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[PMID]:28481718
[Au] Autor:Qureshi RI; Zha P; Kim S; Hindin P; Naqvi Z; Holly C; Dubbs W; Ritch W
[Ad] Endereço:a School of Nursing, Rutgers , State University of New Jersey , Newark , New Jersey , USA.
[Ti] Título:Health Care Needs and Care Utilization Among Lesbian, Gay, Bisexual, and Transgender Populations in New Jersey.
[So] Source:J Homosex;65(2):167-180, 2018.
[Is] ISSN:1540-3602
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The purpose of this study was to explore prevalent health issues, perceived barriers to seeking health care, and utilization of health care among lesbian, gay, bisexual, and transgender (LGBT) populations in New Jersey. A cross-sectional online survey was administered to 438 self-identified LGBT people. Results identified health needs, which included management of chronic diseases, preventive care for risky behaviors, mental health issues, and issues related to interpersonal violence. Barriers to seeking health care included scarceness of health professionals competent in LGBT health, inadequate health insurance coverage and lack of personal finances, and widely dispersed LGBT inclusive practices making transportation difficult. There is a need for better preparation of health care professionals who care for LGBT patients, to strengthen social services to improve access and for better integration of medical and social services.
[Mh] Termos MeSH primário: Serviços de Saúde/utilização
Determinação de Necessidades de Cuidados de Saúde
Minorias Sexuais e de Gênero
[Mh] Termos MeSH secundário: Adulto
Idoso
Estudos Transversais
Feminino
Homossexualidade Feminina/psicologia
Homossexualidade Masculina/psicologia
Seres Humanos
Masculino
Meia-Idade
New Jersey
Comportamento Sexual
Pessoas Transgênero
Transexualismo
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180221
[Lr] Data última revisão:
180221
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170509
[St] Status:MEDLINE
[do] DOI:10.1080/00918369.2017.1311555


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[PMID]:28406387
[Au] Autor:Kattari SK; O'Connor AA; Kattari L
[Ad] Endereço:a Graduate School of Social Work , University of Denver , Denver , Colorado , USA.
[Ti] Título:Development and Validation of the Transgender Inclusive Behavior Scale (TIBS).
[So] Source:J Homosex;65(2):181-196, 2018.
[Is] ISSN:1540-3602
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Transgender-inclusive behaviors are actions and communication supporting transgender individuals. Examples include using language not reinforcing the gender binary, asking for and using correct pronouns, creation of spaces that welcome members of the transgender community, and acknowledging cisgender (non-transgender) privilege. A survey was developed measuring this behavior in individuals to examine the impact of transgender-inclusive behavior and the potential effect of interventions on promoting inclusive behavior. Data were collected utilizing an online survey (N = 1,051). The sample was split in half to run two sets of cases in a principal components analysis. Analysis of the full sample showed Cronbach's alpha to be .93 (n = 918). Findings suggest that the Transgender Inclusive Behavior Scale (TIBS) may be a useful instrument for identifying behaviors related to being inclusive of transgender individuals, groups, and communities. It may also be used to measure behavior change before and after transgender-specific educational and behavioral interventions.
[Mh] Termos MeSH primário: Análise do Comportamento Aplicada/métodos
Pessoas Transgênero/psicologia
Transexualismo/psicologia
[Mh] Termos MeSH secundário: Adulto
Feminino
Identidade de Gênero
Seres Humanos
Masculino
Isolamento Social
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; VALIDATION STUDIES
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180221
[Lr] Data última revisão:
180221
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170414
[St] Status:MEDLINE
[do] DOI:10.1080/00918369.2017.1314160


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[PMID]:29346355
[Au] Autor:Delahunt JW; Denison HJ; Sim DA; Bullock JJ; Krebs JD
[Ad] Endereço:Clinical Lecturer, Department of Medicine, University of Otago, Wellington.
[Ti] Título:Increasing rates of people identifying as transgender presenting to Endocrine Services in the Wellington region.
[So] Source:N Z Med J;131(1468):33-42, 2018 01 19.
