Search results for "Transgender"
showing 10 items of 70 documents
Gender Confirmation Surgery: Guiding Principles
2016
Abstract Background At this time, no formal training or educational programs exist for surgeons or surgery residents interested in performing gender confirmation surgeries. Aim To propose guiding principles designed to aid with the development of formal surgical training programs focused on gender confirmation surgery. Methods We use expert opinion to provide a “first of its kind” framework for training surgeons to care for transgender and gender nonconforming individuals. Outcomes We describe a multidisciplinary treatment model that describes an educational philosophy and the institution of quality parameters. Results This article represents the first step in the development of a structure…
Role of menopause and hormone replacement therapy in sleep-disordered breathing
2020
There are suggestions that the loss of female sex hormones following menopause is critical for the development or progression of sleep-disordered breathing (SDB). We conducted a review of the literature on the role of menopause and hormone replacement therapy (HRT) in SDB risk. There is an increase in SDB during the menopausal transition period, but data on an effect beyond that of increasing age and changes in body habitus are weak or absent. Early community-based, observational studies reported a protective effect by HRT on SDB prevalence, but this could possibly be explained as a healthy user effect. Interventional studies of the effect of HRT on SDB are sparse, with only a few randomize…
Home-based HIV testing: Using different strategies among transgender women in Argentina.
2019
Background In Argentina, HIV prevalence among transgender women (TGW) has been reported at 34%. The stigma is one of the most important factors limiting their access to healthcare services. The aims of this study were to compare different HIV testing methodologies, to determine the factors associated with HIV diagnosis and to determine the feasibility of a home-based HIV testing service for TGW. Methods A multidisciplinary team performed home-based HIV testing interventions in four cities of Argentina. Participants self-identified as TGW, older than 14 years and with a negative or unknown HIV status. Blood samples were screened by two rapid tests (RT), one based on antibodies (Determine™ HI…
Comparison of soft tissue body composition in postmenopausal women with or without hormone replacement therapy considering the influence of reproduct…
2001
To examine long-term effects of at least 5 years' conventional hormone replacement therapy (HRT), reproductive history and lifestyle on fat mass and muscle mass in postmenopausal women.A cross-sectional retrospective approach was used, including 64 healthy women (56-69 years, mean age 63.4 years). Hormone users were compared with age-matched non-users with respect to (a) type of HRT used (oestrogen vs oestrogen plus gestagen vs no hormones), (b) categories of oestrogens used (oestradiol-based oestrogens vs conjugated equine oestrogens vs no oestrogens) and (c) categories of gestagens used (testosterone derivatives vs progesterone derivatives vs no gestagens). Data on hormone use, reproducti…
Short Sexual Well-Being Scale – a cross-sectional validation among transgender and cisgender people
2020
BackgroundSexual well-being is often mistakenly operationalized simply as sexual satisfaction. The concept of sexual well-being has been often used as an umbrella term for positive aspects of sexuality, apart from its negative spheres. A new concept of sexual well-being was proposed in line with the World Health Organization (WHO) definition of sexual health. The definition tried to enrich the concept of sexual well-being, but it did not solve the problem of its operationalization. The aim of this study was to verify the psychometric properties of the new scale measuring the concept of sexual well-being.Participants and procedureTwo separate studies were conducted for the psychometric valid…
Personas con reasignación de sexo: un reto para la enfermería
2020
espanolObjetivo: Identificar la evidencia cientifica disponible sobre las necesidades sanitarias a la que se enfrentan las personas transgeneros con reasignacion de sexo. Metodologia: Se realizo una busqueda bibliografica desde el 1 de enero de 2011 hasta el 31 de diciembre de 2017 en las siguientes bases de datos: BDENF, Cochrane, Cuiden, Dialnet, LILACS, Pubmed, Scielo y WOS. Resultados: Se identificaron un total de 1.600 articulos, de los cuales se seleccionaron 13. En ellos se abordan diferentes areas tematicas, destacando la estigmatizacion y discriminacion del paciente, el temor a solicitar atencion profesional, los problemas de salud mental que pueden llegar a padecer y el riesgo de …
Postmenopausal hormone replacement therapy modifies skeletal muscle composition and function: a study with monozygotic twin pairs
2009
We investigated whether long-term hormone replacement therapy (HRT) is associated with mobility and lower limb muscle performance and composition in postmenopausal women. Fifteen 54- to 62-yr-old monozygotic female twin pairs discordant for HRT were recruited from the Finnish Twin Cohort. Habitual (HWS) and maximal (MWS) walking speeds over 10 m, thigh muscle composition, lower body muscle power assessed as vertical jumping height, and maximal isometric hand grip and knee extension strengths were measured. Intrapair differences (IPD%) with 95% confidence intervals (CI) were calculated. The mean duration of HRT use was 6.9 ± 4.1 yr. MWS was on average 7% (0.9 to 13.1%, P = 0.019) and muscle…
Looking back into trans persons’ experiences in heteronormative secondary physical education contexts
2017
ABSTRACTBackground: School is one of the primary settings where non-gender conformer children and adolescents emerge as vulnerable groups at high risk of suffering violence and harassment. Within schooling contexts, embodied experiences in physical education (PE) may become particularly problematic for trans students. However, there is little research focusing on trans persons’s experiences in PE. The purpose of this paper is to gather memories and impressions of a group of adult trans persons on their experiences in secondary PE.Theoretical framework: The concept of heteronormativity is used as a theoretical framework to provide insights and understanding to trans persons’s experiences in …
Socio-ecological analysis of trans people’s participation in physical activity and sport
2019
The purpose of this study is to explore and provide understanding of trans people’s participation in physical activity and sport through the socio-ecological perspective. A total of 43 Spanish trans people (21 trans women, 17 trans men and 5 with ‘other self-identifications’), between 15 and 62 years old, participated in semi-structured interviews. Thematic analysis identified six main themes, which highlight the multidimensional relations between individual, social and environmental factors in trans people’s participation in physical activity and sport. Results reveal that the importance of body appearance for ‘passing’ and the fear of being unmasked affect their participation. Trans peop…
Acceptability of dual HIV/syphilis rapid test in community- and home-based testing strategy among transgender women in Buenos Aires, Argentina.
2021
Background: Little is known of acceptability and feasibility of dual HIV and syphilis rapid tests in community- and home-based provider-initiated strategies among transgender women (TGW), in Latin America. Objectives were (1) to assess the acceptability of this strategy and, (2) to determine the percentage of positive results of HIV and syphilis, analyze the correlates of HIV or syphilis positive results, and measure the rates of effective referral and treatment completion among TGW. Methods: A multidisciplinary team tested 89 TGW in Buenos Aires. An acceptability survey was administered after the HIV/syphilis Duo test was used. All confirmed cases were referred for treatment initiation. R…