Carl Streed Jr. MD MPH FACP FAHA (he/him)

Our latest for JGIM highlights that while #transgender veterans have a higher burden of heart disease compared to cisgender veterans, hormone therapy is associated with LOWER risk of developing heart disease among trans veterans. Hormones improve health.
link.springer.com/article/10.1...

I’m not sitting back while this administrations destroys my career and the careers of my colleagues and mentees. #LGBTQI+

Overheard on our flight to Chicago:
This is the only way to make friends in Boston, on a flight to Chicago over the holidays. “Oh you’re from the Midwest?! Good people.”

ABS releases first ever estimates of LGBTI+ Australians

‘The new data shows that about 4.5% of all Australians 16 years and older are #LGBTI+; that’s over 900,000 people.’

‘Younger Australians are more likely to be LGBTI+. Nearly 10% of Australians aged 16 to 24 years are LGBTI+.’

www.abs.gov.au/media-centre...

Redo, eh?

You want to know one totally doable action step you can take before the next administration? Get vaccinated. Seriously. Check your immunization history right now and see if you're up to date. One you've been putting off? Don't. You taking that step now may save someone's life in the next few years.

I'm looking forward to the 2025 GLMA conference in Minneapolis, MN #LGBTQ

www.glma.org/glmas_annual...

Healthcare professionals must be vigilant against implicit bias, particularly racial bias, which can lead to delayed diagnosis and poorer outcomes for marginalized patient populations. @cjstreed.bsky.social closler.org/lifelong-lea...

I offer no more or less protection to people who disagree with me as agree with me.

Are the Effects of Poor Survey Measurement of Sexual Identity on Estimated Associations between Sexual Identity and Health-Related Measures Moderated by the State-Level Policy Environment? Including a “something else” response option for survey questions about sexual identity significantly moderates estimated differences between sexual identity subgroups in terms of behaviors and att...

Policy affects data: "when a 'something else' response option is provided for sexual identity, survey respondents in states w worse policy protections may be more inclined to select this option, possibly for reasons of negative stigmas in these environments." #LGB
www.tandfonline.com/doi/full/10....

Latest from the European Society for Paediatric Endocrinology: Endocrine management of #transgender and gender diverse adolescents: expert opinion of the ESPE Working Group on Gender Incongruence and the Endo-ERN main thematic group on Sexual Development and Maturation.

karger.com/hrp/article-...

Puberty blockers, hormones: What to know about gender care for minors Frequently asked questions about gender transition care for minors, including what puberty blockers are and whether cross-sex hormones impact fertility.

Highlighted what we know and what we should actually be focusing on re: gender-affirming care.

@washingtonpost.com

www.washingtonpost.com/health/2024/...

What medical care for transgender minors is at stake in Supreme Court case? The Supreme Court will hear arguments Wednesday in a case involving Tennessee’s ban on gender-affirming care for transgender people under age 18.

Provided some background review for this article. @asssociatedpress.bsky.social

What medical care for transgender minors is at stake in Supreme Court case?

apnews.com/article/tran...

Prevalent Atherosclerotic Cardiovascular Disease Among Veterans by Sexual Orientation | Journal of the American Heart Association

Using natural language processing (NLP) to explore veteran health, we found that #LGB vets had greater odds of #CVD than straight peers even adjusting for traditional risk factors & mental health.

Minority stress is killing us.

www.ahajournals.org/doi/10.1161/...

A highly edifying experience

Endocrine management of transgender adolescents: Expert consensus of the french society of pediatric endocrinology and diabetology working group Requests for hormonal transition in minors are increasing. To date, there is no national recommendation to guide these practices in France. Therefore,…

BREAKING: Expert consensus of the french society of pediatric endocrinology and diabetology working group.

This is yet another set of guidelines consistent with WPATH standards of care.

www.sciencedirect.com/science/arti...

a woman in a wonder woman costume is standing next to a car . ALT: a woman in a wonder woman costume is standing next to a car .

I’m a Midwestener at heart; I deflect compliments better than Wonder Woman deflects bullets.

Ha. I am not that delulu. I hope for discussion at best.

An Evidence-Based Framework for Supporting Older LGBTQ+ Adults in Rural Communities: Findings From the LGBTQ+ Social Networks, Aging, and Policy Study Tremendous growth in research over the past decade has delivered breakthroughs in understanding lesbian, gay, bisexual, transgender, and queer (LGBTQ+) hea

#LGBTQ health: An Evidence-Based Framework for Supporting Older LGBTQ+ Adults in Rural Communities: Findings From the LGBTQ+ Social Networks, Aging, and Policy Study

We need to address diminishing community support and increasing social isolation among older folks

academic.oup.com/ppar/advance...

Mug: Dorothy saying “No, no, I will not have a nice day!” T-shirt: gay but not happy

Working on a few NIH grants today.

Mug: Dorothy saying “No, no, I will not have a nice day!”
T-shirt: gay but not happy

#professionalgay
#LGBTQsky

Boots getting #thanksgiving biscuits together. #cats

Omg, Mr. Worcester is adorable!

What to Know Ahead of the Supreme Court Case on Youth Access to Gender Affirming Care | KFF This brief provides background on gender affirming care and state bans, explains the legal challenge to the Tennessee law, and explores the potential Supreme Court ruling and impact on access across t...

#SCOTUS watch for next week's Skrmetti case re: access to evidence-based care for youth.

www.kff.org/other/issue-...

Most telling is the inclusion of a review of conversion therapy, which reviewers note is consistently associated with increased suicidality.

While the quality of the evidence remains an issue for the reviewers, the direction of the interventions is fairly consistent re: mental health and addressing gender dysphoria.

Interventions for Gender Dysphoria and Related Health Problems in Transgender and Gender-Expansive Youth The authors conducted a systematic review of literature on interventions for gender dysphoria and related health problems in transgender and gender-expansive youth (age 25 or younger) to inform health...

Evidence review of medical intersections for #transgender youth: the latest by RAND

www.rand.org/pubs/researc...

Position Statement on the Use of Puberty Blockers in Gender-Affirming Care This position statement accompanies the release of an evidence brief which examines the safety and long-term impacts of puberty blockers when used in the context of gender-affirming care. This stateme...

Medical care of #transgender people: Review of the evidence to serve the people of New Zealand: "Current evidence indicates a significant improvement in depression, anxiety and suicidal ideation for individuals treated with puberty blockers."

www.health.govt.nz/publications...

Information About Sexual and Gender Minority Services and Policies on US Hospital Websites This cross-sectional study assesses the extent to which hospitals provide information related to sexual and gender minority policies and health services on their websites.

#LGBTQ Research: reviewing 300 hospital websites, researchers found most had #LGBTQ nondiscrimination policies, but only 25% had an #LGBTQ friendly clinician directory & provided information about #LGBTQ related resources or services
@jamacurrent.bsky.social
jamanetwork.com/journals/jam...

State-level gender-affirming healthcare policy and depressive symptoms among LGBTQ+ youth U.S. states vary in their level of support and protection for transgender and gender diverse youth. Few studies have examined associations between sta…

#LGBTQ Research: Using data from the LGBTQ National Teen Survey, researchers found that a more supportive state policy environment for coverage of gender-affirming care was associated w/ fewer depressive symptoms. No suprise for parents and clinicians...

www.sciencedirect.com/science/arti...