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LGBTQ+ Health
PRIMARY CARE: CLINICS IN OFFICE PRACTICE (Source: Primary Care: Clinics in Office Practice)
Source: Primary Care: Clinics in Office Practice - May 11, 2021 Category: Primary Care Authors: Jessica Lapinski, Kristine M. Diaz Source Type: research

Copyright
ELSEVIER (Source: Primary Care: Clinics in Office Practice)
Source: Primary Care: Clinics in Office Practice - May 11, 2021 Category: Primary Care Source Type: research

Contributors
JOEL J. HEIDELBAUGH, MD, FAAFP, FACG (Source: Primary Care: Clinics in Office Practice)
Source: Primary Care: Clinics in Office Practice - May 11, 2021 Category: Primary Care Source Type: research

Contents
Joel J. Heidelbaugh (Source: Primary Care: Clinics in Office Practice)
Source: Primary Care: Clinics in Office Practice - May 11, 2021 Category: Primary Care Source Type: research

Forthcoming Issues
Common Pediatric Issues in Primary Care (Source: Primary Care: Clinics in Office Practice)
Source: Primary Care: Clinics in Office Practice - May 11, 2021 Category: Primary Care Source Type: research

Delivering Holistic Transgender and Nonbinary Care in the Age of Telemedicine and COVID-19
This review describes the authors ’ experiences in offering gender-affirming primary care and hormonal care using an evidence-based, interprofessional, and multidisciplinary approach. The authors offer references for best practices set forth by organizations and thought leaders in transgender health and describe the key processes they developed to respectfully deliver affirming care to transgender and nonbinary patients. (Source: Primary Care: Clinics in Office Practice)
Source: Primary Care: Clinics in Office Practice - April 22, 2021 Category: Primary Care Authors: Henry Ng, Lyndsay Zimmerman, Bailey Ferguson, Elizabeth Dimmock, Richard Harlan, James Hekman, Hiba Obeid Source Type: research

Reproductive Considerations for the LGBTQ+ Community
When working with LGBTQ+  patients who want to build families, primary care providers play a key role in increasing access to reproductive health care. There is growing demand for assisted reproductive services among LGBTQ+ individuals who do not already have their own children or do not wish to adopt. Fertility-preservat ion options are available for transgender patients; however, many of these treatments are inaccessible to patients because of lack of insurance coverage and high cost. Legal options for LGBTQ+ patients’ reproduction vary by state. Knowledge of the laws and regulations in your own state of practic e i...
Source: Primary Care: Clinics in Office Practice - April 22, 2021 Category: Primary Care Authors: Melissa N. Montoya, Benjamin J. Peipert, Dane Whicker, Beverly Gray Source Type: research

Human Immunodeficiency Virus Care
This article provides a broad understanding of the human immunodeficiency virus (HIV) epidemic and how to provide appropriate care as a primary care provider. One important aspect to this is in understanding the effect that HIV has in the lesbian, gay, bisexual, transgender, and queer+  community. Through this article, clinicians will be better equipped to provide appropriate HIV primary care. (Source: Primary Care: Clinics in Office Practice)
Source: Primary Care: Clinics in Office Practice - April 22, 2021 Category: Primary Care Authors: Santina Wheat, Evan Wittke Source Type: research

Improving the Hospice and Palliative Care Experiences of LGBTQ Patients and Their Caregivers
This article discusses the barriers to quality hospice and palliative care experienced by many sexual and gender minorities, as well as specific ways in which primary care physicians can promote equitable end-of-life care. (Source: Primary Care: Clinics in Office Practice)
Source: Primary Care: Clinics in Office Practice - April 22, 2021 Category: Primary Care Authors: Shail Maingi, Asa Radix, Carey Candrian, Gary L. Stein, Cathy Berkman, Sean O ’Mahony Source Type: research

The Annual Examination for Lesbian, Gay, and Bisexual Patients
This article focuses on both the general and unique health needs of lesbian, gay, bisexual, and queer patients; care for transgender and gender-diverse patients is considered elsewhere. (Source: Primary Care: Clinics in Office Practice)
Source: Primary Care: Clinics in Office Practice - April 21, 2021 Category: Primary Care Authors: Sebastian Suarez, Emily Lupez, Jennifer Siegel, Carl Streed Source Type: research

A Guide to Creating a Gender-Affirming Environment Through a Community Lens Approach
This article provides a framework for comprehensive gender-affirming health care through the lens of community involvement and outreach. (Source: Primary Care: Clinics in Office Practice)
Source: Primary Care: Clinics in Office Practice - April 21, 2021 Category: Primary Care Authors: Kevin S. Wang, Max Sutherland, Alec W. Gibson, Theodore Gobillot, Elizabeth Conley, Kim Matsumoto Source Type: research

Supporting the Health of Transgender and Gender-Diverse Youth in Primary Care Settings
This article provides an overview of gender diversity and reviews strategies for creating a welcoming clinical space, discussing gender during the office visit, providing affirming primary care, and supporting youth and their families during gender identity exploration and gender transition. (Source: Primary Care: Clinics in Office Practice)
Source: Primary Care: Clinics in Office Practice - April 21, 2021 Category: Primary Care Authors: Raina V. Voss, Lisa Simons Source Type: research

Pre-exposure Prophylaxis in LGBT Communities
Gay, bisexual and other men who have sex with men (MSM) and transgender individuals face the highest burden of human immunodeficiency virus (HIV) infection. HIV pre-exposure prophylaxis (PrEP) is an effective evidence-based biomedical intervention to reduce acquisition of HIV infection but uptake has been suboptimal in lesbian, gay, bisexual, and transgender (LGBT) populations. Primary care providers play an integral role in addressing HIV disparities by educating patients and facilitating access to PrEP. After PrEP initiation, primary care providers should assess for and manage adverse effects, provide appropriate laborat...
Source: Primary Care: Clinics in Office Practice - April 21, 2021 Category: Primary Care Authors: Asa Radix, Rona Vail Source Type: research

Intimate Partner Violence in the LGBTQ+ Community
This article provides recommendations for working with LGBTQ+ survivors, including screening for IPV regardless of sexual orientation or gender identity, participating in LGBTQ+-affirming trainings r egarding IPV, and creating a welcoming and inclusive space that promotes LGBTQ+ survivors’ comfort in disclosing IPV. (Source: Primary Care: Clinics in Office Practice)
Source: Primary Care: Clinics in Office Practice - April 21, 2021 Category: Primary Care Authors: Autumn M. Bermea, Danielle C. Slakoff, Abbie E. Goldberg Source Type: research

Sexual and Gender Minority Health Care Disparities
Gender and sexual minority individuals face considerable physical and mental health disparities, health risk factors, and barriers to care. These disparities are rooted in systemic and interpersonal prejudice, discrimination, and violence toward lesbian, gay, bisexual, transgender, queer, and other (LGBTQ+) individuals and communities that place LGBTQ+ individuals at increased risk for negative social determinants of health. While also advocating for systemic change, individual providers and clinics have an ethical duty to promote an openly affirming, culturally competent health care environment that can help to address th...
Source: Primary Care: Clinics in Office Practice - April 21, 2021 Category: Primary Care Authors: Emily M. Lund, Claire M. Burgess Source Type: research