Browsing by Author "Xie, Hui"

Now showing 1 - 4 of 4
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    Increasing prevalence of eating disorders in female adolescents compared with children and young adults: an analysis of real-time administrative data
    Lin, Binx Yezhe; Moog, Dominic; Xie, Hui; Sun, Ching-Fang; Deng, Wisteria Yushan; McDaid, Erin; Liebesny, Katherine V.; Kablinger, Anita S.; Xu, Kevin Young (BMJ, 2024-08)
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    Low availability, long wait times, and high geographic disparity of psychiatric outpatient care in the US
    Sun, Ching-Fang; Correll, Christoph U.; Trestman, Robert L.; Lin, Yezhe; Xie, Hui; Hankey, Maria Stack; Uymatiao, Raymond Paglinawan; Patel, Riya T.; Metsutnan, Vemmy L.; McDaid, Erin Corinne; Saha, Atreyi; Kuo, Chin; Lewis, Paula; Bhatt, Shyam H.; Lipphard, Lauren Elizabeth; Kablinger, Anita S. (Elsevier, 2023-09-01)
    Objective: To identify potential barriers to care, this study examined the general psychiatry outpatient new appointment availability in the US, including in-person and telepsychiatry appointments, comparing results between insurance types (Medicaid vs. private insurance), states, and urbanization levels. Method: This mystery shopper study investigated 5 US states selected according to Mental Health America Adult Ranking and geography to represent the US mental health care system. Clinics across five selected states were stratified sampled by county urbanization levels. Calls were made during 05/2022–07/2022. Collected data included contact information accuracy, appointment availability, wait time (days), and related information. Results: Altogether, 948 psychiatrists were sampled in New York, California, North Dakota, Virginia, and Wyoming. Overall contact information accuracy averaged 85.3%. Altogether, 18.5% of psychiatrists were available to see new patients with a significantly longer wait time for in-person than telepsychiatry appointments (median = 67.0 days vs median = 43.0 days, p < 0.01). The most frequent reason for unavailability was provider not taking new patients (53.9%). Mental health resources were unevenly distributed, favoring urban areas. Conclusion: Psychiatric care has been severely restricted in the US with low accessibility and long wait times. Transitioning to telepsychiatry represents a potential solution for rural disparities in access.
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    The mean age of gender dysphoria diagnosis is decreasing
    Sun, Ching-Fang; Xie, Hui; Metsutnan, Vemmy; Draeger, John H.; Lin, Yezhe; Hankey, Maria Stack; Kablinger, Anita S. (BMJ, 2023-06-26)
    Gender dysphoria (GD), or gender identity disorder, is defined as persistent distress stemming from the incongruence between one’s assigned sex at birth and gender identity. GD has traditionally been introduced as a rare condition predominant in assigned males at birth (AMABs). However, recent studies have shown an upward trend in assigned females at birth (AFABs) with a dramatic reversal of the AMAB:AFAB ratio. The actual AMAB:AFAB ratio varies by age group and study population. Questions have been raised concerning the increasing number of youth who seek professional care for GD, especially adolescent AFABs. Current GD studies are significantly limited by small sample sizes, short follow-up periods, or out-of-date data sets. In this study, we analysed data from multiple healthcare organisations between 2017 and 2021. Our aims were to uniquely illustrate an updated epidemiological trend by providing an estimated prevalence of GD and explore how sex assigned at birth and age influence GD.
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    The mental health of transgender and gender non-conforming people in China: a systematic review
    Lin, Yezhe; Xie, Hui; Huang, Zimo; Zhang, Quan; Wilson, Amanda; Hou, Jiaojiao; Zhao, Xudong; Wang, Yuanyuan; Pan, Bailin; Liu, Ye; Han, Meng; Chen, Runsen (Elsevier, 2021-12)
    Transgender and gender non-conforming (TGNC) individuals are at a high risk of adverse mental health outcomes due to minority stress-the stress faced by individuals categorised as stigmatised social minority groups. This systematic review sought to summarise the key mental health findings of the research on TGNC individuals in mainland China. We also aimed to consolidate research on the topic, identify specific mental health disparities, and offer new perspectives for future research to inform both policy and dinical practice. An extensive search of the literature, published in English and Chinese, was done between jan 1, 1990, and Aug 1, 2021, using PubMed, PsycINFO, Scopus, Wanfang (in Chinese), and CNKI (in Chinese). Overall, two qualitative and 28 quantitative articles were identified. The quantitative findings showed a high prevalence of mental health problems, such as depression, anxiety, substance use disorders, and stress-related issues, and greater disparities in psychological wellbeing. High prevalence is also reported in suicidality and self-harm behaviours in this group. Across the two qualitative studies, attributable factors included gender-related discrimination, barriers to accessing health services, low social support, decreased knowledge and awareness of HIV prevention, and demographic characteristics-such as marital status, educational level, and gender identity. This Review also found little evidence of gender-affirming care and mental health interventions in mainland China. Following from these results, the next step is to integrate multi-level, social-psychological interventions with education to reduce cultural stereotypes and transphobia in mainland China. Political and social implications are also discussed to inform a standard set of guidelines for transgender-indusive health-care services, including advocating for funding to create these special care programmes and services.