Skip to main content
Erschienen in: Journal of Immigrant and Minority Health 4/2023

21.04.2023 | Original Paper

Registered Dietitian Nutritionists’ Knowledge, Attitudes, and Beliefs Regarding Nutrition for the Transgender Population in Three New England States: A Cross-Sectional Study

verfasst von: Kimberly Buonaiuto, Elizabeth Dodge, Basil H. Aboul-Enein

Erschienen in: Journal of Immigrant and Minority Health | Ausgabe 4/2023

Einloggen, um Zugang zu erhalten

Abstract

This Study examined the knowledge, attitudes, and beliefs of Registered Dietitian Nutritionists (RDN’s) practicing in Maine, New Hampshire, and Vermont, regarding the transgender population. 196 RDN’s from the Commission of Dietetics Registration registry located in the tri-state area responded to an anonymous online survey. The survey used the Transgender Knowledge, Attitudes and Beliefs (T-KAB) Scale and nine true/false clinically-focused questions. Descriptive statistics and chi-square analysis were used to identify trends and associations in RDN’s knowledge, attitudes, and beliefs regarding the transgender population. Political views (p < 0.0001), years practicing (p = 0.0454), and religious commitment (p = 0.0429) were negatively associated, and health disparities awareness (p < 0.0002) was positively associated, with total T-KAB Score. RDN’s surveyed had positive attitudes and beliefs, but a low level of knowledge. Future research should focus on training and education of RDN’s, and use of the T-KAB scale to evaluate pre/post-education modules regarding nutrition care for transgender patients.
Literatur
8.
Zurück zum Zitat Smalley KB, et al. Differences in health risk behaviors across understudied LGBT subgroups. Health Psychol. 2016;35(2):103–14.CrossRefPubMed Smalley KB, et al. Differences in health risk behaviors across understudied LGBT subgroups. Health Psychol. 2016;35(2):103–14.CrossRefPubMed
10.
Zurück zum Zitat Velho I, et al. Effects of testosterone therapy on BMI, blood pressure, and laboratory profile of transgender men: a systematic review. Andrology. 2017;5(5):881–8.CrossRefPubMed Velho I, et al. Effects of testosterone therapy on BMI, blood pressure, and laboratory profile of transgender men: a systematic review. Andrology. 2017;5(5):881–8.CrossRefPubMed
11.
Zurück zum Zitat Fernandez JD, Tannock LR. Metabolic Effects of hormone therapy in Transgender Patients. Endocr Pract. 2016;22(4):383–8.CrossRefPubMed Fernandez JD, Tannock LR. Metabolic Effects of hormone therapy in Transgender Patients. Endocr Pract. 2016;22(4):383–8.CrossRefPubMed
12.
Zurück zum Zitat Klaver M, et al. Cross-sex hormone therapy in transgender persons affects total body weight, body fat and lean body mass: a meta-analysis. Andrologia. 2017;49(5):e12660.CrossRef Klaver M, et al. Cross-sex hormone therapy in transgender persons affects total body weight, body fat and lean body mass: a meta-analysis. Andrologia. 2017;49(5):e12660.CrossRef
13.
Zurück zum Zitat Pelusi C, et al. Effects of three different testosterone formulations in female-to-male transsexual persons. J Sex Med. 2014;11(12):3002–11.CrossRefPubMed Pelusi C, et al. Effects of three different testosterone formulations in female-to-male transsexual persons. J Sex Med. 2014;11(12):3002–11.CrossRefPubMed
15.
Zurück zum Zitat T’Sjoen G, et al. Prevalence of low bone Mass in Relation to Estrogen Treatment and Body Composition in Male-to-female transsexual persons. J Clin Densitom. 2009;12(3):306–13.CrossRefPubMed T’Sjoen G, et al. Prevalence of low bone Mass in Relation to Estrogen Treatment and Body Composition in Male-to-female transsexual persons. J Clin Densitom. 2009;12(3):306–13.CrossRefPubMed
16.
Zurück zum Zitat Wierckx K, et al. Long-term evaluation of Cross‐Sex hormone treatment in Transsexual Persons. J Sex Med. 2012;9(10):2641–51.CrossRefPubMed Wierckx K, et al. Long-term evaluation of Cross‐Sex hormone treatment in Transsexual Persons. J Sex Med. 2012;9(10):2641–51.CrossRefPubMed
17.
