Introduction:Despite the well-documented benefits of exercise for adolescents’physical and mental health,exercise remains an underutilized strategy for improving the health of trans adolescents.This is notable becaus...Introduction:Despite the well-documented benefits of exercise for adolescents’physical and mental health,exercise remains an underutilized strategy for improving the health of trans adolescents.This is notable because,compared to their cisgender peers,trans adolescents experience greater health challenges and systemic barriers to being physically active.To date,no research has evaluated an evidence-based exercise service within specialist paediatric gender services in Australia.Methods:The study is a non-randomised type 2 effectivenessimplementation hybrid trial for adolescents engaged with Child and Adolescent Health Service Gender Diversity Service at Perth Children’s Hospital,Western Australia.The participant group will receive the intervention alongside standard care.The design of the program has incorporated input from the GENder idenTity Longitudinal Experience(GENTLE)Cohort Consumer Advisory group;trans young people,families,and health professionals;guidelines for commonmedical presentations within paediatric gender services and international physical activity guidelines for adolescents.Program implementation and feasibility(i.e.,participant engagement,perceptions and experiences of the intervention),as well as preliminary effectiveness of the targeted exercise programon health outcomes(i.e.,quality of life,wellbeing and markers of physical health),will be evaluated as part of a pilot trial.Discussion:This project addresses a significant gap in research and healthcare and aims to enhance service delivery by integrating exercise into standard care for specialist paediatric gender services in Australia.Anticipated impacts include shaping current and future practices by defining safe,effective exercise for trans adolescents while laying the groundwork for larger scale implementation and research on long-term health benefits.展开更多
Background and Aims:The Union Cycliste Internationale has deemed transgender female athlete’s ineligible for the female category due to concerns about performance advantages.We conducted a follow-up analysis on labor...Background and Aims:The Union Cycliste Internationale has deemed transgender female athlete’s ineligible for the female category due to concerns about performance advantages.We conducted a follow-up analysis on laboratorybased performance indicators of sports performance using data from a longitudinally assessed transgender woman athlete undergoing gender-affrming hormone therapy(GAHT).Methods:We evaluated laboratory performance indicators in transgender and cisgender women athletes using dualenergy X-ray absorptiometry scanning,handgrip strength measurement,jump testing,and cardiopulmonary exercise.Additionally,we assessed a transgender sub-elite cyclist before and after undergoing GAHT.Results:After one year of GAHT,the transgender athlete showed declines in handgrip strength(7–13%),countermovement jump(23–29%),and V̇O_(2)max(15–30%).After 3 months,several performance indicators(absolute handgrip,peak power,relative peak power,average power,relative average power,V̇O2max and relative V̇O_(2)max)were above the mean of cisgender female athletes,while others(Relative handgrip,countermovement jump and relative countermovement jump)were below.Similar trends were observed at 6 months and 1 year.Summary:This hypothetical analysis,although with limited evidence,suggests the transgender athlete could compete equitably in elite cycling events within the female category after one year of GAHT.Adjustments based on competition data would ensure fairness.Further analysis after an additional 12 months is recommended to assess the impact of 2 years of GAHT.An outright ineligibility for the female category for transgender women athletes would hinder a true assessment of performance fairness.展开更多
Climate change impact and risks on agricultural livelihood affect women and men disproportionately and often to the disadvantage of women and girls. Consequently, this study assessed gender perspectives of vulnerabili...Climate change impact and risks on agricultural livelihood affect women and men disproportionately and often to the disadvantage of women and girls. Consequently, this study assessed gender perspectives of vulnerability to climate change of farming households at Ikpayongo community in Gwer local government area, Benue State, Nigeria using descriptive approach. The study identified a total of 120 male-headed and female-headed farming households across four neighbourhoods and administered structured questionnaire on them using simple random sampling method, while data analysis was done using descriptive statistics. The results indicate lower education and income status among female-headed households, though male-headed households have high household size. Both sexes have relatively equal access to land for farming, however men have large farm size compared to women. The major crops cultivated by men were rice and yam, while women cultivated largely groundnut and cassava. Women are more exposed and sensitive to climate-related hazards such as floods and heat stress due to the location of their farms. The result further shows that males possess better adaptive capacity given their higher incomes, social networks and more access to training/capacity building programmes and credit facilities. The study concludes that female-headed farming households are more vulnerable to climate change and variability than male-headed farming households due to higher exposure and a lower adaptive capacity. Programme and policies to improve women access to credit facilities and relevant training to boost their adaptive capacity and build resilience are highly recommended. This would also limit exposure with attendant reduction in vulnerability.展开更多
