Purpose
Trans*female youth are an underserved population at risk for a variety of poor health outcomes, in part related to barriers to accessing health and mental health care.
Methods
We conducted a secondary analysis of data collected with 250 TFY aged 16 to 24 years in the San Francisco Bay Area from 2012–2014. Logistic regression was used to test associations between socio-demographic variables and barriers to gender identity-based medical and mental health care.
Results
Having a history of unstable housing was associated with significantly higher odds of problems accessing both medical care (OR 2.16, 95% CI 1.12, 4.13) and mental health care due to gender identity (OR 2.65, 95% CI 1.08, 6.45). Conversely, identifying as genderqueer/genderfluid, Latina, or living in dependent housing was associated with access to either medical or mental health care.
Conclusions
Interventions are needed to address housing and discrimination barring access to health care among TFY.
Highlights
Radiation to isolated vaginal and perirectal ovarian cancer recurrences provides effective in-field control.
Complete response of targeted lesions after radiation was 88%.
Radiation increased the chemotherapy-free interval without associated grade 3/4 toxicities.
Platinum sensitivity prior to radiation may be associated with improved overall survival.
Objectives: Fellow involvement in patient care is important for education, but effect on patient care is unclear. Our aim was to compare patient outcomes in gynecologic oncology attending clinics versus a fellow training clinic at a large academic medical center.
Methods:A retrospective review of consecutive gynecologic oncology patients from six attending clinics and one faculty-supervised fellow clinic was used to analyze differences based on *
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.