Project Moxie: Results of a Feasibility Study of a Telehealth Intervention to Increase HIV Testing Among Binary and Nonbinary Transgender Youth

Stephenson, Rob; Todd, Kieran; Kahle, Erin; Sullivan, Stephen; Miller-Perusse, Michael; Sharma, Akshay; Horvath, Keith J.

doi:10.1007/s10461-019-02741-z

Cited by 55 publications

(73 citation statements)

References 46 publications

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“…There were some small cell sizes as in the case of race and ethnicity, sexual orientation, and gender identity, which limited our ability to examine differences within these groups. Although our sample demographics are similar to other online studies [50], future research guided by communitybased participatory research principles and engaging community stakeholders in research efforts have the potential to reach a more diverse and representative sample of SGM adolescents. The limitations of the sample also preclude our ability to make generalizations to racially and ethnically diverse samples of SGM adolescents or examine differences between sexual orientation identities.…”

Section: Limitationsmentioning

confidence: 95%

Family Rejection and Cigarette Smoking Among Sexual and Gender Minority Adolescents in the USA

et al. 2020

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Background: Sexual and gender-minority (SGM) adolescents are more likely than their heterosexual and cisgender peers to smoke cigarettes. Family rejection has been associated with adverse health outcomes; however, few studies have examined whether SGM-specific family rejection is associated with cigarette smoking among SGM adolescents. Methods: A non-probability sample of 11,005 SGM adolescents (M = 15.58, SD = 1.27) completed an online cross-sectional survey. Bivariate and multivariable analyses were conducted to examine associations between SGM-specific family rejection, sociodemographic variables, and smoking. Results: Approximately 7% of the sample currently smoked cigarettes. Pansexual, asexual, trans boys, and non-binary assigned female at birth adolescents had the highest SGM-family rejection scores. In multivariable regression analyses, SGM-specific family rejection was independently associated with smoking after adjusting for covariates (AOR=1.15, 95% CI: 1.04, 1.28). Family support (AOR=0.80, 95% CI: 0.73, 0.88) and experiencing violence (AOR=1.64, 95% CI: 1.49, 1.82) were also associated with smoking in multivariable models. Adolescents who identified as bisexual vs gay/lesbian (AOR=1.50, 95% CI: 1.21, 1.85) and trans boys (AOR=2.05, 95% CI: 1.13, 3.71) vs cisgender girls had an increased odds of smoking. Those who disclosed their sexual orientation identity to most (AOR=1.95, 95%CI 1.45, 2.63) and all (AOR = 1.60, 95% CI: 1.21, 2.11) of their family/parents had increased odds of smoking.

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Section: Limitationsmentioning

confidence: 95%

Family Rejection and Cigarette Smoking Among Sexual and Gender Minority Adolescents in the USA

et al. 2020

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“…The majority of iTech's studies focus on improving the prevention continuum-including promoting home-based HIV testing as part of the digital intervention [20][21][22]. Within three iTech interventions (MyChoices, LYNX and We Prevent) participants can request home-based HIV/STI test kits via study app.…”

Section: Laboratory Testingmentioning

confidence: 99%

Maximizing Digital Interventions for Youth in the Midst of Covid-19: Lessons from the Adolescent Trials Network for HIV Interventions

et al. 2020

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“…Both during and after the pandemic, telehealth has the potential to expand the reach of gender specialists. Data in adults suggest telehealth can reduce barriers to care by providing specialist support to PCPs [ 12 , 13 ], but this has only recently begun to be explored in youth for whom care is complex and assurances regarding privacy and confidentiality are essential [ 14 ]. The objective of this study was to examine transgender youth's interest in receiving gender-affirming care from gender specialists via telemedicine or from their PCP with telehealth support.…”

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confidence: 99%

Transgender Youths' Perspectives on Telehealth for Delivery of Gender-Affirming Care

Sequeira

Kidd

Coulter

et al. 2021

Journal of Adolescent Health

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Purpose We aimed to examine transgender youths' interest in receiving gender-affirming care via telemedicine or through primary care with telehealth support. Methods We surveyed 12- to 26-year-old transgender youth receiving care in a multidisciplinary gender clinic. Descriptive statistics and bivariate analyses were used to assess relationships between demographic and gender-related characteristics and interest in receiving care via telemedicine. Results Almost half (47%) of the 204 youth surveyed expressed interest in receiving gender care via telemedicine. Additionally, youth with lower levels of perceived parental support were more likely to express an interest in utilizing telemedicine ( p = .001). Approximately half (45%) of youth were interested in receiving gender care in the primary care setting, with a majority expressing willingness to do so if their primary care provider had telehealth support. Conclusions Many transgender youth expressed interest in receiving gender care via telehealth, particularly for ongoing care and monitoring. Increased interest in telemedicine was seen among youth with lower perceived parental support.

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Project Moxie: Results of a Feasibility Study of a Telehealth Intervention to Increase HIV Testing Among Binary and Nonbinary Transgender Youth

Cited by 55 publications

References 46 publications

Family Rejection and Cigarette Smoking Among Sexual and Gender Minority Adolescents in the USA

Family Rejection and Cigarette Smoking Among Sexual and Gender Minority Adolescents in the USA

Maximizing Digital Interventions for Youth in the Midst of Covid-19: Lessons from the Adolescent Trials Network for HIV Interventions

Transgender Youths' Perspectives on Telehealth for Delivery of Gender-Affirming Care

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