Transgender Health最新文献_第2页

Understanding and Addressing Disinformation in Gender-Affirming Health Care Bans. 理解和解决性别平等医疗禁令中的虚假信息

IF 2 4区医学

Transgender Health Pub Date : 2024-08-16 eCollection Date: 2024-08-01 DOI: 10.1089/trgh.2022.0198

Nicolas G Meade, Christina Lepore, Christy L Olezeski, Meredithe McNamara

引用次数: 0

Gender Characteristics and Population Size Estimation of Transgender People: A Field-Based Study from Iran. 伊朗跨性别者的性别特征和人口规模估计:一项基于实地的研究

IF 2 4区医学

Transgender Health Pub Date : 2024-08-16 eCollection Date: 2024-08-01 DOI: 10.1089/trgh.2021.0073

Behnam Honarvar, Mohammad Reza Baneshi, Zahra Hendoostan Soudagar, Hana Javanmardi Fard, Elahe Khaksar, Mahsa Akbari, Forough Salehi, Fatemeh Shaygani, Mohammad Zarenezhad, Alireza Doroudchi

{"title":"Gender Characteristics and Population Size Estimation of Transgender People: A Field-Based Study from Iran.","authors":"Behnam Honarvar, Mohammad Reza Baneshi, Zahra Hendoostan Soudagar, Hana Javanmardi Fard, Elahe Khaksar, Mahsa Akbari, Forough Salehi, Fatemeh Shaygani, Mohammad Zarenezhad, Alireza Doroudchi","doi":"10.1089/trgh.2021.0073","DOIUrl":"10.1089/trgh.2021.0073","url":null,"abstract":"Purpose: We determined the size of the transgender population in Shiraz, Iran.Methods: In this cross-sectional study, the respondent-driven sampling technique was used by choosing eight seeds, three waves, and six coupons for each participant. The estimated population size was calculated by wisdom of the crowds, multiplier, and successive sampling-population size estimation (SS-PSE) methods. Pooling of results was done by an Anchored Multiplier calculator.Results: The mean age of participants (n=200) was 22.7±4 years, 197 (98.5%) were single, 86 (43%) were educated <12 years, 25 (12.5%) were not living with their families, and 52 (26%) were not financially supported by their parents. The transgender population was estimated by the wisdom of the crowds, multiplier, and SS-PSE methods to be 300 (95% confidence interval [CI]: 200-400), 677 (95% CI: 655-696), and 665 (95% CI: 624- 677), respectively. Their prevalence was found to be 0.017% (95% CI: 0.011-0.022%), 0.038% (95% CI: 0.036-0.039%), and 0.037% (95% CI: 0.034-0.038) using the same methods, respectively. Pooled results revealed that 22-37 per 100,000 general population were transgender individuals. Weighted estimation showed that trans men (56.6%) are more prevalent than trans women (43.4%), and only 17% of transgender people succeeded in gender reassignment.Conclusion: Transgender people should not be considered as marginalized groups of the community; they should be respected, heard, and valued. Establishing a standard and routine procedure for the collection of data on the status of transgender people and gender identity is necessary for policymaking and intervention programs.","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11456767/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42169143","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}

引用次数: 0

Uterine and Ovarian Histopathology After Testosterone for Gender Affirmation: A Systematic Review. 睾酮用于性别确认后的子宫和卵巢组织病理学：一项系统综述

IF 2 4区医学

Transgender Health Pub Date : 2024-08-16 eCollection Date: 2024-08-01 DOI: 10.1089/trgh.2022.0207

Maris K Toland, Kyra Bonasia, Jessica Bentz, Regina M DelBaugh, Elaina J Vitale, Paige N Scudder, Ella A Damiano

