Assessment of sociodemographic and psychiatric characteristics of transgender adults seen at a Midwest tertiary medical center (Q28860)

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  • Assessment of sociodemographic and psychiatric characteristics of transgender adults seen at a Midwest tertiary medical center.
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English
Assessment of sociodemographic and psychiatric characteristics of transgender adults seen at a Midwest tertiary medical center
No description defined
  • Assessment of sociodemographic and psychiatric characteristics of transgender adults seen at a Midwest tertiary medical center.

Statements

Assessment of sociodemographic and psychiatric characteristics of transgender adults seen at a Midwest tertiary medical center. (English)
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The National Academy of Medicine has formally identified transgender adults as an understudied population in critical need of health research. (English)
BACKGROUND (English)
Copyright © 2024 Cortez, Moog, Baranski, Williams, Wang, Nicol, Baranski and Herrick. (English)
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While national surveys, like the US Transgender survey, have characterized higher rates of depression, anxiety, suicidality and socioeconomic need in the transgender community, studies have not examined the impact of sociodemographic and clinical characteristics on mental health related outcomes. (English)
BACKGROUND (English)
Copyright © 2024 Cortez, Moog, Baranski, Williams, Wang, Nicol, Baranski and Herrick. (English)
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To describe the sociodemographic and mental health characteristics of transgender adults seen at a large Midwest transgender clinic and to determine factors associated with self-reported mental health conditions. (English)
OBJECTIVE (English)
Copyright © 2024 Cortez, Moog, Baranski, Williams, Wang, Nicol, Baranski and Herrick. (English)
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Descriptive, retrospective, cross-sectional study of new transgender patients 18 years and older seen at a large Midwest transgender clinic between December 2019 and June 2022. (English)
METHODS (English)
Copyright © 2024 Cortez, Moog, Baranski, Williams, Wang, Nicol, Baranski and Herrick. (English)
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A total of 482 charts were reviewed. (English)
RESULTS (English)
Copyright © 2024 Cortez, Moog, Baranski, Williams, Wang, Nicol, Baranski and Herrick. (English)
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During their initial evaluation, 11.6% (56/482) reported having a history of suicide attempt and 81.3% (392/482) reported a mental health diagnosis with the most common being depression, anxiety, attention deficit disorder, and post-traumatic stress disorder. (English)
RESULTS (English)
Copyright © 2024 Cortez, Moog, Baranski, Williams, Wang, Nicol, Baranski and Herrick. (English)
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Multivariable logistic regression results show no single factor was significantly associated with mental health diagnosis after adjusting for the effect of age and race. (English)
RESULTS (English)
Copyright © 2024 Cortez, Moog, Baranski, Williams, Wang, Nicol, Baranski and Herrick. (English)
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Patients who were new to gender affirming hormone therapy (54%, 254/468) are 2.0 (95% CI 1.4-2.9) times more likely to report having a mental health care provider than patients who were seen for continuation of therapy (46%, 214/468). (English)
RESULTS (English)
Copyright © 2024 Cortez, Moog, Baranski, Williams, Wang, Nicol, Baranski and Herrick. (English)
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Ten records with race not disclosed, 3 records with gender identity "other" and 2 records with gender identity not disclosed were excluded from analysis. (English)
RESULTS (English)
Copyright © 2024 Cortez, Moog, Baranski, Williams, Wang, Nicol, Baranski and Herrick. (English)
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This study reinforces the finding that transgender adults have an increased lifetime prevalence of mental health conditions. (English)
CONCLUSION (English)
Copyright © 2024 Cortez, Moog, Baranski, Williams, Wang, Nicol, Baranski and Herrick. (English)
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The higher prevalence of mental health conditions in our clinic was not associated with sociodemographic factors included in the study. (English)
CONCLUSION (English)
Copyright © 2024 Cortez, Moog, Baranski, Williams, Wang, Nicol, Baranski and Herrick. (English)
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Furthermore, transgender patients are less likely to have seen mental healthcare providers after initiation of gender affirming hormone therapy. (English)
CONCLUSION (English)
Copyright © 2024 Cortez, Moog, Baranski, Williams, Wang, Nicol, Baranski and Herrick. (English)
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2024
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2024
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15
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1445679
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1445679
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CH is a consultant for Teladoc Health. (English)
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The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (English)
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