Juno Obedin-Maliver
Dados Biográficos
| ID | 2055073 |
|---|---|
| NOME | Juno Obedin-Maliver |
| PRENOMES | Juno |
| SOBRENOME | Obedin-Maliver |
| ASSINATURA | OBEDIN-MALIVER J |
| AFILIAÇÕES | Pride Foundation |
| ORCID | 0000-0002-0945-2842 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 29 |
| TOTAL DE CITAÇÕES | 34 |
| TOTAL COMO AUTOR | 29 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2011 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 2 |
Validation of an Extended Sexual Orientation and Gender Identity Measure in a Racially and Ethnically Diverse Cohort of People Living with or at Risk for HIV Infection
Despite becoming a routine part of clinical care, collection of sexual orientation and gender identity (SOGI) is not standardized, and common measures might not reflect the full range of LGBTQ+ experiences. In this study, we tested a novel expanded SOGI measure that addresses these concerns in a racially and ethnically diverse HIV cohort study. Participants ( N = 885) were randomized to complete either a common SOGI measure with fewer SOGI choice…
“I Don’t Know How to Treat You”
Many transmasculine and gender diverse people assigned female at birth people use testosterone as gender-affirming hormone therapy, which is associated with significant changes to sexual and reproductive health. Additionally, transmasculine people experience significant barriers to accessing gynecological care. This study examined the perceived role of testosterone in individuals' gynecological health and how testosterone use shaped access to gyn…
One Size Does Not Fit All
This research examines how gender expressions in health messages influence perceived message effectiveness (PME) for sexual and gender minority (SGM) young adults through perceived character similarity. In an online experiment, 1,113 SGM young adults were randomly assigned to view six anti-smoking messages portraying one of four gender expressions: feminine, masculine, gender expansive, or multiple gender. Findings indicated that messages with mu…
Understanding differences in types of social support and their effects on mental health over time for trans and nonbinary adults
Although research has shown that social support generally is beneficial to mental health among trans and nonbinary (TNB) adults, less is known regarding what forms of support and the degree to which they mitigate the harms of minority stress on mental health over time. This study investigated differences in types of social support and their association with mental health over time in a sample of 2,411 TNB adults, predominantly younger in age (53%…
Trauma symptoms, minority stress, and substance use
Posttraumatic stress symptoms are very high among sexual and/or gender minority (SGM) people. Development and testing of trauma interventions with SGM people is needed, but first we need to understand who among SGM people are at greatest risk of posttraumatic stress symptoms, how minority stress may contribute, and the frequency of substance use comorbidity with significant posttraumatic stress symptoms among SGM people. General linear models and…
Now, More Than Ever, We Need Institutional Commitments to Transgender Health Research
Exposure to intimate partner violence and subsequent substance use among a nationwide sample of LGBTQIA+ people
BACKGROUND: Individuals who are lesbian, gay, bisexual, transgender, queer or questioning, intersex, aromantic, asexual, or another sexual or gender minority (LGBTQIA+) are at greater risk of both intimate partner violence (IPV) and substance use compared to their cisgender, heterosexual counterparts. However, knowledge regarding the complex relationship between IPV and substance use in LGBTQIA+ communities is limited. METHODS: This study used da…
Community norms of the Eating Pathology Symptoms Inventory (Epsi) in transgender and gender-diverse adults
Transgender and gender-diverse (TGD) individuals are at a higher risk for eating disorders, yet existing community norms for many eating disorder measures predominantly derive from cisgender populations. This study aimed to establish community norms for the Eating Pathology Symptoms Inventory (EPSI) among TGD adults (Forbush et al., 2013). The sample included 1206 gender-diverse people, 599 transgender men, and 293 transgender women from The PRID…
Mental health treatment experiences among sexual and gender minority individuals
Effective treatments for trauma should be informed by the needs of the diverse groups that comprise the SGM community
An automated algorithm for classifying expansive responses for gender identity
Current two-step measures of gender identity do not prescribe methods for using expanded responses ( e.g., multiple selections) among sexual and gender minority (SGM) people, though they want the opportunity to provide these responses. To increase statistical power using expanded gender identity responses, we created an automated algorithm to generate analyzable categories. Participants' expanded gender identity responses and sex assigned at birt…
Inequities in Conversion Practice Exposure at the Intersection of Ethnoracial and Gender Identities
