Trans-specific Geriatric Health Assessment (TGHA): An inclusive clinical guideline for the geriatric transgender patient in a primary care setting

Gamble, Reid M; Taylor, Shayne S.; Huggins, Adam D.; Ehrenfeld, Jesse M.

doi:10.1016/j.maturitas.2019.12.005

Cited by 7 publications

(3 citation statements)

References 29 publications

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“…Strategies to address general and gender‐specific physical health care needs are emerging. For example, the comprehensive Trans‐Specific Geriatric Health Assessment offers a gender‐inclusive approach to explore cognitive function, vision and hearing, gait and stability, nutrition, sleep, functional/social status, urogenital health, psychiatric health, hormone replacement therapy, cancer screening, disease prevention, and advanced care planning (Gamble et al, 2020). Such a holistic approach is essential to identify and treat the health conditions for which gender diverse older adults are at higher risk.…”

Section: Discussionmentioning

confidence: 99%

Healthcare needs and assets of gender diverse older adults: A systematic integrative review

Catlett

2022

J of Nursing Scholarship

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IntroductionGender diverse older adults often endure health disparities, encounter discrimination in healthcare settings, and experience lack of access to healthcare. However, members of this population also have assets that help to mitigate these healthcare challenges. A systematic integrative review was performed to synthesize recent studies of the healthcare needs and assets of gender diverse older adults living in the United States.MethodsA search of PubMed, CINAHL, Web of Science, PsycINFO, and Google Scholar was conducted. Findings from selected studies were organized by theme and subtheme.ResultsThirty‐five articles met inclusion criteria. Seven themes were identified: (1) Inclusivity and acceptance, (2) Antidiscrimination protections, (3) Community, (4) Care of mind, body, and spirit, (5) End of life preparations, (6) Financial security, and (7) Intersectionality. These themes were further divided into 20 healthcare needs and 9 healthcare assets.ConclusionThe findings call for increased training for healthcare providers to provide safe, gender‐inclusive care environments; policy to combat discrimination across all healthcare settings; supportive community resources and healthcare advocacy; empowerment of gender diverse older adults through acknowledgment of their healthcare assets; and more research to discern the role of intersectionality in the applicability of the identified themes to gender diverse older adults of various sociodemographic backgrounds.Clinical relevanceThis review benefits clinicians by suggesting practice changes to address healthcare needs of gender diverse older adults while describing healthcare assets of this population for integration into health promotion initiatives.

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Section: Discussionmentioning

confidence: 99%

Healthcare needs and assets of gender diverse older adults: A systematic integrative review

Catlett

2022

J of Nursing Scholarship

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“…patients including those who are aging. 15,16 However, primary care management needs to be evidence-based and this foundation is limited at present.…”

Section: Role Of Transgender Communities In Biomedical Research -Cargmentioning

confidence: 99%

“…20 Finally, a multidisciplinary care team may provide the most integrated approach to gender affirming service delivery for this population. 20 15,16 a primary care provider to work with, who understands and is respectful of transgender patients, including the preferred pronouns, is an important first step. Self-advocacy and awareness of the characteristics of gender affirming care will help identify practices that are transgender-friendly.…”

Section: Collaboration Between Transgender and Biomedical Research Comentioning

confidence: 99%

Commentary: Valuing the Vulnerable – The Important Role of Transgender Communities in Biomedical Research

Cargill

2020

Ethn Dis

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Every cell has a genetic sex that is determined at the time of fertilization. However, the natal sex of cells may not match the hormonal environment in which they reside in transgender individuals. This discordance provides a unique opportunity to study the short- and long-term effects across a range of cellular functions, health conditions, physiologic processes and psychosocial outcomes to the benefit of transgender and cisgender communities. While there is a growing body of knowledge as the literature on sex differences in virtually every organ system accumulates, there remains a paucity of data on the effect of cross hormonal therapy on cellular function in transgender individuals. Beyond cellular function, the effect of cross hormonal therapy on neuroanatomy, the interpretation of neuropsychological assessments or even the effect of daily stressors of stigma and discrimination on long-term neurocognitive function remain unclear.In 2011 the Institute of Medicine indicated that transgender adults were an understudied population and in critical need of more biomedical and population health research, yet the experience of stigma, discrimination, microaggressions, limited access to culturally competent care continue to make this an unfulfilled mandate. In addition to using a life course perspective, it is essential to identify research gaps and formulate a responsive research agenda while maintaining scientific rigor and respectful involvement of the population under study. None of this, however, will enhance the participation of transgender communities in biomedical research until the transgender and biomedical research communities can engage in open, respectful and bidirectional dialogue.From respectful, sensitive and appropriate health care to culturally competent research engagement from study inception to data dissemination, transgender communities can make an important and valuable contribution to biomedical research. Inclusion of their voices at all levels, including investigators from transgender communities, are essential to advance this much overdue scientific agenda. Transgender, cisgender and the biomedical research communities will all benefit from a more inclusive and expansive research agenda.Ethn Dis. 2020;30(2):247- 250; doi:10.18865/ed.30.2.247

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Clinical Pharmacological Considerations in Transgender Medicine

Coig

Grieve

Cirrincione

2023

Handbook of Experimental Pharmacology

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Trans-specific Geriatric Health Assessment (TGHA): An inclusive clinical guideline for the geriatric transgender patient in a primary care setting

Cited by 7 publications

References 29 publications

Healthcare needs and assets of gender diverse older adults: A systematic integrative review

Healthcare needs and assets of gender diverse older adults: A systematic integrative review

Commentary: Valuing the Vulnerable – The Important Role of Transgender Communities in Biomedical Research

Clinical Pharmacological Considerations in Transgender Medicine

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