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Sex and Gender are Not the Same: Why Identity Is Important for People Living with HIV and Chronic Pain
BACKGROUND: Sex differences in pain sensitivity have been well documented, such that women often report greater sensitivity than men. However, clinical reports highlighting sex differences often equate gender and sex. This is a particularly critical oversight for those whose gender identity is diffe...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7187934/ https://www.ncbi.nlm.nih.gov/pubmed/32425587 http://dx.doi.org/10.2147/JPR.S248424 |
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author | Strath, Larissa J Sorge, Robert E Owens, Michael A Gonzalez, Cesar E Okunbor, Jennifer I White, Dyan M Merlin, Jessica S Goodin, Burel R |
author_facet | Strath, Larissa J Sorge, Robert E Owens, Michael A Gonzalez, Cesar E Okunbor, Jennifer I White, Dyan M Merlin, Jessica S Goodin, Burel R |
author_sort | Strath, Larissa J |
collection | PubMed |
description | BACKGROUND: Sex differences in pain sensitivity have been well documented, such that women often report greater sensitivity than men. However, clinical reports highlighting sex differences often equate gender and sex. This is a particularly critical oversight for those whose gender identity is different than their genetic sex. METHODS: This preliminary study sets to analyze differences in pain responses between cisgender and transgender individuals living with HIV and chronic pain. A total of 51 African-American participants (24 cisgender men, 20 cisgender women, 7 transgender women) with similar socioeconomic status were recruited. Genetic sex, gender identity, depression and anxiety, pain severity, pain interference and pain-related stigma were recorded. Participants also completed a quantitative sensory testing battery to assess pain in response to noxious heat and mechanical stimuli. RESULTS: Transgender women and cisgender women demonstrated a greater magnitude of temporal summation for heat pain stimuli or mechanical stimuli compared to cisgender men. Specifically, transgender women reported greater mechanical summation than either cisgender women or cisgender men. Transgender women and cisgender women similarly reported greater chronic pain severity compared to cisgender men. CONCLUSION: These data support the notion that gender identity may play a more significant role in pain sensation than genetic sex. These results further maintain that not only gender identity and genetic sex are distinct variables but that treatment should be based on identity as opposed to genetic sex. |
format | Online Article Text |
id | pubmed-7187934 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-71879342020-05-18 Sex and Gender are Not the Same: Why Identity Is Important for People Living with HIV and Chronic Pain Strath, Larissa J Sorge, Robert E Owens, Michael A Gonzalez, Cesar E Okunbor, Jennifer I White, Dyan M Merlin, Jessica S Goodin, Burel R J Pain Res Original Research BACKGROUND: Sex differences in pain sensitivity have been well documented, such that women often report greater sensitivity than men. However, clinical reports highlighting sex differences often equate gender and sex. This is a particularly critical oversight for those whose gender identity is different than their genetic sex. METHODS: This preliminary study sets to analyze differences in pain responses between cisgender and transgender individuals living with HIV and chronic pain. A total of 51 African-American participants (24 cisgender men, 20 cisgender women, 7 transgender women) with similar socioeconomic status were recruited. Genetic sex, gender identity, depression and anxiety, pain severity, pain interference and pain-related stigma were recorded. Participants also completed a quantitative sensory testing battery to assess pain in response to noxious heat and mechanical stimuli. RESULTS: Transgender women and cisgender women demonstrated a greater magnitude of temporal summation for heat pain stimuli or mechanical stimuli compared to cisgender men. Specifically, transgender women reported greater mechanical summation than either cisgender women or cisgender men. Transgender women and cisgender women similarly reported greater chronic pain severity compared to cisgender men. CONCLUSION: These data support the notion that gender identity may play a more significant role in pain sensation than genetic sex. These results further maintain that not only gender identity and genetic sex are distinct variables but that treatment should be based on identity as opposed to genetic sex. Dove 2020-04-24 /pmc/articles/PMC7187934/ /pubmed/32425587 http://dx.doi.org/10.2147/JPR.S248424 Text en © 2020 Strath et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Strath, Larissa J Sorge, Robert E Owens, Michael A Gonzalez, Cesar E Okunbor, Jennifer I White, Dyan M Merlin, Jessica S Goodin, Burel R Sex and Gender are Not the Same: Why Identity Is Important for People Living with HIV and Chronic Pain |
title | Sex and Gender are Not the Same: Why Identity Is Important for People Living with HIV and Chronic Pain |
title_full | Sex and Gender are Not the Same: Why Identity Is Important for People Living with HIV and Chronic Pain |
title_fullStr | Sex and Gender are Not the Same: Why Identity Is Important for People Living with HIV and Chronic Pain |
title_full_unstemmed | Sex and Gender are Not the Same: Why Identity Is Important for People Living with HIV and Chronic Pain |
title_short | Sex and Gender are Not the Same: Why Identity Is Important for People Living with HIV and Chronic Pain |
title_sort | sex and gender are not the same: why identity is important for people living with hiv and chronic pain |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7187934/ https://www.ncbi.nlm.nih.gov/pubmed/32425587 http://dx.doi.org/10.2147/JPR.S248424 |
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