A5056820860- LGBTQ Health, Identity, and Policy
- Sexuality, Behavior, and Technology
- HIV/AIDS Research and Interventions
- Reproductive Health and Technologies
- Opioid Use Disorder Treatment
- HIV, Drug Use, Sexual Risk
- African Sexualities and LGBTQ+ Issues
- Adolescent Sexual and Reproductive Health
- Criminal Justice and Corrections Analysis
- Substance Abuse Treatment and Outcomes
- Racial and Ethnic Identity Research
- Gender, Feminism, and Media
- Sex work and related issues
- Gender Roles and Identity Studies
- Forensic Toxicology and Drug Analysis
- Homelessness and Social Issues
- Feminist Theory and Gender Studies
- Suicide and Self-Harm Studies
- Sex and Gender in Healthcare
- Reproductive Health and Contraception
- Intimate Partner and Family Violence
- Cervical Cancer and HPV Research
- Eating Disorders and Behaviors
- Psychopathy, Forensic Psychiatry, Sexual Offending
- Treatment of Major Depression
John Brown University
2018-2025
Brown University
2018-2025
Fenway Health
2016-2025
Providence College
2018-2024
Rhode Island Hospital
2021-2024
Boston University
2024
Rhode Island Department of Health
2022
University of Michigan
2022
Yale University
2015-2019
Boston Children's Hospital
2019
Discrimination has been shown to disproportionately burden transgender people; however, there a lack of clinical attention the mental health sequelae discrimination, including posttraumatic stress disorder (PTSD) symptoms. Additionally, few studies contextualize discrimination alongside other traumatic stressors in predicting PTSD symptomatology. The current study sought fill these gaps. A community-based sample 412 adults (mean age 33, SD = 13; 63% female-to-male spectrum; 19% people color;...
Gay and bisexual men might face unique, status-based competitive pressures given that their social sexual relationships often occur with other men, who are known to compete for gain. In a multistage study, we delineated intraminority gay community stress theory-that status-focused elements of the challenge mental health men. We first created measure items derived from qualitative interviewing (n = 49); calculated its psychometric properties, including 1-year temporal stability 937);...
Background In the U.S., non-binary refers to transgender people who have a gender identity not aligned with their assigned sex at birth, and identify outside of traditional male-female binary, such as genderqueer, genderfluid, or nonconforming. Few data are available characterize health adults. Methods The current study sought fill this gap by conducting secondary analysis from non-probability sample and/or nonconforming adults in Massachusetts (sample mean age 32.6 years, 63% female birth;...
Substance use disorders are a major source of morbidity and mortality in the United States. National data comparing prevalence substance disorder diagnoses (SUDDs) among transgender cisgender individuals lacking To investigate SUDDs adults to identify within-group between-group differences by age, gender, geographic location. This cross-sectional study used OptumLabs Data Warehouse analyze deidentified claims from approximately 74 million aged 18 years or older enrolled commercial Medicare...
Policy Points : Since 2012, Massachusetts law has provided legal protections against discrimination on the basis of gender identity in employment, housing, credit, public education, and hate crimes. The does not protect based accommodations settings such as transportation, retail stores, restaurants, health care facilities, bathrooms. A 2013 survey transgender other minority adults found that past 12 months, 65% had experienced since was passed. This associated with a greater risk adverse...
To identify geographic and individual-level factors associated with healthcare access among transgender people in the United States.Multilevel analyses were conducted to investigate lifetime refusal using national data from 5831 U.S. adults. Hierarchical generalized linear models examined associations between individual (age, gender, race, income, insurance, avoidance) state-level (percent voting Republican, percent same-sex couple households, income inequality, protective laws) of...
Purpose: Enacted and anticipated stigma exist within healthcare settings for transgender people, but research has yet to examine the effects of these forms on substance use behaviors female-to-male (FTM) trans masculine people. Methods: Data were analyzed from cross-sectional U.S. National Transgender Discrimination Survey, a convenience sample adults purposively sampled in 2008. Trans respondents (n=2,578) identified using two-step method: Step 1, Assigned birth sex; 2, Current gender...
