8,463 results match your criteria transgender

Navigating in the dark: Meta-synthesis of subjective experiences of gender dysphoria amongst transgender and gender non-conforming youth.

Soc Sci Med 2021 Jun 2;281:114094. Epub 2021 Jun 2.

University of Oslo, Department of Psychology, Norway. Electronic address:

Objective: We conducted a meta-synthesis of qualitative research on subjective experiences of gender dysphoria (GD) amongst transgender and gender non-conforming (TGNC) youth in order to improve clinical encounters, complement existing knowledge and potentially influence future research.

Methods: We systematically searched for qualitative studies on GD in English, German, Spanish and Scandinavian languages in seven databases. Starting with 2000 articles, we finally included 12 papers in the meta-synthesis, following Noblit and Hare's (1988) seven steps for qualitative meta-synthesis research. Read More

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Associations with COVID-19 Symptoms, Prevention Interest, and Testing Among Sexual and Gender Minority Adults in a Diverse National Sample.

LGBT Health 2021 Jun 11. Epub 2021 Jun 11.

Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.

Sexual and gender minority (SGM) and racial/ethnic minority populations may differ in coronavirus disease 2019 (COVID-19) prevention, testing, and vaccine interest, although little research has explored these disparities. It is critical to understand the differential experiences within minoritized communities to ensure effective intervention and vaccine rollout. In a national online survey of U. Read More

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"We're Moving in the Right Direction. Still a Long Way to Go": Experiences and Perceptions of the Climate for LGBTQ+ Employees at a Pediatric Hospital.

J Homosex 2021 Jun 11:1-19. Epub 2021 Jun 11.

Department of Community Health Sciences, Boston University School of Public Health, Boston, Massachusetts, USA.

A positive LGBTQ+ (lesbian, gay, bisexual, transgender/nonbinary, queer) workplace climate is critical for healthcare employee satisfaction, productivity, and patient care. The current study assessed LGBTQ+ workplace climate among 791 employees from a large urban pediatric hospital. Several workplace climate domains were assessed in an online survey: employee attitudes, training, experiences related to working with LGBTQ+ colleagues, patients and families, and LGBTQ+-specific experiences. Read More

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Sexual and gender minority publication trends in the dermatology literature.

Arch Dermatol Res 2021 Jun 11. Epub 2021 Jun 11.

Division of Dermatology, The Ohio State University Wexner Medical Center, 540 Officenter Place, Suite 240, Columbus, OH, 43230, USA.

In the greater medical literature, publication rates on topics relevant to the lesbian, gay, bisexual, transgender, queer, and questioning (LGBTQ) communities have been on the rise. The publication rates in the dermatology literature have not yet been described. We performed an analysis of the dermatology literature from 1980-2020 to characterize LGBTQ-relevant publication rates and themes over time. Read More

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Assessing Gender-Affirming Chest Surgery Outcomes: Does Gender Identity Alter Gaze?

Aesthetic Plast Surg 2021 Jun 10. Epub 2021 Jun 10.

Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford Hospital and Clinics, Palo Alto, CA, USA.

Background: Outcomes of gender-affirming chest surgery can be variable. Placement of nipple-areolar complexes and orientation of scars can drastically affect the aesthetic outcomes of these procedures, as may observer gender identity. Here, we compared attention and perception of outcomes following gender-affirming chest surgery between laypersons, based on gender identity. Read More

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Peer Mobilization and Human Immunodeficiency Virus (HIV) Partner Notification Services Among Gay, Bisexual, and Other Men Who Have Sex With Men and Transgender Women in Coastal Kenya Identified a High Number of Undiagnosed HIV Infections.

Open Forum Infect Dis 2021 Jun 29;8(6):ofab219. Epub 2021 Apr 29.

Kenya Medical Research Institute-Wellcome Trust Research Program, Kilifi, Kenya.

Background: Human immunodeficiency virus (HIV) partner notification services (HPN), peer mobilization with HIV self-testing, and acute and early HIV infection (AEHI) screening among gay, bisexual, and other men who have sex with men (GBMSM) and transgender women (TGW) were assessed for acceptability, feasibility, and linkage to antiretroviral therapy (ART) and preexposure prophylaxis (PrEP) services.

