Brittany M. Charlton
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View article: Masculinizing Testosterone Therapy Reduces the Incidence of PIK3CA-Mutant/ER⁺ Breast Cancer but Not BRCA1-Associated Triple-Negative Breast Cancer
Masculinizing Testosterone Therapy Reduces the Incidence of PIK3CA-Mutant/ER⁺ Breast Cancer but Not BRCA1-Associated Triple-Negative Breast Cancer Open
Background We investigated the impact of gender-affirming testosterone therapy (TT) on breast cancer (BC) risk and tumor progression. Materials and methods We leveraged a large human breast tissue dataset (n=417) to assess TT and terminal …
View article: Mammography screening and risk factor prevalence by sexual identity: A comparison of two national surveys
Mammography screening and risk factor prevalence by sexual identity: A comparison of two national surveys Open
Background Emerging research suggests that lesbian, gay, bisexual, and queer (LGBQ) women face barriers to breast cancer screening. The authors sought to quantify sexual identity disparities in mammography screening, health care access, an…
View article: Differences in Abortion Use by Sexual Orientation in 3 National Cohorts
Differences in Abortion Use by Sexual Orientation in 3 National Cohorts Open
Importance Sexual minority individuals have less access to high-quality reproductive health care—including contraceptive care—and have higher rates of unintended pregnancies than their heterosexual peers. Little is known about differences …
View article: Disparities in perinatal outcomes among births to same-sex and different-sex married couples: a cross-sectional study using birth certificate data
Disparities in perinatal outcomes among births to same-sex and different-sex married couples: a cross-sectional study using birth certificate data Open
People in SSM may face modestly increased risks for some perinatal outcomes, including preterm birth. Understanding the risks and resiliency among diverse sexual minority populations may provide important insights into the ways in which pe…
View article: Participants’ reactions to the inclusion of Sexual Orientation and Gender Identity (SOGI) measures in an established large-scale cohort: The California Teachers Study
Participants’ reactions to the inclusion of Sexual Orientation and Gender Identity (SOGI) measures in an established large-scale cohort: The California Teachers Study Open
Sexual and gender minority (SGM) populations are more likely than non-SGM populations to experience poor health outcomes but are underrepresented in research. The California Teachers Study (CTS) is a large prospective observational cohort …
View article: Participants’ reactions to the inclusion of Sexual Orientation and Gender Identity (SOGI) measures in an established large-scale cohort: The California Teachers Study
Participants’ reactions to the inclusion of Sexual Orientation and Gender Identity (SOGI) measures in an established large-scale cohort: The California Teachers Study Open
Sexual and gender minority (SGM) populations are more likely than non-SGM populations to experience poor health outcomes but are underrepresented in research. The California Teachers Study (CTS) is a large prospective observational cohort …
View article: Mapping the scientific literature on obstetric and perinatal health among sexual and gender minoritized (SGM) childbearing people and their infants: a scoping review
Mapping the scientific literature on obstetric and perinatal health among sexual and gender minoritized (SGM) childbearing people and their infants: a scoping review Open
Background Evidence suggests sexual and gender minoritized (SGM) childbearing individuals and their infants experience more adverse obstetric and perinatal outcomes compared to their cisgender, heterosexual counterparts. This study aimed t…
View article: Sexual Orientation-Specific Policies Are Associated With Prenatal Care Use in the First Trimester Among Sexual Minority Women: Results From a Prospective Cohort Study
Sexual Orientation-Specific Policies Are Associated With Prenatal Care Use in the First Trimester Among Sexual Minority Women: Results From a Prospective Cohort Study Open
Background Previous research has shown sexual minority women (SMW) are more likely to report multiple maternal and infant health outcomes compared to heterosexual women and that these outcomes are moderated by the policy environment. Littl…
View article: Prevalence of Gender-Affirming Surgical Procedures Among Minors and Adults in the US
Prevalence of Gender-Affirming Surgical Procedures Among Minors and Adults in the US Open
This cross-sectional study uses a national dataset to examine the prevalence of gender-affirming surgical procedures among minors and adults in the US.
