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Global health burden and needs of transgender populations: a review.

Publication ,  Journal Article
Reisner, SL; Poteat, T; Keatley, J; Cabral, M; Mothopeng, T; Dunham, E; Holland, CE; Max, R; Baral, SD
Published in: Lancet (London, England)
July 2016

Transgender people are a diverse population affected by a range of negative health indicators across high-income, middle-income, and low-income settings. Studies consistently document a high prevalence of adverse health outcomes in this population, including HIV and other sexually transmitted infections, mental health distress, and substance use and abuse. However, many other health areas remain understudied, population-based representative samples and longitudinal studies are few, and routine surveillance efforts for transgender population health are scarce. The absence of survey items with which to identify transgender respondents in general surveys often restricts the availability of data with which to estimate the magnitude of health inequities and characterise the population-level health of transgender people globally. Despite the limitations, there are sufficient data highlighting the unique biological, behavioural, social, and structural contextual factors surrounding health risks and resiliencies for transgender people. To mitigate these risks and foster resilience, a comprehensive approach is needed that includes gender affirmation as a public health framework, improved health systems and access to health care informed by high quality data, and effective partnerships with local transgender communities to ensure responsiveness of and cultural specificity in programming. Consideration of transgender health underscores the need to explicitly consider sex and gender pathways in epidemiological research and public health surveillance more broadly.

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Published In

Lancet (London, England)

DOI

EISSN

1474-547X

ISSN

0140-6736

Publication Date

July 2016

Volume

388

Issue

10042

Start / End Page

412 / 436

Related Subject Headings

  • Transsexualism
  • Transgender Persons
  • Social Stigma
  • Reproductive Health
  • Mental Health
  • Mental Disorders
  • Humans
  • Health Services Needs and Demand
  • Global Health
  • General & Internal Medicine
 

Citation

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Reisner, S. L., Poteat, T., Keatley, J., Cabral, M., Mothopeng, T., Dunham, E., … Baral, S. D. (2016). Global health burden and needs of transgender populations: a review. Lancet (London, England), 388(10042), 412–436. https://doi.org/10.1016/s0140-6736(16)00684-x
Reisner, Sari L., Tonia Poteat, JoAnne Keatley, Mauro Cabral, Tampose Mothopeng, Emilia Dunham, Claire E. Holland, Ryan Max, and Stefan D. Baral. “Global health burden and needs of transgender populations: a review.Lancet (London, England) 388, no. 10042 (July 2016): 412–36. https://doi.org/10.1016/s0140-6736(16)00684-x.
Reisner SL, Poteat T, Keatley J, Cabral M, Mothopeng T, Dunham E, et al. Global health burden and needs of transgender populations: a review. Lancet (London, England). 2016 Jul;388(10042):412–36.
Reisner, Sari L., et al. “Global health burden and needs of transgender populations: a review.Lancet (London, England), vol. 388, no. 10042, July 2016, pp. 412–36. Epmc, doi:10.1016/s0140-6736(16)00684-x.
Reisner SL, Poteat T, Keatley J, Cabral M, Mothopeng T, Dunham E, Holland CE, Max R, Baral SD. Global health burden and needs of transgender populations: a review. Lancet (London, England). 2016 Jul;388(10042):412–436.
Journal cover image

Published In

Lancet (London, England)

DOI

EISSN

1474-547X

ISSN

0140-6736

Publication Date

July 2016

Volume

388

Issue

10042

Start / End Page

412 / 436

Related Subject Headings

  • Transsexualism
  • Transgender Persons
  • Social Stigma
  • Reproductive Health
  • Mental Health
  • Mental Disorders
  • Humans
  • Health Services Needs and Demand
  • Global Health
  • General & Internal Medicine