Zurück zum Zitat Fighera TM, et al. Impact of cross-sex hormone therapy on bone mineral density and body composition in transwomen. Clin Endocrinol. 2018;88(6):856–62.CrossRef Fighera TM, et al. Impact of cross-sex hormone therapy on bone mineral density and body composition in transwomen. Clin Endocrinol. 2018;88(6):856–62.CrossRef
18.
Zurück zum Zitat Hughes L, et al. Privately insured Transgender People are at elevated risk for chronic conditions compared with Cisgender Counterparts. Health Aff (Millwood). 2021;40(9):1440–8.CrossRefPubMed Hughes L, et al. Privately insured Transgender People are at elevated risk for chronic conditions compared with Cisgender Counterparts. Health Aff (Millwood). 2021;40(9):1440–8.CrossRefPubMed
19.
Zurück zum Zitat Gomes SM, et al. Expanding the limits of sex: a systematic review concerning food and nutrition in transgender populations. Public Health Nutr. 2021;24(18):6436–49.CrossRefPubMed Gomes SM, et al. Expanding the limits of sex: a systematic review concerning food and nutrition in transgender populations. Public Health Nutr. 2021;24(18):6436–49.CrossRefPubMed
20.
Zurück zum Zitat Rozga M, et al. Hormone therapy, health outcomes and the role of nutrition in transgender individuals: a scoping review. Clin Nutr ESPEN. 2020;40:42–56.CrossRefPubMed Rozga M, et al. Hormone therapy, health outcomes and the role of nutrition in transgender individuals: a scoping review. Clin Nutr ESPEN. 2020;40:42–56.CrossRefPubMed
21.
Zurück zum Zitat Linsenmeyer W et al. An Examination of the Sex-Specific Nature of Nutrition Assessment within the Nutrition Care Process: Considerations for Nutrition and Dietetics Practitioners Working with Transgender and Gender Diverse Clients.J Acad Nutr Diet.2022. Linsenmeyer W et al. An Examination of the Sex-Specific Nature of Nutrition Assessment within the Nutrition Care Process: Considerations for Nutrition and Dietetics Practitioners Working with Transgender and Gender Diverse Clients.J Acad Nutr Diet.2022.
22.
Zurück zum Zitat Rahman R, Linsenmeyer WR. Caring for Transgender patients and clients: Nutrition-Related Clinical and Psychosocial Considerations. J Acad Nutr Diet. 2019;119(5):727–32.CrossRefPubMed Rahman R, Linsenmeyer WR. Caring for Transgender patients and clients: Nutrition-Related Clinical and Psychosocial Considerations. J Acad Nutr Diet. 2019;119(5):727–32.CrossRefPubMed
23.
Zurück zum Zitat Sikand G, et al. Clinical and cost benefits of medical nutrition therapy by registered dietitian nutritionists for management of dyslipidemia: a systematic review and meta-analysis. J Clin Lipidol. 2018;12(5):1113–22.CrossRefPubMed Sikand G, et al. Clinical and cost benefits of medical nutrition therapy by registered dietitian nutritionists for management of dyslipidemia: a systematic review and meta-analysis. J Clin Lipidol. 2018;12(5):1113–22.CrossRefPubMed
24.
Zurück zum Zitat Lennon SL, et al. 2015 evidence analysis Library evidence-based Nutrition Practice Guideline for the management of hypertension in adults. J Acad Nutr Diet. 2017;117(9):1445–58e17.CrossRefPubMed Lennon SL, et al. 2015 evidence analysis Library evidence-based Nutrition Practice Guideline for the management of hypertension in adults. J Acad Nutr Diet. 2017;117(9):1445–58e17.CrossRefPubMed
25.
Zurück zum Zitat Raynor HA, et al. Medical Nutrition Therapy and Weight loss questions for the evidence analysis Library Prevention of Type 2 Diabetes Project: systematic reviews. J Acad Nutr Diet. 2017;117(10):1578–611.CrossRefPubMed Raynor HA, et al. Medical Nutrition Therapy and Weight loss questions for the evidence analysis Library Prevention of Type 2 Diabetes Project: systematic reviews. J Acad Nutr Diet. 2017;117(10):1578–611.CrossRefPubMed
26.
Zurück zum Zitat Lichtenstein AH, et al. 2021 Dietary Guidance to improve Cardiovascular Health: A Scientific Statement from the American Heart Association. Circulation. 2021;144(23):e472–e87.CrossRefPubMed Lichtenstein AH, et al. 2021 Dietary Guidance to improve Cardiovascular Health: A Scientific Statement from the American Heart Association. Circulation. 2021;144(23):e472–e87.CrossRefPubMed
27.