{"title":"Uterine and Ovarian Histopathology After Testosterone for Gender Affirmation: A Systematic Review.","authors":"Maris K Toland, Kyra Bonasia, Jessica Bentz, Regina M DelBaugh, Elaina J Vitale, Paige N Scudder, Ella A Damiano","doi":"10.1089/trgh.2022.0207","DOIUrl":"10.1089/trgh.2022.0207","url":null,"abstract":"Purpose: The objective of this systematic review was to evaluate the effects of testosterone on uterine and ovarian pathology in transmasculine patients at the time of gender-affirming surgery.Methods: Searches were conducted using MEDLINE, CINAHL with Full Text, Cochrane Library, Scopus, and Europe PMC for articles published before April 5, 2021, containing concepts of testosterone use, uterine histopathology, and transgender population. The initial search yielded a total of 658 abstracts. Studies were analyzed in full text if they reported one or more uterine or ovarian histopathological findings in a noncisgender population receiving testosterone for gender affirmation. Rayyan software was used for the abstract review.Results: This review was registered with PROSPERO. Twenty-eight full-text articles were reviewed, of which 17 met the inclusion criteria. Two reviewers performed data extraction and risk of bias assessment. Thirteen studies included endometrial histopathology results, representing 522 patients. Endometrial findings demonstrated that 254 patients (48.7%) were atrophic, 243 (46.6%) were proliferative, and 16 (3.0%) were secretory. Twelve patients (2.3%) had endometrial intraepithelial neoplasia (EIN), including one (0.2%) with focal adenocarcinoma. Eleven studies reported ovarian histopathology in 410 patients and 765 ovaries. A total of 143 (34.9%) patients had polycystic-appearing ovaries. Three (0.7%) patients had benign ovarian neoplasms. No ovarian malignancies were reported.Conclusion: The endometrium was predominately found to be atrophic or proliferative, with low rates of EIN and carcinoma. No ovarian malignancy was observed. Based on this review, patients on testosterone do not have an increased risk of precancerous endometrial lesions due to unopposed hormones in the setting of amenorrhea.","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11456762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46825416","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}

引用次数: 0

Recruiting Black and Latina/Hispanic Transgender Women for HIV Research: Implementation of Respondent-Driven Sampling and Factors Associated with Peer Recruitment. 招募黑人和拉丁裔/西班牙裔跨性别妇女参与艾滋病研究:实施受访者驱动的抽样和与同伴招募相关的因素

IF 2 4区医学

Transgender Health Pub Date : 2024-08-16 eCollection Date: 2024-08-01 DOI: 10.1089/trgh.2021.0201

Alexis V Rivera, Jasmine M Lopez, Sarah L Braunstein

{"title":"Recruiting Black and Latina/Hispanic Transgender Women for HIV Research: Implementation of Respondent-Driven Sampling and Factors Associated with Peer Recruitment.","authors":"Alexis V Rivera, Jasmine M Lopez, Sarah L Braunstein","doi":"10.1089/trgh.2021.0201","DOIUrl":"10.1089/trgh.2021.0201","url":null,"abstract":"Purpose: We aim to examine if respondent-driven sampling (RDS) is a feasible and efficient method to recruit Black and Latina/Hispanic transgender women into HIV research.Methods: As part of the National HIV Behavioral Surveillance Study among transgender women in New York City in 2019, RDS was implemented with a focus on recruiting Black and Latina/Hispanic transgender women. We identified factors independently associated with (1) peer recruitment and (2) presenting to the study with a photo coupon.Results: A total of 269 transgender women were enrolled, 94% of whom were Black or Latina/Hispanic. In terms of peer recruitment, 47% recruited at least one eligible peer. Compared with those who were aged 18-29 years, those aged 30-39 years (adjusted prevalence ratio [aPR]: 2.04; 95% confidence interval [CI]: 1.35-3.07) and those aged 50 years or older (aPR: 1.97; 95% CI: 1.32-2.94) were more likely to recruit an eligible peer. Peer recruitment was also associated with utilizing HIV prevention services in the past 12 months (aPR: 1.62; 95% CI: 1.18-2.23). We did not find any differences in presenting the study with a photo recruitment coupon versus a physical recruitment coupon.Conclusion: RDS was feasible and efficient in recruiting Black and Latina/Hispanic transgender women. Providing gender-affirming environments as well as allowing peer recruitment through photo coupons may have facilitated peer recruitment and study participation. Our findings regarding factors associated with peer recruitment could aid in future study design and may help in addressing the lack of HIV research among Black and Latina/Hispanic transgender women.","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11456766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44619164","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}

引用次数: 0

Depressive and Anxiety Symptoms Were More Common for Transgender Individuals Whose Gender-Affirming Surgeries Were Cancelled or Delayed Due to COVID-19: A Global Cross-Sectional Study. 抑郁和焦虑症状在因COVID-19而取消或推迟性别确认手术的跨性别者中更为常见:一项全球横断面研究

