Jane J Lee, Yesenia Cruz, Joel Aguirre, Martha Zuniga, Juliann Li Verdugo, Pedro Tomas-Domingo, Tracey Hernandez, E Roberto Orellana, Lisa M Kuhns, Robert Garofalo, Susan M Graham
{"title":"Adaptation of an Evidence-based HIV Prevention Intervention to Address the Needs of Transgender Latina Women.","authors":"Jane J Lee, Yesenia Cruz, Joel Aguirre, Martha Zuniga, Juliann Li Verdugo, Pedro Tomas-Domingo, Tracey Hernandez, E Roberto Orellana, Lisa M Kuhns, Robert Garofalo, Susan M Graham","doi":"10.1089/trgh.2024.0054","DOIUrl":"10.1089/trgh.2024.0054","url":null,"abstract":"<p><p>Transgender Latina women are disproportionately affected by HIV in the United States. Given unique needs, elevated risk, and a paucity of tailored interventions, we adapted an evidence-based HIV prevention program for this population. Following a needs assessment with transgender Latina immigrants, we adapted <i>Project LifeSkills</i>, a six-session group intervention for transgender youth, into a modified program titled \"<i>Somos Chingonas</i>,\" using methods from the ADAPT-ITT framework. Our adaptation process underscores the critical role of community involvement in developing tailored interventions for minority communities. Future research will pilot and evaluate the modified intervention to examine its impact on HIV prevention outcomes.</p>","PeriodicalId":94256,"journal":{"name":"Transgender health","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12829979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146047733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Transgender healthPub Date : 2024-08-16eCollection Date: 2024-08-01DOI: 10.1089/trgh.2024.44968.cfp
David J Inwards-Breland
{"title":"<i>Special Issue:</i> Health Outcomes of Gender-Affirming Care Among Transgender and Gender Expansive Youth: Deadline for Manuscript Submission: September 17, 2024.","authors":"David J Inwards-Breland","doi":"10.1089/trgh.2024.44968.cfp","DOIUrl":"10.1089/trgh.2024.44968.cfp","url":null,"abstract":"","PeriodicalId":94256,"journal":{"name":"Transgender health","volume":"9 4","pages":"368-369"},"PeriodicalIF":1.8,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11457887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142396521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Transgender healthPub Date : 2024-06-27eCollection Date: 2026-06-01DOI: 10.1089/trgh.2023.0182
Amanda N Burnside, Jennifer A Hoffmann, Douglas Lorenz, Jessica Walter, Johnny Berona, Aron Janssen
{"title":"Development of a Keyword-Based Search Strategy to Identify Gender Diverse Youth in Electronic Medical Records.","authors":"Amanda N Burnside, Jennifer A Hoffmann, Douglas Lorenz, Jessica Walter, Johnny Berona, Aron Janssen","doi":"10.1089/trgh.2023.0182","DOIUrl":"10.1089/trgh.2023.0182","url":null,"abstract":"<p><p>A retrospective cross-sectional study of nearly 3 years of emergency department (ED) encounters was performed with the goal of developing an electronic medical record (EMR) search strategy to identify transgender and gender diverse (TGD) youth. A search of nine keywords to identify TGD youth was conducted in the EMR, and text from clinician notes was extracted and reviewed. Among 15,413 ED encounters, 1126 keywords were identified, and 91.2% were classified as TGD. The final dataset classified 605 ED encounters (428 unique youth) as TGD. The study offers a feasible technique to identify and prioritize TGD youth in health research using EMR data.</p>","PeriodicalId":94256,"journal":{"name":"Transgender health","volume":"11 3","pages":"220-223"},"PeriodicalIF":1.8,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13187367/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147990486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Transgender healthPub Date : 2024-06-21eCollection Date: 2026-08-01DOI: 10.1089/trgh.2023.0226
Gaines Blasdel, Carmen Kloer, Nicky Zarchen, Solange Bassale, Lee C Zhao, Rachel Bluebond-Langner, Geolani W Dy
