Sari Reisner

Jul 22, 2024 | annfammed.org | Michael Liu |Vishal Patel |Sahil Sandhu |Sari Reisner

AbstractSexual and gender minority (SGM) adults experience poor health outcomes, in part due to frequent avoidance of necessary health care. Little is known, however, about factors contributing to patterns of health care utilization in this population. Using national data from the All of Us Research Program, this study evaluated the prevalence of care avoidance due to patient-clinician identity discordance (PCID) and its association with health care discrimination among SGM adults.

Jun 24, 2024 | jamanetwork.com | Carl G. Streed |Michael Liu |Vishal Patel |Sari Reisner

Association of Political Assaults With the Health of Transgender and Nonbinary Persons Until recently, we could not begin to understand the health and well-being of transgender and nonbinary communities. The rampant practice of erasing transgender and nonbinary populations in public health and scientific programming and data collection systems guaranteed that transgender and nonbinary communities were invisible.

Apr 10, 2024 | sph.umich.edu | Sari Reisner

Q&A with Kristi Gamarel and Sari Reisner April 10, 2024 University of Michigan School of Public Health researchers are assessing the efficacy of a program called LEAP (Legal, Economic, and Affirming Peer Support) as part of the NIH-funded Adolescent Medicine Trials Network for HIV Interventions (ATN), which focuses on improving HIV prevention and care continuum outcomes for youth.

Sep 15, 2023 | bmcpublichealth.biomedcentral.com | Sari Reisner |Jody L. Herman |Walter Bockting |Evan A. Krueger |Ilan H. Meyer |Soon Kyu Choi

Sexual orientation refers to a person’s enduring emotional, romantic, or sexual attractions to other people. Sexual orientation measures do not typically consider desires for, or sexual behavior with, transgender people. We describe measures inclusive of transgender people and characterize sexual orientation identity, behavior, and attraction in a representative sample of the U.S. transgender population. Between April 2016-December 2018, a U.S. national probability sample of transgender (n = 274) and cisgender (n = 1,162) adults were invited to complete a self-administered web or mailed paper survey. We assessed sexual identity with updated response options inclusive of recent identity terms (e.g., queer), and revised sexual behavior and attraction measures that included transgender people. Multiple response options were allowed for sexual behavior and attraction. Weighted descriptive statistics and sexual orientation differences by gender identity groups were estimated using age-adjusted comparisons. Compared to the cisgender population, the transgender population was more likely to identify as a sexual minority and have heterogeneity in sexual orientation, behavior, and attraction. In the transgender population, the most frequently endorsed sexual orientation identities were “bisexual” (18.9%), “queer” (18.1%), and “straight” (17.6%). Sexually active transgender respondents reported diverse partners in the prior 5 years: 52.6% cisgender women (CW), 42.7% cisgender men (CM), 16.9% transgender women (TW), and 19.5% transgender men (TM); 27.7% did not have sex in the past 5 years. Overall, 73.6% were “somewhat”/ “very” attracted to CW, 58.3% CM, 56.8% TW, 52.4% TM, 59.9% genderqueer/nonbinary-females-at-birth, 51.9% genderqueer/nonbinary-males-at-birth. Sexual orientation identity, behavior, and attraction significantly differed by gender identity for TW, TM, and nonbinary participants (all p < 0.05). Inclusive measures of sexual orientation captured diverse sexual identities, partner genders, and desires. Future research is needed to cognitively test and validate these measures, especially with cisgender respondents, and to assess the relation of sexual orientation and health for transgender people.