{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T21:27:04Z","timestamp":1793568424106,"version":"4.5.0"},"reference-count":30,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:00:00Z","timestamp":1791763200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Cystic Fibrosis Foundation","award":["KAZMER23A0-HETS"],"award-info":[{"award-number":["KAZMER23A0-HETS"]}],"id":[{"id":"https:\/\/ror.org\/00ax59295","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["LGBT Health"],"published-print":{"date-parts":[[2026,12,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>Lesbian, gay, bisexual, transgender, queer, intersex, asexual, or another sexual or gender minority (LGBTQIA+) people face health inequities and commonly report health care avoidance. We examined how multidisciplinary subspecialist providers care for LGBTQIA+ people with pediatric-onset chronic conditions, using cystic fibrosis (CF) as a model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We conducted a survey of United States and Canadian CF providers regarding their LGBTQIA+ health knowledge, attitudes, comfort, and practices from January-September 2024. We analyzed results descriptively and compared responses by key variables using chi-square tests.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Among 389 participants, 15% felt that there are only two genders and 6% reported discomfort working with LGBTQIA+ people based on personal beliefs. Nearly all (87%) agreed that asking about gender identity and sexual orientation is important to health care. Thirty percent felt unprepared to discuss concerns related to sexual orientation or gender identity, and 86% felt that they would be a better clinician if they had more training on supporting LGBTQIA+ people. Fifty-one percent reported asking their CF patients about their sexual orientation, 57% about their gender identity, and 73% about their affirmed name\/pronouns. Forty-three percent of U.S. and 20% of Canadian respondents reported receiving training on supporting LGBTQIA+ people.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>CF providers valued addressing LGBTQIA+ health but lacked expertise, training, and resources to routinely do so. Future research should explore the experiences and health outcomes of LGBTQIA+ people with CF and develop needed provider education.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23258292261495120","type":"journal-article","created":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T11:47:33Z","timestamp":1791805653000},"page":"466-474","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Care of the Sexual or Gender Minority Community Living with Cystic Fibrosis: A Survey of United States and Canadian Multidisciplinary Health Care Providers"],"prefix":"10.1177","volume":"13","author":[{"given":"Traci M.","family":"Kazmerski","sequence":"first","affiliation":[{"name":"Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivia M.","family":"Stransky","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4329-506X","authenticated-orcid":false,"given":"MinJae","family":"Lee","sequence":"additional","affiliation":[{"name":"McGovern Medical School, University of Texas Houston, Houston, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrianne","family":"Alpern","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Orange County, Orange, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Greenberg","sequence":"additional","affiliation":[{"name":"Boston Children\u2019s Hospital, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raksha","family":"Jain","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical Center, Dallas, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitchell R.","family":"Lunn","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Medicine, Stanford University School of Medicine, Stanford, California, USA."},{"name":"Department of Epidemiology and Population Health, Stanford University School of Medicine, Stanford, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Palla","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Northwestern Feinberg School of Medicine, Chicago, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asher","family":"Prangley","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Salyer","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, West Virginia University School of Medicine, Morgantown, West Virginia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vin","family":"Tangpricha","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Metabolism, and Lipids, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA."},{"name":"Atlanta Veterans Medical Center, Decatur, Georgia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"PRIDE CF Community Partner Group,","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory S.","family":"Sawicki","sequence":"additional","affiliation":[{"name":"Boston Children\u2019s Hospital, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kacie M.","family":"Kidd","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, West Virginia University School of Medicine, Morgantown, West Virginia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"PRIDE CF Community Partner Group Xan Nowakowski Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA., Brandon Wright Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA., Melissa Alao Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA., Mary Beth Prieur Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA., Kat Po","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,12]]},"reference":[{"key":"e_1_3_5_2_1","unstructured":"1.IPSOS. IPSOS LGBT+ Pride Report 2025: A 26-country IPSOS global advisor survey. IPSOS: Paris https:\/\/www.ipsos.com\/sites\/default\/files\/ct\/news\/documents\/2025-06\/ipsos-pride-report-2025.pdf (2025 accessed 12 January 2026)."