- LGBTQ Health, Identity, and Policy
- Reproductive Health and Technologies
- Eating Disorders and Behaviors
- Sexuality, Behavior, and Technology
- Reproductive Health and Contraception
- Sex work and related issues
- Obesity and Health Practices
- HIV/AIDS Research and Interventions
- African Sexualities and LGBTQ+ Issues
- Body Image and Dysmorphia Studies
- Racial and Ethnic Identity Research
- Social and Intergroup Psychology
- Gender, Feminism, and Media
- Substance Abuse Treatment and Outcomes
- Gender Politics and Representation
- COVID-19 and Mental Health
- Health Literacy and Information Accessibility
- Consumer Behavior in Brand Consumption and Identification
- Suicide and Self-Harm Studies
- Sexual Assault and Victimization Studies
- Grief, Bereavement, and Mental Health
- Ethics in Clinical Research
- Gender Roles and Identity Studies
- Homelessness and Social Issues
- Disability Rights and Representation
University of California, San Francisco
2019-2025
Productive Rehabilitation Institute of Dallas for Ergonomics
2019-2025
Unity Health System
2019-2025
Eastern Kentucky Pride
2019-2025
Stanford University
2019-2025
Pride Foundation
2019-2025
San Jose State University
2022
Health and Human Development (2HD) Research Network
2021
Global Forum for Health Research
2016
San Francisco AIDS Foundation
2009-2014
Sexual and gender minority (SGM) people-including members of the lesbian, gay, bisexual, transgender, queer communities-are understudied underrepresented in research. Current sexual orientation identity (SOGI) questions do not sufficiently engage SGM people, there is a critical gap understanding how SOGI reduce inclusion accurate empirical representation. We conducted qualitative study to answer question, "For what are major limitations with current questions?" Focus groups probed reactions...
The actions of advantaged group activists (sometimes called “allies”) are admirable, and they likely make meaningful contributions to the movements support. However, a nuanced understanding role allies must also consider potential challenges their participation. Both in everyday lives during activist work, especially have direct contact with disadvantaged members. This article considers when such may harm rather than help resistance by groups. We suggest that avoid these undermining effects,...
Previous research shows that positive contact with members of advantaged groups can undermine collective action among the disadvantaged. The present work provides first experimental evidence this effect and introduces a moderator which highlights fundamental role communication about perceptions legitimacy intergroup inequality. Study 1 ( N = 267) focused on lesbian/gay/bisexual/transgendered community’s struggle for same-sex marriage in California. In 2 81), cross-group was initiated between...
Transgender men and women may be at risk for eating disorders, but prior community norms of the Eating Disorders Examination Questionnaire (EDE-Q) are based on presumed cisgender woman have not intentionally included transgender people. The objective this study was to develop disorder attitudes disordered behaviors in using EDE-Q. Participants were 312 172 participants PRIDE Study, an existing cohort sexual gender minority We present mean scores, standard deviations, percentile ranks Global...
Abstract Objective Sexual and gender minority (SGM) people are underrepresented in research. We sought to create a digital research platform engage, recruit, retain SGM national, longitudinal, dynamic, cohort study (The PRIDE Study) of health. Materials Methods partnered with design development firms engaged community members build secure, cloud-based, containerized, microservices-based, feature-rich, platform. created PRIDEnet, national network individuals organizations that actively...
Background: Transgender, nonbinary, and gender-expansive (TGE) people experience pregnancy. Quantitative data about pregnancy intentions outcomes of TGE are needed to identify patterns in inform clinicians how best provide gender-affirming competent care. Aims: We sought collect on among assigned female or intersex at birth the United States. Methods: Collaboratively with a study-specific community advisory team, we designed customizable, online survey measure sexual reproductive health...
Abstract Purpose Gender-expansive individuals (i.e., those who identify outside of the binary system man or woman) are a marginalized group that faces discrimination and have high burden mental health problems, but there is paucity research on eating disorders in this population. This study aimed to describe community norms for Eating Disorder Examination Questionnaire (EDE-Q) gender-expansive populations. Methods The participants were 988 (defined as neither exclusively cisgender nor...
Abstract Background Sexual and gender minority (SGM; i.e., non-heterosexual transgender or gender-expansive, respectively) people experience physical health disparities attributed to greater exposure stress (experiences of discrimination victimization, anticipation concealment SGM status, internalization stigma) structural stigma. Purpose To examine which components stigma have the strongest relationships with among people. Methods Participants (5,299 people, 1,902 individuals) were from The...
