The Impact of Chest Binding in Transgender and Gender Diverse Youth and Young Adults

Julian, Jamie M.; Salvetti, Bianca; Held, Jordan I.; Murray, Paula; Lara-Rojas, Lucas

doi:10.1016/j.jadohealth.2020.09.029

Cited by 34 publications

(17 citation statements)

References 8 publications

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“…Trans male or non-binary patients who have not undergone top surgery may practice chest binding, whereby a bandage or specifically designed binder is wrapped very tightly around the patient's chest to flatten their breast tissue. (20) Whilst the implications of this practice on ventilation have not been directly investigated, chest wall strapping is a technique that has been used to investigate pulmonary mechanics previously.…”

Section: Respiratorymentioning

confidence: 99%

Management of transgender patients in critical care

Flower

Cheung

Connal

et al. 2022

Journal of the Intensive Care Society

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As clinicians working in critical care, it is our duty to provide all of our patients with the high-quality care they deserve, regardless of their gender identity. The transgender community continues to suffer discrimination from the media, politicians and general public. As healthcare workers we often pride ourselves on our ability to safely care for all patients. However, there remains a distinct lack of understanding surrounding the care of critically ill transgender patients. This is likely in part because the specific care of transgender patients is not included in the Faculty of Intensive Care Medicine’s, Royal College of Anaesthetists’, Royal College of Physician’s, or Royal College of Emergency Medicine’s curriculum. There are several important considerations relevant for transgender patients in critical care including anatomical changes to the airway, alterations to respiratory and cardiovascular physiology and management of hormone therapy. Alongside this, there are simple but important social factors that exist, such as the use of patient pronouns and ensuring admittance to correctly gendered wards. In this review we will address the key points relevant to the care of transgender patients in critical care and provide suggestions on how education on the subject may be improved.

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Section: Respiratorymentioning

confidence: 99%

Management of transgender patients in critical care

Flower

Cheung

Connal

et al. 2022

Journal of the Intensive Care Society

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“…The Impact of Chest Binding in Transgender and Gender Diverse Youth and Young Adults. Julian JM, Salvetti B, Held JI, Murray PM, Lara-Rojas L, Olson-Kennedy J Julian et al examined chest binding trends among adolescents and young adults and provided insights into how chest binding impacts chest dysphoria and life satisfaction using a national online survey [15]. Results indicate that most participants reported learning to bind online and were not connected to any type of gender care or community center.…”

Section: Articles Informing Clinical Carementioning

confidence: 99%

The Distinguished Dozen: 2021 Journal of Adolescent Health Articles Making Distinguished Contributions to Adolescent and Young Adult Health

Ford¹,

Boyer²,

Halpern³

et al. 2022

Journal of Adolescent Health

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“… 105 Chest binding prevents misgendering and promotes safety and confidence. 104 Binding, especially with high frequency, can cause physical side effects. 105 , 106 Chest size correlates with dermatological problems when binding.…”

Section: Dermatologic Impacts Of Chest Binding Tucking and Packingmentioning

confidence: 99%

“… 103 , 106 Health providers can help patients determine their binder sizing and improve accessibility for commercial binders, especially if patients have parental or financial obstacles. 104 These measures could help reduce long-term skin and tissue changes.…”

Section: Dermatologic Impacts Of Chest Binding Tucking and Packingmentioning

confidence: 99%

“…Many young transmasculine patients use chest binding to flatten the chest and relieve gender dysphoria before they can get gender-affirming chest reconstruction surgery. [102][103][104] They commonly use commercial binders designed for tight compression, although some use other methods (including elastic bandages or tape) based on financial means and/or parental support. 105 Chest binding prevents misgendering and promotes safety and confidence.…”

Section: Dermatologic Impacts Of Chest Binding Tucking and Packingmentioning

confidence: 99%

See 1 more Smart Citation

Managing Dermatologic Effects of Gender-Affirming Therapy in Transgender Adolescents

Huang¹,

Gold²,

Radi³

et al. 2022

AHMT

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Transgender adolescents seek gender-affirming medical care to address gender identity and incongruence. Improved understanding of the dermatologic impact of gender-affirming medical care such as pubertal suppression, hormone therapy, and surgeries can enhance patient outcome. Pubertal suppression treats dysphoria associated with development of secondary sex characteristics, including androgen-driven acne. Gender-affirming hormone therapy influences acne and hair development in transgender adolescents. Dermatologists can help manage skin effects associated with chest binding and gender-affirming hormone therapy and surgery. Provision of patient-centered gender-affirming care in dermatologic and multidisciplinary settings is essential to improve skin and overall outcomes of gender-affirming therapy.

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The Impact of Chest Binding in Transgender and Gender Diverse Youth and Young Adults

Cited by 34 publications

References 8 publications

Management of transgender patients in critical care

Management of transgender patients in critical care

The Distinguished Dozen: 2021 Journal of Adolescent Health Articles Making Distinguished Contributions to Adolescent and Young Adult Health

Managing Dermatologic Effects of Gender-Affirming Therapy in Transgender Adolescents

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