Methods: Between April and August 2019, peer mobilizers mobilized clients by offering HIV oral self-tests and immediate clinic referral for clients with AEHI symptoms. Mobilized participants received clinic-based rapid antibody testing and point-of-care HIV RNA testing. Read More

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Factors Associated With Ruminative Thinking in Individuals With Gender Dysphoria.

Front Psychiatry 2021 25;12:602293. Epub 2021 May 25.

Transdisciplinary Gender Identity Program, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.

This study aimed to examine psychosocial factors and medical history as well as symptoms of depression, anxiety, and stress associated with ruminative thinking in transgender people with gender dysphoria (GD) before undergoing gender affirmation surgery (GAS). This study evaluated 189 participants with GD (111 trans women and 78 trans men) from a specialized service for GAS in southern Brazil. Semi-structured interviews were conducted, and participants were asked to complete self-report questionnaires. Read More

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Measurement tools for gender identity, gender expression, and gender dysphoria in transgender and gender-diverse children and adolescents: a systematic review.

Lancet Child Adolesc Health 2021 Jun 7. Epub 2021 Jun 7.

Department of Adolescent Medicine, The Royal Children's Hospital, Melbourne, VIC, Australia; Clinical Sciences, Murdoch Children's Research Institute, Melbourne, VIC, Australia; Department of Paediatrics, University of Melbourne, Melbourne, VIC, Australia. Electronic address:

Increasing numbers of children and adolescents are being referred to gender services for gender-related concerns. Various instruments are used with these patients in clinical care, but their clinical validity, strengths, and limitations have not been systematically reviewed. In this systematic review, we searched MEDLINE, PubMed, and PsycINFO databases for available tools that assess gender identity, gender expression, or gender dysphoria in transgender and gender-diverse (TGD) children and adolescents. Read More

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Forty Years of HIV: The Intersection of Laws, Stigma, and Sexual Behavior and Identity.

David W Purcell

Am J Public Health 2021 Jun 10:e1-e3. Epub 2021 Jun 10.

David W. Purcell is retired from the Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA.

Forty years after the Centers for Disease Control and Prevention's (CDC's) June 1981 about five gay men with a syndrome that came to be called AIDS, both the impact of HIV and the legal landscape in the United States for the most affected population have changed dramatically. Laws, policies, and how they are enforced reflect the values and prejudices of society, and laws can help or hinder public health efforts, regardless of intent. From the outset, HIV aroused widespread fear and new stigmatizing laws and policies, and the crisis revealed injustices in existing laws that compounded stigma and health disparities among the most affected groups. Read More

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Risk factors associated with alcohol and drug use among bisexual women: A literature review.

Exp Clin Psychopharmacol 2021 Jun 10. Epub 2021 Jun 10.

Department of Psychology.

Bisexual women report elevated alcohol and drug use compared to other sexual minority women. This review summarized extant research on mechanisms (i.e. Read More

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The performance of pooled three anatomic site testing for Chlamydia trachomatis and Neisseria gonorrhoeae among men who have sex with men and transgender women.

Sex Transm Dis 2021 Mar 12. Epub 2021 Mar 12.

1Division of Infectious Disease and Global Public Health, Department of Medicine, University of California San Diego 2Department of Medicine and Pathology, San Diego Veterans Affairs Medical Center, San Diego, CA.

Background: While molecular testing for Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) is highly sensitive than traditional approaches, the cost can be prohibitive. Those high costs are amplified when the recommended screening approach is used, which requires separate testing of specimens from three anatomic sites (rectal, pharyngeal and urogenital). While individual molecular testing is standard of care (SOC), pooled testing may offer a cost-saving alternative. Read More

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Sexual positioning practices and anal human papillomavirus infection among young men who have sex with men and transgender women - Chicago, Illinois, 2016-2018.

Sex Transm Dis 2021 Mar 31. Epub 2021 Mar 31.