Importance Limited data describe the health status of sexual or gender minority (SGM) people due to inaccurate and inconsistent ascertainment identity, sex assigned at birth, orientation. Objective To evaluate whether prevalence 12 conditions is higher among SGM adults in All Us Research Program compared with cisgender heterosexual (non-SGM) people. Design, Setting, Participants This cross-sectional study used from a multidisciplinary research consortium, Program, that links...
Lesbian, gay, bisexual, transgender, queer, intersex, asexual, aromantic, and other sexual and/or gender minority (LGBTQIA+) communities are underrepresented in health research subject to documented disparities. In addition, LGBTQIA+ have experienced mistreatment, discrimination, stigma care settings. Effectively engaging individuals is critical developing representative data sets, improving provision policy, reducing However, little known about what engagement approaches work well with...
BackgroundTransgender, nonbinary, and gender-expansive people who were assigned female or intersex at birth experience pregnancy have abortions. Scarce data been published on individual abortion experiences preferences of this understudied population.ObjectiveThis study aimed to fill existing evidence gaps the transgender, in United States inform policies practices improve access quality care for population.Study DesignIn 2019, we recruited age ≥18 years from across participate an online...
Transgender, nonbinary and gender-expansive (TGE) people face barriers to abortion care may consider without clinical supervision.In 2019, we recruited participants for an online survey about sexual reproductive health. Eligible were TGE assigned female or intersex at birth, 18 years older, from across the United States, through The PRIDE Study via in-person postings.Of 1694 participants, 76 (36% of those ever pregnant) reported considering trying end a pregnancy on their own supervision,...
Abstract Introduction This study examined whether past experiences of mistreatment in healthcare were associated with greater avoidance due to anticipated among gender minority (GM) people. We evaluated state-level policy protections moderated this relationship. Methods Data from the 2018 Annual Questionnaire The PRIDE Study, a national longitudinal on sexual and people’s health, used these analyses. Logistic regression modeling tested relationships between lifetime identity or expression...
Purpose: Sexual and gender minority (SGM) people-including members of lesbian, gay, bisexual, transgender, queer communities-remain underrepresented in health research due to poor collection sexual orientation identity (SOGI) data. We sought understand the contextual factors affecting how SGM participants interact with SOGI questions enhance participant experience increase accuracy sensitivity findings. Methods: recruited adults for in-person semi-structured focus groups or online cognitive...
Abstract Objective Appearance and performance‐enhancing drugs supplements (APEDS) can be used to enhance muscle growth, athletic performance, physical appearance. The aim of this study was examine the lifetime use APEDS associations with eating disorder dysmorphia symptoms among gender minority people. Method Participants were 1653 individuals (1120 gender‐expansive [defined as a broad range identities that are generally situated outside woman–man binary, e.g., genderqueer, nonbinary]...
To examine inequities in conversion practice exposure across intersections of ethnoracial groups and gender identity the United States.
Abstract Background The Eating Pathology Symptoms Inventory (EPSI) is a questionnaire that assesses the severity of eating-disorder symptoms. This study aimed to examine factor structure and measurement invariance EPSI in large national U.S. sample cisgender gay men lesbian women. Methods consisted 1,498 sexual minority adults, including ( n = 925) women 573), who completed online self-report surveys. Using split-half approach, exploratory analysis (EFA) was conducted first subset each...
Abstract Objective The Eating Disorder Examination‐Questionnaire (EDE‐Q) is one of the most widely used self‐report assessments eating disorder symptoms. However, evidence indicates potential problems with its original factor structure and associated psychometric properties in a variety populations, including gender minority populations. aim current investigation was to explore several previously published EDE‐Q structures examine internal consistency measurement invariance best‐fitting...
This study identifies how to screen for harmful alcohol use among gender minority (e.g., transgender and gender-expansive) people using brief screening methods which perform best gender-expansive, transfeminine, transmasculine subgroups, as recommendations are not currently available. Using 2018 Annual Questionnaire data from The PRIDE Study, area under the curve (AUC) values were compared identify ("4 or more" "5 drinks on one occasion in past year, more items Alcohol Use Disorders...
To address pervasive measurement biases in sexual and reproductive health (SRH) research, our interdisciplinary team created an affirming, customizable electronic survey to measure experiences with contraceptive use, pregnancy, abortion for transgender gender nonbinary people assigned female or intersex at birth cisgender minority women. Between May 2018 April 2019, we developed a questionnaire 328 items across 10 domains including identity; language used anatomy events; affirmation process...
The purpose of this study is to describe online health information seeking among a sample transgender and gender diverse (TGD) people compared with cisgender sexual minority explore associations human papillomavirus (HPV) vaccination, whether general literacy eHealth moderate relationship.We performed cross-sectional survey TGD participants from PRIDE Study, longitudinal, U.S.-based, national people. We employed multivariable logistic regression model the association HPV vaccination.The...