Adolesc Med 029 (2018) xi –xiii Preface LGBTQ Youth: Enhancing Care for Gender and Sexual Minorities We are very happy to introduce Adolescent Medicine: State of the Art Reviews: LGBTQ Youth: Enhancing Care for Gender and Sexual Minorities. AM:STARs continues its effort to update the community on gender and sexual minority health every 10 years.1,2 This issue of AM:STARs covers the health and social well-being of gender and sexual minority youth in the context of the evidence, experience, resources, and culture of today and offers guidance as to how health care providers can best care for this population. We appreciate the time, energy, and expertise that our authors have shared with us. Their work, which is show- cased in this volume, provides new information and resources and promotes best practices in a continuing effort to create a culture that recognizes the dignity and integrity of a wonderfully dynamic and diverse community of youth and families. In 2018, health care providers in the United States face a number of critical health and social issues that affect our patients, families, and professional responsibilities. It is a time of widely swinging views on the meaning of health care as a right or economic privilege and resultant legislative wrangling on how to represent a vast number of competing constituents and stakeholders. It is a time that has seen recent, dramatic shifts in the visibility of lesbian, gay, bisexual, transgender, and questioning (LGBTQ) people and the acceptance of LGB rights, culminating in the national legalization of gay marriage in 2015. It is a time during which gender and sexual health services have undergone rapid, transformative changes while still contending with some restrictive, discrimina- tory responses that seek to limit resources and care. Lastly, sociocultural issues related to privilege, socioeconomic status, race, and ethnicity have become more visible and further demonstrate the confluence of forces that affect the health and indeed the lives of a vulnerable population. This issue of AM:STARs will review optimal primary care for LGBTQ youth and will initiate sophisticated discussions about clinical conundrums, clinical and social paradigm changes, and the present and future situations of gender- affirming surgical care. The authors will review minority stress theory and other psychosocial paradigms that inform language, therapies, and approaches not just to clinical care but also to research, legislation, and advocacy. Some articles will cover the most recent data regarding health risks and review the histori- cally negative health outcomes of which health care providers need to be aware Copyright © 2018 American Academy of Pediatrics. All rights reserved. ISSN 1934-4287 xi AMSTARs_Spring-2018_00_FM_i-xiv.indd 11 2/22/18 12:00 PM
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