The Children's Hospital of Philadelphia, also known by its acronym CHOP, is a children's hospital in Philadelphia, Pennsylvania. Its primary campus is located in the University City neighborhood of West Philadelphia on the campus of the University of Pennsylvania. The hospital has 594 beds and more than one million outpatient and inpatient visits annually. It is one of the world's largest and oldest children's hospitals and the first hospital dedicated to the healthcare of children.
Gender dysphoria in children (GD), also known as gender incongruence of childhood, is a formal diagnosis for children who experience significant discontent due to a mismatch between their assigned sex and gender identity. The diagnostic label gender identity disorder in children (GIDC) was used by the Diagnostic and Statistical Manual of Mental Disorders (DSM) until it was renamed gender dysphoria in children in 2013 with the release of the DSM-5. The diagnosis was renamed to remove the stigma associated with the term disorder.
Timeline of events related to sexual orientation and medicine
Various topics in medicine relate to lesbian, gay, bisexual, and transgender people. According to the US Gay and Lesbian Medical Association (GLMA), besides HIV/AIDS, issues related to LGBT health include breast and cervical cancer, hepatitis, mental health, substance use disorders, alcohol use, tobacco use, depression, access to care for transgender persons, issues surrounding marriage and family recognition, conversion therapy, refusal clause legislation, and laws that are intended to "immunize health care professionals from liability for discriminating against persons of whom they disapprove."
Johanna Olson-Kennedy is an American physician who specializes in the care of children and teenagers with gender dysphoria and youth with HIV and chronic pain. She is board-certified in pediatrics and adolescent medicine and is the medical director of the Center for Transyouth Health and Development at Children's Hospital Los Angeles.
Puberty blockers, also called puberty inhibitors or hormone blockers, are medicines used to postpone puberty in children. The most commonly used puberty blockers are gonadotropin-releasing hormone (GnRH) agonists, which suppress the production of sex hormones, including testosterone and estrogen. In addition to their use in treating precocious puberty, which involves puberty occurring at an unusually early age in children, puberty blockers are also used for transgender children to delay the development of unwanted sex characteristics, so as to allow transgender youth more time to explore their gender identity.
Transgender health care includes the prevention, diagnosis and treatment of physical and mental health conditions, as well as sex reassignment therapies, for transgender individuals. A major component of transgender health care is gender-affirming care, the medical aspect of gender transition. Questions implicated in transgender health care include gender variance, sex reassignment therapy, health risks, and access to healthcare for trans people in different countries around the world.
Brian Mustanski is an American psychologist noted for his research on the health of LGBT youth, HIV and substance use in young gay and bisexual men, and the use of new media and technology for sexual health promotion and HIV prevention. He is a Professor of Medical Social Sciences, Psychiatry and Behavioral Sciences, and Psychology and Director of the Institute for Sexual and Gender Minority Health and Wellbeing at Northwestern University, Chicago, IL.
Controversy surrounds the concept of rapid-onset gender dysphoria (ROGD), proposed as a subtype of gender dysphoria and said to be caused by peer influence and social contagion. ROGD has not been recognized by any major professional association as a valid mental health diagnosis, and use of the term has been discouraged by professional and academic institutions due to a lack of reputable scientific evidence, major methodological issues in existing research, and likelihood to cause harm by stigmatizing gender-affirming care.
The health access and health vulnerabilities experienced by the lesbian, gay, bisexual, transgender, queer or questioning, intersex, asexual (LGBTQIA) community in South Korea are influenced by the state's continuous failure to pass anti-discrimination laws that prohibit discrimination based on sexual orientation and gender identity. The construction and reinforcement of the South Korean national subject, "kungmin," and the basis of Confucianism and Christianity perpetuates heteronormativity, homophobia, discrimination, and harassment towards the LGBTQI community. The minority stress model can be used to explain the consequences of daily social stressors, like prejudice and discrimination, that sexual minorities face that result in a hostile social environment. Exposure to a hostile environment can lead to health disparities within the LGBTQI community, like higher rates of depression, suicide, suicide ideation, and health risk behavior. Korean public opinion and acceptance of the LGBTQI community have improved over the past two decades, but change has been slow, considering the increased opposition from Christian activist groups. In South Korea, obstacles to LGBTQI healthcare are characterized by discrimination, a lack of medical professionals and medical facilities trained to care for LGBTQI individuals, a lack of legal protection and regulation from governmental entities, and the lack of medical care coverage to provide for the health care needs of LGBTQI individuals. The presence of Korean LGBTQI organizations is a response to the lack of access to healthcare and human rights protection in South Korea. It is also important to note that research that focuses on Korean LGBTQI health access and vulnerabilities is limited in quantity and quality as pushback from the public and government continues.
