INS NYC 2024 Program

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Poster Session 03 Program Schedule

02/15/2024
09:30 am - 10:40 am
Room: Shubert Complex (Posters 1-60)

Poster Session 03: Neurotrauma | Neurovascular


Final Abstract #2

Poster Symposium: Invisible Injuries: Screening, Assessment, and Rehabilitation of Traumatic Brain Injury in Vulnerable Populations — Abstract 1

Screening for Intimate Partner Violence-Related Brain Injury in Transgender and Gender Diverse Individuals

Carrie Esopenko, Icahn School of Medicine at Mount Sinai, New York, United States

Category: Acquired Brain Injury (TBI/Cerebrovascular Injury & Disease - Adult)

Keyword 1: traumatic brain injury
Keyword 2: head injury (closed)

Objective:

Intimate partner violence (IPV) represents a significant public health concern globally, with estimates from the World Health Organization demonstrating that one in three women report experiencing IPV at least once in their lifetime. Unfortunately, the prevalence of IPV among transgender and gender diverse (TGD) individuals is even higher, with transgender individuals being over twice as likely to experience injuries due to physical IPV compared to their cisgender peers. This high prevalence and severity of physical IPV places transgender individuals at an elevated risk for head neck trauma, as well as resulting brain injury (BI). However, limited work has assessed the prevalence and effects of exposure to head trauma and BI in TGD individuals who have experienced IPV.

Participants and Methods:

Online surveys were sent out to TGD individuals receiving care at a large center for gender affirming care in New York City as well as through social media platforms. Participants were assessed for exposure to IPV-related head trauma and BI using the Brain Injury Screening Questionnaire (BISQ) IPV Module, and other cause lifetime HT events and BIs using a shortened version of the BISQ, the BISQ-7.

Results:

Roughly two-thirds of participants experienced at least some form of abuse from an intimate partner. Moreover, approximately 27% of TGD individuals reported IPV-related impacts to the head, with reported exposure to IPV-related head impacts ranging from 0 to 40 impacts/participant.

Conclusions:

Our work demonstrates that a substantial proportion of TGD individuals have experienced some form of psychological, physical, and sexual trauma by an intimate partner. Many also report a history of IPV-related head trauma and probable BI, with a sizable proportion reporting repetitive exposure to head trauma. This presentation will discuss current state-of-science on IPV in TGD individuals, as well as preliminary work from our team on screening for IPV-related head trauma and probable BI in TGD individuals who received services at a large center for gender affirming care.