@article{ref1,
title="Transgender health disparities: Comparing full cohort and nested matched-pair study designs in a community health center",
journal="LGBT health",
year="2014",
author="Reisner, S.L. and White, J.M. and Bradford, J.B. and Mimiaga, M.J.",
volume="1",
number="3",
pages="177-184",
abstract="PURPOSE: U.S. health surveillance systems infrequently include measures to identify transgender respondents or monitor the health of this underserved and marginalized population. <br><br>METHODS: From 2001 to 2002, transgender and nontransgender adults were sampled at a Massachusetts clinic. Health differences were formatively examined by transgender identity using a cross-sectional, clinic-based sample (n=2,653) and a nested matched-pair subsample (n=155). <br><br>RESULTS: Both designs produced virtually identical findings: (1) the prevalence of HIV, substance abuse, and smoking did not differ significantly for transgender and nontransgender patients; (2) transgender patients were more likely to endorse a lifetime suicide attempt and ideation compared with nontransgender patients (p<0.05); (3) transgender patients disproportionately reported social stressors (violence, discrimination, childhood abuse) relative to nontransgender patients (p<0.05). <br><br>CONCLUSION: Findings suggest that a nested design may provide an effective methodology for using clinical data to study transgender health and underscore the need for routine collection of gender identity in clinical settings. © Copyright 2014, Mary Ann Liebert, Inc. 2014.<p /><p>Language: en</p>",
language="en",
issn="2325-8292",
doi="10.1089/lgbt.2014.0009",
url="http://dx.doi.org/10.1089/lgbt.2014.0009"
}