Transgender Health最新文献_第2页

Minority Stress Across Proximal Contexts and Suicide in Transgender Young Adults: A Critical Scoping Review 变性年轻人的近亲压力与自杀：严格的范围界定审查

IF 2 4区医学

Transgender Health Pub Date : 2023-11-15 DOI: 10.1089/trgh.2022.0188

A. Anderson, Angela D. Alston, Barbara J. Warren, Ethan Morgan, Jeff A. Bridge, Jodi L. Ford

引用次数: 0

Metoidioplasty and Phalloplasty Gender-Affirming Surgery and Association with Gender Congruence and Life Satisfaction: A Cross-Sectional Study 性别确认手术与性别一致性和生活满意度的关系:一项横断面研究

4区医学

Transgender Health Pub Date : 2023-11-10 DOI: 10.1089/trgh.2023.0060

Jada M. English, Rebecca Butcher, Linda M. Kinney, Lee K. Brown, Oakland C. Walters, Gaines Blasdel, John H. Turco, Rachel A. Moses

{"title":"Metoidioplasty and Phalloplasty Gender-Affirming Surgery and Association with Gender Congruence and Life Satisfaction: A Cross-Sectional Study","authors":"Jada M. English, Rebecca Butcher, Linda M. Kinney, Lee K. Brown, Oakland C. Walters, Gaines Blasdel, John H. Turco, Rachel A. Moses","doi":"10.1089/trgh.2023.0060","DOIUrl":"https://doi.org/10.1089/trgh.2023.0060","url":null,"abstract":"Purpose: The purpose of this study was to compare the Gender Congruence and Life Satisfaction (GCLS) Scale scores between transgender men and nonbinary individuals assigned female at birth who have had metoidioplasty and phalloplasty gender-affirming surgery (MaPGAS) versus those who have not. Methods: We conducted a national cross-sectional survey of individuals considering or post-MaPGAS recruited through social media and a community health center. Data collected included demographics, medical health history, and GCLS scale scores. GCLS scale items evaluate gender congruence across psychological, physical, quality of life, genital, chest, and social domains on a 1–5 Likert scale, with higher values indicating greater gender congruence. The mean GCLS total and subscale scores were compared between groups, and open-ended comments related to gender, mental well-being, and life satisfaction were thematically analyzed. Results: A total of 326 participants, mean age 29.9 years (standard deviation 8.8), identifying primarily as transgender male (n=208, 64%) and White (n=273, 74%) completed the survey. Respondents post-phalloplasty scored the highest on the GCLS scale overall, with a mean score of 3.97/5.00 (p<0.001), and had the highest ratings in three subdomains: genitalia at 3.32 (p<0.001), life satisfaction at 3.81 (p<0.004), and psychological functioning at 4.22 (p=0.002). Respondents who had not undergone MaPGAS had the lowest ratings of gender congruence on the genitalia subscale (mean score=2.82). The open-ended comments frequently cited the COVID-19 pandemic as an exacerbating issue with gender congruence. Conclusion: In this cohort of individuals considering MaPGAS, individuals post-MaPGAS demonstrated higher GCLS scale scores. Individuals post-phalloplasty reported the highest overall GCLS score and majority subscale scores.","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":"32 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135093122","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}

引用次数: 0

The Effects of Testosterone on Bone Turnover Markers Among Hormone-Naive Transgender Men 睾酮对未接受激素治疗的跨性别男性骨转换标志物的影响

4区医学

Transgender Health Pub Date : 2023-11-08 DOI: 10.1089/trgh.2023.0056

Suchanant Chavaengkiat, Ammarin Suwan, Krasean Panyakhamlerd, Lalita Wattanachanya, Thanapob Bumphenkiatikul