},{"key":"e_1_3_5_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-8-70"},{"key":"e_1_3_5_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/08897077.2019.1702610"},{"key":"e_1_3_5_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-020-00327-y"},{"key":"e_1_3_5_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-24025-7_2"},{"key":"e_1_3_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2025.102810"},{"key":"e_1_3_5_8_1","volume-title":"The future pediatric subspecialty physician workforce: Meeting the needs of infants, children, and adolescents","author":"National Academies of Sciences, Engineering, and Medicine; Division of Behavioral and Social Sciences and Education; Health and Medicine Division; Board on Children, Youth, and Families; Board on Health Care Services; Committee on the Pediatric Subspecialty Workforce and Its Impact on Child Health and Well-Being","year":"2023","unstructured":"7.National Academies of Sciences, Engineering, and Medicine; Division of Behavioral and Social Sciences and Education; Health and Medicine Division; Board on Children, Youth, and Families; Board on Health Care Services; Committee on the Pediatric Subspecialty Workforce and Its Impact on Child Health and Well-Being. Children\u2019s health care needs and access to subspecialty care. The future pediatric subspecialty physician workforce: Meeting the needs of infants, children, and adolescents. Washington, DC: National Academies Press, 2023."},{"key":"e_1_3_5_9_1","doi-asserted-by":"publisher","DOI":"10.3892\/etm.2017.4526"},{"key":"e_1_3_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2024.09.002"},{"key":"e_1_3_5_11_1","unstructured":"10.Kressly SJ. AAP statement on HHS report treatment for pediatric gender dysphoria. Itasca IL: American Academy of Pediatrics https:\/\/www.aap.org\/en\/news-room\/news-releases\/aap\/2025\/aap-statement-on-hhs-report-treatment-for-pediatric-gender-dysphoria\/ (2025 accessed 12 January 2026)."},{"key":"e_1_3_5_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.71154"},{"key":"e_1_3_5_13_1","doi-asserted-by":"publisher","DOI":"10.1089\/lgbt.2018.0118"},{"key":"e_1_3_5_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2023.10.023"},{"key":"e_1_3_5_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2023.12.014"},{"key":"e_1_3_5_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/26895269.2022.2100644"},{"key":"e_1_3_5_17_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.18.00551"},{"key":"e_1_3_5_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2023.05.019"},{"key":"e_1_3_5_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adro.2024.101461"},{"key":"e_1_3_5_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10072-023-07181-1"},{"key":"e_1_3_5_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/CORR.0000000000002143"},{"key":"e_1_3_5_22_1","doi-asserted-by":"publisher","DOI":"10.4300\/JGME-D-24-00689.1"},{"key":"e_1_3_5_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12909-025-07551-7"},{"key":"e_1_3_5_24_1","doi-asserted-by":"publisher","DOI":"10.2337\/ds24-0025"},{"key":"e_1_3_5_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.22967"},{"key":"e_1_3_5_26_1","doi-asserted-by":"publisher","DOI":"10.1128\/IAI.00422-17"},{"key":"e_1_3_5_27_1","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.202008-1064OC"},{"key":"e_1_3_5_28_1","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.202105-535RL"},{"key":"e_1_3_5_29_1","unstructured":"28.Executive Order 14187: Protecting children from chemical and surgical mutilation. Washington DC: Executive Office of the President www.federalregister.gov\/documents\/2025\/02\/03\/2025-02194\/protecting-children-from-chemical-and-surgical-mutilation (2025 accessed 12 January 2026)."},{"key":"e_1_3_5_30_1","unstructured":"29.Executive Order 14168: Defending women from gender ideology extremism and restoring biological truth to the federal government. Washington DC: Executive Office of the President www.federalregister.gov\/documents\/2025\/01\/30\/2025-02090\/defending-women-from-gender-ideology-extremism-and-restoring-biological-truth-to-the-federal (2025 accessed 12 January 2026)."},{"key":"e_1_3_5_31_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0311506"}],"container-title":["LGBT Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23258292261495120","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/23258292261495120","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23258292261495120","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T21:11:57Z","timestamp":1793567517000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/23258292261495120"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,12]]},"references-count":30,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,12,1]]}},"alternative-id":["10.1177\/23258292261495120"],"URL":"https:\/\/doi.org\/10.1177\/23258292261495120","relation":{},"ISSN":["2325-8292","2325-8306"],"issn-type":[{"value":"2325-8292","type":"print"},{"value":"2325-8306","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,12]]}}}