2024
Doing Justice: Ethical Considerations Identifying and Researching Transgender and Gender Diverse People in Insurance Claims Data
Alpert A, Babbs G, Sanaeikia R, Ellison J, Hughes L, Herington J, Dembroff R. Doing Justice: Ethical Considerations Identifying and Researching Transgender and Gender Diverse People in Insurance Claims Data. Journal Of Medical Systems 2024, 48: 96. PMID: 39394534, PMCID: PMC11469973, DOI: 10.1007/s10916-024-02111-w.Peer-Reviewed Original ResearchConceptsTGD individualsSelf-identificationHealth of transgenderGender diverse peopleGender self-identificationTGD peopleTGD populationsDiverse peopleEpistemic injusticeTransgenderTGDGenderHealth researchHealth services researchEthical complexitiesPeopleServices researchClaims-based algorithmInjusticeInsuranceHealthIndividualsEthical considerationsResearchClaims
2023
Prevalence and correlates of current cigarette smoking among transgender women in Argentina
Cartujano-Barrera F, Mejia R, Radusky P, Cardozo N, Duarte M, Fabian S, Caballero R, Zalazar V, Ramos-Pibernus A, Alpert A, Cupertino A, Frola C, Aristegui I. Prevalence and correlates of current cigarette smoking among transgender women in Argentina. Frontiers In Public Health 2023, 11: 1279969. PMID: 38115852, PMCID: PMC10728477, DOI: 10.3389/fpubh.2023.1279969.Peer-Reviewed Original ResearchMeSH KeywordsArgentinaCigarette SmokingFemaleGender IdentityHumansMalePrevalenceProspective StudiesSubstance-Related DisordersTransgender PersonsConceptsGender identity stigmaCurrent cigarette smokingTransgender womenIdentity stigmaAssociated with current cigarette smokingHistory of sex workSubstance useCigarette smokingHazardous drinkingBuenos AiresPrevalence of current cigarette smokingPerceived health statusSexual violenceTransgender individualsSmoking cessation interventionsBaseline dataSex workCisgender womenAssociated with educationSecondary data analysisProspective cohort studyPoliceHazardous alcohol drinkingLogistic regression modelsCessation interventionsTransgender People’s Experiences Sharing Information With Clinicians: A Focus Group–Based Qualitative Study
Alpert A, Mehringer J, Orta S, Hernandez T, Redwood E, Rivers L, Manzano C, Ruddick R, Adams S, Sevelius J, Belanger E, Operario D, Griggs J. Transgender People’s Experiences Sharing Information With Clinicians: A Focus Group–Based Qualitative Study. The Annals Of Family Medicine 2023, 21: 408-415. PMID: 37748898, PMCID: PMC10519763, DOI: 10.1370/afm.3010.Peer-Reviewed Original ResearchMeSH KeywordsAdultFemaleFocus GroupsGender IdentityHumansMaleQualitative ResearchSexual BehaviorTransgender PersonsConceptsCommunity-based participatory research approachFocus groupsSafety of clinical careTransgender peopleFamily medicine cliniciansInterpretive description methodologyParticipatory research approachQualitative focus groupsData collection toolSuboptimal careTransgender people's experiencesSubstandard careHealth informationClinical encountersDescriptive methodologyPeer debriefingClinical careClinicians' questionsQualitative studyPurposive samplingMedical cultureCareCommunity membersTransgender adultsMedical systemPartnering With Patients and Caregivers in Cancer Care: Lessons From Experiences With Transgender, Hispanic, and Pediatric Populations.
