><strong>Conclusion: </strong>Despite growing demand for GAS and thus training, 1% of content on plastic surgery residency social media accounts is LGBTQ+ related. Reasons for lack of representation require further investigation but may include (1) limited GAS and LGBTQ+ patient exposure during training or (2) lack of SGM inclusivity for residents, faculty, and patients.</p>","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11299094/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49260958","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}

{"title":"Determinants of Public Opinion Toward Gender-Affirming Surgery in the United States.","authors":"Jackson S Burton, Kristin Pfeifauf, Gary B Skolnick, Justin M Sacks, Alison K Snyder-Warwick","doi":"10.1089/trgh.2022.0119","DOIUrl":"10.1089/trgh.2022.0119","url":null,"abstract":"<p><strong>Purpose: </strong>National polling data indicate that Americans support the right of transgender persons to undergo gender-affirming surgery (GAS). It remains unknown whether public perceptions of GAS differ depending on patient subpopulations, anatomical site, or insurance coverage and whether the public widely believes that transgender people will regret GAS.</p><p><strong>Methods: </strong>We built a Qualtrics™ survey derived from an online validated 2017 Ipsos survey and distributed it to American adults through Amazon Mechanical Turk. Associations of demographic characteristics with perception of GAS were determined using multinomial logistic regression.</p><p><strong>Results: </strong>Respondents (<i>n</i>=312) were predominantly non-Hispanic White (69.2%), held a bachelor's degree (64.7%), and reported an annual income of $25,000 to $74,999 (64.4%). Approximately half of respondents identified as socially liberal (50.3%); 34.0% as socially conservative; and 15.7% as neither. Respondents supported a right to GAS independent of anatomy and insurance. Support for transgender children (62%) was less than for adult transgender men (84%) and women (83%). Despite supporting a right to GAS, respondents agreed that transgender adults (67%) and children (74%) would regret GAS. Education was the strongest predictor of support for GAS rights. Socially conservative respondents were significantly more likely than nonideological or liberal respondents to believe that transgender people would regret GAS.</p><p><strong>Conclusion: </strong>This large online sample of American adults with diverse ideologies demonstrated support for GAS independent of anatomical site and insurance. Support of GAS for transgender children is robust, although lower than support for adults. Despite broad support, most laypersons believe that transgender people would regret GAS.</p>","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11299100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49591879","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}

{"title":"The Vaginal Microbiome of Transgender and Gender Nonbinary Individuals.","authors":"Gabrielle Winston McPherson, Zil Goldstein, Stephen J Salipante, Jessica Rongitsch, Noah G Hoffman, Geolani W Dy, Kelsi Penewit, Dina N Greene","doi":"10.1089/trgh.2022.0100","DOIUrl":"10.1089/trgh.2022.0100","url":null,"abstract":"<p><strong>Purpose: </strong>The goal of this preliminary study is to describe the vaginal microbiome of transgender and gender nonbinary (TGNB) individuals using nonculture-based techniques. TGNB individuals may undergo gender-affirming surgical procedures, which can include the creation of a neovagina. Little is known about microbial species that comprise this environment in states of health or disease.</p><p><strong>Methods: </strong>In this pilot study, vaginal swabs were self-collected from 15 healthy self-identified TGNB participants (age 26-69 years) and 8 cisgender comparator participants (age 27-50 years) between 2017 and 2018. Next-generation 16S ribosomal RNA sequencing was used to profile individual bacterial communities from all study samples.</p><p><strong>Results: </strong>The TGNB cohort demonstrated significantly higher intraindividual (alpha) diversity than the cisgender group (<i>p</i>=0.0003). Microbial species commensal to the gut and skin were identified only in specimens from TGNB participants. Although <i>Lactobacillus</i> species were dominant in all cisgender comparator samples, they were found at low relative abundance (≤3%) in TGNB samples.</p><p><strong>Conclusion: </strong>In this study, specimens collected from neovaginas showed increased alpha diversity and substantially different composition compared with natal vaginas. In contrast to natal vaginas, neovaginas were not dominated by <i>Lactobacillus</i>, but were hosts to many microbial species. Studies that help to improve our understanding of the neovaginal microbiome may enable clinicians to differentiate between healthy and diseased neovaginal states.</p>","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11299096/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48954661","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}