[Is] ISSN:1175-8716
[Cp] País de publicação:New Zealand
[La] Idioma:eng
[Ab] Resumo:AIMS: Overseas clinics specialising in management of transgender people have noted a marked increase in the numbers of people requesting therapy in the last few years. No data has been presented for New Zealand. We therefore reviewed the number of transgender people seen in the Wellington Endocrine Service to assess if the pattern was similar and assess any potential problems for service delivery. METHODS: Using hospital records, we reviewed the new appointments of people who were referred for advice on gender reassignment and seen in the Wellington Endocrine Service from 1990 to 2016. RESULTS: In total, 438 people who identified as transgender attended the clinic at least once in this period. There has been a progressive increase in number of people identifying as transgender presenting to the clinic, particularly since 2010. In addition to increasing overall numbers, there has been in particular increase in referrals for people under age 30, as well as an increasing proportion of people requesting female-to-male (FtM) therapy so that it is now approaching the number of people requesting male-to-female therapy (MtF). CONCLUSION: The pattern observed is comparable to changes reported overseas. These changes have practical consequences for the delivery of both secondary and primary level healthcare, requiring an increased focus on clinical coordination between the relevant medical services and their links to the primary services sector.
[Mh] Termos MeSH primário: Encaminhamento e Consulta/tendências
Pessoas Transgênero/estatística & dados numéricos
Transexualismo/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Feminino
Seres Humanos
Masculino
Nova Zelândia/epidemiologia
Prevalência
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180119
[St] Status:MEDLINE


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[PMID]:28459379
[Au] Autor:Rossman K; Salamanca P; Macapagal K
[Ad] Endereço:a Trans and Sexuality Teaching, Advocacy, and Research (TSTAR) , Louisville , Kentucky , USA.
[Ti] Título:A Qualitative Study Examining Young Adults' Experiences of Disclosure and Nondisclosure of LGBTQ Identity to Health Care Providers.
[So] Source:J Homosex;64(10):1390-1410, 2017.
[Is] ISSN:1540-3602
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Shifting cultural attitudes and legislation have increased focus on the health care needs of lesbian, gay, bisexual, transgender, and queer (LGBTQ) patients. However, patient nondisclosure of LGBTQ identity creates a barrier to accessing care. This qualitative study examined a diverse sample of LGBTQ young adults and their experiences of disclosure and nondisclosure to medical providers. Participants (n = 206, age range 18-27) completed questionnaires assessing health care access and use as part of a larger study. Participants' responses to open-ended items asking about experiences of LGBTQ identity disclosure to medical providers and reasons for nondisclosure were analyzed thematically. Results revealed intra- and interpersonal factors related to patient disclosure and nondisclosure of LGBTQ identity. Reasons for participant nondisclosure included providers not asking about identity, internalized stigma, and belief that health and LGBTQ identity are not related. When participants did disclose, they experienced reactions ranging from discrimination and disbelief to affirmation and respect. Findings confirm and extend previous research on young adults' identity disclosure and provide avenues for health professionals' continuing education when working with LGBTQ patients.
[Mh] Termos MeSH primário: Pessoal de Saúde
Homossexualidade
Relações Médico-Paciente
Autorrevelação
Minorias Sexuais e de Gênero
[Mh] Termos MeSH secundário: Adolescente
Adulto
Atitude
Feminino
Acesso aos Serviços de Saúde
Seres Humanos
Masculino
Pesquisa Qualitativa
Comportamento Sexual
Estigma Social
Inquéritos e Questionários
Pessoas Transgênero
Transexualismo
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:180120
[Lr] Data última revisão:
180120
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE
[do] DOI:10.1080/00918369.2017.1321379


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Registro de Ensaios Clínicos
[PMID]:27770819
[Au] Autor:Willging CE; Green AE; Ramos MM
[Ad] Endereço:Behavioral Health Research Center of the Southwest, Pacific Institute for Research and Evaluation, 612 Encino Place NE, Albuquerque, NM, USA. cwillging@pire.org.
[Ti] Título:Implementing school nursing strategies to reduce LGBTQ adolescent suicide: a randomized cluster trial study protocol.
[So] Source:Implement Sci;11(1):145, 2016 10 22.
