Emily Sullivan

Importance Transgender and gender-diverse (TGD) individuals are at risk for discrimination and inequities across legal, social, and medical contexts. Population-level resources have rarely been used for TGD health research and, therefore, data is lacking about prevalences of a wide range of clinical conditions among TGD populations. Objective To leverage the Utah Population Database’s demographic, vital, and health records and examine population-level diagnostic prevalences in TGD individuals and an age-matched general cohort. Participants 6,664 TGD individuals were identified using ICD codes for gender incongruence between 1995 and 2021; 64,124 age-matched individuals comprised the control cohort. Design Using Phecodes to collapse ICD codes, this study examined differences in the prevalence of medical, mental health, and neurodevelopmental clinical phenotypes in TGD and control cohorts using modified Poisson regression models. Setting Affiliated healthcare systems within the state of Utah. Main outcome and measure We evaluated adjusted prevalence ratios of identified Phecodes. Results The TGD cohort showed broadly higher documented prevalences of medical, mental health, and neurodevelopmental conditions compared to controls. Medical diagnoses more common in the TGD cohort included sleep disorders and chronic pain. Disparities in diagnoses such as “other endocrine disorders” and “need for hormone replacement therapy” likely reflect gender-affirming treatments. Mental health conditions including mood, depression, anxiety, and personality disorders were significantly more prevalent in the TGD cohort. Conclusions and Relevance This study highlights diagnostic disparities for TGD individuals across multiple clinical categories. Our findings may be driven by: 1) discrimination and over-medicalization of TGD individuals, 2) differences in accessing and interacting with the healthcare system, and 3) variation in the true incidence of medical and mental health outcomes in the TGD vs control cohorts.

Kristian G. Barman Sascha Caron Emily Sullivan Henk W. de Regt Roberto Ruiz de Austri Mieke Boon Michael Färber Stefan Fröse Tobias Golling Luis G.

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I consider myself to be generally aware of the state of book banning in the United States. I read about the fights going on in school districts and libraries throughout Florida, Tennessee and Texas. I was recently frustrated by the ruling on Mahmoud v. Taylor, which allows parents to opt their children out of curricula including LGBTQ+ identities. Yet, I knew nothing about bans in my home state of New York or here in Massachusetts. In my mind, book banning was an issue of ‘elsewhere.’

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In general, Homeowners' Associations (HOAs) in North Carolina are responsible for managing, maintaining, repairing, and replacing common areas, as

The Mass Freedom to Read Coalition assembled on March 10 in the Boston State House for a day of advocacy, involving a book fair and a press conference with speakers including authors, state legislators, students, librarians and advocates.

The weather is warming up, reviving both the grass and students alike. Although it might seem like reading season is over, with fireplaces extinguished and sweaters folded up until next winter, I disagree. While perhaps not as idyllic as reading outdoors in the fall, picking up a book and taking it outside is a wonderful way to greet the spring.

Welcome to the final installment of Boston Bookcrawl! I have loved recording my bookstore expeditions and thoughts on literary spaces in the Boston area over the past year. I hope you have been able to visit some of these stops or found others I didn't write about for your own personal bookcrawl. There is truly an amazing number of indie bookstores in this area for you to explore and support.

MORNING TRIVIA-Deborah Cleveland, $10 Gift Certificate to Watermill Restaurant