Objectives. To examine inequities in conversion practice exposure across intersections of ethnoracial groups and gender identity in the United States. Methods. Data were obtained from The Population Research in Identity and Disparities for Equality Study of sexual and gender minority people from 2019 to 2021 (n = 9274). We considered 3 outcomes: lifetime exposure, age of first exposure, and period between first and last exposure among those expos…
Asking sexual orientation and gender identity on health surveys
Questions assessing sexual orientation and gender identity (SOGI) are not consistently asked on U.S.-based health surveys and, as a result, sexual and gender minority (SGM) people are often invisible, obscuring insight into their health. The purpose of this study was to explore how people across different sexual orientations and genders preferred to be asked about SOGI on U.S.-based health surveys. Using in-depth cognitive interviews with 14 non-…
Reports of Negative Interactions with Healthcare Providers among Transgender, Nonbinary, and Gender-Expansive People assigned Female at Birth in the United States
Over one million people in the United States are transgender, nonbinary, or gender expansive (TGE). TGE individuals, particularly those who have pursued gender-affirming care, often need to disclose their identities in the process of seeking healthcare. Unfortunately, TGE individuals often report negative experiences with healthcare providers (HCPs). We conducted a cross-sectional online survey of 1684 TGE people assigned female or intersex at bi…
Societal stigma and mistreatment in healthcare among gender minority people
Although a high proportion of GM people reported past-year healthcare mistreatment in both medical and mental health settings, mistreatment had no relationship with societal stigma. Factors other than societal stigma may be more important predictors of healthcare mistreatment, such as healthcare workers' knowledge of and attitudes toward GM people. However, other measures of societal stigma, or different types of mistreatment, may show stronger a…
Understanding the social and community support experiences of sexual and gender minority individuals in 12-Step programs
Sexual and gender minority individuals ( e.g., gay, bisexual, non-binary, transgender; SGMI) are 2-6 times as likely as cisgender heterosexual individuals to experience alcohol or other substance use disorders. SGMI participate in 12-Step groups, such as Alcoholics Anonymous (AA), at high rates. Though social support is an established mechanism through which 12-Step programs support reductions in substance use, little is known about SGMI's experi…
Self-Reported Barriers to Care Among Sexual and Gender Minority People With Disabilities
Objectives. To examine the associations of self-reported disability status with health care access barriers for sexual and gender minority (SGM) people. Methods. The Population Research in Identity and Disparities for Equality (PRIDE) Study participants lived in the United States or its territories, completed the 2019 annual questionnaire (n = 4961), and self-reported their disability and health care access experiences, including whether they had…
Human Papillomavirus Vaccination Over Time in Heterosexual and Sexual Minority Adults in the United States
Purpose: We proposed to identify the factors that determine the trends in human papillomavirus (HPV) vaccination initiation and completion among heterosexual and sexual minority adults. Methods: Using National Health and Nutrition Examination Survey database from 2007 to 2016, we performed chi-squared tests and multivariate logistic regression analysis. Results: Heterosexual females initiated vaccination at 23.5% compared with sexual minority fem…
Subjective Cognitive Decline Associated with Discrimination in Medical Settings among Transgender and Nonbinary Older Adults
Nearly 16% of TNB participants rated their memory as poor/fair, and 17% reported that their memory was worse than a year ago. TNB older adults with SCD were more likely to report experiencing discrimination in medical settings. After adjustment, those reporting discrimination in medical settings had 4.5 times higher odds of reporting worsening memory than those who did not (OR: 4.5; 95%-CI: 1.5-13.2; p = 0.006), and 7.5 times more likely to repor…
State-Level Policy Environments, Discrimination, and Victimization among Sexual and Gender Minority People
Legislation has been passed in some states to reduce discrimination and victimization toward sexual and gender minority people (SGM; people who are not solely heterosexual and/or whose gender identity is not equal to what is socially associated with sex assigned at birth). The purpose of these analyses is to test whether state-level policy environments are associated with past-year discrimination and victimization among SGM people. Cross-sectiona…
Risk Factors for Dual Burden of Severe Maternal Morbidity and Preterm Birth by Insurance Type in California
Risk factors of dual burden differed by insurance type across sociodemographic and perinatal factors, suggesting that care quality may differ by insurance type. Attention to peripartum care access and care quality provided by insurance type is needed to improve maternal and neonatal health
Healthcare Mistreatment, State-Level Policy Protections, and Healthcare Avoidance Among Gender Minority People
The online version contains supplementary material available at 10.1007/s13178-022-00748-1
