TY  - JOUR
PY  - 2014//
TI  - Transgender health disparities: Comparing full cohort and nested matched-pair study designs in a community health center
JO  - LGBT health
A1  - Reisner, S.L.
A1  - White, J.M.
A1  - Bradford, J.B.
A1  - Mimiaga, M.J.
SP  - 177
EP  - 184
VL  - 1
IS  - 3
N2  - 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>
LA  - en
SN  - 2325-8292
UR  - http://dx.doi.org/10.1089/lgbt.2014.0009
ID  - ref1
ER  -