Stories about: General Pediatrics

Paper Trail: Injection drug use, cast-saw burns, LGBTQ bullying prevention and more

Paper-Trail-clinical-research-September

Boston Children’s Hospital is at the forefront of clinical research. Stay connected with Paper Trail — a monthly feature highlighting recently published outcomes data and new approaches to the diagnosis, treatment and prevention of pediatric illnesses.

This edition of Paper Trail focuses on injection drug use and street-involved youth, cast-saw reduction rates, sleep apnea, LGBTQ bullying prevention and more. …Read More

Catching the Unicorn: The promising power of trans masculine gender affirmation in sexual health care and beyond

transgender health sexual health care
(Voin_Sveta/Shutterstock)

For trans masculine people — an umbrella term referring to people assigned a female sex at birth who identify as female-to-male, transman, man, men, masculine of center, boi, genderqueer or another diverse non-binary gender identity and expression — seeking health care can be a challenging and potentially traumatizing experience. We are hearing about all of it.

At The Fenway Institute — the research, education and training, evaluation and policy division of Fenway Health in Boston — we are collecting data from a diverse array of trans masculine people about their experiences seeking and accessing health care. Through a two-year-long research project funded by the Patient-Centered Outcomes Research Institute, in collaboration with the World Professional Association for Transgender Health and the Center of Excellence for Transgender Health at the University of California, San Francisco, we are able to also study the sexual health of trans masculine adult patients.

We hear over and over again about the myriad of ways transgender patients can be hurt by, rejected or feel mistreated in health care settings and contexts, including by their medical doctors and other clinical care providers. We are finding that lack of cultural competence (trans-incompetence) in health care contexts and by providers themselves comes in many forms. One central theme emerging in our research is regarding nonbinary trans masculine people (who may not identify with the male/female or man/woman gender dichotomy) and binary trans masculine people (who may identify as men or males). …Read More

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Bullying of gay, lesbian and bisexual youth

Reports about bullying and victimization of sexual minority youth (that is, youth who are lesbian, gay or bisexual) have been circulating, especially in the media, but there has been little systematic research documenting the experiences of sexual minority youth over time. In a recent New England Journal of Medicine paper,  Mark Schuster, MD, PhD, chief of the Division of General Pediatrics at Boston Children’s Hospital, and colleagues report that tenth graders identified as sexual minorities in a longitudinal study were more likely than their peers to be bullied or victimized as early as fifth grade, and that this pattern continued into high school.

Schuster summarizes the team’s findings in this video:

Read more on Thriving about this study’s findings, their implications and what pediatricians can do to help.

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