{"title":"The Effects of Testosterone on Bone Turnover Markers Among Hormone-Naive Transgender Men","authors":"Suchanant Chavaengkiat, Ammarin Suwan, Krasean Panyakhamlerd, Lalita Wattanachanya, Thanapob Bumphenkiatikul","doi":"10.1089/trgh.2023.0056","DOIUrl":"https://doi.org/10.1089/trgh.2023.0056","url":null,"abstract":"Purpose: Transgender medicine has become rapidly recognized and evolving in health care system. The consequences of hormone therapy are among the most concerned health issues in transgender population. This study aims to compare bone turnover markers before and after testosterone administration in hormone-naive transgender men. Methods: This prospective study included 20 hormone-naive transgender men. Comparisons of serum C-terminal cross-linking telopeptide of type I collagen (CTX) at baseline with 12 weeks and 24 weeks were analyzed using Wilcoxon signed-rank test. Serum procollagen type I N-propeptide (P1NP) and osteocalcin levels at 24 weeks compared to baseline were also assessed. Pearson's correlation coefficient analysis was used to compare the correlation between serum bone turnover markers and sex hormone levels. Results: At 12 weeks after testosterone administration, significant higher serum CTX level compared to baseline (p-value 0.035) was demonstrated. At 24 weeks after testosterone administration, there were significant differences in serum CTX, P1NP, and osteocalcin levels compared to baseline (p-value 0.019, <0.001, and 0.003, respectively). Serum CTX, P1NP, and osteocalcin levels significantly increased 28.30%, 44.26%, and 21.89%, respectively, at 24 weeks after testosterone treatment. There was a moderate negative correlation between serum CTX and estradiol level. Conclusion: Testosterone administration in transgender men significantly increased the levels of bone turnover markers. Further, well-controlled studies of bone health in transgender men are required to prove and assess the other aspects of bone status over a long-term follow-up period. Thai Clinical Trial Registry identification number TCTR20220817002.","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":"352 18","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135393267","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}

引用次数: 0

Nonsuicidal Self-Injury in Transgender and Non-Binary Adolescents and Young Adults: The Protective Role of Self-Compassion 跨性别和非二元青少年和年轻人的非自杀性自伤:自我同情的保护作用

4区医学

Transgender Health Pub Date : 2023-11-08 DOI: 10.1089/trgh.2023.0070

Esther Calvete, Aitor Jiménez-Granado, Maite Larrucea-Iruretagoyena, Sara Rodriguez-Gonzalez, Liria Fernández-González

{"title":"Nonsuicidal Self-Injury in Transgender and Non-Binary Adolescents and Young Adults: The Protective Role of Self-Compassion","authors":"Esther Calvete, Aitor Jiménez-Granado, Maite Larrucea-Iruretagoyena, Sara Rodriguez-Gonzalez, Liria Fernández-González","doi":"10.1089/trgh.2023.0070","DOIUrl":"https://doi.org/10.1089/trgh.2023.0070","url":null,"abstract":"Purpose: The purpose of this study was to explore the association of self-compassion with nonsuicidal self-injury (NSSI) behavior in transgender and non-binary adolescents and young adults. Secondary aims were to examine (1) whether self-compassion buffered the association between victimization experiences and NSSI and (2) whether anxiety and depression symptoms explained the association between self-compassion and NSSI. Method: The participants were 236 Spanish-speaking transgender and non-binary adolescents and young adults (mean age=20.86, standard deviation [SD]=2.92), who were assessed through an online questionnaire consisting of several self-report measures. Path analysis was used to test the moderation hypothesis and the indirect associations between variables. Results: Victimization was associated with anxiety and depression symptoms and NSSI, whereas self-compassion was negatively associated with them. Self-compassion buffered the association between victimization and NSSI such that victimization was significantly associated with a higher frequency of NSSI only in participants with low levels of self-compassion. Anxiety and depression explained part of the association between self-compassion and NSSI. Conclusion: These results are important for future interventions aimed at reducing the negative consequences of victimization in transgender and non-binary people, focusing on developing their self-compassion.","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":"358 9","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135391904","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}

引用次数: 0

Physical Health in Transgender and Nonbinary Adults: The Roles of Minority Stress and General Psychological Processes 跨性别和非二元成人的身体健康:少数民族压力和一般心理过程的作用

4区医学

Transgender Health Pub Date : 2023-11-02 DOI: 10.1089/trgh.2023.0079

Laura C. Wilson

引用次数: 0

Clinicians Report Less Comfort in Provision of Medical Care to Nonbinary Transgender Youth 临床医生报告在为非二元性别变性青年提供医疗护理时不那么舒适

4区医学

Transgender Health Pub Date : 2023-10-30 DOI: 10.1089/trgh.2023.0029

Abby Walch, Janet Y. Lee, Jenise C. Wong, Madeline Deutsch, Diane Ehrensaft, Megumi Okumura, Stephen M. Rosenthal