Birth registration policies in the United States and their relevance to sexual and/or gender minority families
Meeting the Patient Care, Education, and Research Missions
While sociopolitical advances have improved the rights of sexual and gender minorities (i.e., lesbian, gay, bisexual, transgender, queer [LGBTQ+] persons), they continue to face a health system that discriminates against them and does not provide competent, comprehensive care. Despite calls for advancing research, there remains limited sexual and gender minority health research funding, mentorship, and institutional support. Academic medical cent…
From ‘Shark-Week’ to ‘Mangina’
Purpose: To explore sexual and reproductive health (SRH)-related word-use among sexual and gender minority (SGM) individuals in the United States. Methods: In 2019, we fielded an online quantitative survey on the SRH experiences of SGM adults. Eligible participants included transgender, nonbinary, and gender-expansive (TGE) people assigned female or intersex at birth, and cisgender sexual minority women (CSMW) in the United States. The survey ask…
Understanding co-occurring depression symptoms and alcohol use symptoms among cisgender sexual minority women
Sexual minority women (SMW; e.g., lesbian, bisexual) experience depression and alcohol use disorder at approximately twice the rates of heterosexual women. Though discrimination is a common explanation for these disparities, little is known about the mechanisms through which discrimination contributes to these disparities. Past research has found that the strategies that individuals use to regulate their emotions in response to discrimination may…
What Sexual and Gender Minority People Want Researchers to Know About Sexual Orientation and Gender Identity Questions
Sexual and gender minority (SGM) people—including members of the lesbian, gay, bisexual, transgender, and queer communities—are understudied and underrepresented in research. Current sexual orientation and gender identity (SOGI) questions do not sufficiently engage SGM people, and there is a critical gap in understanding how SOGI questions reduce inclusion and accurate empirical representation. We conducted a qualitative study to answer the quest…
Healthcare Mistreatment, State-Level Policy Protections, and Healthcare Avoidance Among Gender Minority People
The online version contains supplementary material available at 10.1007/s13178-022-00748-1
Inequities in Conversion Practice Exposure at the Intersection of Ethnoracial and Gender Identities
Objectives. To examine inequities in conversion practice exposure across intersections of ethnoracial groups and gender identity in the United States. Methods. Data were obtained from The Population Research in Identity and Disparities for Equality Study of sexual and gender minority people from 2019 to 2021 (n = 9274). We considered 3 outcomes: lifetime exposure, age of first exposure, and period between first and last exposure among those expos…
Understanding the social and community support experiences of sexual and gender minority individuals in 12-Step programs
Sexual and gender minority individuals ( e.g., gay, bisexual, non-binary, transgender; SGMI) are 2-6 times as likely as cisgender heterosexual individuals to experience alcohol or other substance use disorders. SGMI participate in 12-Step groups, such as Alcoholics Anonymous (AA), at high rates. Though social support is an established mechanism through which 12-Step programs support reductions in substance use, little is known about SGMI's experi…
Understanding co-occurring depression symptoms and alcohol use symptoms among cisgender sexual minority women
Sexual minority women (SMW; e.g., lesbian, bisexual) experience depression and alcohol use disorder at approximately twice the rates of heterosexual women. Though discrimination is a common explanation for these disparities, little is known about the mechanisms through which discrimination contributes to these disparities. Past research has found that the strategies that individuals use to regulate their emotions in response to discrimination may…
Lesbian, Gay, Bisexual, and Transgender–Related Content in Undergraduate Medical Education
CONTEXT: Lesbian, gay, bisexual, and transgender (LGBT) individuals experience health and health care disparities and have specific health care needs. Medical education organizations have called for LGBT-sensitive training, but how and to what extent schools educate students to deliver comprehensive LGBT patient care is unknown. OBJECTIVES: To characterize LGBT-related medical curricula and associated curricular development practices and to deter…
Supporting sexual and gender minority health
Sexual and gender minority (SGM) people experience significant disparities in mental health and substances use disorders. This study reached out to mental health professionals (MHPs) who treat SGM people to determine mental health priorities for research that would better inform their clinical practice. MHPs were surveyed and asked to rate items based on a likert-type scale. Open-ended questions were also queried and analyzed qualitatively. Five …
Stakeholder Perceptions and Experiences Regarding Access to Contraception and Abortion for Transgender, Non-Binary, and Gender-Expansive Individuals Assigned Female at Birth in the U.S
