Improving transgender health by building safe clinical environments that promote existing resilience: Results from a qualitative analysis of providers.

Abstract:

BACKGROUND:Transgender (TG) individuals experience discordance between their sex at birth and their gender identity. To better understand the health care needs and characteristics of TG youth that contribute to resilience, we conducted a qualitative study with clinical and non-clinical providers. METHODS:In-depth interviews were conducted of providers (n = 11) of TG youth (ages 13-21). Convenience and purposive sampling were used to recruit participants in the Boston area. All interviews were audio-recorded and transcribed verbatim. An interview guide of 14 open-ended questions was used to guide the discussion. A grounded theory approach was utilized to code and analyze the data, including double-coding to address issues of inter-rater reliability. RESULTS:Five primary themes emerged: 1) resilience of TG youth 2) lack of access to services that influence health, 3) the critical role of social support, 4) challenges in navigating the health care system, and 5) the need for trans-affirming competency training for providers and frontline staff. CONCLUSION:The findings of this study show that providers recognize multiple barriers and challenges in the care of TG youth. However, they also identify the resilience exhibited by many youth. We propose that providers can further enhance the resilience of TG youth and help them flourish by offering them necessary resources via the creation of safe and welcoming clinical environments.

journal_name

BMC Pediatr

journal_title

BMC pediatrics

authors

Torres CG,Renfrew M,Kenst K,Tan-McGrory A,Betancourt JR,López L

doi

10.1186/s12887-015-0505-6

subject

Has Abstract

pub_date

2015-11-18 00:00:00

pages

187

issn

1471-2431

pii

10.1186/s12887-015-0505-6

journal_volume

15

pub_type

杂志文章
  • Sleep and breathing in premature infants at 6 months post-natal age.

    abstract:BACKGROUND:Poor sleep contributes to the developmental problems seen in preterm infants. We evaluated sleep problems in preterm infants 6 months of post-gestational age using the subjective Brief Infant Sleep Questionnaire (BISQ) and objective sleep tests. We also compared the sleep of premature infants with that of fu...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/s12887-014-0303-6

    authors: Huang YS,Paiva T,Hsu JF,Kuo MC,Guilleminault C

    更新日期:2014-12-16 00:00:00

  • Chronic cutaneous candidiasis in children: should we stop there? Report of two cases associated with auto-immune polyendocrinopathy syndrome type I.

    abstract:BACKGROUND:Auto-immune polyendocrinopathy syndrome type I is a rare genetic disease, usually revealed by chronic superficial candidiasis and autoimmune endocrine dysfunction in childhood. CASES PRESENTATION:We report the cases of 2 children, a 4 years-11 months old boy and 13 years old adolescent, admitted and followe...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/s12887-020-02030-y

    authors: Minka BM,Sibetcheu T A,Sap SNU,Bissa MC

    更新日期:2020-03-18 00:00:00

  • Minoxidil versus placebo in the treatment of arterial wall hypertrophy in children with Williams Beuren Syndrome: a randomized controlled trial.

    abstract:BACKGROUND:Insufficient elastin synthesis leads to vascular complications and arterial hypertension in children with Williams-Beuren syndrome. Restoring sufficient quantity of elastin should then result in prevention or inhibition of vascular malformations and improvement in arterial blood pressure. METHODS:The aim of...

    journal_title:BMC pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12887-019-1544-1

    authors: Kassai B,Bouyé P,Gilbert-Dussardier B,Godart F,Thambo JB,Rossi M,Cochat P,Chirossel P,Luong S,Serusclat A,Canterino I,Mercier C,Rabilloud M,Pivot C,Pirot F,Ginhoux T,Coopman S,Grenet G,Gueyffier F,Di-Fillippo S,Be

    更新日期:2019-05-28 00:00:00

  • Correction to: Improving infant sleep safety via electronic health record communication: a randomized controlled trial.

    abstract::An amendment to this paper has been published and can be accessed via the original article. ...

    journal_title:BMC pediatrics

    pub_type: 已发布勘误

    doi:10.1186/s12887-020-02397-y

    authors: Canty EA,Fogel BN,Batra EK,Schaefer EW,Beiler JS,Paul IM

    更新日期:2020-10-24 00:00:00

  • Preliminary outcomes of a paediatric highly active antiretroviral therapy cohort from KwaZulu-Natal, South Africa.