1Infectious Disease Institute and College of Nursing, The Ohio State University, Columbus, OH 2Division of Viral Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA 3Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, Chicago, IL 4Department of Medical Social Sciences, Northwestern University, Chicago, IL 5Division of High-Consequence Pathogens and Pathology, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA 6College of Public Health, University of Kentucky, Lexington, KY.

Background: Human papillomavirus (HPV) is the most common sexually transmitted infection in the United States; men who have sex with men (MSM) have higher prevalence of infection and related disease compared with other men. We assessed whether differences in HPV acquisition exist among MSM according to their sexual positioning practices as well as self-reported receipt of HPV vaccination.

Methods: We enrolled young MSM and transgender women aged 18-26 years in Chicago, Illinois (N=666). Read More

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Sexual and Gender Minority Inclusivity in Bystander Intervention Programs to Prevent Violence on College Campuses: A Critical Review.

Trauma Violence Abuse 2021 Jun 10:15248380211021606. Epub 2021 Jun 10.

Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Providence, RI, USA.

Sexual and gender minority (SGM) individuals are at increased risk for experiencing sexual violence. Bystander intervention training programs are a first-line prevention recommendation for reducing sexual and dating violence on college campuses. Little is known regarding the extent to which SGM individuals are represented in the content of bystander intervention programs or are included in studies examining the effectiveness of bystander intervention programs. Read More

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Demolishing the Myth of the Default Human That Is Killing Black Mothers.

Front Public Health 2021 24;9:675788. Epub 2021 May 24.

School of Nursing, Department of Family Health Care Nursing, University of California, San Francisco, San Francisco, CA, United States.

It took a white police officer's knee on George Floyd's neck before white people began to reckon with 400 years of slavery and its aftermath, the effects of which Black people have endured for generations. Monuments are being taken down, flags are being redesigned, and institutions that honored those who denied the humanity of Black people are being renamed. Unfortunately for Sandra Bland, Breonna Taylor, Sha-Asia Washington and countless other Black transgender people including those with capacity for pregnancy, there was no justice even prior to the global pandemic of SARS-Cov-2 or coronavirus; namely racism, violence, and the Black Maternal Health crisis that makes it less likely that Black women will survive pregnancy and childbirth. Read More

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A Novel Curriculum Assessment Tool, Based on AAMC Competencies, to Improve Medical Education About Sexual and Gender Minority Populations.

Acad Med 2021 Jun 8. Epub 2021 Jun 8.

A.C. Zumwalt is associate professor, Department of Anatomy & Neurobiology, Boston University School of Medicine, Boston, Massachusetts; ORCID: https://orcid.org/0000-0002-4557-4273. E.E. Carter is a is a resident, Division of Urology, Department of Surgery, University of Utah, Salt Lake City, Utah, and, when this report was written, a fourth-year medical student, Boston University School of Medicine, Boston, Massachusetts; ORCID: http://orcid.org/0000-0003-2043-4474. I.M. Gell-Levey is a third-year medical student, Boston University School of Medicine, Boston, Massachusetts. ORCID: https://orcid.org/0000-0003-0756-7563. N. Mulkey is a resident, Department of Psychiatry, University of Vermont, Burlington, Vermont, and when this report was written, a fourth-year medical student, Boston University School of Medicine, Boston, Massachusetts. ORCID: https://orcid.org/0000-0003-4399-6074. C. Streed Jr. is assistant professor, Section of General Internal Medicine and research lead, Center for Transgender Medicine & Surgery, Boston Medical Center, Boston, Massachusetts; ORCID: https://orcid. org/0000-0003-3075-253X. J. Siegel is assistant professor, Section of General Internal Medicine, and director, Center for Transgender Medicine & Surgery, Boston Medical Center, Boston, Massachusetts. ORCID: https://orcid.org/0000-0002-5517-8004.

Problem: Medical education aspires to mitigate bias in future professionals by providing robust curricula that include perspectives of and practices for caring for sexual and gender minority (SGM) populations; however, implementation of these ideals remains challenging. Medical school leaders motivated to improve curricula on caring for SGM populations must survey their school's current curricula to identify strengths and opportunities for improvement. In 2014, the Association of American Medical Colleges (AAMC) published 30 SGM competencies that curricula should address. Read More

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Prostate Cancer From a Sex and Gender Perspective: A Review.