[Is] ISSN:1748-5908
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Reducing youth suicide in the United States (U.S.) is a national public health priority, and lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ) youth are at elevated risk. The Centers for Disease Control and Prevention (CDC) endorses six evidence-based (EB) strategies that center on meeting the needs of LGBTQ youth in schools; however, fewer than 6 % of U.S. schools implement all of them. The proposed intervention model, "RLAS" (Implementing School Nursing Strategies to Reduce LGBTQ Adolescent Suicide), builds on the Exploration, Preparation, Implementation, and Sustainment (EPIS) conceptual framework and the Dynamic Adaptation Process (DAP) to implement EB strategies in U.S. high schools. The DAP accounts for the multilevel context of school settings and uses Implementation Resource Teams (IRTs) to facilitate appropriate expertise, advise on acceptable adaptations, and provide data feedback to make schools implementation ready and prepared to sustain changes. METHODS/DESIGN: Mixed methods will be used to examine individual, school, and community factors influencing both implementation process and youth outcomes. A cluster randomized controlled trial will assess whether LGBTQ students and their peers in RLAS intervention schools (n = 20) report reductions in suicidality, depression, substance use, bullying, and truancy related to safety concerns compared to those in usual care schools (n = 20). Implementation progress and fidelity for each EB strategy in RLAS intervention schools will be examined using a modified version of the Stages of Implementation Completion checklist. During the implementation and sustainment phases, annual focus groups will be conducted with the 20 IRTs to document their experiences identifying and advancing adaptation supports to facilitate use of EB strategies and their perceptions of the DAP. DISCUSSION: The DAP represents a data-informed, collaborative, multiple stakeholder approach to progress from exploration to sustainment and obtain fidelity during the implementation of EB strategies in school settings. This study is designed to address the real-world implications of enabling the use of EB strategies by school nurses with the goal of decreasing suicide and youth risk behaviors among LGBTQ youth. Through its participatory processes to refine and sustain EB strategies in high schools, the RLAS represents a novel contribution to implementation science. TRIAL REGISTRATION: ClinicalTrials.gov, NCT02875535.
[Mh] Termos MeSH primário: Comportamento do Adolescente/psicologia
Bullying/prevenção & controle
Serviços de Enfermagem Escolar/métodos
Minorias Sexuais e de Gênero/psicologia
Sexualidade/psicologia
Suicídio/prevenção & controle
[Mh] Termos MeSH secundário: Adolescente
Bissexualidade/psicologia
Análise por Conglomerados
Feminino
Homossexualidade/psicologia
Seres Humanos
Masculino
New Mexico
Projetos de Pesquisa
Suicídio/psicologia
Transexualismo/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171210
[Lr] Data última revisão:
171210
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[Cl] Clinical Trial:ClinicalTrial
[St] Status:MEDLINE


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[PMID]:28953722
[Au] Autor:Massie JP; Morrison SD; Wilson SC; Crane CN; Chen ML
[Ad] Endereço:New York, N.Y.; Seattle, Wash.; and San Francisco, Calif. From the Hansjörg Wyss Department of Plastic Surgery, New York University Langone Medical Center; the Division of Plastic Surgery, Department of Surgery, University of Washington School of Medicine; and Brownstein and Crane Surgical Services.
[Ti] Título:Phalloplasty with Urethral Lengthening: Addition of a Vascularized Bulbospongiosus Flap from Vaginectomy Reduces Postoperative Urethral Complications.
[So] Source:Plast Reconstr Surg;140(4):551e-558e, 2017 Oct.