    abstract:BACKGROUND:Few studies address the use of paediatric highly active antiretroviral therapy (HAART) in Africa. METHODS:We performed a retrospective cohort study to investigate preliminary outcomes of all children eligible for HAART at Sinikithemba HIV/AIDS clinic in KwaZulu-Natal, South Africa. Immunologic, virologic, c...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/1471-2431-7-13

    authors: Reddi A,Leeper SC,Grobler AC,Geddes R,France KH,Dorse GL,Vlok WJ,Mntambo M,Thomas M,Nixon K,Holst HL,Karim QA,Rollins NC,Coovadia HM,Giddy J

    更新日期:2007-03-17 00:00:00

  • Adverse drug events in hospitalized children at Ethiopian University Hospital: a prospective observational study.

    abstract:BACKGROUND:The nature and magnitude of adverse drug events (ADEs) among hospitalized children in low-income countries is not well described. The aim of this study was thus, to assess the incidence and nature of ADEs in hospitalized children at a teaching hospital in Ethiopia. METHODS:We used prospective observational ...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/s12887-015-0401-0

    authors: Eshetie TC,Hailemeskel B,Mekonnen N,Paulos G,Mekonnen AB,Girma T

    更新日期:2015-07-15 00:00:00

  • Delivery strategies for malaria chemoprevention with monthly dihydroartemisinin-piperaquine for the post-discharge management of severe anaemia in children aged less than 5 years old in Malawi: a protocol for a cluster randomized trial.

    abstract:BACKGROUND:Children initially hospitalized with severe anaemia in Africa are at high risk of readmission or death within 6 months after discharge. No intervention strategy specifically protects children during the post-discharge period. Recent evidence from Malawi shows that 3 months of post-discharge malaria chemoprev...

    journal_title:BMC pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12887-018-1199-3

    authors: Gondwe T,Robberstad B,Mukaka M,Lange S,Blomberg B,Phiri K

    更新日期:2018-07-20 00:00:00

  • The impact of severe osteogenesis imperfecta on the lives of young patients and their parents - a qualitative analysis.

    abstract:BACKGROUND:Osteogenesis imperfecta (OI) is a rare genetic disorder that causes increased bone fragility. Living with, caring for, and parenting a child with OI are all highly demanding and challenging. This study is a temporal analysis of the impact of severe OI on the lives of young patients and their parents. METHOD...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/1471-2431-13-153

    authors: Dogba MJ,Bedos C,Durigova M,Montpetit K,Wong T,Glorieux FH,Rauch F

    更新日期:2013-09-30 00:00:00

  • Childhood disability in Malawi: a population based assessment using the key informant method.

    abstract:BACKGROUND:Epidemiological data on childhood disability are lacking in Low and Middle Income countries (LMICs) such as Malawi, hampering effective service planning and advocacy. The Key Informant Method (KIM) is an innovative, cost-effective method for generating population data on the prevalence and causes of impairme...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/s12887-017-0948-z

    authors: Tataryn M,Polack S,Chokotho L,Mulwafu W,Kayange P,Banks LM,Noe C,Lavy C,Kuper H

    更新日期:2017-11-28 00:00:00

  • DO IT Trial: vitamin D Outcomes and Interventions in Toddlers - a TARGet Kids! randomized controlled trial.

    abstract:BACKGROUND:Vitamin D levels are alarmingly low (<75 nmol/L) in 65-70% of North American children older than 1 year. An increased risk of viral upper respiratory tract infections (URTI), asthma-related hospitalizations and use of anti-inflammatory medication have all been linked with low vitamin D. No study has determin...

    journal_title:BMC pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1471-2431-14-37

    authors: Maguire JL,Birken CS,Loeb MB,Mamdani M,Thorpe K,Hoch JS,Mazzulli T,Borkhoff CM,Macarthur C,Parkin PC,TARGet Kids! Collaboration.