{"title":"The Development and Pilot Testing of a Minority Stress Psychoeducation Tool for Transgender and Nonbinary People.","authors":"Stephanie L Budge, Elliot A Tebbe, Diana Love","doi":"10.1089/trgh.2022.0038","DOIUrl":"10.1089/trgh.2022.0038","url":null,"abstract":"<p><strong>Purpose: </strong>In this study, we aimed to develop and test the acceptability of a minority stress psychoeducation tool for transgender and nonbinary (TNB) people.</p><p><strong>Methods: </strong>Patients in one treatment group who were enrolled in a larger randomized controlled trial received this study's minority stress psychoeducation pre-treatment. Data on the acceptability of the tool and minority stress experiences were collected post-treatment.</p><p><strong>Results: </strong>All (100%) patients reported that the psychoeducation tool was helpful and qualitative data suggested patients experienced an increased ability to externalize minority stress experiences.</p><p><strong>Conclusion: </strong>Results support the acceptability of this minority stress psychoeducation tool for TNB patients. Clinical trial number: NCT03369054.</p>","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11299098/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46162015","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}

{"title":"Despite Higher Rates of Minimally Recommended Depression Treatment, Transgender and Gender Diverse Medicare Beneficiaries with Depression Have Poorer Mental Health Outcomes: Analysis of 2009-2016 Medicare Data.","authors":"Ana M Progovac, Brian O Mullin, Xinyu Yang, Lauryn Trisha Kibugi, Diane Mwizerwa, Laura A Hatfield, Mark A Schuster, Alex McDowell, Benjamin L Cook","doi":"10.1089/trgh.2022.0146","DOIUrl":"10.1089/trgh.2022.0146","url":null,"abstract":"<p><strong>Purpose: </strong>Little is known about depression treatment for transgender and gender diverse (TGD) older adults or TGD people with disabilities. The purpose of this study was to characterize receipt of minimally recommended depression treatment and outcomes for TGD Medicare beneficiaries.</p><p><strong>Methods: </strong>Using Medicare claims data from 2009 to 2016, we identified potential TGD beneficiaries with depression (<i>n</i>=2223 TGD older adult beneficiaries and <i>n</i>=8752 TGD beneficiaries with a disability) and compared their rates of minimally recommended mental health treatment, inpatient mental health hospitalizations, psychotropic medication fills, and suicide attempt to a group of Comparison beneficiaries with depression (<i>n</i>=499,888 adults aged 65+ years and <i>n</i>=287,583 who qualified due to disability). We estimated disparities in outcomes between TGD and non-TGD beneficiaries (separately by original reason for Medicare eligibility: age 65+ years vs. a disability) using a rank-and-replace method to adjust for health needs.</p><p><strong>Results: </strong>After adjustment, rates of minimally recommended mental health treatment and psychotropic medication fills were higher among TGD versus Comparison beneficiaries, as were rates of inpatient mental health visits and suicide attempts (predicted mean of disparities estimates for older adult subgroup: 0.092, 0.096, 0.006, and 0.002, respectively, all <i>p</i><0.01; and in subgroup with disability: 0.091, 0.115, 0.015, and 0.003, respectively, all <i>p</i><0.001).</p><p><strong>Conclusion: </strong>Despite higher mental health treatment rates, TGD beneficiaries with depression in this study had more adverse mental health outcomes. Minimum recommended treatment definitions derived in general population samples may not capture complex mental health needs of specific marginalized populations.</p>","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11299097/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42294668","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}