Sex Med Rev 2021 Jun 6. Epub 2021 Jun 6.

Cellular & Physiological Sciences, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada. Electronic address:

Introduction: Factors influencing patient behavior regarding risk of prostate cancer (PCa) and outcomes of PCa treatments are poorly understood. Similarly, how PCa treatments affect patient sexual function and sense of their masculinity has not been fully investigated. A better understanding of the relationship between sex and gender for patients with PCa could significantly improve their care and quality of life. Read More

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Exploring Health and Transition-Related Needs in Polish Transgender and Non-Binary Individuals.

J Sex Med 2021 Jun 6;18(6):1110-1121. Epub 2021 Jun 6.

Jagiellonian University Medical College, Department of Psychiatry, Sexology Lab, Krakow, Poland.

Background: Gender diverse individuals constitute a substantial yet still understudied population. Particularly little is known about gender non-binary people whose health needs have only recently gained attention from clinicians.

Aim: To investigate needs for gender-affirming interventions, selected health indicators and determinants in Polish gender non-binary individuals as compared to transgender men and transgender women. Read More

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Management and Prevention of HIV Among Transgender Adults.

Asa E Radix

Top Antivir Med 2020 Dec-Jan;28(3):474-478

New York University School of Medicine, New York, NY, USA.

Transgender individuals face discrimination, violence, social exclusion, and other social, political, and economic factors that result in increased vulnerability to HIV. Rates of viral suppression and uptake of preexposure prophylaxis are lower among transgender individuals than the general population. HIV clinics can help improve these rates by promoting inclusivity and tailoring care to the specific needs of transgender patients. Read More

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Beyond the binary: sexual health outcomes of transgender and non-binary service users of an online sexual health service.

Int J STD AIDS 2021 Jun 9:956462420982830. Epub 2021 Jun 9.

Preventx Limited, Sheffield, UK.

Sexual health data on transgender and non-binary (TNB) people in the United Kingdom are limited. TNB individuals experience significant socioeconomic and stigma-related disadvantages. Sexual health morbidity and unmet need is likely to be significant. Read More

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Between Vulnerability and Resilience: Parents of Transgender Young Adults.

Fam Process 2021 Jun 9. Epub 2021 Jun 9.

The Paul Baerwald School of Social Work and Social Welfare, The Hebrew University of Jerusalem, Jerusalem, Israel.

This study explores the lived experiences of Israeli parents of transgender young adults, depicting gender diversity as a family-relational phenomenon. The analysis of 18 in-depth, semi-structured interviews with Israeli parents of trans young adults suggests that the parents' experiences were characterized by a dialectic between feelings of vulnerability and resilience. The parents' vulnerability was shaped by their social positioning as a minority group as well as their socio-political environment, and their ability to cope with these hardships enhanced their resilience. Read More

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[Support for transgender adolescents and preadolescents: the role of the pediatric endocrinologist].

Soins Pediatr Pueric 2021 May-Jun;42(320):22-26. Epub 2021 Mar 26.

Équipe pédiatrique pluridisciplinaire d'accompagnement de la transidentité, Service d'endocrinologie et de diabétologie pédiatrique, Hôpital Robert-Debré, 48 boulevard Sérurier, 75019Paris, France. Electronic address:

Since the end of the 1990s, the management of transgender adolescents has developed in many countries following the Dutch Approach initiated in the Netherlands. Dedicated consultations have been developed in France since 2013, welcoming a growing number of children and adolescents. What kind of support is offered to children and their families? Read More

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Bridging the Gap in Graduate Medical Education: A Longitudinal Pediatric LGBTQ Health Curriculum.

Acad Pediatr 2021 Jun 4. Epub 2021 Jun 4.

Department of Pediatrics, Columbia University Irving Medical Center, 622 West 168(th) Street, New York, NY 10032, United States.

Objective: Despite known health disparities, there is limited training in lesbian, gay, bisexual, transgender, queer/questioning (LGBTQ) health, particularly in pediatric graduate medical education (GME). We aimed to develop a longitudinal LGBTQ curriculum for a pediatrics residency program tailored to the needs and interests of our trainees.