The aim of this paper is to examine some theories of gender with a view to use them as bases for evaluating, assessing, and analyzing gender equality and inequality in Igbo traditional culture. In pursuance of this ai...The aim of this paper is to examine some theories of gender with a view to use them as bases for evaluating, assessing, and analyzing gender equality and inequality in Igbo traditional culture. In pursuance of this aim, particular attention will be paid to Igbo leadership practice. Were men and women equal in traditional Igbo culture？ If they were, which theories of gender equality are thereby corroborated and which are refuted？ Was the political landscape of the traditional Igbo a male terrain or was there a balance between men and women？ What was the degree of participation of both men and women？ The paper lays down certain criteria in order to determine equal or unequal or complementary status. These include access to resources, autonomy, and power. One or two lessons are drawn from the insights.展开更多
The present study analyzes the psychological adaptation of parents with children having congenital disabilities. The study included 83 men and 96 women, who were parents of children with severe spina bifida, cerebral ...The present study analyzes the psychological adaptation of parents with children having congenital disabilities. The study included 83 men and 96 women, who were parents of children with severe spina bifida, cerebral palsy, cleft lip and cleft palate. The Millon Index of Personality Styles was used to identify the most distinctive personality styles of parents caring for a child with a chronic disability and parental psychological adjustment. We also investigated if personality profiles differ by gender, and educational and socioeconomic level. The personality styles identified may serve as indicators of the way parents adapt to the child with a congenital disability. The results also suggest that a child’s disability has a differential impact on men and women. Gender issues are evaluated, as well as any repercussions these may have on women.展开更多
We thank the authors of the letter[1]for their interest in our paper and the opportunity for further discussion around this important topic.The letter in question[1]critiques two papers authored by our research group:...We thank the authors of the letter[1]for their interest in our paper and the opportunity for further discussion around this important topic.The letter in question[1]critiques two papers authored by our research group:“Strength,Power,and Aerobic Capacity of Transgender Athletes:A Cross-Sectional Study[2]”and“A Unique Pseudo-Eligibility Analysis of Longitudinal Laboratory Performance Data from a Transgender Female Competitive Cyclist[3]”.While this critique presents itself as scientific,it seems to be driven more by subjective opinion for the reasons we set out below.展开更多
The present research focused on a sample of Spanish male and female nurses to determine whether psychological variables are related to occupational stress and cortisol. Spanish male (n = 98) and female (n = 98) nurses...The present research focused on a sample of Spanish male and female nurses to determine whether psychological variables are related to occupational stress and cortisol. Spanish male (n = 98) and female (n = 98) nurses, matched in diverse sociodemographic variables, completed measures of occupational stress, cortisol 8 am (8 h), and cortisol 8 pm (20 h), and psychological variables. Multivariable regression analyses revealed different patterns of association among the variables when analyzing subjective and (occupational stress) objective indicators (cortisol at 8 h and cortisol at 20 h). In male nurses, higher stress is related to worse self-perceived health, worse mental health, less cortisol measured at 8 h, and more morningness. For the female nurses, higher stress is related to being younger, worse self-perceived health, and less job satisfaction. The only similarities found in the target variables and the measures of stress studied in the groups of males and females are worse self-perceived health and worse mental health associated with more occupational stress.展开更多
The purpose of this study was to describe women’s experiences with gender violence and the impact on mental health. The research was a qualitative observational study. Participants were n = 72 women clients of (02) P...The purpose of this study was to describe women’s experiences with gender violence and the impact on mental health. The research was a qualitative observational study. Participants were n = 72 women clients of (02) Primary Health Centers at the University of Carabobo-Venezuela. The technique to gather the information was focus group discussion (FGD). The interpretation of data was an analytical process based on Mayring’s approach. The principal findings showed that, women clients of primary health centers experienced different levels of violence in everyday life. Physical violence was the most frequent abuse reported by victims. Death threats were the most frequent conduct used by the partners in terms of psychological violence. Women expressed being under the control of a dominant partner without physical aggression or threats, but they felt a lack of autonomy. Additionally, women who experienced different levels of abuse specified some symptoms that could suggest an impact on mental health. In conclusion, women naturalized dominance and control because they understood this kind of abuse as normal behavior between relationship partners.展开更多
Robotic surgery has expanded significantly across all surgical specialties due to the benefits of high-definition 3D visualization and 360-degree articulation of instruments.In the field of gender affirmation surgery(...Robotic surgery has expanded significantly across all surgical specialties due to the benefits of high-definition 3D visualization and 360-degree articulation of instruments.In the field of gender affirmation surgery(GAS),robotic surgery has numerous applications in both primary and revision surgery.We sought to review the current literature to discuss emerging robotic techniques for genital GAS in both the transmasculine and transfeminine population to determine feasibility,complication rates,and outcomes.展开更多
基金funded by a NHMRC Investigator Grant(#2010063)the MRFF-funded Australian Research Consortium for Trans Youth and Children(ARCTYC,MRF2032119).
