LGBTQ Health

  • Q&A: A Physician’s Approach to Gender-Affirming Care

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    Recent events in Texas have shone a spotlight on gender-affirming care and its impact on young people who identify as being gender diverse and transgender. TMA's LGBTQ Health Section answers common questions about gender-affirming care and what it means for patients and physicians.

    Read the Q&A  
  • TMA Staying Involved as Courts Rule on Gender-Affirming Care, SB 8

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    TMA is making sure medicine’s best interests are considered in two legal cases in which courts handed down significant decisions on March 11, impacting physicians and the patients they serve. One decision impacted the state's attempt to investigate gender-affirming care as child abuse, while the other cleared the way for a future ruling on whether the state's new abortion law is constitutional.

    Read More  
  • TMA Supports Evidence-Based Gender-Affirming Care in Lawsuit

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    As the Doe v. Abbott lawsuit heads to a hearing today over whether to block state investigations involving certain care provided to transgender youth, among other issues, the Texas Medical Association has filed a friend-of-the-court brief in the case in support of medically necessary, gender-affirming care, and opposing the criminalization of such treatment.

    Learn More About TMA's Position  
  • TMA in Talks With State Leadership on Gender-Affirming Care

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    In a series of meetings with state leadership, the Texas Medical Association has reiterated its opposition to the criminalization of medically necessary gender-affirming care and emphasized the need for protecting the patient-physician relationship with transgender youth and adolescents.

    Read About It  
  • TMA’s LGBTQ Health Section Elects Leaders

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    The LGBTQ Health Section kicked off its status as the Texas Medical Association’s newest section by electing a fresh slate of top officers.

    A copy of the section’s operating procedures is available here.

    Meet the  LGBTQ Leaders  
  • TMA Delegates OK Policy on Certain Health Care Disparities, LGBTQ Health Section

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    At an unprecedented live virtual meeting Saturday, the Texas Medical Association House of Delegates took action on a variety of initiatives important to the health of all Texans, including adopting policy to address health care disparities specifically related to cancer; laying the foundation for the creation of an LGBTQ Health Section; and setting principles for community-based accountable care organizations (ACOs).

    Get the Details Here  
  • Opportunities and Challenges

    InReach Inclusion Physicians care for patients with unique health challenges, including adults and minors who identify as lesbian, gay, bisexual, transgender, or queer/questioning (LGBTQ). While 2015 national data noted 1.6% of adults identified as gay or lesbian and 0.8% as bisexual,1 the latest Gallup poll finds that 4.5% of Americans, or an estimated 11 million adults, identify as lesbian, gay, bisexual, or transgender.2

    Health data on the LBGTQ population are inconsistent. But we do know that compared with heterosexual populations, LGBTQ individuals are at greater risk for health conditions related to obesity, substance use, depression, anxiety, lack of primary care, and violence.3 In 2017, an estimated 2.6 million students across the nation identified as lesbian, gay, or bisexual, and compared with others, they experienced significantly higher risks for negative health outcomes due to substance use, suicide, violence, and sexual activity.4

    1. Centers for Disease Control and Prevention. Table 1. Sexual orientation among U.S. adults aged 18 and over, by sex and age group: United States, 2015.
    2. Frank Newport. In U.S., Estimate of LGBT Population Rises to 4.5%. Gallup. May 22, 2018.
    3. Healthy People.gov. Lesbian, Gay, Bisexual, and Transgender Health (accessed July 11, 2019).
    4. Centers for Disease Control and Prevention. Understanding Unequal Health Risks of LGBT Students (accessed July 11, 2019
  • Improving Care for LGBTQ Patients

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    LGBTQ patients experience a disproportionate number of health problems, including high rates of mental illness, HIV, obesity, suicide, homelessness, and tobacco, alcohol, and drug use. Many physicians who would like to treat LGBTQ patients often hesitate because they fear they lack the training. While it's important for physicians to educate themselves on caring for LGBTQ patients, it's equally important for those patients to have better access to care. "They haven't felt comfortable going to a doctor," said Kelly Bennett, MD.

    A New Understanding  
  • LGBTQ Health Resources for Physicians

  • Resources for Your Patients

    The Trevor Project is the leading national organization providing crisis intervention and suicide prevention services to lesbian, gay, bisexual, transgender, queer, and questioning youth. In addition to the toll-free number, text, and chat options answered by trained counselors, the Trevor Support Center webpage provides easy-to-access frequently asked questions about sexual orientation, gender identity, and more. Help is available by phone at (866) 488-7386 /Text / Chat  

  • TMA Policy

    60.008 Rejection of Discrimination: The Texas Medical Association does not discriminate, and opposes discrimination, based on race, religion, disability, ethnic origin, national origin, age, sexual orientation, sex, or gender identity. TMA supports physician efforts to encourage that the nondiscrimination policies in their practices, medical schools, hospitals, and clinics be broadened to include “race, religion, disability, ethnic origin, national origin, age, sexual orientation, sex, or gender identity” in relation to patients, health care workers, and employees. (CSPH Rep. 1-A-18)

    60.010 Opposing Legislation that Mandates Physician Discrimination: The Texas Medical Association (1) supports the removal of “opposite sex” as a requirement for affirmative defense to prosecution within the Texas Penal Code, and (2) opposes legislation or regulation that mandates physicians and other health professionals discriminate against or limit access to health care for a specific patient population (Res. 111-A-19).  

  • TMA News and Other Stories

    “Conversion Therapy” Is Not Evidence-Based Care (May 1, 2019)

    Supporting Transgender and Gender-Diverse Teens by Maria Monge, MD (March 22, 2018)  

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    TMA is helping to strengthen your practice by offering advice and creating a climate of medical success across the state. 

  • What could a TMA membership mean for you, your practice, and your patients?