Methods: We developed a year-long curriculum based on a formal needs assessment and evaluated changes in provider knowledge, comfort, and self-reported clinical impact through pre- and post-surveys. Read More

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Disordered Eating, Food Insecurity, and Weight Status Among Transgender and Gender Nonbinary Youth and Young Adults: A Cross-Sectional Study Using a Nutrition Screening Protocol.

LGBT Health 2021 Jun 7. Epub 2021 Jun 7.

Transgender Center at St. Louis Children's Hospital, Washington University School of Medicine, St. Louis, Missouri, USA.

The purpose of this study was to describe the prevalence of and relationships among disordered eating, food insecurity, and weight status among transgender and gender nonbinary youth and young adults. This cross-sectional study involved a screening protocol to assess disordered eating and food insecurity risk from September to December of 2019 at a gender clinic using five validated measures: (1) previous eating disorder diagnosis (yes/no); (2) Sick, Control, One Stone, Fat, Food Questionnaire (SCOFF); (3) Adolescent Binge Eating Disorder Questionnaire (ADO-BED); (4) Nine-Item Avoidant/Restrictive Food Intake Disorder Screen (NIAS); and (5) Hunger Vital Sign. Age, assigned sex at birth, gender identity, stage of medical transition, and body mass index were collected. Read More

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Breast Cancer Risk and Screening in Transgender Persons: A Call for Inclusive Care.

Ann Surg Oncol 2021 Jun 7. Epub 2021 Jun 7.

Department of Surgery, The Geisel School of Medicine at Dartmouth, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.

The Society of Surgical Oncology is committed to reducing health disparities adversely affecting sexual and gender minorities. Transgender persons represent a socially disadvantaged group who frequently experience discrimination and receive disparate care, resulting in suboptimal cancer outcomes. The rate of breast cancer development in transgender individuals differs from rates observed in their cisgender counterparts, however there is little evidence to quantify these differences and guide evidence-based screening and prevention. Read More

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Mental Health Symptoms Unexpectedly Increased in Students Aged 11-19 Years During the 3.5 Years After the 2016 Fort McMurray Wildfire: Findings From 9,376 Survey Responses.

Front Psychiatry 2021 20;12:676256. Epub 2021 May 20.

Department of Psychiatry, University of Alberta, Edmonton, AB, Canada.

In Fort McMurray, Alberta, Canada, the wildfire of May 2016 forced the population of 88,000 to rapidly evacuate in a traumatic and chaotic manner. Ten percentage of the homes in the city were destroyed, and many more structures were damaged. Since youth are particularly vulnerable to negative effects of natural disasters, we examined possible long-term psychological impacts. Read More

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Associations Between Trauma-Informed Care Components and Multiple Health and Psychosocial Risks Among LGBTQ Survivors of Intimate Partner Violence.

J Ment Health Couns 2021 Apr 7;43(2):139-156. Epub 2021 Apr 7.

Department of Psychology, Syracuse University.

Lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals disproportionately experience intimate partner violence (IPV) and resulting negative health consequences compared to cisgender heterosexual individuals. This study builds on prior recent work by examining specific trauma-informed care (TIC) components most associated with a comprehensive set of health and psychosocial risks among 298 LGBTQ IPV survivors who sought and accessed trauma-related services (e.g. Read More

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Social inclusion, intersectionality, and profiles of vulnerable groups of young people seeking mental health support.

Soc Psychiatry Psychiatr Epidemiol 2021 Jun 6. Epub 2021 Jun 6.

Orygen, Locked Bag 10, 35 Poplar Road, Parkville, VIC, 3052, Australia.

Background: headspace centres provide enhanced primary mental healthcare for young people. A priority is to provide services for all young people irrespective of a range of social disadvantages or social exclusion. The aims of this study were to: (i) delineate extent of social inclusion across domains of housing, studying/employment, functioning, alcohol, and other drug use; and (ii) map profiles of young people deemed vulnerable to experiencing additional barriers to accessing services based on their social inclusion domains (e. Read More

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