Katz N, Alpert A, Aristizabal M, McDaniels-Davidson C, Sacks B, Sanft T, Chou C, Martinez M. Partnering With Patients and Caregivers in Cancer Care: Lessons From Experiences With Transgender, Hispanic, and Pediatric Populations. American Society Of Clinical Oncology Educational Book 2023, 43: e397264. PMID: 37200592, DOI: 10.1200/edbk_397264.Peer-Reviewed Original ResearchConceptsPediatric populationOncology careFamily-centered careQuality of carePatient populationCancer careCancer morbidityOncology cliniciansClinical trialsEffective patientPatientsCare provisionCancer diagnosisCareHealth careCaregiversCertain populationsUnequal burdenResearch participationCliniciansInequitable accessIndividual needsPopulationMorbidityMortalityMethodologic Approaches for Using Electronic Medical Records to Identify Experiences of Violence in Transgender and Cisgender People: Closing the Gap Between Diagnostic Coding and Lived Experiences
Alpert A, Sayegh S, Strawderman M, Cunliffe S, Griggs J, Cerulli C. Methodologic Approaches for Using Electronic Medical Records to Identify Experiences of Violence in Transgender and Cisgender People: Closing the Gap Between Diagnostic Coding and Lived Experiences. Medical Care 2023, 61: 384-391. PMID: 37072686, PMCID: PMC10168107, DOI: 10.1097/mlr.0000000000001852.Peer-Reviewed Original ResearchMeSH KeywordsClinical CodingCross-Sectional StudiesElectronic Health RecordsHumansTransgender PersonsViolenceConceptsElectronic medical record dataElectronic medical recordsExperiences of violenceCisgender peopleTransgender peopleCisgender cohortRates of violenceMedical recordsImplement effective interventionsCross-sectional studyIdentified violenceStop violenceTransgenderImprove careViolenceScreening questionsCisgenderUpstate New YorkDiagnostic codesEffective interventionsDiagnosis codesRegional referral centerMedical sequelaeMcNemar testCohortDisparities in health condition diagnoses among aging transgender and cisgender medicare beneficiaries, 2008-2017
Hughto J, Varma H, Babbs G, Yee K, Alpert A, Hughes L, Ellison J, Downing J, Shireman T. Disparities in health condition diagnoses among aging transgender and cisgender medicare beneficiaries, 2008-2017. Frontiers In Endocrinology 2023, 14: 1102348. PMID: 36992801, PMCID: PMC10040837, DOI: 10.3389/fendo.2023.1102348.Peer-Reviewed Original ResearchMeSH KeywordsAgedAgingEthnicityFemaleGender IdentityHumansInfant, NewbornMaleMedicareTransgender PersonsUnited StatesConceptsHealth condition diagnosisCisgender individualsMedicare beneficiariesHealth diagnosisProportion of transgenderMedicare fee-for-service dataGender differencesModifiable risk factorsTrans masculineTransgender individualsTransgender populationCisgender sampleCisgender maleTransgenderMonths of enrollmentCisgenderNon-HispanicCondition diagnosisBetween-group gender differencesDocumented disparitiesNational estimatesHealth conditionsAnalytic sampleEnrollment lengthHighest burden
2022
Addressing Barriers to Clinical Trial Participation for Transgender People With Cancer to Improve Access and Generate Data
Alpert A, Brewer J, Adams S, Rivers L, Orta S, Blosnich J, Miedlich S, Kamen C, Dizon D, Pazdur R, Beaver J, Fashoyin-Aje L. Addressing Barriers to Clinical Trial Participation for Transgender People With Cancer to Improve Access and Generate Data. Journal Of Clinical Oncology 2022, 41: 1825-1829. PMID: 36302204, PMCID: PMC10082226, DOI: 10.1200/jco.22.01174.Peer-Reviewed Original ResearchExperiences of Transgender People Reviewing Their Electronic Health Records, a Qualitative Study
