Transgender Health最新文献

{"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 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":"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":"Comparing Stigma and HIV Outcomes Between Transgender and Cisgender Women Sex Workers Living with HIV in the Dominican Republic.","authors":"Tamar Goldenberg, Tahilin Karver, Deanna Kerrigan, Hoisex Gomez, Martha Perez, Yeycy Donastorg, Clare Barrington","doi":"10.1089/trgh.2022.0099","DOIUrl":"10.1089/trgh.2022.0099","url":null,"abstract":"<p><strong>Purpose: </strong>Using an intersectionality framework, we compared stigma and HIV care and treatment outcomes across transgender and cisgender women sex workers living with HIV in the Dominican Republic (DR).</p><p><strong>Methods: </strong>In 2018-2019, data were collected in Santo Domingo, DR, using interviewer-administered surveys among 211 cisgender women and 100 transgender women. We used <i>t</i>-tests and chi-square tests to examine differences in sex work stigma, HIV stigma, and HIV care and treatment.</p><p><strong>Results: </strong>Transgender participants reported more anticipated HIV stigma (mean=13.61, standard deviation [SD]=2.39) than cisgender participants (mean=12.96, SD=2.21; <i>p</i>=0.018), but there were no statistically significant differences for internalized or enacted HIV stigma. Cisgender participants reported more anticipated sex work stigma (cisgender: mean=50.00, SD=9.22; transgender: mean=44.02, SD=9.54; <i>p</i><0.001), but transgender women reported more enacted (cisgender: mean=49.99, SD=9.11; transgender: mean=59.93, SD=4.89; <i>p</i><0.001) and internalized sex work stigma (cisgender: mean=50.00, SD=8.80; transgender: mean=57.84, SD=8.34; <i>p</i><0.001), with no significant differences in resistance to sex work stigma. Cisgender women were significantly more likely to have received HIV care (cisgender: 99.53%, transgender: 91.00%, <i>p</i><0.001), be currently taking antiretroviral therapy (cisgender: 96.21%, transgender: 84.00%, <i>p</i><0.001), and be virally suppressed (cisgender: 76.19%, transgender: 64.00%, <i>p</i>=0.025).</p><p><strong>Conclusions: </strong>Transgender participants consistently had poorer HIV care and treatment outcomes compared with cisgender participants. Differences in stigma experiences between transgender and cisgender participants depended on the type of stigma. Findings reflect the intersectional nature of distinct types and forms of stigma among sex workers. Understanding the shared and unique experiences of transgender and cisgender women will improve HIV care engagement and viral suppression.</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/PMC11299095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46143014","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}

{"title":"Problematic Internet Use and Technology Interactions Among Transgender Adolescents.","authors":"Brittany J Allen, Zoe E Stratman, Bradley R Kerr, Qianqian Zhao, Megan A Moreno","doi":"10.1089/trgh.2021.0169","DOIUrl":"10.1089/trgh.2021.0169","url":null,"abstract":"<p><strong>Purpose: </strong>To compare risk of problematic internet use (PIU) and importance of digital media interactions for transgender and cisgender adolescents.</p><p><strong>Methods: </strong>A nationally representative group of adolescents took an online survey that included a measure of PIU (Problematic and Risky Internet Use Screening Scale-3 [PRIUSS-3]) and technology interactions (Adolescent Digital Technology Interactions and Importance scale). We compared mean scores for these scales and their subscales and rates of positive screens for PIU for transgender and cisgender adolescents.</p><p><strong>Results: </strong>Of 4575 adolescents participating, 53 (1.2%) were transgender, nonbinary, and gender-diverse (TNG) adolescents. TNG adolescents had higher PRIUSS-3 scores and higher mean scores for importance of technology to explore identity/go outside their offline environment.</p><p><strong>Conclusions: </strong>TNG adolescents report higher PIU risk, which may relate to differences in technology importance for this group.</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/PMC11299092/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48798312","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":"Trends in HIV Prevalence, Sexual Behavior, and Pre-Exposure Prophylaxis Willingness Among Transgender Women: An Analysis of Three Cross-Sectional Studies Conducted Mainly in Shenyang, China, 2014-2019.","authors":"Hui Chen, Yingjie Chen, Shangbin Liu, Xiaoyue Yu, Huwen Wang, Ruijie Chang, Rongxi Wang, Yujie Liu, Chen Xu, Ying Wang, Yong Cai","doi":"10.1089/trgh.2022.0081","DOIUrl":"10.1089/trgh.2022.0081","url":null,"abstract":"<p><strong>Purpose: </strong>Although transgender women (TGW) bear the highest HIV burden worldwide, routine surveillance of this group is rare. We aimed to evaluate the trends in health characteristics of Chinese TGW.</p><p><strong>Methods: </strong>Three cross-sectional studies using snowball sampling were conducted in 2014, 2017, and 2019, primarily in Shenyang, China. A questionnaire and voluntary HIV testing were used to obtain information on background characteristics, sexual behaviors, pre-exposure prophylaxis (PrEP) willingness, and HIV status.</p><p><strong>Results: </strong>There were 220 respondents in 2014, 198 in 2017, and 247 in 2019 (average age 31.1±7.6 to 33.5±9.6 years). HIV prevalence significantly decreased from 29.5% (95% confidence interval [CI]: 25.3-38.4%) in 2014 to 19.4% (95% CI: 14.7-24.9%) in 2019 (<i>p</i><0.05). The proportion of participants reporting condomless anal intercourse (CAI) with any partner fluctuated from 30.8% (95% CI: 25.1-36.1%) to 53.0% (95% CI: 45.8-60.1%). The proportion of participants willing to use PrEP decreased from 86.4% (95% CI: 81.1-90.6%) in 2014 to 62.8% (95% CI: 56.4-68.8%) in 2019. Factors significantly associated with HIV infection were CAI with any partner (multivariate odds ratio [ORm]: 3.58, 95% CI: 1.55-8.29 in 2017; ORm: 3.18, 95% CI: 1.56-6.46 in 2019) and PrEP willingness (ORm: 0.26, 95% CI: 0.12-0.58 in 2017).</p><p><strong>Conclusion: </strong>HIV prevalence and associated risk factors remain substantial among Chinese TGW. There is an urgent need to strengthen HIV surveillance in this population, and develop trans-friendly and effective interventions to minimize HIV prevalence and transmission.</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/PMC11299101/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44587521","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}