{"title":"Clinicians Report Less Comfort in Provision of Medical Care to Nonbinary Transgender Youth","authors":"Abby Walch, Janet Y. Lee, Jenise C. Wong, Madeline Deutsch, Diane Ehrensaft, Megumi Okumura, Stephen M. Rosenthal","doi":"10.1089/trgh.2023.0029","DOIUrl":"https://doi.org/10.1089/trgh.2023.0029","url":null,"abstract":"Purpose: The purpose of this study was to determine whether clinician comfort differs in the provision of gender-affirming medical care to transgender and gender diverse (TGD) youth with binary versus nonbinary gender identities. Methods: A cross-sectional survey was distributed to three international health professional electronic mailing lists. Comfort providing gonadotropin-releasing hormone agonist (GnRHa) and gender-affirming hormone therapy (GAHT) to nonbinary and binary TGD youth was assessed using 5-point Likert scales and analyzed with Wilcoxon signed-rank tests. Logistic regression modeling comfort providing GnRHa and GAHT to nonbinary compared to binary TGD youth was performed to identify relevant predictors. Results: Fifty-five respondents completed the survey. Respondents reported more comfort providing both GnRHa therapy and GAHT to binary compared to nonbinary TGD youth. In univariate analyses, being in a pediatric endocrinology specialty and work within a multidisciplinary clinic setting were associated with less comfort providing GAHT to nonbinary compared to binary TGD youth. Non-straight/non-heterosexual sexual orientation, being in a general pediatrics specialty, and higher estimated percentage of nonbinary TGD youth cared for in clinical practice were associated with more comfort. Only nonstraight/nonheterosexual sexual orientation maintained significance after adjusting for potential confounders in multivariate analyses. Conclusions: Clinicians are less comfortable providing gender-affirming medical care to nonbinary versus binary TGD youth. Efforts to decrease barriers and to inform development of clinical practice guidelines inclusive of nonbinary TGD youth are needed.","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":"113 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136022708","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}

引用次数: 0

The Association of Body Mass Index Category and Postoperative Complications in Gender Affirming Mastectomy for Chest Reconstruction 性别确认乳房切除术胸部重建术中体重指数类别与术后并发症的关系

4区医学

Transgender Health Pub Date : 2023-10-26 DOI: 10.1089/trgh.2023.0112

Jessica L. Marquez, Jack D. Sudduth, Ashraf A. Patel, Devin Eddington, Priya Lewis, Cori Agarwal

引用次数: 0

Two-Year Follow-Up Study of Health-Related Quality of Life Among Transgender and Gender Expansive Youth Receiving Gender-Affirming Care 接受性别肯定护理的跨性别和性别膨胀青年健康相关生活质量的两年随访研究

4区医学

Transgender Health Pub Date : 2023-10-17 DOI: 10.1089/trgh.2022.0165

Anne M. Gadomski, Melissa B. Scribani, Nancy Tallman, Jane O'Bryan, Christopher Wolf-Gould, Carolyn Wolf-Gould

{"title":"Two-Year Follow-Up Study of Health-Related Quality of Life Among Transgender and Gender Expansive Youth Receiving Gender-Affirming Care","authors":"Anne M. Gadomski, Melissa B. Scribani, Nancy Tallman, Jane O'Bryan, Christopher Wolf-Gould, Carolyn Wolf-Gould","doi":"10.1089/trgh.2022.0165","DOIUrl":"https://doi.org/10.1089/trgh.2022.0165","url":null,"abstract":"Purpose: To examine changes in health-related quality of life (HRQOL), this 2-year follow-up study reassessed the HRQOL of transgender and gender expansive (TG/GE) young people enrolled in a patient registry at the Gender Wellness Center (GWC) in upstate New York. Methods: Registry patients had to have a gender-affirming care follow-up visit at the GWC within a 2 year window (+6 months) of their baseline survey to complete follow-up. Youth <18 years of age completed the Child Health Questionnaire-Child Form 87 (CHQ-CF87); youth >18 years of age completed the Short Form-36v2 (SF-36v2). We analyzed change from baseline to follow-up for 11 CHQ-CF87 subscales and 8 SF-36v2 subscales. We compared follow-up HRQOL results to U.S. population standards. We abstracted receipt of gender-affirming care from GWC electronic medical records. Results: Among the 173 patients who completed HRQOL assessments at baseline, 108 completed follow-up (62% response rate) from May 2019 to March 2022. The mean age for those completing the CHQ-CF87 was 14.6±2.2 years (range 10–17) and for the SF-36v2 was 19.7±2.3 years (range 18–24). CHQ-CF87 Behavior and Role/Social Physical Functioning subscale scores improved significantly among youth 8–17 years of age from baseline. Follow-up SF-36v2 scores for patients 18–24 years of age did not change significantly. Follow-up HRQOL mental health scores remained statistically significantly lower than U.S. population standards for both age groups. Conclusions: Two year follow-up HRQOL data from TG/GE youth receiving gender-affirming care improved in two domains, but did not change among young adults (>18 years of age). Mental health remains suboptimal compared to national standards.","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136033692","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}