What Sexual and Gender Minority People Want Researchers to Know About Sexual Orientation and Gender Identity Questions
Sexual and gender minority (SGM) people—including members of the lesbian, gay, bisexual, transgender, and queer communities—are understudied and underrepresented in research. Current sexual orientation and gender identity (SOGI) questions do not sufficiently engage SGM people, and there is a critical gap in understanding how SOGI questions reduce inclusion and accurate empirical representation. We conducted a qualitative study to answer the quest…
Meeting the Patient Care, Education, and Research Missions
While sociopolitical advances have improved the rights of sexual and gender minorities (i.e., lesbian, gay, bisexual, transgender, queer [LGBTQ+] persons), they continue to face a health system that discriminates against them and does not provide competent, comprehensive care. Despite calls for advancing research, there remains limited sexual and gender minority health research funding, mentorship, and institutional support. Academic medical cent…
From ‘Shark-Week’ to ‘Mangina’
Purpose: To explore sexual and reproductive health (SRH)-related word-use among sexual and gender minority (SGM) individuals in the United States. Methods: In 2019, we fielded an online quantitative survey on the SRH experiences of SGM adults. Eligible participants included transgender, nonbinary, and gender-expansive (TGE) people assigned female or intersex at birth, and cisgender sexual minority women (CSMW) in the United States. The survey ask…
Understanding co-occurring depression symptoms and alcohol use symptoms among cisgender sexual minority women
Sexual minority women (SMW; e.g., lesbian, bisexual) experience depression and alcohol use disorder at approximately twice the rates of heterosexual women. Though discrimination is a common explanation for these disparities, little is known about the mechanisms through which discrimination contributes to these disparities. Past research has found that the strategies that individuals use to regulate their emotions in response to discrimination may…
Human Papillomavirus Vaccination Over Time in Heterosexual and Sexual Minority Adults in the United States
Purpose: We proposed to identify the factors that determine the trends in human papillomavirus (HPV) vaccination initiation and completion among heterosexual and sexual minority adults. Methods: Using National Health and Nutrition Examination Survey database from 2007 to 2016, we performed chi-squared tests and multivariate logistic regression analysis. Results: Heterosexual females initiated vaccination at 23.5% compared with sexual minority fem…
Subjective Cognitive Decline Associated with Discrimination in Medical Settings among Transgender and Nonbinary Older Adults
Nearly 16% of TNB participants rated their memory as poor/fair, and 17% reported that their memory was worse than a year ago. TNB older adults with SCD were more likely to report experiencing discrimination in medical settings. After adjustment, those reporting discrimination in medical settings had 4.5 times higher odds of reporting worsening memory than those who did not (OR: 4.5; 95%-CI: 1.5-13.2; p = 0.006), and 7.5 times more likely to repor…
State-Level Policy Environments, Discrimination, and Victimization among Sexual and Gender Minority People
Legislation has been passed in some states to reduce discrimination and victimization toward sexual and gender minority people (SGM; people who are not solely heterosexual and/or whose gender identity is not equal to what is socially associated with sex assigned at birth). The purpose of these analyses is to test whether state-level policy environments are associated with past-year discrimination and victimization among SGM people. Cross-sectiona…
Risk Factors for Dual Burden of Severe Maternal Morbidity and Preterm Birth by Insurance Type in California
Risk factors of dual burden differed by insurance type across sociodemographic and perinatal factors, suggesting that care quality may differ by insurance type. Attention to peripartum care access and care quality provided by insurance type is needed to improve maternal and neonatal health
Healthcare Mistreatment, State-Level Policy Protections, and Healthcare Avoidance Among Gender Minority People
The online version contains supplementary material available at 10.1007/s13178-022-00748-1
Birth registration policies in the United States and their relevance to sexual and/or gender minority families
Asking sexual orientation and gender identity on health surveys
Questions assessing sexual orientation and gender identity (SOGI) are not consistently asked on U.S.-based health surveys and, as a result, sexual and gender minority (SGM) people are often invisible, obscuring insight into their health. The purpose of this study was to explore how people across different sexual orientations and genders preferred to be asked about SOGI on U.S.-based health surveys. Using in-depth cognitive interviews with 14 non-…
Reports of Negative Interactions with Healthcare Providers among Transgender, Nonbinary, and Gender-Expansive People assigned Female at Birth in the United States