Rachel Leland Levine is an American pediatrician who has served as the United States assistant secretary for health since March 26, 2021. She is also an admiral in the United States Public Health Service Commissioned Corps.
Rebekah D. Fenton is an American pediatrician and adolescent health advocate. Fenton is an Adolescent Medicine Fellow in The Potocsnak Family Division of Adolescent and Young Adult Medicine at Lurie Children's Hospital at the Feinberg School of Medicine at Northwestern University in Chicago, Illinois. Fenton's clinical work is centered around providing healthcare for marginalized youth populations with a focus on cultural humility and health equity. After the police murder of George Floyd, Fenton provided medical care to protestors and has created virtual grieving spaces for Black and brown people in her medical community. As an avid writer, Fenton uses writing as a platform for advocacy to communicate topics such as public health, adolescent medicine, and diversity in medicine.
Katrina Alison Armstrong is an American internist. She is the chief executive officer of the Columbia University Irving Medical Center and Dean of the Faculties of Health Sciences and the Columbia University Vagelos College of Physicians and Surgeons. Armstrong is the first woman to lead Columbia's medical school and medical center. Previously, she was the first woman to hold the position of Physician-in-Chief at Massachusetts General Hospital and was elected to the National Academy of Medicine in 2013 and the American Academy of Arts and Sciences in 2020.
Rinad S. Beidas is an American clinical child psychologist and implementation scientist. She is currently the chair and Ralph Seal Paffenbarger Professor of the department of Medical Social Sciences at the Northwestern University Feinberg School of Medicine. She was formerly professor of Psychiatry and Medical Ethics and Health Policy at the Perelman School of Medicine at the University of Pennsylvania; Director of the Penn Implementation Science Center (PISCE@LDI); and Director of the Penn Medicine Nudge Unit. She is currently an Associate Director at the University of Pennsylvania's Center for Health Incentives and Behavioral Economics.
Prasanna Nair is an Indian-born doctor working in the United States. She works in primary health care with a specialty in pediatric endocrinology
Ligia Peralta is a Dominican-born doctor of pediatrics and adolescent medicine in Maryland. Her research focuses on HIV and the transmission of HIV in adolescents, specifically those from under-served communities.
Rachel Michele Werner is an American physician-economist. She is the first woman and first physician-economist executive director of the Leonard Davis Institute of Health Economics. In 2018, Werner was elected a Member of the National Academy of Medicine for her investigation into the unintended consequences of quality improvement incentives.
Genspect is an international group founded in June 2021 by psychotherapist Stella O'Malley that describes itself as "gender-critical". Genspect is known for criticizing and opposing gender-affirming care, as well as social and medical transition for transgender people. Genspect opposes allowing transgender people under 25 years old to transition, opposes laws that would ban conversion therapy on the basis of gender identity, and opposes public health coverage for transgender healthcare at any age. Genspect also endorses the concept of rapid-onset gender dysphoria (ROGD), which proposes a subclass of gender dysphoria caused by peer influence and social contagion. ROGD has been rejected by major medical organisations due to its lack of evidence and likelihood to cause harm by stigmatizing gender-affirming care.
The Society For Evidence-Based Gender Medicine (SEGM) is a non-profit organization that is known for opposing standards of care for transgender youth and engaging in political lobbying. The group routinely cites the theory of rapid-onset gender dysphoria and has claimed that conversion therapy can only be practiced on the basis of sexual orientation rather than gender identity. SEGM is often cited in anti-transgender legislation and court cases, sometimes providing evidence briefs themselves. It is not officially recognized as a scientific organization by the international medical community.
