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Jack Turban MD 🏳️‍🌈 🧠 Profile picture
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13 Apr, 7 tweets, 5 min read
Republicans cite “science” as why they oppose the #EqualityAct - a bill that would extend federal civil rights protections to all #LGBTQ Americans.

As a physician and researcher, I can tell you science firmly disagrees with their position. #medtwitter
scientificamerican.com/article/politi…
Rigorous research has shown that #trans antidiscrimination laws result in a decrease in suicidality. States that implemented these laws saw a 39% drop in suicidality among #trans people.
pubmed.ncbi.nlm.nih.gov/32374362/
Adolescent suicidality dropped in states that passed marriage equality, likely due to broad societal impact that improved social climates and subsequently mental health
pubmed.ncbi.nlm.nih.gov/28241285/
Another study showed that laws permitting refusal of services to #LGBTQ people based on "moral" grounds substantially increase mental health problems.
pubmed.ncbi.nlm.nih.gov/29799924/
The GOP says the #EqualityAct would increase sexual assaults, but studies show that #trans inclusive bathroom policies decrease sexual assaults against #trans people and do not increase sexual assaults against cisgender people. See links to studies here:
scientificamerican.com/article/politi…
GOP senators also claim that the #EqualityAct would hurt women's sports by allowing #trans athletes to compete on teams that match their gender identity. This isn't true, as I recently explained for @sciam:
scientificamerican.com/article/trans-…
In summary, if GOP Senators are going to continue opposing the #EqualityAct, it is time they admit that their opposition isn’t based on science. It’s based on the regressive view, not shared by most Americans, that #LGBTQ people don’t deserve equal protection under the law.

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More from @jack_turban

Jack Turban MD 🏳️‍🌈 🧠 Profile picture
4 Apr
Our latest paper on “detransition”

In summary: 13.1% of currently identified #trans people report that they detransitioned at some point in their lives. Most (82.5%) report that detransition was driven by at least one external factor (e.g., harassment, stigma, etc.) #detrans 🧵 Image
A minority (15.9%) reported that detransition was driven by at least one internal factor (e.g., fluctuation in or uncertainty regarding gender identity). Clinicians should be aware of potential factors - internal and external - that may drive detransition. Examples: Image
The high number of #trans folks reporting a history of detransition highlights that some who detransition will transition again in the future. Folks should also keep in mind that external factors (societal stigma) can drive internal factors (doubt regarding gender identity).
Read 4 tweets
Jack Turban MD 🏳️‍🌈 🧠 Profile picture
24 Feb
As a @Harvard undergrad, I read an @AnnCoulter book and was struck by this line:

"Liberals can't have #gay marriage and evolution. For that we would need survival of the most fabulous."

Turns out she's wrong, but it took my whole evolutionary bio class to learn why (1/2) #LGBTQ
My favorite reconciliation of male homosexuality & evolution comes from studies suggesting it is an X-linked trait. For XY folks, it makes them gay, but for XX folks it makes them more fecund (i.e. fertile). This results in a stable but low % of gays in the population over time
It turns out there's a lot of homosexuality in nature. But things are complicated. Dolphins have 50% same-sex pairings. Male albatross are promiscuous, so females have lifelong pairings.
Read 7 tweets
Jack Turban MD 🏳️‍🌈 🧠 Profile picture
13 Jan
A new book about #trans youth from The Wall Street Journal's @AbigailShrier has some truly disturbing recommendations.

Page 215: She recommends parents isolate their trans children by sending them to live on horse farms with no internet, hoping that will make them cisgender.
She asserts that children whose parents isolated them in this way all "desisted" from identifying as #transgender.

If a parent sends their kid to a horse farm with no internet to try to make them cisgender, it's not surprising that the kid's going to go back in the closet.
These practices are cruel gender identity conversion therapies, and they've been labelled unethical & dangerous by The American Medical Association, The American Academy of Pediatrics, The American Psychiatric Association, and The American Academy of Child & Adolescent Psychiatry
Read 4 tweets
Jack Turban MD 🏳️‍🌈 🧠 Profile picture
13 Jan
So many proposed anti-#trans bills contain text stating something along the lines of "most #transgender adolescents will grow up to be cisgender, so they should not be given gender-affirming medical interventions."

Let's break down the problems with this false statement 🧵 (1/6)
First, the literature they're referencing is about children who have not yet reached puberty (eg Steensma et al. JAACAP 2013). Medical interventions are not offered until trans youth reach adolescence, at which point it's rare for trans youth to later identify as cisgender (2/6)
Second, many children in these longitudinal studies may have gone back in the closet when they were exposed to more stigma. In studies before 2000. the "persistence" rate was 2-9%. After 2000, as stigma improved, it changed to 12-39%. (3/6)
Read 7 tweets
Jack Turban MD 🏳️‍🌈 🧠 Profile picture
16 Dec 20
The gay agenda: roads.
nytimes.com/2020/12/15/us/…
Read 4 tweets
Jack Turban MD 🏳️‍🌈 🧠 Profile picture
15 Dec 20
The misinformation about #trans youth and #mentalhealth in this piece from @TheEconomist is astounding. Thread (1/9) Image
They cite that most adolescents who start pubertal suppression (PS) go on to take gender-affirming hormones. This isn't evidence PS made them trans. It's evidence they were trans to begin with & the clinic wasn't giving PS to kids who would later identify as cisgender (2/9) Image
Courts are not experts on informed consent for minors. Psychiatrists and pediatricians are. Policy statements from The American Academy of Pediatrics and The American Academy of Child & Adolescent Psychiatry make it clear that they disagree with the court's decision (3/9) Image
Read 9 tweets

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