Care of the Transgender Patient
Authors: Ellen D. Herbst, Edith Harris, David L. Pennington, Steven L. Batki
Journal: Annals of Internal Medicine (2019)

Letters19 November 2019Care of the Transgender PatientEllen D. Herbst, MD, Edith Harris, MA, David L. Pennington, PhD, and Steven L. Batki, MDEllen D. Herbst, MDSan Francisco VA Health Care System and University of California, San Francisco, San Francisco, California (E.D.H., E.H., D.L.P., S.L.B.)Search for more papers by this author, Edith Harris, MASan Francisco VA Health Care System and University of California, San Francisco, San Francisco, California (E.D.H., E.H., D.L.P., S.L.B.)Search for more papers by this author, David L. Pennington, PhDSan Francisco VA Health Care System and University of California, San Francisco, San Francisco, California (E.D.H., E.H., D.L.P., S.L.B.)Search for more papers by this author, and Steven L. Batki, MDSan Francisco VA Health Care System and University of California, San Francisco, San Francisco, California (E.D.H., E.H., D.L.P., S.L.B.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L19-0534 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Safer and Tangpricha (1) provide a comprehensive summary of the unique clinical considerations relevant to the care of transgender and gender-nonconforming persons. Those who are gender minorities are at higher risk for hazardous substance use and substance use disorders because of stress related to their minority status, stigma, discrimination, trauma, and isolation (2). Screening, brief intervention, and referral to culturally competent treatment for hazardous substance use (including psychiatric treatment, if indicated) are essential in this population.Of note, current screening methods for hazardous drinking may be insufficient for transgender patient populations. Current U.S. alcohol use guidelines define ...References1. Safer JD, Tangpricha V. Care of the transgender patient. Ann Intern Med. 2019;171:ITC1-16. [PMID: 31261405]. doi:10.7326/AITC201907020 LinkGoogle Scholar2. Gilbert PA, Pass LE, Keuroghlian AS, et al. Alcohol research with transgender populations: a systematic review and recommendations to strengthen future studies. Drug Alcohol Depend. 2018;186:138-46. [PMID: 29571076] doi:10.1016/j.drugalcdep.2018.01.016 CrossrefMedlineGoogle Scholar3. U.S. Department of Health and Human Services. Appendix 9: Alcohol. Dietary Guidelines for Americans 2015-2020. 2019. Accessed at https://health.gov/dietaryguidelines/2015/guidelines/appendix-9 on 15 July 2019. Google Scholar4. Johnson SE, O'Brien EK, Coleman B, et al. Sexual and gender minority U.S. youth tobacco use: Population Assessment of Tobacco and Health (PATH) study wave 3, 2015-2016. Am J Prev Med. 2019;57:256-61. [PMID: 31326009] doi:10.1016/j.amepre.2019.03.021 CrossrefMedlineGoogle Scholar5. Wheldon CW, Wiseman KP. Tobacco use among transgender and gender non-conforming adults in the United States. Tob Use Insights. 2019;12:1179173X19849419. [PMID: 31205426] doi:10.1177/1179173X19849419 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: San Francisco VA Health Care System and University of California, San Francisco, San Francisco, California (E.D.H., E.H., D.L.P., S.L.B.)Disclaimer: The views expressed in this comment do not represent the views of the Department of Veterans Affairs or the U.S. government.Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L19-0534. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoCare of the Transgender Patient Joshua D. Safer and Vin Tangpricha Care of the Transgender Patient Joshua D. Safer and Vin Tangpricha Care of the Transgender Patient Wendy Klein Metrics 19 November 2019Volume 171, Issue 10Page: 775KeywordsAdolescentsAlcoholsEstrogensGender discriminationHormonal therapyHypogonadismOsteoporosisPatientsSexually transmitted diseasesSuicide ePublished: 19 November 2019 Issue Published: 19 November 2019 PDF downloadLoading ...