2024
A qualitative study of reasons to use substances and substance use treatment experiences among transgender and gender diverse adults in Rhode Island
Kelly P, Myers-Matthews P, Collins A, Wolfe H, Miller-Jacobs C, Davis M, Adrian H, Briody V, Fernández Y, Operario D, Hughto J. A qualitative study of reasons to use substances and substance use treatment experiences among transgender and gender diverse adults in Rhode Island. SSM - Qualitative Research In Health 2024, 5: 100399. PMID: 38854803, PMCID: PMC11157666, DOI: 10.1016/j.ssmqr.2024.100399.Peer-Reviewed Original ResearchGender diverse adultsQualitative studyDiverse adultsTransgenderRhode IslandGenderTreatment experience
2023
“I Think Providers See Trans People as Unstable Patients”: Exploring Substance Use Communication Experiences of Transgender and Gender Diverse Adults During Primary Care Encounters
Wolfe H, Drainoni M, Hughto J, Siegel J, Segovia C, Fix G. “I Think Providers See Trans People as Unstable Patients”: Exploring Substance Use Communication Experiences of Transgender and Gender Diverse Adults During Primary Care Encounters. Psychology Of Sexual Orientation And Gender Diversity 2023, 12: 392-401. PMID: 40777187, PMCID: PMC12326541, DOI: 10.1037/sgd0000692.Peer-Reviewed Original ResearchGender-affirming carePrimary care providersCare providersSubstance useTGD patientsTGD adultsPrimary care encountersHealth care providersHazardous substance useHarm reduction purposesUnstable patientsProvider awarenessRisk screeningCare encountersClinic policiesClinical practicePatient disclosureGender diverse adultsMore interventionsDiverse adultsPatientsThematic analytic approachCareTGD peopleAdultsStructural Equation Modeling of Stigma and HIV Prevention Clinical Services Among Transgender and Gender Diverse Adults: The Mediating Role of Substance Use and HIV Sexual Risk
Wolfe H, Drainoni M, Klasko-Foster L, Fix G, Siegel J, Mimiaga M, Reisner S, Hughto J. Structural Equation Modeling of Stigma and HIV Prevention Clinical Services Among Transgender and Gender Diverse Adults: The Mediating Role of Substance Use and HIV Sexual Risk. JAIDS Journal Of Acquired Immune Deficiency Syndromes 2023, 92: 300-309. PMID: 36515898, PMCID: PMC9974738, DOI: 10.1097/qai.0000000000003144.Peer-Reviewed Original ResearchConceptsSexual risk behaviorsHIV sexual risk behaviorsHIV sexual riskClinical servicesSubstance useRisk behaviorsGender diverse adultsGender-affirming hormone therapySexual riskDiverse adultsHormone therapy prescriptionsTGD adultsUnknown HIV serostatusParticipants' substance useElevated substance useHormone therapyHIV serostatusTherapy prescriptionSuccess of interventionsHigh burdenHealth care organizationsObserved associationsFuture interventionsHealth careAdults
2022
Bridging the Gap Between Practice Guidelines and the Therapy Room: Community-Derived Practice Adaptations for Psychological Services With Transgender and Gender Diverse Adults in the Central United States
Hope D, Holt N, Woodruff N, Mocarski R, Meyer H, Puckett J, Eyer J, Craig S, Feldman J, Irwin J, Pachankis J, Rawson K, Sevelius J, Butler S. Bridging the Gap Between Practice Guidelines and the Therapy Room: Community-Derived Practice Adaptations for Psychological Services With Transgender and Gender Diverse Adults in the Central United States. Professional Psychology Research And Practice 2022, 53: 351-361. PMID: 37994310, PMCID: PMC10665020, DOI: 10.1037/pro0000448.Peer-Reviewed Original ResearchGender diverse adultsDiverse adultsUsual treatment approachMental health cliniciansBehavioral health concernsBehavioral health carePractice adaptationsPractice guidelinesHealth cliniciansTreatment approachesClinician's officeCliniciansOffice settingSubstance abuseHealth concernBest interventionHealth carePresenting problemPsychological interventionsTGD communitiesUnderserved areasTGD peopleOfficial guidelinesCareLittle specialized training
2021
Opioid pain medication misuse, concomitant substance misuse, and the unmet behavioral health treatment needs of transgender and gender diverse adults
Hughto J, Restar A, Wolfe H, Gordon L, Reisner S, Biello K, Cahill S, Mimiaga M. Opioid pain medication misuse, concomitant substance misuse, and the unmet behavioral health treatment needs of transgender and gender diverse adults. Drug And Alcohol Dependence 2021, 222: 108674. PMID: 33773869, PMCID: PMC8058310, DOI: 10.1016/j.drugalcdep.2021.108674.Peer-Reviewed Original ResearchConceptsPain medication misuseOpioid pain medicationsMedication misuseSubstance misusePain medicationDecreased oddsTreatment needsBehavioral health surveyMultivariable logistic regressionPost-traumatic stress disorderRisk factorsHealth SurveyGender diverse adultsHazardous drinkingTrans womenYounger ageHealthcare accessHealth inequitiesLogistic regressionDiverse adultsStress disorderOddsHigher social connectednessMedicationsTGD people
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