[Is] ISSN:1529-4242
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Phalloplasty with urethral lengthening is the procedure of choice for female-to-male transgender patients who desire an aesthetic phallus and standing micturition, but is associated with complications, including urethral stricture and fistula formation. Horizontal urethra construction can be accomplished with labia minora flaps covered with additional vascularized layers of vestibular tissue when vaginectomy is performed concomitantly with phalloplasty. However, vaginectomy is not a requisite step in phalloplasty, and some individuals may choose to retain their vagina. In these cases, extra layers of vascularized vestibular tissue are not used for horizontal urethra coverage. This study examined the effects of vaginectomy and the addition of extra layers of vascularized vestibular tissue on phalloplasty complication rates. METHODS: A single-center retrospective study of 224 patients who underwent phalloplasty with urethral lengthening was performed. Patients were sorted into vaginectomy and vaginal preservation cohorts and complication rates were assessed. RESULTS: Of 224 total phalloplasty patients, 215 underwent vaginectomy and nine underwent vaginal preservation. Urethral complications occurred in 27 percent of patients with vaginectomy and in 67 percent of patients with vaginal preservation (OR, 0.18; p = 0.02). Vaginectomy was associated with decreased urethral stricture (OR, 0.25; p = 0.047) and urethral fistula formation (OR, 0.13; p = 0.004). Non-urethra-related complications occurred in 15 percent of vaginectomy patients but were not statistically significant (OR, 3.37; p = 0.41). CONCLUSION: Vaginectomy is associated with a significant decrease in urethral stricture and fistula formation, most likely because vaginectomy affords additional horizontal urethroplasty suture line coverage of labia minora flaps with vascularized vestibular tissue. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III.
[Mh] Termos MeSH primário: Pênis/cirurgia
Procedimentos Cirúrgicos Reconstrutivos/métodos
Retalhos Cirúrgicos/irrigação sanguínea
Uretra/cirurgia
Estreitamento Uretral/prevenção & controle
Procedimentos Cirúrgicos Urológicos/métodos
Vagina/cirurgia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Complicações Pós-Operatórias/epidemiologia
Complicações Pós-Operatórias/prevenção & controle
Estudos Retrospectivos
Transexualismo/cirurgia
Resultado do Tratamento
Estados Unidos/epidemiologia
Estreitamento Uretral/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171012
[Lr] Data última revisão:
171012
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170928
[St] Status:MEDLINE
[do] DOI:10.1097/PRS.0000000000003697


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[PMID]:28950022
[Au] Autor:Vaccher SJ; Grulich AE; Haire BG; Conway DP; Poynten IM; Ooi C; Foster R; Templeton DJ; Zablotska IB; PRELUDE Study Team
[Ad] Endereço:Kirby Institute, UNSW Sydney, Kensington, New South Wales, Australia.
[Ti] Título:Validation of participant eligibility for pre-exposure prophylaxis: Baseline data from the PRELUDE demonstration project.
[So] Source:PLoS One;12(9):e0185398, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In Australia, pre-exposure prophylaxis (PrEP) is targeted to individuals at high risk for HIV infection. We describe the HIV risk profile and characteristics of PRELUDE participants, and evaluate the population validity of the sample in representing high-risk gay and bisexual men (GBM) eligible for PrEP. METHODS: PRELUDE is an on-going, open-label, single-arm observational study. Participants were identified in clinics and screened for eligibility using a paper-based risk assessment tool which followed the New South Wales (NSW) PrEP guidelines. Selection was validated using an independent online behavioural survey, completed by study participants upon enrolment. Demographic information was analysed using descriptive statistics, and kappa tests were used to determine agreement between reporting of high-risk practices in the risk assessment and behavioural survey. RESULTS: During 2014-15, 471 individuals were targeted for enrolment; 341 were assessed for PrEP eligibility and 313 were enrolled. Of these, 303 (97%) identified as GBM. Overall, 85% of GBM met at least one high-risk criterion; 68% reported receptive intercourse with an HIV-positive or unknown status casual male partner, and 37% reported methamphetamine use in the three months preceding enrolment. The remaining 15% were enrolled based on medium-risk behaviours, or at the clinicians' discretion. We found an 82% total agreement between self-reported high-risk behaviour and clinicians' categorisation of GBM as being at high risk for HIV based on PrEP eligibility criteria. CONCLUSIONS: Behavioural eligibility criteria used by clinicians successfully identified individuals at high risk for HIV infection. This targeted approach ensures that the greatest public health and HIV prevention benefits can be derived in a setting without universal access to PrEP.
