Distinguishing Gender Identity From Biological Sex in Dermatologic Health Care: Methods, Harms, and Paths Forward

    June 2023 in “ JMIR dermatology
    Noah Nigro, Neal Chandnani, Athena Doshi, Alexa Fritsch, Nathaniel A. Marroquin, Morgan Zuegar, Torunn Sivesind, Robert P. Dellavalle, Cory A. Dunnick
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    TLDR The conclusion is that recognizing the difference between gender identity and biological sex is crucial in dermatology to improve patient care and research accuracy.
    The research emphasizes the importance of accurately distinguishing between gender identity and biological sex in dermatology research, as their conflation can undermine patient respect and study accuracy. The study highlights the disparities in skin disease rates, skincare practices, and literature representation, particularly the underrepresentation of transgender and nonbinary patients. It also discusses the impact of gender-affirming therapies on skin health, such as increased risk of acne vulgaris, androgenetic alopecia, excessive sebum production, melasma, and hirsutism. The research also points out the lack of data on gender minority participation in clinical trials and the need for more inclusive treatment eligibility models. The study suggests that medical professionals should receive training in gender-inclusive terminology to foster a welcoming environment for patients.
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