引用次数: 0

Predictors of Mental Health Service Utilization Among Transgender and Gender Nonconforming Adults 跨性别及性别不符合成人心理健康服务利用的预测因素

4区医学

Transgender Health Pub Date : 2023-10-17 DOI: 10.1089/trgh.2023.0107

Kristin A. Schuller, Rebekah P. Crawford, Marilena Wolf

{"title":"Predictors of Mental Health Service Utilization Among Transgender and Gender Nonconforming Adults","authors":"Kristin A. Schuller, Rebekah P. Crawford, Marilena Wolf","doi":"10.1089/trgh.2023.0107","DOIUrl":"https://doi.org/10.1089/trgh.2023.0107","url":null,"abstract":"Purpose: The purposes of this study were to determine which transgender and gender nonconforming (TGNC) adults used mental health services in the past 12 months, to compare TGNC who did and did not access mental health care, to query reasons for not accessing mental health services, and to determine what indicators influenced mental health service utilization. Methods: The research team gathered data from 274 TGNC adults from September to November 2019 via an electronic survey. This exploratory study assessed mixed methods data on mental health services utilization. The convergent, parallel mixed methods design was used to compare and interpret the quantitative and qualitative data for convergence or divergence. Results: Approximately 24% of TGNC adults did not use mental health services, with 44% of that group indicating it was because they did not need them, which means that 56% needed services but did not use them. The top reasons for not accessing needed mental health services included: inability to pay, not believing that care would be effective, not expecting to find providers who understood specific TGNC experiences or needs, and not trusting mental health professionals. Income, location, and mental health status were significant indicators. Conclusion: This study provides evidence that some TGNC adults who do not utilize mental health services still need them while outlining the specific barriers that inhibit TGNC adults from accessing needed mental health care. Comparing TGNC adults who did and did not access mental health services reveals that mental health status, location, and income are predictive of mental health service utilization. Recommendations are discussed.","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136034759","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}

引用次数: 0

The Validation of the Gender Minority Stress and Resilience Measure and Mental Health Among Chinese Transgender and Gender Nonconforming People 中国跨性别者和性别不符合者心理健康与性别少数群体压力和弹性测量的验证

4区医学

Transgender Health Pub Date : 2023-10-16 DOI: 10.1089/trgh.2023.0059

Lijun Zheng, Yuqi Li, Zhaoyang Xie, Can Yang

{"title":"The Validation of the Gender Minority Stress and Resilience Measure and Mental Health Among Chinese Transgender and Gender Nonconforming People","authors":"Lijun Zheng, Yuqi Li, Zhaoyang Xie, Can Yang","doi":"10.1089/trgh.2023.0059","DOIUrl":"https://doi.org/10.1089/trgh.2023.0059","url":null,"abstract":"Purpose: Gender minority stress is a key factor contributing to mental health problems among transgender and gender nonconforming (TGNC) people. The Gender and Minority Stress and Resilience Measure (GMSR) is a valid instrument to assess distal stressors (discrimination, rejection, victimization, and nonaffirmation), proximal stressors (internalized transphobia, negative expectations, and nondisclosure), and resilience factors (pride and community connectedness) in Western societies. This study aimed to examine the psychometric characteristics of the Chinese version of the GMSR and mental health in Chinese TGNC people. Methods: A total of 282 (Meanage=20.9, Standard deviation=5.02) Chinese TGNC individuals completed measures of the GMSR, Depression Anxiety Stress Scale, and Multidimensional Scale of Perceived Social Support. Results: The confirmatory factor analysis showed that a Chinese revision of the 42-item GMSR with 9-factor model had adequate fit to the data. All the stressors were positively correlated with mental health problems. However, pride and community connectedness were not associated with mental health problems. Three stressors (rejection, nonaffirmation, and negative expectations) were negatively correlated with social support, and both pride and community connectedness were positively correlated with social support. All correlations between constructs were below 0.60. The criterion and convergent and discriminant validities of the Chinese version of the GMSR were greatly supported. Moreover, in line with the minority stress model, distal stressors had a significant indirect effect on mental health problems through proximal stressors. Conclusion: Our results validate a revised 42-item Chinese version of the GMSR, which indicated the cross-cultural validation of the gender minority stress model in China.","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136115409","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}

引用次数: 0