International Journal of Transgender Health最新文献

{"title":"Determinants of post-surgical well-being among transgender women: Healthcare accessibility, cultural sensitivity, and social support in India.","authors":"Dineshkumar R, Gandhimathi S, Pushpanathan T","doi":"10.1080/26895269.2026.2672732","DOIUrl":"10.1080/26895269.2026.2672732","url":null,"abstract":"<p><strong>Background: </strong>Gender-affirming surgery (GAS) is a vital component of transgender healthcare, yet post-surgical well-being is shaped by more than surgical outcomes alone. Empirical research on post-GAS healthcare experiences in India remains limited despite policy advancements supporting transgender rights.</p><p><strong>Objective: </strong>To examine healthcare-related and social factors associated with post-surgical well-being among transgender women in Tamil Nadu, India.</p><p><strong>Methods: </strong>A convergent mixed-methods design was employed with 200 community-recruited transgender women who had undergone at least one GAS procedure at least six months prior. Snowball sampling was conducted through community organizations and peer referral networks. Validated Likert-scale instruments (α = .80-.88) assessed healthcare accessibility, perceived quality of care, cultural sensitivity, and social support as predictors of post-surgical well-being. Seven semi-structured interviews were analyzed using reflexive thematic analysis.</p><p><strong>Results: </strong>All four predictors were significantly associated with post-surgical well-being (all <i>p</i> < .01): social support (<i>r</i> = .66), cultural sensitivity (<i>r</i> = .64), perceived quality of care (<i>r</i> = .62), and healthcare accessibility (<i>r</i> = .50). The regression model explained 41% of variance (<i>R</i> ² = .41), with social support (β = .28), perceived quality of care (β = .25), and cultural sensitivity (β = .22) as the strongest predictors. The identified qualitative themes were: bureaucratic vulnerability, linguistic invalidation, spatial exclusion, financial dependency, and chosen-family resilience.</p><p><strong>Conclusion: </strong>Post-surgical well-being is shaped by the interplay of structural healthcare accessibility, gender-affirming clinical environments, and community-based support. This study provides contextually grounded evidence from South Asia and highlights the need for culturally competent, inclusive healthcare systems to support equitable recovery outcomes following GAS.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 5","pages":"2294-2308"},"PeriodicalIF":8.4,"publicationDate":"2026-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618138/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlates of pre-exposure prophylaxis amongst transgender women of color taking gender-affirming hormone therapy: Findings from the TURNNT cohort study.","authors":"Eva Laura Siegel, Asher Baron, Alexander Furuya, Dustin T Duncan, Lauren C Houghton","doi":"10.1080/26895269.2026.2663935","DOIUrl":"10.1080/26895269.2026.2663935","url":null,"abstract":"<p><strong>Background: </strong>The Trying to Understand Relationships, Networks, and Neighborhoods Among Transgender Women of Color (TURNNT) Cohort Study provides a unique opportunity to identify correlates of PrEP use amongst transgender women of color taking gender-affirming hormone therapy (GAHT).</p><p><strong>Methods: </strong>We analyzed baseline data from the TURNTT Cohort Study, restricting our sample to those taking GAHT. We examined individual, interpersonal, and structural characteristics in association with current PrEP use using bivariate and multivariable models.</p><p><strong>Results: </strong>Healthcare factors played a critical role amongst those reporting GAHT use, with lower provider knowledge of transgender care and poor access to gender-affirming services associated with decreased likelihood of PrEP use; e.g., participants with only \"okay\" or \"poor\" access had 45% lower likelihood of PrEP use than those with \"great\" or \"good\" access (aPR = 0.55; 95% CI: 0.32-0.95). Gender and sexuality-related factors also predicted inequities, as individuals identifying with an additional gender (e.g., femme non-binary) had 70% lower likelihood of PrEP use than those identifying solely as transgender women (aPR = 0.30; 95% CI: 0.13-0.72), and those reporting higher sexual risk behaviors (such as having 6+ partners in the past six months) had more than double the likelihood of PrEP use compared to those with 0-1 partner (aPR = 2.28; 95% CI: 1.10-4.75).