IF 2 4区医学

Transgender Health Pub Date : 2024-08-16 eCollection Date: 2024-08-01 DOI: 10.1089/trgh.2022.0052

Anna Marie Fennell, Aaron A Wiegand, Arjee Restar, Jennifer L Glick, Sam Wilson Beckham, Brooke A Jarrett

引用次数: 0

Expectations and Experienced Outcomes Regarding Gender-Affirming Surgeries: A Pilot Study. 关于性别确认手术的期望和经验结果:一项试点研究

IF 2 4区医学

Transgender Health Pub Date : 2024-08-16 eCollection Date: 2024-08-01 DOI: 10.1089/trgh.2022.0118

Maeghan Boyd Ross, Sanne Wesseling, Margriet Mullender, Baudewijntje P C Kreukels, Tim van de Grift

{"title":"Expectations and Experienced Outcomes Regarding Gender-Affirming Surgeries: A Pilot Study.","authors":"Maeghan Boyd Ross, Sanne Wesseling, Margriet Mullender, Baudewijntje P C Kreukels, Tim van de Grift","doi":"10.1089/trgh.2022.0118","DOIUrl":"10.1089/trgh.2022.0118","url":null,"abstract":"Purpose: This study aimed to explore in what ways the preoperative expectations of transgender individuals regarding gender-affirming surgery (GAS) align with experienced postoperative outcomes and, subsequently, how these expectations can best be managed to support optimal outcomes.Methods: In the parent study, interviews were conducted to understand the health care experiences of a group of trans individuals that had or wanted to have gender-affirming surgical care. In this secondary analysis, we focused specifically on the individuals' expectations and experiences about the gender-affirming procedures they desired or underwent. Recruitment occurred from August 2018 to October 2018 at the Amsterdam University Medical Center (VUmc) in the Netherlands. Axial coding and theory-informed thematic analysis were used to assess preoperative expectations and postoperative.Results: The data regarding expectations related to GAS (ncodes=273) and postoperative experienced outcomes (ncodes=292) yielded a total of four themes-(1) Procedure, recovery, and functional results; (2) Esthetic outcomes of GAS; (3) Improved body image in relation to one's gender role; and (4) Increased psychosocial and sexual wellbeing at large in relation to one's gender role. Each of the four themes were divided into two subthemes: (1) expectations, and (2) experienced outcomes.Conclusion: Better understanding, education, and support in the decision-making process of trans individuals seeking gender-affirming surgical care is needed to manage expectations and overall outcomes of GAS procedures.","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11456761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45881535","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}

引用次数: 0

Stigma and Substance Use Among Transgender and Nonbinary Young Adults: Results from the Phoenix Study. 变性和非二元青年的污名化与药物使用：凤凰城研究的结果。

IF 2 4区医学

Transgender Health Pub Date : 2024-08-16 eCollection Date: 2024-08-01 DOI: 10.1089/trgh.2022.0144

Don Operario, Wesley King, Kristi Gamarel, Mariko Iwamoto, Sandy Tan, Tooru Nemoto

{"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":"Purpose: 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.Methods: 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.Results: 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.Conclusion: 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.","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":null,"pages":null},"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}

引用次数: 0

Gender Inclusivity of Canadian Clinical Practice Guidelines Intended to Be Applied or Implemented Based on Sex or Gender: A Descriptive Study 加拿大临床实践指南中基于性别的包容性：描述性研究

IF 2 4区医学

Transgender Health Pub Date : 2024-07-08 DOI: 10.1089/trgh.2023.0172

Richard S. Henry, Erin Allen-Flanagan, Catherine S. J. Wall, Zack Marshall, Brett Thombs

引用次数: 0

Quantitative Assessment of Forehead Morphology Following Facial Feminization Surgery 面部女性化手术后额头形态的定量评估

IF 2 4区医学

Transgender Health Pub Date : 2024-07-08 DOI: 10.1089/trgh.2024.0019

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

引用次数: 0

Barriers to Health Care and Mental Health Among Parents of Transgender and Gender Diverse Youth 变性和性别多元化青少年父母在医疗保健和心理健康方面的障碍

IF 2 4区医学

Transgender Health Pub Date : 2024-07-01 DOI: 10.1089/trgh.2023.0177

A. Martin‐Storey, Roberto L Abreu, Russell B. Toomey, Karina A. Gattamorta

引用次数: 0