    更新日期:2014-02-08 00:00:00

  • Effect of home-based counselling on newborn care practices in southern Tanzania one year after implementation: a cluster-randomised controlled trial.

    abstract:BACKGROUND:In Sub-Saharan Africa over one million newborns die annually. We developed a sustainable and scalable home-based counselling intervention for delivery by community volunteers in rural southern Tanzania to improve newborn care practices and survival. Here we report the effect on newborn care practices one yea...

    journal_title:BMC pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1471-2431-14-187

    authors: Penfold S,Manzi F,Mkumbo E,Temu S,Jaribu J,Shamba DD,Mshinda H,Cousens S,Marchant T,Tanner M,Schellenberg D,Schellenberg JA

    更新日期:2014-07-22 00:00:00

  • A randomized trial of Plasma-Lyte A and 0.9 % sodium chloride in acute pediatric gastroenteritis.

    abstract:BACKGROUND:Compare the efficacy and safety of Plasma-Lyte A (PLA) versus 0.9 % sodium chloride (NaCl) intravenous (IV) fluid replacement in children with moderate to severe dehydration secondary to acute gastroenteritis (AGE). METHODS:Prospective, randomized, double-blind study conducted at eight pediatric emergency d...

    journal_title:BMC pediatrics

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1186/s12887-016-0652-4

    authors: Allen CH,Goldman RD,Bhatt S,Simon HK,Gorelick MH,Spandorfer PR,Spiro DM,Mace SE,Johnson DW,Higginbotham EA,Du H,Smyth BJ,Schermer CR,Goldstein SL

    更新日期:2016-08-02 00:00:00

  • Arthrogryposis in infancy, multidisciplinary approach: case report.

    abstract:BACKGROUND:Arthrogryposis multiplex congenita is an etiopathogenetically heterogeneous disorder characterised by non-progressive multiple intra-articular contractures, which can be recognised at birth. The frequency is estimated at 1 in 3,000 newborns. Etiopathogenesis of arthrogryposis is multifactorial. CASE PRESENT...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/1471-2431-13-184

    authors: Binkiewicz-Glinska A,Sobierajska-Rek A,Bakula S,Wierzba J,Drewek K,Kowalski IM,Zaborowska-Sapeta K

    更新日期:2013-11-11 00:00:00

  • Evaluation of neuropsychiatric comorbidities and their clinical characteristics in Chinese children with asthma using the MINI kid tool.

    abstract:BACKGROUND:The mental health and quality of life in children with asthma have attracted widespread attention. This study focused on the evaluation of mental health conditions and their clinical characteristics in Chinese children with asthma. METHODS:A total of 261 children with asthma aged 6 to 16 years old and 261 a...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/s12887-019-1834-7

    authors: Zhou H,Chen Z,Zhao W,Liu Y,Cui Y

    更新日期:2019-11-22 00:00:00

  • Comparison of a new transcutaneous bilirubinometer (Bilimed) with serum bilirubin measurements in preterm and full-term infants.

    abstract:BACKGROUND:The gold standard to assess hyperbilirubinemia in neonates remains the serum bilirubin measurement. Unfortunately, this is invasive, painful, and costly. Bilimed, a new transcutaneous bilirubinometer, suggests more accuracy compared to the existing non-invasive bilirubinometers because of its new technology....

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/1471-2431-9-70

    authors: Karen T,Bucher HU,Fauchère JC

    更新日期:2009-11-12 00:00:00

  • A national estimate of the birth prevalence of congenital anomalies in India: systematic review and meta-analysis.

    abstract:BACKGROUND:A quarter of all global neonatal deaths occur in India. Congenital anomalies constitute the fifth largest cause of neonatal mortality in the country, but national estimates of the prevalence of these conditions are lacking. The objective of the study was to derive an estimate of the birth prevalence of conge...

    journal_title:BMC pediatrics

    pub_type: 杂志文章,meta分析

    doi:10.1186/s12887-018-1149-0

    authors: Bhide P,Kar A

    更新日期:2018-05-25 00:00:00

  • Transition to parenthood in the neonatal care unit: a qualitative study and conceptual model designed to illuminate parent and professional views of the impact of webcam technology.

