Dermatologic care for lesbian, gay, bisexual, and transgender persons Epidemiology, screening, and disease prevention

JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY

卷:80

Review

Yeung, Howa¹  Luk, Kevin M.¹  Chen, Suephy C.^1,2  Ginsberg, Brian A.³  Katz, Kenneth A.⁴ 

[1] Emory Univ, Sch Med, Dept Dermatol, 1525 Clifton Rd NE,Ste 100, Atlanta, GA 30322 USA

[2] Atlanta Vet Affairs Med Ctr, Div Dermatol, Decatur, GA USA

[3] Mt Sinai Hosp, Dept Dermatol, New York, NY 10029 USA

[4] Kaiser Permanente, San Francisco, CA USA

关键词: bisexual;    cross-sex hormone;    dermal fillers;    dermatology;    gay;    gender affirmation;    HIV;    indoor tanning;    lesbian;    LGBT;    sexually transmitted diseases;    sexual minority;    skin cancers;    transgender;   

DOI  :  10.1016/j.jaad.2018.02.045

来源: Elsevier

【 摘 要 】

Lesbian, gay, bisexual, and transgender (LGBT) persons face important health issues relevant to dermatologists. Men who have sex with men (MSM) are at higher risk of certain infectious diseases, including HIV, syphilis and other sexually transmitted diseases (STDs), methicillin-resistant Staphylococcus aureus infections, and invasive meningococcal disease, and might be at higher risk of non-infectious conditions, including skin cancer. Recommendations for preventive health care, including screening for HIV and other STDs, sexual health-related vaccinations, and HIV pre-exposure prophylaxis, differ for MSM compared with non-MSM. Women who have sex with women experience disparities in STDs, including chlamydia and HPV. Transgender patients have unique, and often unmet, dermatologic needs during gender transition (also called gender affirmation), related to hormonal therapy and gender-affirming surgery. Familiarity with LGBT health issues and disease-prevention guidelines can enable dermatologists to provide medically appropriate and culturally competent care to LGBT persons.

【 授权许可】

Free