Purpose: This study assessed within a Midwestern LGBT population whether, and the extent to which, transgender identity was associated with elevated odds of reported discrimination, depression symptoms, and suicide attempts.Methods: Based on survey data collected online from respondents who self-identified as lesbian, gay, bisexual, and/or transgender persons over the age of 19 in Nebraska in 2010, this study performed bivariate t- or chi-square tests and multivariate logistic regression analysis to examine differences in reported discrimination, depression symptoms, suicide attempts, and self-acceptance of LGBT identity between 91 transgender and 676 nontransgender respondents.Results: After controlling for the effects of selected confounders, transgender identity was associated with higher odds of reported discrimination (OR=2.63, p<0.01), depression symptoms (OR=2.33, p<0.05), and attempted suicides (OR=2.59, p<0.01) when compared with nontransgender individuals. Self-acceptance of LGBT identity was associated with substantially lower odds of reporting depression symptoms (OR=0.46, p<0.001).Conclusion: Relative to nontransgender LGB individuals, transgender individuals were more likely to report discrimination, depression symptoms, and attempted suicides. Lack of self-acceptance of LGBT identity was associated with depression symptoms among transgender individuals.

Although conformity with traditional male gender role norms has been linked to psychological and social adjustment in adolescent boys, most studies have relied on either qualitative research or measures of male role norms developed for adults. This study sought to develop and conduct preliminary validation of a multidimensional scale assessing endorsement of male role norms among adolescent boys. The content validity, clarity, and format of scale items for the Meanings of Adolescent Masculinity Scale (MAMS) were generated from interview data and through focus group discussions with adolescent boys. The resulting questionnaire, along with convergent validity scales, was completed by a diverse group of 193 7th-through 10th-grade boys. Factor analysis supported a 4-factor model: Constant Effort, Emotional Restriction, Heterosexism, and Social Teasing. Subscales derived from this analysis yielded good internal reliability. Convergent validity was supported by significant correlations between MAMS subscales and existing measures of male role norms and psychological adjustment.

Twenty women with bulimia nervosa (binge‐eating and vomiting) recorded all food consumption for one week and identified eating episodes that they considered to be a binge. A content analysis including the type and amount of food consumed was performed on 199 binge‐eating and 440 nonbinge‐eating episodes. The average binge‐eating episode was much higher in calories; however, most of these eating episodes involved small amounts of food. The distinguishing characteristic of binge‐eating episodes was relatively more snacks and desserts and less fruits and vegetables. The size of binge‐eating episodes in bulimia nervosa appears to be much smaller, on average, than previous reports of typical binge eating.

Background: Trans and gender-diverse people with a cervix experience difficulties accessing cervical cancer screening because of structural, interpersonal, and individual barriers. Objective: The aim of this study was to explore issues with cervical cancer screening participation, awareness, and healthcare provider recommendation for trans and gender-diverse people. Methods: A national Australian survey was conducted in 2018 to 2019. Participants included 196 trans and gender-diverse people with a cervix. Data were analyzed using descriptive and multiple regression analyses. Two awareness items related to cervical cancer screening, healthcare provider recommendation, and cervical cancer screening participation were assessed. Four variables associated with cervical cancer screening were included in the regression: age, healthcare provider recommendation, like for body, and gender. Results: The sample was young; half (52.6%) were aged 20 to 24 years. Almost half (44.6%) had never had a healthcare provider recommend cervical cancer screening to them. Around half (48.0%) had never participated, with 21.9% reporting that they are regular screeners. More than a quarter (27.5%) of people who had screening had an abnormal result. The most common reasons for not participating in screening were that it is emotionally traumatic for them (55.3%) and inability to find a healthcare provider with whom they are comfortable (38.3%).Conclusions: Trans and gender-diverse Australians with a cervix are unlikely to be regular participants in cervical cancer screening. To continue reducing cervical cancer rates, healthcare providers must address underscreening in this community.Implications for Practice: Gender diversity training needs to be provided to healthcare providers. In addition, healthcare providers need to promote participation in cervical screening in this trans and gender-diverse community.