文摘Introduction:Despite the well-documented benefits of exercise for adolescents’physical and mental health,exercise remains an underutilized strategy for improving the health of trans adolescents.This is notable because,compared to their cisgender peers,trans adolescents experience greater health challenges and systemic barriers to being physically active.To date,no research has evaluated an evidence-based exercise service within specialist paediatric gender services in Australia.Methods:The study is a non-randomised type 2 effectivenessimplementation hybrid trial for adolescents engaged with Child and Adolescent Health Service Gender Diversity Service at Perth Children’s Hospital,Western Australia.The participant group will receive the intervention alongside standard care.The design of the program has incorporated input from the GENder idenTity Longitudinal Experience(GENTLE)Cohort Consumer Advisory group;trans young people,families,and health professionals;guidelines for commonmedical presentations within paediatric gender services and international physical activity guidelines for adolescents.Program implementation and feasibility(i.e.,participant engagement,perceptions and experiences of the intervention),as well as preliminary effectiveness of the targeted exercise programon health outcomes(i.e.,quality of life,wellbeing and markers of physical health),will be evaluated as part of a pilot trial.Discussion:This project addresses a significant gap in research and healthcare and aims to enhance service delivery by integrating exercise into standard care for specialist paediatric gender services in Australia.Anticipated impacts include shaping current and future practices by defining safe,effective exercise for trans adolescents while laying the groundwork for larger scale implementation and research on long-term health benefits.
文摘Background and Aims:The Union Cycliste Internationale has deemed transgender female athlete’s ineligible for the female category due to concerns about performance advantages.We conducted a follow-up analysis on laboratorybased performance indicators of sports performance using data from a longitudinally assessed transgender woman athlete undergoing gender-affrming hormone therapy(GAHT).Methods:We evaluated laboratory performance indicators in transgender and cisgender women athletes using dualenergy X-ray absorptiometry scanning,handgrip strength measurement,jump testing,and cardiopulmonary exercise.Additionally,we assessed a transgender sub-elite cyclist before and after undergoing GAHT.Results:After one year of GAHT,the transgender athlete showed declines in handgrip strength(7–13%),countermovement jump(23–29%),and V̇O_(2)max(15–30%).After 3 months,several performance indicators(absolute handgrip,peak power,relative peak power,average power,relative average power,V̇O2max and relative V̇O_(2)max)were above the mean of cisgender female athletes,while others(Relative handgrip,countermovement jump and relative countermovement jump)were below.Similar trends were observed at 6 months and 1 year.Summary:This hypothetical analysis,although with limited evidence,suggests the transgender athlete could compete equitably in elite cycling events within the female category after one year of GAHT.Adjustments based on competition data would ensure fairness.Further analysis after an additional 12 months is recommended to assess the impact of 2 years of GAHT.An outright ineligibility for the female category for transgender women athletes would hinder a true assessment of performance fairness.
文摘Climate change impact and risks on agricultural livelihood affect women and men disproportionately and often to the disadvantage of women and girls. Consequently, this study assessed gender perspectives of vulnerability to climate change of farming households at Ikpayongo community in Gwer local government area, Benue State, Nigeria using descriptive approach. The study identified a total of 120 male-headed and female-headed farming households across four neighbourhoods and administered structured questionnaire on them using simple random sampling method, while data analysis was done using descriptive statistics. The results indicate lower education and income status among female-headed households, though male-headed households have high household size. Both sexes have relatively equal access to land for farming, however men have large farm size compared to women. The major crops cultivated by men were rice and yam, while women cultivated largely groundnut and cassava. Women are more exposed and sensitive to climate-related hazards such as floods and heat stress due to the location of their farms. The result further shows that males possess better adaptive capacity given their higher incomes, social networks and more access to training/capacity building programmes and credit facilities. The study concludes that female-headed farming households are more vulnerable to climate change and variability than male-headed farming households due to higher exposure and a lower adaptive capacity. Programme and policies to improve women access to credit facilities and relevant training to boost their adaptive capacity and build resilience are highly recommended. This would also limit exposure with attendant reduction in vulnerability.