View article: Health Care Utilization and Care-seeking Behavior Among Vulnerabilized Sexual Minority Women: A Social-ecological Approach
Health Care Utilization and Care-seeking Behavior Among Vulnerabilized Sexual Minority Women: A Social-ecological Approach Open
Sexual minority women (SMW) experience worse health than their heterosexual counterparts but have largely been omitted from health services research. To address this gap, we conducted 25 semi-structured, in-depth interviews with SMW. Trans…
View article: Differences in medically assisted reproduction use by sexual identity and partnership: a prospective cohort of cisgender women
Differences in medically assisted reproduction use by sexual identity and partnership: a prospective cohort of cisgender women Open
STUDY QUESTION Does medically assisted reproduction (MAR) use among cisgender women differ among those with same-sex partners or lesbian/bisexual identities compared to peers with different-sex partners or heterosexual identities? SUMMARY …
View article: Disparities in Mortality by Sexual Orientation in a Large, Prospective Cohort of Female Nurses
Disparities in Mortality by Sexual Orientation in a Large, Prospective Cohort of Female Nurses Open
Importance Extensive evidence documents health disparities for lesbian, gay, and bisexual (LGB) women, including worse physical, mental, and behavioral health than heterosexual women. These factors have been linked to premature mortality, …
View article: Barriers to Cervical Cancer Screening by Sexual Orientation Among Low-Income Women in North Carolina
Barriers to Cervical Cancer Screening by Sexual Orientation Among Low-Income Women in North Carolina Open
We sought to examine cervical cancer screening barriers by sexual orientation among low-income women in North Carolina. The MyBodyMyTest-3 Trial recruited low-income women (< 250% of federal poverty level) aged 25–64 years who were 1+ year…
View article: Trajectories of Mental Distress Among US Women by Sexual Orientation and Racialized Group During the First Year of the COVID-19 Pandemic
Trajectories of Mental Distress Among US Women by Sexual Orientation and Racialized Group During the First Year of the COVID-19 Pandemic Open
Objectives. To describe longitudinal trends in the prevalence of mental distress across the first year of the COVID-19 pandemic (April 2020‒April 2021) among US women at the intersection of sexual orientation and racialized group. Methods.…
View article: Development of a mentor training curriculum to support LGBTQIA+ health professionals
Development of a mentor training curriculum to support LGBTQIA+ health professionals Open
While mentors can learn general strategies for effective mentoring, existing mentorship curricula do not comprehensively address how to support marginalized mentees, including LGBTQIA+ mentees. After identifying best mentoring practices an…
View article: Breast and cervical cancer screenings across gender identity: results from the Behavioral Risk Factor Surveillance System before and during the COVID-19 pandemic
Breast and cervical cancer screenings across gender identity: results from the Behavioral Risk Factor Surveillance System before and during the COVID-19 pandemic Open
Purpose Although national medical organizations often neglect to include trans and gender diverse (TGD) people in their breast and cervical cancer screening recommendations, the World Profession Association of Transgender Health recommends…
View article: Predictors of Fertility-Awareness-Based Method Use Among Women Trying to Conceive and Women Contemplating Pregnancy
Predictors of Fertility-Awareness-Based Method Use Among Women Trying to Conceive and Women Contemplating Pregnancy Open
Background Fertility-awareness-based methods have been linked to shorter time to conception; however, little is known about the predictors of fertility-awareness-based method use among women who are currently or will soon be trying to conc…
View article: Pregnancy Intention, Changes in Pregnancy Intention, and Pregnancy Incidence Among Female Nurses in North America
Pregnancy Intention, Changes in Pregnancy Intention, and Pregnancy Incidence Among Female Nurses in North America Open
Importance Pregnancy intention assessment is a key element of preconception and contraceptive care. The association between a single screening question and the incidence of pregnancy is unknown. Objective To prospectively evaluate the dyna…
View article: Harvard Medical School’s Sexual and Gender Minority Health Equity Initiative: Curricular and Climate Innovations in Undergraduate Medical Education
Harvard Medical School’s Sexual and Gender Minority Health Equity Initiative: Curricular and Climate Innovations in Undergraduate Medical Education Open
Problem Sexual and gender minority (SGM) populations face numerous health disparities. Medical school curricula lack adequate educational content preparing students for serving SGM patients, and medical students typically do not experience…
View article: Clinical outcomes and considerations of gender‐affirming care for transgender and gender‐diverse pediatric and young adult patients with cancer
Clinical outcomes and considerations of gender‐affirming care for transgender and gender‐diverse pediatric and young adult patients with cancer Open
View article: Predictors of fertility awareness-based method use among women trying to conceive and women contemplating pregnancy: a prospective cohort study.
