5 Pre Course: Improving Care Gaps and Research Initiatives for LGBTQIA+ Patients in Headache Medicine
Tracks
Thursday, November 16, 2023 |
2:00 PM - 5:00 PM |
Arizona Ballroom Salon H-I |
Overview
Presented by LGBTQIA+ Health, Underserved Populations in Headache Medicine, Women's Health, Pediatric-Adolescent Headache, Behavioral, and Methodology, Design & Statistical Issues Special Interest Sections
Details
Speaker
Anna Pace
Assistant Professor, Dept Of Neurology
Icahn School Of Medicine At Mount Sinai
Overview of LGBTQIA+ health and health disparities
2:00 PM - 2:45 PMPresentation Description
This presentation will review terminology and nomenclature use to describe sex and gender identity, including the use of chosen names and pronouns in clinical practice. We will discuss health disparities that affect the LGBTQIA2S+ population, reviewing comorbid chronic conditions and disability related to those conditions. We will explore barriers to care for these patients and discuss how various psychosocial factors may lead to poorer healthcare outcomes in these individuals, especially as they relate to headache and chronic pain. This presentation will also address key clinical practice topics including: maintaining a welcoming and affirming office environment, using gender neutral language, how to competently discuss pregnancy planning when prescribing teratogenic medications in gender and sexual minorities,
integration of sexual orientation and gender identity data in EMR, and describing the benefits of partnering with local LGBTQ clinic providers.
integration of sexual orientation and gender identity data in EMR, and describing the benefits of partnering with local LGBTQ clinic providers.
Jennifer Hranilovich
Assistant Professor
Children's Hospital Colorado/University of Colorado
Management of headache disorders in transgender patients
2:45 PM - 3:30 PMPresentation Description
An overview of gender affirming hormone therapy (GAHT) in adolescents and adults and how this can interact with headache and its treatment. Includes discussion of the role of hormones in primary headache disorders and potential effects of GAHT, review of potential adverse effects of GAHT that can present as secondary headache disorders (e.g. cerebral venous sinus thrombosis, meningiomas) or stroke, review of drug-drug interactions between GAHT and commonly prescribed headache medications, and future avenues of research.
Maya Marzouk
T32 Postdoctoral Fellow
Cincinnati Children's Hospital Medical Center
Psychiatric commodities in LGBTQIA+ patients with headache
3:30 PM - 4:00 PMPresentation Description
Learners will receive an overview psychiatric comorbidities in headache and higher rates of psychiatric disorders in LGBTQ patients, sexual and gender minority stress and the influence of trauma, discrimination, and stigma in LGBTQIA+ patients, and integrating behavioral health into the management of headache disorders.
Eric Kaiser
Assistant Profession
University of Pennsylvania
Clinical research initiatives: improving care for sexual and gender minorities with headache disorders
4:00 PM - 4:30 PMPresentation Description
There is a severe knowledge gap on managing headache disorders in sexual and gender minorities, which impacts providing care for this disadvantaged population. This patient population has either been excluded from clinic studies or failed to be characterized when included. Furthermore, topics relevant to patients who identify as LGBTQIA+ have not been examined in headache clinical studies. Here, we discuss what key research gaps in the literature currently exist and how we may address these gaps moving forward. This includes how to recruit LGBTQ research participants and conduct clinical research with gender-affirming practices. Also, we discussed how to collect and report sexual orientation, sex, and gender identity data based on guidelines set by Headache.
Moderator
Deena Kuruvilla
Westport Headache Institute
Alexandra Ross
UCSF
Jason Ziplow
Children's Hospital Of Philadelphia
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