    abstract:BACKGROUND:Complications during pregnancy, childbirth and/or the postnatal period may result in the admission of a baby to a neonatal unit (NNU). While the survival and long-term prospects of high-risk infants are enhanced by admission, the enforced separation of the parent and child may have psychological consequences...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/s12887-017-0917-6

    authors: Kerr S,King C,Hogg R,McPherson K,Hanley J,Brierton M,Ainsworth S

    更新日期:2017-07-11 00:00:00

  • Treatment outcomes of severe acute malnutrition and predictors of recovery in under-five children treated within outpatient therapeutic programs in Ethiopia: a systematic review and meta-analysis.

    abstract:BACKGROUND:Severe acute malnutrition affects around 17 million under-five children in the world, of which the highest burden is accounted by Sub-Saharan Africa where Ethiopia is found. Though there are few individual, inconsistent and inconclusive studies, there is no nationally representative study on treatment outcom...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/s12887-020-02188-5

    authors: Bitew ZW,Alemu A,Worku T

    更新日期:2020-07-07 00:00:00

  • Early Check: translational science at the intersection of public health and newborn screening.

    abstract:BACKGROUND:Newborn screening (NBS) occupies a unique space at the intersection of translational science and public health. As the only truly population-based public health program in the United States, NBS offers the promise of making the successes of translational medicine available to every infant with a rare disorde...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/s12887-019-1606-4

    authors: Bailey DB Jr,Gehtland LM,Lewis MA,Peay H,Raspa M,Shone SM,Taylor JL,Wheeler AC,Cotten M,King NMP,Powell CM,Biesecker B,Bishop CE,Boyea BL,Duparc M,Harper BA,Kemper AR,Lee SN,Moultrie R,Okoniewski KC,Paquin RS,Pe

    更新日期:2019-07-17 00:00:00

  • Correction to: Exome sequencing reveals a novel PLP1 mutation in a Moroccan family with connatal Pelizaeus-Merzbacher disease: a case report.

    abstract::After publication of the original article [1] it was brought to our attention that author Bouchra Ouled Amar Bencheikh was incorrectly included as Bouchra Oulad Amar Bencheikh. ...

    journal_title:BMC pediatrics

    pub_type: 杂志文章,已发布勘误

    doi:10.1186/s12887-018-1114-y

    authors: Lyahyai J,Bencheikh BOA,Elalaoui SC,Mansouri M,Boualla L,DIonne-Laporte A,Spiegelman D,Dion PA,Cossette P,Rouleau GA,Sefiani A

    更新日期:2018-04-17 00:00:00

  • Supporting play exploration and early developmental intervention versus usual care to enhance development outcomes during the transition from the neonatal intensive care unit to home: a pilot randomized controlled trial.

    abstract:BACKGROUND:While therapy services may start in the Neonatal Intensive Care Unit (NICU) there is often a gap in therapy after discharge. Supporting Play Exploration and Early Development Intervention (SPEEDI) supports parents, helping them build capacity to provide developmentally supportive opportunities starting in th...

    journal_title:BMC pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12887-018-1011-4

    authors: Dusing SC,Tripathi T,Marcinowski EC,Thacker LR,Brown LF,Hendricks-Muñoz KD

    更新日期:2018-02-09 00:00:00

  • Assessment of atropine-sufentanil-atracurium anaesthesia for endotracheal intubation: an observational study in very premature infants.

    abstract:BACKGROUND:Premedication before neonatal intubation is heterogeneous and contentious. The combination of a short acting, rapid onset opioid with a muscle relaxant is considered suitable by many experts. The purpose of this study was to describe the tolerance and conditions of intubation following anaesthesia with atrop...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/1471-2431-14-120

    authors: Durrmeyer X,Dahan S,Delorme P,Blary S,Dassieu G,Caeymaex L,Carbajal R

    更新日期:2014-05-07 00:00:00

  • Correction to: Factors influencing childhood anaemia in Bangladesh: a two level logistic regression analysis.

    abstract::Following publication of the original article [1], the authors reported that name that appeared in published online version is incorrect. ...

    journal_title:BMC pediatrics

    pub_type: 已发布勘误

    doi:10.1186/s12887-019-1607-3

    authors: Yusuf A,Mamun ASMA,Kamruzzaman M,Saw A,Abo El-Fetoh NM,Lestrel PE,Hossain MG

    更新日期:2019-07-26 00:00:00

  • Algorithms for converting estimates of child malnutrition based on the NCHS reference into estimates based on the WHO Child Growth Standards.

