Kodagu District Hospital, Madikeri, Karnataka, India.
KGF College of Dental Sciences, Kolar, Karnataka, India.
BMC Oral Health. 2021 Nov 12;21(1):575. doi: 10.1186/s12903-021-01945-x.
Transgender and gender nonconforming (TGNC) people are a marginalized set of the population that continues to experience health care inequalities. This study aimed to assess oral health parameters including Candida growth and intensity among TGNC adults.
This cross-sectional study recruited two subgroups: 40 transgender and 40 control adults. Consented participants were interviewed and clinically examined. Data using the WHO oral health assessment forms were obtained. Samples for Candida growth and intensity analysis were collected from the dorsum surface of the tongue.
27.5% of the transgender group was HIV seropositive. Oral nicotine stomatitis and leukoplakia are reported to be the most prevalent intra-oral lesions showing a prevalence of 27.5% and 20%, respectively. The dental and periodontal health parameters of the transgender group were worse than those of the control group. The intensity of Candida colonies was significantly higher in the test group (p = 0.014).
Poor oral health and significant oral mucosal disorders were reported in transgender adults that have shown a higher rate of behavioral risk factors such as tobacco and alcohol consumption. Further longitudinal studies in different world regions are warranted to understand the barriers to good oral health in transgender adults and how to implement effective prevention and management strategies.
跨性别者和性别不一致者（TGNC）是一个边缘化的群体，他们仍然面临着医疗保健不平等的问题。本研究旨在评估 TGNC 成年人的口腔健康参数，包括念珠菌生长和强度。
这项横断面研究招募了两个亚组：40 名跨性别者和 40 名对照组成年人。同意参与的参与者接受了访谈和临床检查。使用世界卫生组织口腔健康评估表获取数据。从舌背表面采集用于念珠菌生长和强度分析的样本。
27.5%的跨性别者组 HIV 血清阳性。口腔尼古丁性口炎和口腔白斑病是最常见的口腔内病变，分别为 27.5%和 20%。跨性别组的牙齿和牙周健康参数比对照组差。实验组的念珠菌菌落强度显著更高（p=0.014）。
报告称跨性别成年人的口腔健康状况较差，口腔黏膜疾病显著，他们表现出更高的行为风险因素，如烟草和酒精的使用。需要在不同的世界区域进行进一步的纵向研究，以了解跨性别成年人良好口腔健康的障碍以及如何实施有效的预防和管理策略。