{"title":"The Greatest Challenges after Gender-Affirming Vaginoplasty: A Qualitative Analysis.","authors":"Gaines Blasdel, Carmen Kloer, Nicky Zarchen, Solange Bassale, Lee C Zhao, Rachel Bluebond-Langner, Geolani W Dy","doi":"10.1089/trgh.2023.0226","DOIUrl":"10.1089/trgh.2023.0226","url":null,"abstract":"<p><strong>Purpose: </strong>Gender-affirming vaginoplasty can involve profound postoperative challenges related to the typical healing process and potential complications. We present a qualitative analysis of the greatest challenges that individuals experience after vaginoplasty with respect to physical, social, and emotional changes.</p><p><strong>Methods: </strong>Data were collected through a community-informed, cross-sectional survey of individuals who have undergone vaginoplasty. Respondents were recruited via social media platforms between June and November 2020. Respondents were asked to complete an open-ended question on the greatest challenges they faced in the postoperative period. Responses were thematically analyzed using an inductive approach with double coding for reliability.</p><p><strong>Results: </strong>In total, 171 respondents had undergone vaginoplasty; among these, 111 respondents (65%) responded to the \"greatest challenges\" question. There were no significant differences in demographics between those who did or did not respond to this prompt. Seven major themes were identified, followed by subthemes to further categorize responses. The major themes found among the greatest challenges responses were postoperative complications (<i>n</i> = 39 respondents, 35%), dilation (35, 35%), effect on activities of daily living (26, 23%), mental health challenges (15, 14%), lack of support (14, 13%), sexual function (14, 13%), and health care access (13, 12%).</p><p><strong>Conclusion: </strong>These greatest challenges after vaginoplasty may be used to inform patients, clinicians, and health care systems about unmet pre- and postoperative needs. Increasing both psychosocial support and patient education on postoperative recovery can help to improve outcomes by anticipating the short- and long-term challenges vaginoplasty patients may face.</p>","PeriodicalId":94256,"journal":{"name":"Transgender health","volume":"11 4","pages":"245-254"},"PeriodicalIF":1.8,"publicationDate":"2024-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13358182/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148439534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Transgender healthPub Date : 2024-06-17eCollection Date: 2024-06-01DOI: 10.1089/trgh.2022.0136
Moira A Kyweluk, Katie S Greeley, Jerrica Kirkley
{"title":"<i>Letter to the Editor:</i> Extending the Reach of Peer-Led Support Groups via Telehealth.","authors":"Moira A Kyweluk, Katie S Greeley, Jerrica Kirkley","doi":"10.1089/trgh.2022.0136","DOIUrl":"10.1089/trgh.2022.0136","url":null,"abstract":"","PeriodicalId":94256,"journal":{"name":"Transgender health","volume":"9 3","pages":"280-281"},"PeriodicalIF":1.8,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11299099/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141899319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","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.2022.0059
Leonardo Kattari, Haley Hill, Deirdre A Shires, Lucas R Prieto, Ishaan K Modi, Brayden A Misiolek, Shanna K Kattari
{"title":"Prescription Pain Reliever Misuse Among Transgender and Gender Diverse Adults.","authors":"Leonardo Kattari, Haley Hill, Deirdre A Shires, Lucas R Prieto, Ishaan K Modi, Brayden A Misiolek, Shanna K Kattari","doi":"10.1089/trgh.2022.0059","DOIUrl":"10.1089/trgh.2022.0059","url":null,"abstract":"<p><strong>Purpose: </strong>Little is known about the prevalence and risks associated with transgender and gender diverse (TGD) persons' misuse of prescription pain relievers (PPRs). This study explores the relationship between PPR misuse and various sociodemographic identities and experiences of discrimination in health care among TGD adults.</p><p><strong>Methods: </strong>TGD participants (<i>n</i>=595) were recruited in 2018 to participate in a cross-sectional statewide trans health survey through convenience sampling. Chi-square tests of independence and logistic regressions were conducted to explore associations between sociodemographics and experiences of discrimination among persons who had ever misused PPRs, or who had misused PPRs in the past year.</p><p><strong>Results: </strong>Sociodemographics such as gender identity (odds ratio [OR]=0.44, <i>p</i>=0.01), race/ethnicity (OR=0.14, <i>p</i><0.001), and sexual orientation influence TGD individuals likeliness of misusing PPRs (OR=0.40, <i>p</i><0.001). Notably, those who were ever diagnosed with anxiety had a higher likeliness of having lifetime PPR misuse compared with those who were never diagnosed (OR=2.05, <i>p</i>=0.05), and those reporting past-year discrimination within the mental health care setting because of their gender identity were more than twice as likely to report past-year misuse than those who reported not experiencing it (OR=2.43, <i>p</i>=0.004).