Transgender youth, including adolescent and young adult transgender women assigned a male sex at birth who identify as girls, women, transfemale, male-to-female, or another diverse transfeminine gender identity, represent vulnerable population risk for negative mental health substance use outcomes. Diagnostic clinical interviews to assess prevalence of health, dependence, comorbid psychiatric disorders in remain scarce. To report the assessed via diagnostic interview high-risk...
Online focus group discussions provide an anonymous environment to assess sensitive, health-related experiences that may be difficult discuss utilizing traditional face-to-face modalities, particularly for marginalized populations such as female-to-male trans masculine (TM) transgender individuals. This article reviews the history, advantages, and disadvantages of online groups, with emphasis research about sensitive issues stigmatized, rare, and/or geographically dispersed patient...
Background High-risk human papillomavirus (hrHPV) causes virtually all cervical cancers. Trans masculine (TM) people (those assigned female at birth who identify with a gender other than female) have low uptake of conventional cancer screening. Self-collected hrHPV DNA testing has high levels acceptability among cisgender (non-transgender) females and may support increased screening in TM individuals. Objective To assess the test performance self-collected vaginal specimens comparison to...
Victimization and depressive distress symptoms represent serious interconnected public health problems facing transgender communities. Avoidant coping is hypothesized to temporarily alleviate the stress of victimization, but has potential long-term mental behavioral costs, such as increasing probability symptoms. A community sample 412 adults (M age = 32.7, SD 12.8) completed a one-time survey capturing multiple forms victimization (i.e., everyday discrimination, bullying, physical assault...
Purpose: The present study sought to examine whether individual (e.g., age, gender), interpersonal healthcare provider discrimination), and structural lack of insurance coverage) factors are associated with access transition-related care in a statewide sample transgender adults. Method: In 2013, 364 residents Massachusetts completed an electronic web-based survey online (87.1%) or person (12.9%). A multivariable logistic regression model tested individual, interpersonal, were care. Results:...
Purpose: To investigate whether the prevalence of eating disorders (EDs) differs across diverse gender identity groups in a transgender sample. Methods: Secondary analysis data from Project VOICE, cross-sectional study stress and health among 452 adults (ages 18–75 years) residing Massachusetts. Age-adjusted logistic regression models were fit to compare self-reported lifetime EDs female-to-male (FTM), male-to-female (MTF), gender-nonconforming participants assigned male at birth (MBGNC)...
Female-to-male trans masculine adults who have sex with cisgender (non-transgender) males (TMSM) represent an understudied population in relation to HIV/sexually transmitted infection (STI) risk. This study examined the role of syndemic conditions and social gender affirmation processes (living full-time one's identified gender) potentiating sexual risk among TMSM Massachusetts, US. Cross-sectional data were restricted reported lifetime behaviour a male (n = 173; mean age 29.4, SD 9.6; 18.5%...
Purpose Incarcerated transgender women often require healthcare to meet their physical-, mental-, and gender transition-related health needs; however, experiences in prisons jails interactions with correctional providers are understudied. The paper aims discuss these issues. Design/methodology/approach In 2015, 20 who had been incarcerated the USA within past five years participated semi-structured interviews about while incarcerated. Findings Participants described an institutional culture...
Introduction The objective of this research is to provide national estimates the prevalence health condition diagnoses among age-entitled transgender and cisgender Medicare beneficiaries. Quantification burden across sex assigned at birth gender can inform prevention, research, allocation funding for modifiable risk factors. Methods Using 2009–2017 fee-for-service data, we implemented an algorithm that leverages diagnosis, procedure, pharmacy claims identify beneficiaries stratify sample by...
This study characterized sexual orientation identities and fluidity in attractions a community-based sample of self-identified transgender gender-nonconforming adults Massachusetts. Participants were recruited 2013 using bimodel methods (online person) to complete one-time, Web-based quantitative survey that included questions about identity fluidity. Multivariable logistic regression models estimated adjusted risk ratios (aRRs) 95% confidence intervals (95% CIs) examine the correlates...