Alpert A, Mehringer J, Orta S, Redwood E, Hernandez T, Rivers L, Manzano C, Ruddick R, Adams S, Cerulli C, Operario D, Griggs J. Experiences of Transgender People Reviewing Their Electronic Health Records, a Qualitative Study. Journal Of General Internal Medicine 2022, 38: 970-977. PMID: 35641720, PMCID: PMC10039220, DOI: 10.1007/s11606-022-07671-6.Peer-Reviewed Original ResearchMeSH KeywordsAdultElectronic Health RecordsFocus GroupsGender IdentityHumansQualitative ResearchTransgender PersonsConceptsElectronic health recordsExperiences of transgender peopleHealth recordsAudio-recordings of focus groupsFocus groupsElectronic health record documentationPatients immediate accessTransgender peopleInterpretive description methodologyPatient-clinician rapportPatient-clinician relationshipCommunity-engaged researchResultsFour themesDesignQualitative studyOpenNotes movementQuality careDigital audio recordingsCentury Cures ActClinician notesStigmatized patientsDescriptive methodologyReduce harmSnowball samplingPurposive samplingCures ActImproving Data-Driven Methods to Identify and Categorize Transgender Individuals by Gender in Insurance Claims Data
Hughto J, Hughes L, Yee K, Downing J, Ellison J, Alpert A, Jasuja G, Shireman T. Improving Data-Driven Methods to Identify and Categorize Transgender Individuals by Gender in Insurance Claims Data. LGBT Health 2022, 9: 254-263. PMID: 35290746, PMCID: PMC9150133, DOI: 10.1089/lgbt.2021.0433.Peer-Reviewed Original ResearchConceptsTransgender peopleGender categoriesTransgender individualsSample of transgender individualsChronic health conditionsTransgender populationTransgender samplesSex-specific conditionsOdds of post-traumatic stress disorderDrug use disordersHealth conditionsHealth disparitiesGender categorizationGenderCensus regionPeopleUse disorderTransgenderInsuranceAlcohol use disorderPost-traumatic stress disorderCensusIndividualsAtherosclerotic cardiovascular disordersLogistic regression
2021
I’m not putting on that floral gown: Enforcement and resistance of gender expectations for transgender people with cancer
Alpert A, Gampa V, Lytle M, Manzano C, Ruddick R, Poteat T, Quinn G, Kamen C. I’m not putting on that floral gown: Enforcement and resistance of gender expectations for transgender people with cancer. Patient Education And Counseling 2021, 104: 2552-2558. PMID: 33745786, PMCID: PMC9320277, DOI: 10.1016/j.pec.2021.03.007.Peer-Reviewed Original ResearchConceptsOncology careGroup interviewsTransgender peopleInterpretive description approachAnalyzed verbatim transcriptsExperiences of transgender peopleCancer careAssess barriersCare accessVerbatim transcriptsCancer objectivesDecrease barriersPeer debriefingMember checkingPatient autonomyImpact transgender peopleGender expectationsCareOncology spaceTreating peopleDescriptive approachPhysiciansThemesCliniciansInterviewsIdentification of Transgender People With Cancer in Electronic Health Records: Recommendations Based on CancerLinQ Observations.
Alpert A, Komatsoulis G, Meersman S, Garrett-Mayer E, Bruinooge S, Miller R, Potter D, Koronkowski B, Stepanski E, Dizon D. Identification of Transgender People With Cancer in Electronic Health Records: Recommendations Based on CancerLinQ Observations. JCO Oncology Practice 2021, 17: e336-e342. PMID: 33705680, DOI: 10.1200/op.20.00634.Peer-Reviewed Original ResearchMeSH KeywordsElectronic Health RecordsFemaleGender IdentityHumansMaleNeoplasmsTransgender PersonsTranssexualismUnited StatesConceptsElectronic health recordsGender identity dataTransgender identityTransgender peopleHealth recordsNational concerted effortDatabase of clinical dataCancer prevalenceCancerLinQHealthcare environmentTransgender populationInclusion criteriaTransgenderFemale genderSystemic effortsOutcome dataMale genderCurrent data resourcesTotal populationCategory 2Criterion 2GenderUnited StatesIdentityPeople
2020
Protecting Transgender and Gender-Diverse Patients With Cancer in a Shifting Political Landscape.
Tarras E, Alpert A, Kennedy E, Sampson A, Sutter M, Quinn G. Protecting Transgender and Gender-Diverse Patients With Cancer in a Shifting Political Landscape. JCO Oncology Practice 2020, 16: 287-288. PMID: 32119594, PMCID: PMC7291541, DOI: 10.1200/jcoop.20.00011.Peer-Reviewed Original Research