Dermatologic care for lesbian, gay, bisexual, and transgender persons Epidemiology, screening, and disease prevention

• Type of Material: Article
• Authors: Howa Yeung, Emory University; Kevin M. Luk, Emory University; Suephy Chen, Emory University; Brian A. Ginsberg, Mount Sinai Hospital New York; Kenneth A. Katz, Kaiser Permanente, San Francisco, CA
• Language: English
• Date: 2019-03-01
• Publisher: Mosby-Elsevier
• Publication Version: Author Accepted Manuscript (After Peer Review)
• Copyright Statement: =© 2018 by the American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.
• License: Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International
• Final Published Version (URL): http://dx.doi.org/10.1016/j.jaad.2018.02.045
• Title of Journal or Parent Work: Journal of the American Academy of Dermatology
• Volume: 80
• Issue: 3
• Start Page: 591
• End Page: 602
• Grant/Funding Information: Supported in part by the Dermatology Foundation and the National Center for Advancing Translational Sciences (NCATS) of the National Institutes of Health under award number UL1TR002378 and KL2TR002381 (H.Y.).; Dr. Yeung received honorarium from InVentiv Health. Dr. Katz was a stockholder in Prevention Health Labs and Arrowhead Pharmaceuticals.
• Keywords: indoor tanning; HIV preexposure prophylaxis; dermatology; gender affirmation; HIV; dermal fillers; Resistant staphylococcus Aureus; LGBT; Sexually-transmitted infections; transgender; Science & Technology; sexually transmitted diseases; Meningococcal disease; bisexual; Skin cancer risk; skin cancers; Life Sciences & Biomedicine; Lymphogranuloma venereum; United States; Human-papillomavirus vaccination; gay; San Francisco; lesbian; cross-sex hormone; Orientation identity disparities; Dermatology; sexual minority
• Research Categories: Health Sciences, Oncology; Gender Studies; Health Sciences, Epidemiology

Abstract

Lesbian, gay, bisexual, and transgender (LGBT) persons face important health issues relevant to dermatologists. Men who have sex with men (MSM) are at higher risk of certain infectious diseases, including HIV, syphilis and other sexually transmitted diseases (STDs), methicillin-resistant Staphylococcus aureus infections, and invasive meningococcal disease, and might be at higher risk of non-infectious conditions, including skin cancer. Recommendations for preventive health care, including screening for HIV and other STDs, sexual health-related vaccinations, and HIV pre-exposure prophylaxis, differ for MSM compared with non-MSM. Women who have sex with women experience disparities in STDs, including chlamydia and HPV. Transgender patients have unique, and often unmet, dermatologic needs during gender transition (also called gender affirmation), related to hormonal therapy and gender-affirming surgery. Familiarity with LGBT health issues and disease-prevention guidelines can enable dermatologists to provide medically appropriate and culturally competent care to LGBT persons.