Abstract PO-080: Reaching the “hard to reach” sexual and gender diverse communities for population-based research in cancer prevention

2022 ◽  
Author(s):  
Prajakta Adsul ◽  
Karen Quezada ◽  
Katie Myers ◽  
Talya Jaffe ◽  
Bernard Tawfik ◽  
...  
Keyword(s):  
Cancer Prevention ◽  
Population Based ◽  
Gender Diverse ◽  
Diverse Communities ◽  
And Gender

scholarly journals Transgender Data Collection in the Electronic Health Record (EHR): Current Concepts and Issues

2021 ◽  
Author(s):  
Clair Kronk ◽  
Avery Everhart ◽  
Florence Ashley ◽  
Hale Thompson ◽  
Theodore E. Schall ◽  
...  
Keyword(s):  
Data Collection ◽  
The United States ◽  
Data Representation ◽  
Population Based ◽  
Sex And Gender ◽  
Medical Providers ◽  
Related Data ◽  
Gender Diverse ◽  
Electronic Health ◽  
And Gender

There are over one million transgender people living in the United States and 33% report negative experiences with a healthcare provider, many of which are connected to data representation in electronic health records (EHRs). We present recommendations and common pitfalls involving sex- and gender-related data collection in EHRs. Our recommendations leverage the needs of patients, medical providers, and researchers to optimize both individual patient experiences and the efficacy and reproducibility of EHR population-based studies. We also briefly discuss adequate additions to the EHR considering name and pronoun usage. We add the disclaimer that these questions are more complex than commonly assumed. We conclude that collaborations between local transgender and gender-diverse persons and medical providers as well as open inclusion of transgender and gender-diverse individuals on terminology and standards boards is crucial to shifting the paradigm in transgender and gender-diverse health.

scholarly journals Sampling bias in Brazilian studies on transgender and gender diverse populations: the two-step measure for assessing gender identity in surveys

2022 ◽  
Vol 38 (1) ◽  
Author(s):  
Angelo Brandelli Costa ◽  
Letícia de Oliveira Rosa ◽  
Anna Martha Vaitses Fontanari
Keyword(s):  
Systematic Review ◽  
Gender Identity ◽  
Sampling Bias ◽  
Population Based ◽  
Diverse Populations ◽  
Single Item ◽  
Gender Diverse ◽  
And Gender ◽  
Public Health Strategies ◽  
Effective Public Health

Abstract: Correctly recognizing gender identity in population-based surveys is essential to develop effective public health strategies to improve the living conditions of transgender and gender-diverse populations, as well as to adequately collect data on cisgender individuals. This study aims to present the two-step measure as the best strategy for assessing gender identity in Brazilian surveys, thus we performed two separate analyses. Firstly, we conducted a systematic review concerning HIV-related care among Brazilian transgender and gender-diverse populations to assess the strategy used to identify participants’ gender identity. Secondly, we re-analyzed data from a recent survey that included Brazilian transgender populations, comparing characteristics and health outcomes from the sample identified by single-item and by the two-step measure. Concerning the systematic review, from 6,585 references, Brazilian research teams published seven articles, and only one study used the two-step measure. Regarding this survey, the two-step measure recognized 567 cisgender and 773 transgender and gender diverse participants among the 1,340 participants who answered the questionnaire, whereas the single-item measure was able to recognize only 540 transgender and gender diverse people. Furthermore, 31 transgender women self-identified as “transgender men” on the single-item measure. Therefore, although scarcely used in Brazil, the two-step measure is a more accurate strategy to recognize gender identity.

scholarly journals Intention to Receive a COVID-19 Vaccine by HIV Status Among a Population-Based Sample of Women and Gender Diverse Individuals in British Columbia, Canada

2022 ◽  
Author(s):  
Angela Kaida ◽  
Lori A. Brotto ◽  
Melanie C. M. Murray ◽  
Hélène C. F. Côté ◽  
Arianne Y. Albert ◽  
...  
Keyword(s):  
British Columbia ◽  
Population Based ◽  
Hiv Status ◽  
Women And Gender ◽  
Gender Diverse ◽  
And Gender ◽  
To Receive

scholarly journals Educational Outcomes Of Gender-Diverse Youth: A National Population-Based Study

2021 ◽  
pp. 089124322110386
Author(s):  
Lindsey Wilkinson ◽  
Dara Shifrer ◽  
Jennifer Pearson
Keyword(s):  
High School ◽  
Gender Identity ◽  
Educational Outcomes ◽  
Minority Stress ◽  
Population Based ◽  
Diverse Population ◽  
Gender Diverse ◽  
Social Structural ◽  
And Gender ◽  
Diverse Youth

Despite the growing population of youth identifying with a transgender or nonbinary gender identity, research on gender-diverse individuals’ educational outcomes is limited. This study takes advantage of the first nationally representative, population-based data set that includes measures of gender identity and educational outcomes: the High School Longitudinal Study of 2009. Using minority stress and structural symbolic interactionist frameworks, we examine the association between gender identity and high school and college educational outcomes. We compare the educational outcomes of gender-diverse youth—binary transgender, nonbinary, and gender unsure—with those of cisgender youth, and also examine differences within the gender-diverse population. Given the strong link between minority stress and educational experiences among gender-diverse youth, we examine differences in outcomes before and after accounting for school belonging and emotional distress. We also account for individuals’ social-structural location, arguing that social positionality shapes both gender identity and educational outcomes. Results indicate important differences in educational outcomes within the gender-diverse population: Whereas binary transgender and gender-unsure youth exhibit educational disadvantage, relative to cisgender youth, nonbinary youth do not. The gender-unsure disadvantage remains even after accounting for differences in social-structural location and social-psychological factors associated with minority stress.