    abstract:BACKGROUND:The child growth standards released by the World Health Organization (WHO) in 2006 have several technical advantages over the previous 1977 National Center for Health Statistics (NCHS)/WHO reference and are recommended for international comparisons and secular trend analysis of child malnutrition. To obtain ...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/1471-2431-8-19

    authors: Yang H,de Onis M

    更新日期:2008-05-05 00:00:00

  • Early discontinuation of intravenous antimicrobial therapy in pediatric oncology patients with febrile neutropenia.

    abstract:BACKGROUND:There are no standard criteria for when to discontinue intravenous antimicrobial therapy (IVAMT) in children with febrile neutropenia (FN), but it is now common to discontinue IVAMT and discharge patients with an absolute neutrophil count (ANC) < or = 500/mm3. The purpose of this study was to evaluate the ou...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/1471-2431-5-10

    authors: Hodgson-Viden H,Grundy PE,Robinson JL

    更新日期:2005-05-18 00:00:00

  • The usefulness of growth hormone treatment for psychological status in young adult survivors of childhood leukaemia: an open-label study.

    abstract:BACKGROUND:To reduce the risk of brain damage children with acute lymphoblastic leukaemia (ALL) are nowadays mainly treated with intrathecal chemotherapy (ITC) instead of central nervous system (CNS) radiation therapy (CRT) to prevent CNS relapse. However, chemotherapy may also lead to cognitive deficits. As growth hor...

    journal_title:BMC pediatrics

    pub_type: 临床试验,杂志文章

    doi:10.1186/1471-2431-8-25

    authors: Huisman J,Aukema EJ,Deijen JB,van Coeverden SC,Kaspers GJ,van der Pal HJ,Delemarre-van de Waal HA

    更新日期:2008-06-20 00:00:00

  • Causes and differentials of childhood mortality in Iraq.

    abstract:BACKGROUND:Limited information is available in Iraq regarding the causes of under-five mortality. The vital registration system is deficient in its coverage, particularly from rural areas where access to health services is limited and most deaths occur at home, i.e. outside the health system, and hence the cause of dea...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/1471-2431-9-40

    authors: Awqati NA,Ali MM,Al-Ward NJ,Majeed FA,Salman K,Al-Alak M,Al-Gasseer N

    更新日期:2009-06-22 00:00:00

  • Use of the Italian version of the Pediatric Asthma Quality of Life Questionnaire in the daily practice: results of a prospective study.

    abstract:BACKGROUND:Asthma is a serious global health problem and its prevalence is increasing, especially among children. It represents a significant social and economic burden, and it can severely affect the health-related quality of life (HRQL) of patients. Among the numerous questionnaires aiming at evaluating asthma HRQL i...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/1471-2431-9-30

    authors: Ricci G,Dondi A,Baldi E,Bendandi B,Giannetti A,Masi M

    更新日期:2009-05-07 00:00:00

  • Parents' reported preference scores for childhood atopic dermatitis disease states.

    abstract:BACKGROUND:We sought to elicit preference weights from parents for health states corresponding to children with various levels of severity of atopic dermatitis. We also evaluated the hypothesis that parents with children who had been diagnosed with atopic dermatitis would assign different preferences to the health stat...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/1471-2431-4-21

    authors: Friedman JY,Reed SD,Weinfurt KP,Kahler KH,Walter EB,Schulman KA

    更新日期:2004-10-18 00:00:00

  • Congenital diaphragmatic hernia presenting with symptoms within the first day of life; outcomes from a non-ECMO centre in Denmark.

    abstract:BACKGROUND:Between 1998 and 2015, we report on the survival of congenital diaphragmatic hernia (CDH)-infants presenting with symptoms within the first 24 h of life, treated at Odense University Hospital (OUH), a tertiary referral non-extracorporeal membrane oxygenation (ECMO) hospital for paediatric surgery. METHODS:W...

    journal_title:BMC pediatrics

    pub_type: 杂志文章

    doi:10.1186/s12887-020-02072-2

    authors: Larsen UL,Jepsen S,Strøm T,Qvist N,Toft P

    更新日期:2020-05-07 00:00:00