An Expanded National Cohort Study of Transgender People

The Study of Transition, Outcomes and Gender (STRONG) is an ongoing cohort study of transgender people enrolled in Kaiser Permanente (KP) integrated health care plans in Georgia (KPGA), Northern California (KPNC) and Southern California (KPSC), and includes 6,459 members for years 2006 through 2014. In this study, we add a new site at Kaiser Permanente Mid-Atlantic States (KPMAS) and extend cohort members and follow-up through 2022. We will study acute cardiovascular events in relation to gender affirming testosterone (HT), characterize mental health status of transgender people, and evaluate changes in clinical health indicators in relation to HT receipt.

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