The Co-Occurrence of Autism and Gender Diversity

2020 ◽  
pp. 197-211
Author(s):  
Jill C. Fodstad ◽  
Rebecca Elias ◽  
Shivali Sarawgi
Keyword(s):  
Gender Dysphoria ◽  
Gender Diversity ◽  
Gender Nonconforming ◽  
Medical Interventions ◽  
Gender Diverse ◽  
Nonbinary Gender ◽  
Psychiatric Conditions ◽  
The Common ◽  
And Gender

Gender diversity refers to gender expressions and/or gender identity experiences that vary from the common experiences of gender. Gender-diverse people may be gender nonconforming, gender nonbinary, gender fluid, gender exploring, transgender, and so forth. Some gender-diverse individuals experience gender dysphoria and/or gender incongruence and may require gender-affirming supports, including gender-affirming medical interventions. The co-occurrence of autism and gender diversity has been highlighted in a series of studies internationally as well as through rich community expressions. Studies in gender-referred individuals reveal high rates of autism traits as well as high rates of existing autism diagnoses. Studies in autistic populations reveal greater gender diversity characteristics. The long-term course of gender diversity in autistic individuals is poorly understood. Clinical guidelines have been developed for adolescents with the co-occurrence, but much work remains: No gender-related measures have been developed and tested for use in neurodiverse populations, no programs exist to support gender-diverse neurodiverse adults, and little is known about co-occurring mental health profiles, risks, or protective factors for people with the co-occurrence. The inclusion of this chapter on co-occurring autism and gender diversity within a book on “co-occurring psychiatric conditions” is problematic, because gender diversity is not a “psychiatric condition,” but instead a form of human diversity. The diagnosis of Gender Dysphoria is useful only insomuch as it allows individuals to obtain necessary gender-related supports. The authors’ choice to include this chapter in this book reflects a compromise, motivated by the need for educating both autism and gender specialists in this common co-occurrence.

An analysis of suicidal thoughts and behaviors among transgender and gender diverse adults

2021 ◽  
Author(s):  
Robert J. Cramer ◽  
Andrea R. Kaniuka ◽  
Farida N. Yada ◽  
Franck Diaz-Garelli ◽  
Ryan M. Hill ◽  
...  
Keyword(s):  
Suicidal Thoughts ◽  
Gender Diverse ◽  
And Behaviors ◽  
And Gender ◽  
Suicidal Thoughts And Behaviors

Anorectal Malformations and the Risk of Colorectal Cancer—Is Early Routine Endoscopic Screening Indicated?

2020 ◽  
Author(s):  
Anna Svenningsson ◽  
Anna Gunnarsdottir ◽  
Tomas Wester
Keyword(s):  
Colorectal Cancer ◽  
Early Adulthood ◽  
Anorectal Malformations ◽  
Population Based ◽  
Observational Period ◽  
Endoscopic Screening ◽  
Medical Birth Register ◽  
National Patient ◽  
And Gender

Abstract Introduction Colorectal cancer (CRC) has been reported in early adulthood in patients with anorectal malformation (ARM), and therefore, the need of endoscopic controls has been discussed. The aim of this study was to assess the risk of CRC in patients with ARM. Materials and Methods This was a nationwide population-based study with data from Swedish national health care registers. All patients diagnosed with ARM born in Sweden between 1964 and 1999 were identified in the National Patient Register. The same group was followed up in the Swedish Cancer Register from birth to December 31, 2014, for occurrences of CRC. Five age- and gender-matched individuals randomly selected from the Medical Birth Register served as controls for each ARM patient born between 1973 and 1999. Results A total of 817 patients (474 males) with ARM were included and followed up from birth to the end of observational period. Time of follow-up ranged from 15 to 50 years (mean: 28 years). None of the patients was diagnosed with CRC during the observational period. One case of rectal cancer and one case of sigmoid cancer were detected among the 3,760 controls. Conclusion In our study, the risk of CRC in early adulthood in patients with ARM is low. Our result does not support routine endoscopic follow-up for patients with ARM during the first decade of life.

scholarly journals Transgender and gender diverse health education for future nurses: Students' knowledge and attitudes

2021 ◽  
Vol 97 ◽  
pp. 104690
Author(s):  
Athena D.F. Sherman ◽  
Alex McDowell ◽  
Kristen D. Clark ◽  
Monique Balthazar ◽  
Meredith Klepper ◽  
...  
Keyword(s):  
Health Education ◽  
Knowledge And Attitudes ◽  
Gender Diverse ◽  
And Gender
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