Influence of gender and sexual identity on adolescent skin health
Influence of gender and sexual identity on adolescent skin health
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DOI：
10.1111/pde.14686
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发表时间：
2021-07-16
影响因子：
1.5
通讯作者：
Boos, Markus D.
中科院分区：
文献类型：
--
作者：
Covelli, Isabela;Ahrens, Kym;Boos, Markus D.
背景/目的研究已经确定了皮肤病和相关的皮肤相关行为，明显或不成比例地影响性和性别少数（SGM）的成年人相比，他们的顺性别/异性恋的同行，但这些观察是否适用于SGM青少年仍然未知。我们的目的是描述SGM青年相对于他们的顺性别/异性恋同龄人的皮肤状况的性质和频率，并探讨青少年对他们的皮肤健康和获得皮肤病护理的态度。方法选取2019年6月至12月在西雅图儿童医院青少年医学和性别门诊就诊的13-21岁SGM和顺性/异性恋青年，参与本次横断面调查研究，并进行后续统计分析。结果118例受试者纳入研究。性取向并不影响参与者个人对皮肤的感觉和护理，尽管性别认同确实影响了这种关系。（P = 0.012）性和性别少数青年都表现出对皮肤科医生的偏好，他们被认为是SGM，更有可能积极寻求这些提供者的护理。（P < .001）在基于性取向或性别认同的群体中，大多数皮肤病的患病率没有差异。结论皮肤科医生应询问青少年和年轻成年患者的性取向和性别认同如何影响他们对皮肤的看法，以指导咨询并为青少年提供全面的支持。与SGM青年的治疗联盟可以通过公开识别为SGM的提供者来加强。
Background/Objective Studies have identified dermatologic conditions and relevant skin-related behaviors that distinctly or disproportionately impact sexual and gender minority (SGM) adults compared with their cisgender/heterosexual counterparts, but whether these observations apply to SGM adolescents remains unknown. We aimed to describe the nature and frequency of skin conditions in SGM youth relative to their cisgender/heterosexual peers and explore adolescents' attitudes toward their skin health and accessing dermatologic care. Methods SGM and cisgender/heterosexual youth aged 13-21 years seen at Seattle Children's Hospital Adolescent Medicine and Gender clinics from June to December 2019 were invited to participate in this cross-sectional survey study, with subsequent statistical analysis. Results One-hundred and eighteen subjects were included in the study. Sexual orientation did not affect how participants personally felt about and cared for their skin, though gender identity did influence this relationship. (P = .012) Both sexual and gender minority youth demonstrated a preference for a dermatologist who identified as SGM and would be more likely to actively seek care from these providers. (P < .001) There was no difference in the reported prevalence of most dermatologic conditions among groups based on sexual orientation or gender identity. Conclusion Dermatologists should inquire with adolescent and young adult patients how their sexual orientation and gender identities influence how they view their skin, in an effort to guide counseling and demonstrate holistic support for adolescents. Therapeutic alliances with SGM youth may be strengthened by providers who openly identify as SGM.