[Mh] Termos MeSH primário: Bissexualidade
Infecções por HIV/prevenção & controle
Homossexualidade Masculina
Profilaxia Pré-Exposição
[Mh] Termos MeSH secundário: Adulto
Feminino
Infecções por HIV/transmissão
Seres Humanos
Masculino
Meia-Idade
New South Wales
Assunção de Riscos
Parceiros Sexuais
Transexualismo
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY; VALIDATION STUDIES
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171019
[Lr] Data última revisão:
171019
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170927
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0185398


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[PMID]:28841608
[Au] Autor:van de Grift TC; Elfering L; Bouman MB; Buncamper ME; Mullender MG
[Ad] Endereço:Amsterdam, The Netherlands From the Department of Plastic, Reconstructive, and Hand Surgery and the Department of Medical Psychology, Center of Expertise on Gender Dysphoria, VU University Medical Center.
[Ti] Título:Surgical Indications and Outcomes of Mastectomy in Transmen: A Prospective Study of Technical and Self-Reported Measures.
[So] Source:Plast Reconstr Surg;140(3):415e-424e, 2017 Sep.
[Is] ISSN:1529-4242
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Although transgender surgery constitutes a growing field within plastic surgery, prospective studies on masculinizing mastectomies are lacking. The objectives of the present study were to prospectively follow a cohort of transmen undergoing mastectomy to assess technical and self-reported outcomes and to evaluate surgical decision-making. METHODS: Fifty-four transmen were recruited during a 10-month period at the Department of Plastic Surgery of the Centre of Expertise on Gender Dysphoria. Preoperative assessment included standardized chest examination. Six months postoperatively, participants rated their satisfaction with surgery, and 12-month postoperative surgical outcomes were reviewed independently. Surgical decision-making was evaluated by comparing indications and outcomes per technique, and assessing the clinical validity of the most-used decision aid (using the Cohen's kappa statistic). RESULTS: One periareolar mastectomy, 26 concentric circular mastectomies, and 22 inframammary skin resections with free nipple graft were performed in the authors' cohort. Five participants were still to be operated on. Concentric circular mastectomy was performed in smaller or medium-size breasts with low ptosis grade and good elasticity, whereas the inframammary skin resection group showed a wider range of physical characteristics. Despite being performed in better quality breasts, concentric circular mastectomy was associated with more secondary corrections (38.5 percent), dehiscence, seroma, and lower postoperative satisfaction compared with inframammary skin resections. Clinical decision-making was generally in line with the published decision aid. CONCLUSIONS: Compared with inframammary skin resections, concentric circular mastectomy-despite being performed in favorable breast types-appears to produce poorer technical and self-reported outcomes. Surgical indications and preoperative counseling regarding secondary corrections may therefore be subject to improvement. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
[Mh] Termos MeSH primário: Mastectomia/métodos
Cirurgia de Readequação Sexual/métodos
Transexualismo
[Mh] Termos MeSH secundário: Adolescente
Adulto
Feminino
Seres Humanos
Masculino
Meia-Idade
Satisfação do Paciente
Estudos Prospectivos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170918
[Lr] Data última revisão:
170918
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170826
[St] Status:MEDLINE
[do] DOI:10.1097/PRS.0000000000003607


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[PMID]:28771690
[Au] Autor:Johnson EL; Kaplan PW
[Ad] Endereço:Department of Neurology, Johns Hopkins School of Medicine, Baltimore, Maryland, U.S.A.
[Ti] Título:Caring for transgender patients with epilepsy.
[So] Source:Epilepsia;58(10):1667-1672, 2017 Oct.
[Is] ISSN:1528-1167
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Approximately 25 million individuals older than age 15 identify as transgender, representing about 0.3-0.9% of the world's population. The aim of this paper is to identify and describe important medical and social considerations facing transgender persons with epilepsy. METHODS: We performed literature searches on the following terms: transgender AND epilepsy, transgender AND neurology, gender dysphoria AND epilepsy, gender dysphoria AND neurology. We also performed literature searches for common feminizing or masculinizing treatment regimens, and searched for interactions of those treatment regimens with antiepileptic drugs (AEDs) and with seizures. RESULTS: There are multiple bidirectional interactions between AEDs and the commonly used treatments for aligning external sex characteristics with identified gender. The scope of the transgender population with epilepsy remains to be elucidated. SIGNIFICANCE: Transgender patients with epilepsy face significant social and medical challenges. Interactions between medical gender-affirming treatments and AEDs are common, and management must depend on knowledge of these interactions to provide appropriate treatment.