</p><p><strong>Conclusion: </strong>Certain subpopulations of TGD individuals may be at elevated risk of PPR misuse. It is imperative to acknowledge the impact of multimarginalized identities as well as differences across various identities and experiences within the TGD community while working to address non-PPR misuse.</p>","PeriodicalId":94256,"journal":{"name":"Transgender health","volume":"9 1","pages":"68-75"},"PeriodicalIF":2.1,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10835153/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139682217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Felt, L. Beach, Florence Ashley, Gregory Phillips
{"title":"An Exploratory Comparison and Evaluation of Two Two-Step Measures to Identify Transgender People in Survey Datasets","authors":"D. Felt, L. Beach, Florence Ashley, Gregory Phillips","doi":"10.1089/trgh.2023.0010","DOIUrl":"https://doi.org/10.1089/trgh.2023.0010","url":null,"abstract":"","PeriodicalId":94256,"journal":{"name":"Transgender health","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138595020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Transgender healthPub Date : 2023-10-04eCollection Date: 2023-10-01DOI: 10.1089/trgh.2021.0082
Noah Frank, Vanessa M McMahan, Lauren R Violette, Aleks Martin, Sara N Glick, Joanne D Stekler
{"title":"Efficient Expansion of a Behavioral Survey to Assess Sex, Gender, and Behavioral Risk Among Transgender and Nonbinary Individuals: HMU! (<i>H</i>IV Prevention for <i>M</i>ethamphetamine <i>U</i>sers).","authors":"Noah Frank, Vanessa M McMahan, Lauren R Violette, Aleks Martin, Sara N Glick, Joanne D Stekler","doi":"10.1089/trgh.2021.0082","DOIUrl":"10.1089/trgh.2021.0082","url":null,"abstract":"<p><p>Transgender and gender nonbinary (TGNB) individuals are at high risk for HIV acquisition. However, TGNB individuals are often excluded from research and public health surveillance, both as participants and as reported sexual partners. This research study aimed to be inclusive, correctly classify TGNB participants, and accurately describe sex partners and sexual activity of participants to assess HIV risk while minimizing participant burden. The adaptation of survey questions designed for cisgender men to include TGNB participants and partners was feasible and relatively straightforward. However, additional work is still needed in this area to increase inclusivity and research participation by TGNB individuals. Clinical Trial Registration Number - NCT03584282.</p>","PeriodicalId":94256,"journal":{"name":"Transgender health","volume":"8 5","pages":"472-476"},"PeriodicalIF":2.1,"publicationDate":"2023-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10551755/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41175807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Transgender healthPub Date : 2023-10-04eCollection Date: 2023-10-01DOI: 10.1089/trgh.2021.0126
Rishub K Das, Brian C Drolet
{"title":"The True Cost of Antitransgender Legislation.","authors":"Rishub K Das, Brian C Drolet","doi":"10.1089/trgh.2021.0126","DOIUrl":"10.1089/trgh.2021.0126","url":null,"abstract":"<p><p>A large body of research finds that sexual and gender minorities experience disparities in health equity that stem from structural discrimination. In particular, transgender and gender diverse (TGD) patients face barriers in access to gender-affirming care (GAC). As of December 2021, 35 state legislatures have introduced >100 bills that categorically deny TGD individuals' human rights and outlaw medically necessary GAC. Importantly, the economic consequences of discriminatory legislation and denial of health care for TGD individuals are void in the literature. This perspective outlines the economic impact of antitransgender policy and calls for federal intervention to protect TGD rights.</p>","PeriodicalId":94256,"journal":{"name":"Transgender health","volume":"8 5","pages":"405-407"},"PeriodicalIF":2.1,"publicationDate":"2023-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10551757/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41127534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}