文摘The aim of this paper is to examine some theories of gender with a view to use them as bases for evaluating, assessing, and analyzing gender equality and inequality in Igbo traditional culture. In pursuance of this aim, particular attention will be paid to Igbo leadership practice. Were men and women equal in traditional Igbo culture？ If they were, which theories of gender equality are thereby corroborated and which are refuted？ Was the political landscape of the traditional Igbo a male terrain or was there a balance between men and women？ What was the degree of participation of both men and women？ The paper lays down certain criteria in order to determine equal or unequal or complementary status. These include access to resources, autonomy, and power. One or two lessons are drawn from the insights.
文摘The present study analyzes the psychological adaptation of parents with children having congenital disabilities. The study included 83 men and 96 women, who were parents of children with severe spina bifida, cerebral palsy, cleft lip and cleft palate. The Millon Index of Personality Styles was used to identify the most distinctive personality styles of parents caring for a child with a chronic disability and parental psychological adjustment. We also investigated if personality profiles differ by gender, and educational and socioeconomic level. The personality styles identified may serve as indicators of the way parents adapt to the child with a congenital disability. The results also suggest that a child’s disability has a differential impact on men and women. Gender issues are evaluated, as well as any repercussions these may have on women.
文摘We thank the authors of the letter[1]for their interest in our paper and the opportunity for further discussion around this important topic.The letter in question[1]critiques two papers authored by our research group:“Strength,Power,and Aerobic Capacity of Transgender Athletes:A Cross-Sectional Study[2]”and“A Unique Pseudo-Eligibility Analysis of Longitudinal Laboratory Performance Data from a Transgender Female Competitive Cyclist[3]”.While this critique presents itself as scientific,it seems to be driven more by subjective opinion for the reasons we set out below.
文摘The present research focused on a sample of Spanish male and female nurses to determine whether psychological variables are related to occupational stress and cortisol. Spanish male (n = 98) and female (n = 98) nurses, matched in diverse sociodemographic variables, completed measures of occupational stress, cortisol 8 am (8 h), and cortisol 8 pm (20 h), and psychological variables. Multivariable regression analyses revealed different patterns of association among the variables when analyzing subjective and (occupational stress) objective indicators (cortisol at 8 h and cortisol at 20 h). In male nurses, higher stress is related to worse self-perceived health, worse mental health, less cortisol measured at 8 h, and more morningness. For the female nurses, higher stress is related to being younger, worse self-perceived health, and less job satisfaction. The only similarities found in the target variables and the measures of stress studied in the groups of males and females are worse self-perceived health and worse mental health associated with more occupational stress.
文摘The purpose of this study was to describe women’s experiences with gender violence and the impact on mental health. The research was a qualitative observational study. Participants were n = 72 women clients of (02) Primary Health Centers at the University of Carabobo-Venezuela. The technique to gather the information was focus group discussion (FGD). The interpretation of data was an analytical process based on Mayring’s approach. The principal findings showed that, women clients of primary health centers experienced different levels of violence in everyday life. Physical violence was the most frequent abuse reported by victims. Death threats were the most frequent conduct used by the partners in terms of psychological violence. Women expressed being under the control of a dominant partner without physical aggression or threats, but they felt a lack of autonomy. Additionally, women who experienced different levels of abuse specified some symptoms that could suggest an impact on mental health. In conclusion, women naturalized dominance and control because they understood this kind of abuse as normal behavior between relationship partners.
文摘Robotic surgery has expanded significantly across all surgical specialties due to the benefits of high-definition 3D visualization and 360-degree articulation of instruments.In the field of gender affirmation surgery(GAS),robotic surgery has numerous applications in both primary and revision surgery.We sought to review the current literature to discuss emerging robotic techniques for genital GAS in both the transmasculine and transfeminine population to determine feasibility,complication rates,and outcomes.