Over one million people in the United States are transgender, nonbinary, or gender expansive (TGE). TGE individuals, particularly those who have pursued gender-affirming care, often need to disclose their identities in the process of seeking healthcare. Unfortunately, TGE individuals often report negative experiences with healthcare providers (HCPs). We conducted a cross-sectional online survey of 1684 TGE people assigned female or intersex at bi…
Societal stigma and mistreatment in healthcare among gender minority people
Although a high proportion of GM people reported past-year healthcare mistreatment in both medical and mental health settings, mistreatment had no relationship with societal stigma. Factors other than societal stigma may be more important predictors of healthcare mistreatment, such as healthcare workers' knowledge of and attitudes toward GM people. However, other measures of societal stigma, or different types of mistreatment, may show stronger a…
Understanding the social and community support experiences of sexual and gender minority individuals in 12-Step programs
Sexual and gender minority individuals ( e.g., gay, bisexual, non-binary, transgender; SGMI) are 2-6 times as likely as cisgender heterosexual individuals to experience alcohol or other substance use disorders. SGMI participate in 12-Step groups, such as Alcoholics Anonymous (AA), at high rates. Though social support is an established mechanism through which 12-Step programs support reductions in substance use, little is known about SGMI's experi…
Self-Reported Barriers to Care Among Sexual and Gender Minority People With Disabilities
Objectives. To examine the associations of self-reported disability status with health care access barriers for sexual and gender minority (SGM) people. Methods. The Population Research in Identity and Disparities for Equality (PRIDE) Study participants lived in the United States or its territories, completed the 2019 annual questionnaire (n = 4961), and self-reported their disability and health care access experiences, including whether they had…
Mental health treatment experiences among sexual and gender minority individuals
Effective treatments for trauma should be informed by the needs of the diverse groups that comprise the SGM community
An automated algorithm for classifying expansive responses for gender identity
Current two-step measures of gender identity do not prescribe methods for using expanded responses ( e.g., multiple selections) among sexual and gender minority (SGM) people, though they want the opportunity to provide these responses. To increase statistical power using expanded gender identity responses, we created an automated algorithm to generate analyzable categories. Participants' expanded gender identity responses and sex assigned at birt…
Inequities in Conversion Practice Exposure at the Intersection of Ethnoracial and Gender Identities
Objectives. To examine inequities in conversion practice exposure across intersections of ethnoracial groups and gender identity in the United States. Methods. Data were obtained from The Population Research in Identity and Disparities for Equality Study of sexual and gender minority people from 2019 to 2021 (n = 9274). We considered 3 outcomes: lifetime exposure, age of first exposure, and period between first and last exposure among those expos…
Understanding differences in types of social support and their effects on mental health over time for trans and nonbinary adults
Although research has shown that social support generally is beneficial to mental health among trans and nonbinary (TNB) adults, less is known regarding what forms of support and the degree to which they mitigate the harms of minority stress on mental health over time. This study investigated differences in types of social support and their association with mental health over time in a sample of 2,411 TNB adults, predominantly younger in age (53%…
Trauma symptoms, minority stress, and substance use
Posttraumatic stress symptoms are very high among sexual and/or gender minority (SGM) people. Development and testing of trauma interventions with SGM people is needed, but first we need to understand who among SGM people are at greatest risk of posttraumatic stress symptoms, how minority stress may contribute, and the frequency of substance use comorbidity with significant posttraumatic stress symptoms among SGM people. General linear models and…
Now, More Than Ever, We Need Institutional Commitments to Transgender Health Research
Exposure to intimate partner violence and subsequent substance use among a nationwide sample of LGBTQIA+ people
BACKGROUND: Individuals who are lesbian, gay, bisexual, transgender, queer or questioning, intersex, aromantic, asexual, or another sexual or gender minority (LGBTQIA+) are at greater risk of both intimate partner violence (IPV) and substance use compared to their cisgender, heterosexual counterparts. However, knowledge regarding the complex relationship between IPV and substance use in LGBTQIA+ communities is limited. METHODS: This study used da…
LGBTQ Health, Identity, and Policy (24 obras) · Psychology (23 obras) · Social Psychology (16 obras) · Medicine (15 obras) · Transgender (12 obras) · Sexual orientation (11 obras) · Reproductive Health and Technologies (10 obras) · Sexual minority (10 obras) · Sociology (10 obras) · Clinical Psychology (9 obras)