</p><p><strong>Conclusions: </strong>The findings suggest that both individual sociodemographic characteristics as well as interpersonal and structural healthcare-related characteristics play a significant role in shaping PrEP use among transgender women of color taking GAHT. This highlights the need for multilevel interventions that address structural and interpersonal determinants of health access to promote equity in HIV prevention.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":" ","pages":""},"PeriodicalIF":8.4,"publicationDate":"2026-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13451024/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148698153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient-reported outcomes and satisfaction with gender-affirming hormone therapy among transgender and gender-diverse individuals in South Korea: A multicenter prospective study.","authors":"Eun Sil Lee, Sun Young Lee, Ssirai Kim, Kuylhee Kim, Na-Hyun Hwang, Yehoon Choi, Hyein Chu, Jung-Won Yoon","doi":"10.1080/26895269.2026.2626839","DOIUrl":"10.1080/26895269.2026.2626839","url":null,"abstract":"<p><strong>Introduction: </strong>Knowledge of gender-affirming hormone therapy (GAHT) among transgender and gender-diverse (TGD) individuals outside Western countries remains limited. This study aimed to investigate GAHT-related experiences and patient-reported outcomes and related factors among TGD individuals in South Korea.</p><p><strong>Methods: </strong>A multicenter prospective study was conducted at eight gender-affirming care-providing clinics in Korea. TGD individuals who underwent GAHT were included. An online survey was administered between January and October 2024. Demographic characteristics and satisfaction and self-perceived GAHT effects were measured on a Likert scale; regret was assessed on a 0 (no regret) to 100 (total regret) scale. Multivariable logistic regression analysis was conducted to investigate the associated factor with satisfaction.</p><p><strong>Results: </strong>Among 824 participants, 437 (53.0%), 253 (30.7%), 98 (11.9%), and 36 (4.4%) were trans women, trans men, non-binary individuals assigned male at birth (NB-AMAB), and non-binary individuals assigned female at birth (NB-AFAB), respectively. The median age was 28 years (interquartile range [IQR] 24-33). Median age at GAHT initiation was 24 years (IQR 21-29), and median duration was 2.9 years (IQR 1.1-5.8). Most respondents (90.7%) were satisfied with GAHT; 9.3% reported moderate-to-low satisfaction. Moderate-to-low satisfaction rate was the highest among NB-AMAB (16.3%) and lowest among trans men (5.9%). Approximately 80.8% reported no regrets. GAHT improved gender congruence (89.6%), gender expression (87.2%), quality of life (85.2%), self-esteem (82.3%), and mental health (82.1%).</p><p><strong>Discussion: </strong>Most TGD individuals who underwent GAHT in Korea were satisfied and exhibited a very low rate of regret. To improve the health and well-being of TGD individuals in Korea, accessibility to GAHT should be expanded.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 5","pages":"2740-2752"},"PeriodicalIF":8.4,"publicationDate":"2026-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Love addiction and gender modality: An empirical, comparative study involving Italian transgender and cisgender individuals.","authors":"Alessia Martelli, Gioele Salvatori, Paolo Antonelli, Lorenzo Borrello, Davide Dèttore","doi":"10.1080/26895269.2025.2573855","DOIUrl":"10.1080/26895269.2025.2573855","url":null,"abstract":"<p><strong>Introduction: </strong>Love addiction is a state of addiction to relationships, from which dysfunctional emotions and behaviors develop, leading individuals to have a constant need for the other person and to failure in attempts of detachment. Given its recent scientific understanding, the study of love addiction has not yet been extended to the transgender community.</p><p><strong>Aims: </strong>The present study aims to integrate gender modality into the study of love addiction. Specifically, the aims are to analyze the dynamics of love addiction by comparing a group of transgender people to a group of cisgender people, and considering the variables of emotional dysregulation, impulsivity, stress, anxiety, depression and minority stress, with the latter influencing the phenomenon of addiction.</p><p><strong>Methods: </strong>The study involved a group comprising 109 transgender participants, and a group comprising 111 cisgender participants. Participants completed a sociodemographic form and a test battery of 5 instruments, assessing love addiction, emotional dysregulation, impulsivity, depression, anxiety, stress and gender minority stress.