Predictors of fertility awareness-based method use among women trying to conceive and women contemplating pregnancy: a prospective cohort study. Open
Objective: To identify predictors of fertility awareness-based method use. Design: Ongoing, prospective internet-based cohort study. Setting: Nurses living in the United States and Canada. Population: Women trying to become pregnant or con…
View article: Assessing Variations in Sexual Orientation- and Gender Identity-Related U.S. State Laws for Sexual and Gender Minority Health Research and Action, 1996–2016
Assessing Variations in Sexual Orientation- and Gender Identity-Related U.S. State Laws for Sexual and Gender Minority Health Research and Action, 1996–2016 Open
Purpose: We developed a multiyear database of sexual orientation- and gender identity-related U.S. state laws to advance sexual and gender minority (SGM) health research and practice and assessed variability in U.S. state law…
View article: Pregnancy prevention and unintended pregnancy across gender identity: a cross-sectional study of college students
Pregnancy prevention and unintended pregnancy across gender identity: a cross-sectional study of college students Open
Using data from the Fall 2015 through Spring 2018 National College Health Assessment, we examined receipt of pregnancy prevention information and unintended pregnancy by gender identity among participants aged 18–25 years who were assigned…
View article: Contraceptive Care Disparities Among Sexual Orientation Identity and Racial/Ethnic Subgroups of U.S. Women: A National Probability Sample Study
Contraceptive Care Disparities Among Sexual Orientation Identity and Racial/Ethnic Subgroups of U.S. Women: A National Probability Sample Study Open
Background: Sexual minority women may use contraception for various reasons but face notable barriers to contraceptive care, including stigma and discrimination. However, studies examining sexual orientation disparities in co…
View article: The interaction of sexual orientation and provider-patient communication on sexual and reproductive health in a sample of U.S. women of diverse sexual orientations
The interaction of sexual orientation and provider-patient communication on sexual and reproductive health in a sample of U.S. women of diverse sexual orientations Open
View article: Differences in Tobacco Product Use by Sexual Orientation and Violence Factors Among United States Youth
Differences in Tobacco Product Use by Sexual Orientation and Violence Factors Among United States Youth Open
View article: Mapping the scientific literature on reproductive health among transgender and gender diverse people: a scoping review
Mapping the scientific literature on reproductive health among transgender and gender diverse people: a scoping review Open
We conducted a scoping review to map the extent, range and nature of the scientific research literature on the reproductive health (RH) of transgender and gender diverse assigned female at birth and assigned male at birth persons. A resear…
View article: Sexual orientation-related differences in contraceptive use: A brief report based on a cohort of adolescent and young women
Sexual orientation-related differences in contraceptive use: A brief report based on a cohort of adolescent and young women Open
View article: Erectile Dysfunction in a Sample of Sexually Active Young Adult Men from a U.S. Cohort: Demographic, Metabolic and Mental Health Correlates
Erectile Dysfunction in a Sample of Sexually Active Young Adult Men from a U.S. Cohort: Demographic, Metabolic and Mental Health Correlates Open
Erectile dysfunction was common in a large sample of sexually active young adult men from a U.S. cohort and was associated with relationship status and mental health. Health providers should screen for erectile dysfunction in young men, an…
View article: Maternal Comfort with Lesbian, Gay, and Bisexual People and Their Children's Drinking, Smoking, and Disordered Weight Control Behaviors as Adults
Maternal Comfort with Lesbian, Gay, and Bisexual People and Their Children's Drinking, Smoking, and Disordered Weight Control Behaviors as Adults Open
Purpose: We investigated associations between maternal comfort with lesbian, gay, and bisexual (LGB) people during the participant's adolescence and their health indicators in adulthood. Methods: Data came from …