Publications by authors named "N N Kahn"

Purpose: Healthcare providers often lack training and education in caring for gender diverse youth. We aimed to explore changes in provider confidence and behaviors following the implementation of an online learning course focused on gender affirming care for youth.

Methods: An asynchronous, online training consisting of 2 modules was made available in October 2021.

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Introduction: Transgender and gender-diverse (TGD) individuals face barriers to accessing primary and gender-affirming care, especially in rural regions where a national shortage of medical providers with skills in caring for TGD people is further magnified. This care may also be impacted by individual providers' strongly held personal or faith beliefs and associated conscientious objection to care.

Purpose: This study assesses the prevalence of conscientious objection to providing care and gender-affirming hormone (GAH) therapy to TGD individuals among physicians in an Appalachian academic medical center.

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Article Synopsis
  • * Results showed that the Add Health survey identified more than double the number of sexual minorities compared to the NHIS survey, highlighting a significant difference in response rates.
  • * Individuals who identified as sexual minorities in the Add Health survey but as heterosexual in the NHIS survey exhibited mental health outcomes similar to those consistently classified as sexual minorities, suggesting current surveys may underestimate sexual minority populations and associated health disparities.
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Article Synopsis
  • * Out of 85 analyzed videos, the average content score was low, with significant gaps in crucial information such as disease progression and the importance of screening for related health issues.
  • * The overall quality of the videos was rated as partially sufficient, with better ratings for videos from recognized sources, particularly in terms of transparency regarding sponsorship.
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Purpose: Transgender adolescents and adolescents with eating disorders (EDs) are known to have increased mental health comorbidity; however, little is understood about how gender dysphoria (GD), disordered eating and mental health disorders relate to each other. The purpose of this study was to examine associations between GD, ED, and mental health diagnoses among adolescents.

Methods: Data were extracted from the electronic health records of 57,353 patients aged 9-18 seen at a single pediatric health system between 2009 and 2022.

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