Zurück zum Zitat Virani Salim S, et al. 2021 ACC Expert Consensus decision pathway on the management of ASCVD Risk reduction in patients with persistent hypertriglyceridemia. J Am Coll Cardiol. 2021;78(9):960–93.CrossRefPubMed Virani Salim S, et al. 2021 ACC Expert Consensus decision pathway on the management of ASCVD Risk reduction in patients with persistent hypertriglyceridemia. J Am Coll Cardiol. 2021;78(9):960–93.CrossRefPubMed
28.
Zurück zum Zitat Clark KA, Hughto JMW. Development and psychometric evaluation of the Transgender Knowledge, Attitudes, and beliefs (T-KAB) scale. Sex Res Soc Policy. 2020;17(3):353–63.CrossRef Clark KA, Hughto JMW. Development and psychometric evaluation of the Transgender Knowledge, Attitudes, and beliefs (T-KAB) scale. Sex Res Soc Policy. 2020;17(3):353–63.CrossRef
29.
Zurück zum Zitat Douglass P, et al. Three populations knowledge regarding Nutrition and Health Care for transgender and gender non-binary (TGGNB) individuals. Curr Dev Nutr. 2020;4(Suppl 2):1363.PubMedCentral Douglass P, et al. Three populations knowledge regarding Nutrition and Health Care for transgender and gender non-binary (TGGNB) individuals. Curr Dev Nutr. 2020;4(Suppl 2):1363.PubMedCentral
30.
Zurück zum Zitat Arthur S, et al. Medical students’ awareness of health issues, attitudes, and confidence about caring for lesbian, gay, bisexual and transgender patients: a cross-sectional survey. BMC Med Educ. 2021;21(1):56.CrossRefPubMedPubMedCentral Arthur S, et al. Medical students’ awareness of health issues, attitudes, and confidence about caring for lesbian, gay, bisexual and transgender patients: a cross-sectional survey. BMC Med Educ. 2021;21(1):56.CrossRefPubMedPubMedCentral
31.
Zurück zum Zitat Lim FA, Hsu R. Nursing students’ attitudes toward Lesbian, Gay, Bisexual, and Transgender Persons: an integrative review. Nurs Educ Perspect. 2016;37(3):144–52.CrossRefPubMed Lim FA, Hsu R. Nursing students’ attitudes toward Lesbian, Gay, Bisexual, and Transgender Persons: an integrative review. Nurs Educ Perspect. 2016;37(3):144–52.CrossRefPubMed
32.
Zurück zum Zitat Rogers D. Report on the Academy/Commission on Dietetic Registration 2020 needs satisfaction survey. J Acad Nutr Diet. 2021;121(1):134–8.CrossRefPubMed Rogers D. Report on the Academy/Commission on Dietetic Registration 2020 needs satisfaction survey. J Acad Nutr Diet. 2021;121(1):134–8.CrossRefPubMed
33.
Zurück zum Zitat Linsenmeyer W, et al. Towards gender-affirming nutrition assessment: a case series of adult transgender men with distinct nutrition considerations. Nutr J. 2020;19(1):74.CrossRefPubMedPubMedCentral Linsenmeyer W, et al. Towards gender-affirming nutrition assessment: a case series of adult transgender men with distinct nutrition considerations. Nutr J. 2020;19(1):74.CrossRefPubMedPubMedCentral
34.
Zurück zum Zitat Linsenmeyer W, Waters J. Sex and gender differences in nutrition research: considerations with the transgender and gender nonconforming population. Nutr J. 2021;20(1):6.CrossRefPubMedPubMedCentral Linsenmeyer W, Waters J. Sex and gender differences in nutrition research: considerations with the transgender and gender nonconforming population. Nutr J. 2021;20(1):6.CrossRefPubMedPubMedCentral
35.
Zurück zum Zitat Fergusson P, et al. Towards providing culturally aware Nutritional Care for Transgender People: Key Issues and Considerations. Can J Diet Pract Res. 2018;79(2):74–9.CrossRefPubMed Fergusson P, et al. Towards providing culturally aware Nutritional Care for Transgender People: Key Issues and Considerations. Can J Diet Pract Res. 2018;79(2):74–9.CrossRefPubMed
Metadaten
Titel
Registered Dietitian Nutritionists’ Knowledge, Attitudes, and Beliefs Regarding Nutrition for the Transgender Population in Three New England States: A Cross-Sectional Study
verfasst von
Kimberly Buonaiuto
Elizabeth Dodge
Basil H. Aboul-Enein
Publikationsdatum
21.04.2023
Verlag
Springer US
Erschienen in
Journal of Immigrant and Minority Health / Ausgabe 4/2023
Print ISSN: 1557-1912
Elektronische ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-023-01484-3

Weitere Artikel der Ausgabe 4/2023

Journal of Immigrant and Minority Health 4/2023 Zur Ausgabe