The Study of Transition, Outcomes, and Gender (STRONG) is a
cohort study of
health in transgender people before and during or after
gender-affirming treatment
Transgender health care, also known as gender-affirming care, includes the prevention, diagnosis and treatment of physical and mental health conditions, as well as sex reassignment therapies, for transgender individuals.Gorton N, Grubb HM (2014) ...
s such as
gender-affirming hormone therapy
Transgender hormone therapy, also called hormone replacement therapy (HRT) or gender-affirming hormone therapy (GAHT), is a form of hormone therapy in which sex hormones and other hormonal medications are administered to transgender or gender nonc ...
and
gender-affirming surgery.
It is being conducted at
Kaiser Permanente sites in
Northern California
Northern California (colloquially known as NorCal) is a geographic and cultural region that generally comprises the northern portion of the U.S. state of California. Spanning the state's northernmost 48 counties, its main population centers incl ...
,
Southern California, and
Georgia and includes over 6,000 transgender people.
The study was underway by 2015
[Quinn VP, Becerra TA, Gillespie T, Hunkeler E, Baird T, Baisch NM, Owen-Smith A, Roblin D, Stephenson R, Tangpricha V, Valentine C, Goodman M. Embedding Patients, Providers, and Community Stakeholders in Research to Improve Transgender Health. J Patient Cent Res Rev 2015;2:114–115. http://dx.doi.org/10.17294/2330-0698.1137] and the first paper for the study was published in 2017.
The STRONG cohort represents the largest cohort of transgender people studied to date and the first such large-scale study conducted in the United States.
STRONG has published papers assessing transgender
population size and
demographics,
agreement between
electronic medical records and self-reported
gender identity,
gender dysphoria
Gender dysphoria (GD) is the distress a person experiences due to a mismatch between their gender identitytheir personal sense of their own genderand their sex assigned at birth. The diagnostic label gender identity disorder (GID) was used until ...
and
mental health,
suicidality,
"
passing Passing may refer to:
Social identity
* Passing (sociology), presenting oneself as a member of another sociological group
** Passing (gender), presenting oneself as being cisgender
** Passing (racial identity), presenting oneself as a member ...
" and mental health,
progression of gender dysphoria in
transgender youth,
hematological parameters,
liver parameters,
acne risk,
psoriasis risk,
cardiovascular health,
diabetes risk,
and cancer risk.
See also
*
European Network for the Investigation of Gender Incongruence The European Network for the Investigation of Gender Incongruence (ENIGI) is a collaborative multicenter prospective cohort study on gender incongruence which started in 2010 and is being conducted by several transgender clinics in Europe. The cl ...
(ENIGI)
References
{{Portal bar, Medicine, Transgender
Cohort studies
Endocrinology
Transgender and medicine
Transgender studies