Health Care

Can't be an -ology without a journal

Coming this fall from Mary Ann Liebert, Inc. will be the first ever scientific transgender health journal. Transgender Health will be an open access journal.

Transgender Health is the premier open source for authoritative, multidisciplinary research, discussion, and debate on the healthcare needs of this patient population. The Journal publishes under the Creative Commons Attribution 4.0 (CC BY) license to ensure broad dissemination and participation. All articles in Transgender Health are rapidly reviewed and published online within 4 weeks of acceptance.

The journal will be edited by Robert Garofalo, MD, MPH, professor in pediatrics-adolescent medicine and preventive medicine, Northwestern University Feinberg School of Medicine.

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Transgender students suffer more eating disorders

The August issue of The Journal of Adolescent Health includes an article entitled Eating Disorders and Non-Gender Conforming Youth

This study examined associations of gender identity and sexual orientation with self-reported eating disorder (SR-ED) diagnosis and compensatory behaviors in transgender and cisgender college students.

Data was derived from 289,024 students from 223 U.S. universities participating in the American College Health Association–National College Health Assessment II.

Rates of past-year SR-ED diagnosis and past-month use of diet pills and vomiting or laxatives were compared among transgender students (n = 479) and cisgender sexual minority (SM) male (n = 5,977) and female (n = 9,445), unsure male (n = 1,662) and female (n = 3,395), and heterosexual male (n = 91,599) and female (n = 176,467) students using chi-square tests. Logistic regression models were used to estimate the odds of eating-related pathology outcomes after adjusting for covariates.

The study was done by members of Washington University in St. Louis.

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Transgender Health

The World Health Organization has released report, Transgender people and HIV, in which one might expect that the major news would be about HIV. But in fact, Section 8.1.6, Sexually transmitted infections and cervical cancer, earned top billing.

Of particular note is the measurably higher risk of cervical, ovarian, and uterine cancer faced by transgender men who retain genitalia they were born with. Due to stigma and social exclusion, many do not regularly receive gynecological examinations and concomitant cervical and ovarian screenings.

We might recall that the National Transgender Discrimination Study of 2012 found that 48% of transgender men reported postponing or avoiding preventative health care due to fear of discrimination and one in five trans men refuse healthcare because doctors and their personnel refer to them as the wrong gender.

Ovarian cancer is relatively rare but accounts for a disproportionate number of cancer deaths because it is too often diagnosed at an advanced stage. If it is found early, it can be a highly treatable disease. For trans men, ovarian cancer poses an extra challenge, due not only increased risk factors and decreased access to healthcare but also to the increased levels of discrimination faced by the trans community. The National LGBT Cancer Network encourages all of us to pay careful attention to the early symptoms of the disease and seek prompt and culturally competent medical care.

--National LGBT Cancer Network

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New data on trans kids

Dr. Johanna Olson of Children's Hospital in Los Angeles has authored another study on transgender kids. Appearing in the Journal of Adolescent Health, the study is entitled Baseline Physiologic and Psychosocial Characteristics of Transgender Youth Seeking Care for Gender Dysphoria

The purpose of this study was to describe baseline characteristics of participants in a prospective observational study of transgender youth (aged 12–24 years) seeking care for gender dysphoria at a large, urban transgender youth clinic.

We've now put to rest the residual belief that transgender experience is a result of a hormone imbalance. It's not.

--Dr. Olson

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Transgender students in New Jersey get insurance coverage

New Jersey's Student Injury and Sickness Insurance Plan, which covers students at four public educational institutions in the state (The College of New Jersey, Rowan University, Montclair University, and Kean University) will begin providing coverage for transgender health issues beginning in the 2015-2016 school year.

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Shocking: Fox makes up news for "special report"

I'm shocked! Shocked, I say...that a so-called news organization would listen to a conservative parental rights group as their source for news without ever searching for what rationally generates the "story."

Headline: Oregon allowing 15-year-olds to get state-subsidized sex-change operations

A group calling itself Parents Rights in Education has taken two separate pieces of Oregon health law and bundled them together to come to the "shocking" conclusion that a fifteen year-old in Oregon can now walk into a health care facility in Oregon and demand a sex change operation without parental consent.

It is trespassing on the hearts, the minds, the bodies of our children. They're our children. And for a decision, a life-altering decision like that to be done unbeknownst to a parent or guardian, it's mindboggling.

--Lori Porter, Parent's Rights in Education

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Burning Down the House

Last week Ontario became the first Canadian province to pass a law banning reparative therapy on LGBT youth. Additionally the law prevents practitioners of this supposed "cure" of homosexuality and transgenderism in young people or adults from billing the Ontario Health Insurance Plan.

The legislation was proposed by New Democrat Cheri DiNovo and won unanimous support from all three parties.

We’re sending an incredibly strong message . . . there’s absolutely no room in an inclusive society for trying to change somebody’s sexual identity or their gender expression or their gender identity.

--DiNovo

She said LGBTQ children are sometimes forced into the therapy by anxious parents and noted transgender people have an attempted suicide rate of 50 per cent.

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Remarkable Event in the Keystone State

 photo Levine_zps4ejrjxgy.jpgThe Pennsylvania Senate voted 49-0 on Tuesday to confirm Dr. Rachel Levine as the state physician general. Dr. Levine obtained her undergraduate degree from Harvard and her medical degree from the Tulane School of Medicine. She did her residency in pediatrics at Mount Sinai Medical Center in New York. Most recently she has served as chief of Adolescent Medicine and Eating Disorders at vice chair for Clinical Affairs for the Department of Pediatrics at Penn State Milton S. Hershey Medical Center.

While at Penn State Hershey Medical Center, Dr. Levine led the initiation of a Division of Adolescent Medicine for the care of complex teens with medical and psychological problems. She also started the Penn State Hershey Eating Disorders Program, which offers multidisciplinary treatment for children, adolescents, and adults with eating disorders such as anorexia nervosa and bulimia nervosa.

Dr. Levine has also worked closely with the Penn State Hershey Office of Diversity as the liaison for LGBT Affairs, mentoring and assisting LGBT students, faculty and staff.

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OSHA issues transgender bathroom usage guide

In early May I shared OSHA partners with NCTE re: transgender worker safety.

Here's a paragraph from that piece:

For its part, OSHA will promote and disseminate a bulletin developed in conjunction with NCTE of recommended best practices for restroom access for transgender workers. NCTE will disseminate general OSHA information on a quarterly basis vis its website and provide opportunities for OSHA representatives to speak at NCTE events.

On Monday OSHA issued formal guidance on transgender bathroom usage in the workplace.

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Transgender students and eating disorders

For the first time ever the American Health Association-National College Health Assessment survey allowed students to identify as transgender. Out of this effort emerged

Gender Identity, Sexual Orientation, and Eating-Related Pathology in a National Sample of College Students, Diemer, Grant, Munn-Chernoff, Patterson and Duncan in the Journal of Adolescent Health.

Abstract:

This study examined associations of gender identity and sexual orientation with self-reported eating disorder (SR-ED) diagnosis and compensatory behaviors in transgender and cisgender college students.

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