Sexual and Gender Minority Health in Neurology: A Scoping Review.
Sexual and Gender Minority Health in Neurology: A Scoping Review.
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性和性别少数族裔的神经病学：范围审查。
DOI：
10.1001/jamaneurol.2020.5536
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发表时间：
2021-06-01
期刊：
影响因子：
29
通讯作者：
Whitaker, Evans
中科院分区：
文献类型：
--
作者：
Rosendale, Nicole;Wong, Jeffrey O.;Flatt, Jason D.;Whitaker, Evans
关于性和性别少数群体（SGM）社区的神经健康需求知之甚少。本次范围审查的目的是描述神经病学中SGM健康的科学现状，并强调知识和差距领域，以指导未来的研究。作者检索了PubMed、Embase、Web of Science、PsycINFO、CINAHL和Biosis Previews，包括2020年4月12日之前发表的所有文章，检索字符串包括SGM描述符和神经系统疾病。共找到8359项并输入EndNote，删除了2921项重复项。作者进行了一式两份的盲态摘要审查，通过共识解决冲突，然后进行一式两份的全文审查，以确定348篇有资格进行数据摘要的文章。纳入了介绍已确定的成年SGM人群的主要数据的文章，这些文章涉及临床神经学主题。抽象变量采用描述性统计。在348篇文章中，最大比例在美国发表（50.3%），为病例报告/系列（58.9%）。大多数（72.4%）包括男同性恋/双性恋顺性别男性，247项研究（71.0%）评估了HIV阳性个体的神经系统疾病。在31.9%的研究中确定了人种/种族。最常见的主题是神经感染性疾病（57.5%）、认知神经学（17.2%）、脑血管疾病（4.6%）和自闭症（4.6%）。在更广泛的神经病学主题中进行更严格的研究，并纳入更多的社会人口多样性是非常必要的。在电子健康记录和人口健康调查中系统地收集性取向和性别认同将是SGM社区神经健康公平的重要一步。
Little is known about the neurologic health needs of the sexual and gender minority (SGM) community. The goal of this scoping review is to describe the current state of science in SGM health in neurology and highlight areas of knowledge and gaps to guide future research. The authors searched PubMed, Embase, Web of Science, PsycINFO, CINAHL, and Biosis Previews including all articles published before April 12,2020 using a search string encompassing SGM descriptors and neurologic disorders. A total of 8359 items were found and entered into EndNote, with 2921 duplicates removed. Blinded abstract review was performed by the authors in duplicate, with conflicts settled through consensus, followed by a duplicate full text review to identify the 348 articles eligible for data abstraction. Articles presenting primary data about an identified adult SGM population addressing a clinical neurology topic were included. Descriptive statistics were used for the abstracted variables. Of the 348 articles, the largest proportion were published in the United States (50.3%) and were case reports/series (58.9%). Most (72.4%) included gay/bisexual cisgender men, and 247 studies (71.0%) assessed neurologic disorders in HIV+ individuals. Race/ethnicity was identified in 31.9% of studies. The most common subject themes were neuroinfectious disease (57.5%), cognitive neurology (17.2%), cerebrovascular disease (4.6%), and autism (4.6%). More rigorous research in a wider range of neurologic topics and inclusive of more sociodemographic diversity is gravely needed. Systematic collection of sexual orientation and gender identity in the electronic health record and in population health surveys would be an important step forward in neurologic health equity for the SGM community.
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影响因子：
2
作者：
Delpolyi, Amy R.;Han, Seunggu J.;Parsa, Andrew T.
通讯作者：
Parsa, Andrew T.
影响因子：
3.7
作者：
Auer MK;Liedl A;Fuss J;Nieder T;Briken P;Stalla GK;Hildebrandt T;Biedermann SV;Sievers C
通讯作者：
Sievers C
影响因子：
3.1
作者：
Caceres BA;Jackman KB;Edmondson D;Bockting WO
通讯作者：
Bockting WO
影响因子：
4.1
作者：
Caceres, Billy A.;Hickey, Kathleen T.;Hughes, Tonda L.
通讯作者：
Hughes, Tonda L.
影响因子：
5.2
作者：
George, Rita;Stokes, Mark A.
通讯作者：
Stokes, Mark A.