[Mh] Termos MeSH primário: Androgênios/uso terapêutico
Anticonvulsivantes/uso terapêutico
Epilepsia/tratamento farmacológico
Estrogênios/uso terapêutico
Antagonistas de Receptores de Mineralocorticoides/uso terapêutico
Progestinas/uso terapêutico
Transexualismo/tratamento farmacológico
[Mh] Termos MeSH secundário: Fármacos Anti-HIV/uso terapêutico
Antidepressivos/uso terapêutico
Transtornos de Ansiedade/epidemiologia
Comorbidade
Transtorno Depressivo/tratamento farmacológico
Transtorno Depressivo/epidemiologia
Interações Medicamentosas
Epilepsia/epidemiologia
Epilepsia/fisiopatologia
Estradiol/uso terapêutico
Infecções por HIV/tratamento farmacológico
Infecções por HIV/epidemiologia
Serviços de Saúde para Pessoas Transgênero
Seres Humanos
Medroxiprogesterona/uso terapêutico
Estigma Social
Espironolactona/uso terapêutico
Testosterona/uso terapêutico
Pessoas Transgênero
Transexualismo/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Androgens); 0 (Anti-HIV Agents); 0 (Anticonvulsants); 0 (Antidepressive Agents); 0 (Estrogens); 0 (Mineralocorticoid Receptor Antagonists); 0 (Progestins); 27O7W4T232 (Spironolactone); 3XMK78S47O (Testosterone); 4TI98Z838E (Estradiol); HSU1C9YRES (Medroxyprogesterone)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171010
[Lr] Data última revisão:
171010
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170804
[St] Status:MEDLINE
[do] DOI:10.1111/epi.13864


  10 / 3255 MEDLINE  
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[PMID]:28727530
[Au] Autor:Dinno A
[Ad] Endereço:At the time of the study, Alexis Dinno was with the Oregon Health and Science University-Portland State University School of Public Health, Portland, OR.
[Ti] Título:Homicide Rates of Transgender Individuals in the United States: 2010-2014.
[So] Source:Am J Public Health;107(9):1441-1447, 2017 Sep.
[Is] ISSN:1541-0048
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To estimate homicide rates of transgender US residents and relative risks (RRs) of homicide with respect to cisgender comparators intersected with age, gender, and race/ethnicity. METHODS: I estimated homicide rates for transgender residents and transfeminine, Black, Latin@, and young (aged 15-34 years) subpopulations during the period 2010 to 2014 using Transgender Day of Remembrance and National Coalition of Anti-Violence Programs transgender homicide data. I used estimated transgender prevalences to estimate RRs using cisgender comparators. I performed a sensitivity analysis to situate all results within assumptions about underreporting of transgender homicides and assumptions about the prevalence of transgender residents. RESULTS: The overall homicide rate of transgender individuals was likely to be less than that of cisgender individuals, with 8 of 12 RR estimates below 1.0. However, the homicide rates of young transfeminine Black and Latina residents were almost certainly higher than were those of cisfeminine comparators, with all RR estimates above 1.0 for Blacks and all above 1.0 for Latinas. CONCLUSIONS: Antiviolence public health programs should identify young and Black or Latina transfeminine women as an especially vulnerable population.
[Mh] Termos MeSH primário: Homicídio/estatística & dados numéricos
Pessoas Transgênero/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Grupos de Populações Continentais/estatística & dados numéricos
Grupos Étnicos/estatística & dados numéricos
Feminino
Homicídio/etnologia
Seres Humanos
Masculino
Estudos Retrospectivos
Fatores de Risco
Pessoas Transgênero/psicologia
Transexualismo
Estados Unidos
Violência/etnologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170822
[Lr] Data última revisão:
170822
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170721
[St] Status:MEDLINE
[do] DOI:10.2105/AJPH.2017.303878



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