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Transgender Individuals and Osteoporosis Prevention.

Carol A Sedlak1, Cyndi Gale Roller, Manfred van Dulmen

  • 1Carol A. Sedlak, PhD, RN, CNS, FAAN, Professor Emeritus, College of Nursing, Kent State University, Kent, OH. Cyndi Gale Roller, PhD, RN, CNP, CNM (deceased), Associate Professor and Director Women's Health, College of Nursing, Kent State University, Kent OH. Manfred van Dulmen, PhD, Professor and Associate Chair, Department of Psychological Services, Kent State University, Kent, OH. Homood A. Alharbi, PhD, MSN, RN, Assistant Professor, Nursing College, King Saud University, Riyadh, Saudi Arabia. Jessica D. Sanata, MSN, MBA, RN, CEN, Doctoral Student, Oregon Health and Science University School of Public Health, Portland, OR. Marci A. Leifson, MSN, RN, AGCNS-BC, Stroke Nurse Coordinator, Boston Medical Center, Boston, MA. Amy J. Veney, MSN, RN, CNE, Lecturer, College of Nursing, Kent State University, Kent, OH. Hossam Alhawatmeh, PhD, RN, Assistant Professor, Jordan University of Science and Technology (as of September, 2017). Margaret O'Bryan Doheny, PhD, RN, CNS, FAAN, Professor Emeritus, College of Nursing, Kent State University, Kent, OH.

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Summary

Transgender individuals show low osteoporosis knowledge and poor bone-healthy behaviors. Healthcare providers must address these gaps to improve bone health for this population.

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Area of Science:

  • Bone health research
  • Transgender health
  • Osteoporosis prevention

Background:

  • Hormone use and risk behaviors increase osteoporosis risk in transgender individuals.
  • Limited understanding of osteoporosis knowledge, beliefs, and behaviors in this population.

Purpose of the Study:

  • To investigate osteoporosis knowledge, health beliefs, and preventive behaviors among transgender individuals.
  • To expand scientific understanding of bone health in the transgender community.

Main Methods:

  • A mixed-methods pilot study involving 31 transgender individuals aged 30 and older.
  • Online Osteoporosis Bone Health Survey and interviews to explore perceptions of bone health.

Main Results:

  • Transgender individuals demonstrated low scores on osteoporosis knowledge assessments.
  • No significant findings were observed regarding osteoporosis health beliefs.
  • Average daily intake was 800 mg of calcium, and average walking activity was 17 minutes.
  • Perceptions of bone health were characterized by two key components: knowledge and action.

Conclusions:

  • Understanding transgender individuals' bone health perceptions is crucial due to unique healthcare challenges.
  • Healthcare providers should be informed about transgender individuals' bone health needs to enhance knowledge, beliefs, and preventive actions.
  • Targeted interventions are needed to improve osteoporosis prevention in transgender populations.