</p><p><strong>Results: </strong>The trans group did not report higher levels of love addiction. The relationship between gender minority stress and love addiction was significant and it was mediated by emotional dysregulation.</p><p><strong>Discussion: </strong>Our study suggested that transgender people report higher levels of impulsivity, emotional dysregulation and psychological distress. Nonetheless, the relationship between being trans and love addiction appears to be complex.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 5","pages":"2693-2704"},"PeriodicalIF":8.4,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618124/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"<i>\"Violence often happens; that's the life of a trans woman\"</i>: A qualitative study exploring trans women's lived experiences of gender-based violence in Indonesia.","authors":"Anindita Gabriella Sudewo, Nadira Chairani, Arinta Singgi, Ienes Angela, Rully Mallay, Tamara Lois, Claudia Stoicescu","doi":"10.1080/26895269.2025.2570858","DOIUrl":"10.1080/26895269.2025.2570858","url":null,"abstract":"<p><strong>Background: </strong>Globally, transgender women experience widespread gender-based violence and human rights violations, detrimentally affecting their quality of life and access to health care. Increasing 'moral panic' against LGBTQIA+ communities in Indonesia in recent years has placed trans women at increased risk of violence.</p><p><strong>Aims: </strong>This qualitative study, designed as part of an academic-community collaboration, documented multi-level experiences of gender-based violence and resiliency practices among trans women in Indonesia.</p><p><strong>Methods: </strong>Between July-October 2023, 20 trans women and 24 healthcare workers, social services and police stakeholders were interviewed in Jakarta and Yogyakarta to document participants' experiences of gender-based violence, ways of navigating violence, and mitigation practices to reduce violence-related harm. Data were analyzed thematically.</p><p><strong>Results: </strong>Findings are presented according to themes guided by the socio-ecological framework. Structural violence documented included discriminatory and stigmatizing policies and practices from service providers and the police. Violence at the community level involved physical violence from sex work clients and strangers. Interpersonal violence included emotional, psychological, and physical violence from intimate partners, influenced by cisgenderist values and internalized stigma adopted into intimate partnerships. We also identified community-led practices around mitigating these harms, including the creation of support networks at the interpersonal and organizational levels, as well as establishment of personal and communal safe spaces by and for trans women.</p><p><strong>Discussion: </strong>Findings highlight the urgent need for longitudinal and intervention research that address gender-based violence among trans women, increase access to justice, and empower transgender communities to know their rights and challenge structural barriers.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 5","pages":"2657-2676"},"PeriodicalIF":8.4,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618175/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gender diversity and the twin relationship: \"If I'm feeling this way, shouldn't my twin be feeling this way too?\"","authors":"Will Conabere, Louise Bourchier, Anja Ravine, Ken C Pang, Sue Malta","doi":"10.1080/26895269.2025.2552337","DOIUrl":"10.1080/26895269.2025.2552337","url":null,"abstract":"<p><strong>Background: </strong>Twin studies have been pivotal in advancing knowledge of genetic influence on gender diversity. However, the extent to which the unique dynamics of the twin relationship may also influence gender formation, and potentially distinguish twins from the broader trans community, remains unknown.</p><p><strong>Method: </strong>This study recruited 11 young people from the Royal Children's Hospital Gender Service in Melbourne, Australia, and conducted semi-structured interviews, investigating the interplay between gender diversity and the twin relationship. The interviews were analyzed using Inductive Content Analysis with three coders.</p><p><strong>Results: </strong>The results found that for most trans participants, their twin relationship either served as a source of support or had no notable impact on their gender journey. Similarly, cisgender participants with a trans co-twin did not report any significant consideration or questioning of their own gender identity prompted by their twin's coming out. In most cases, the twin relationship was maintained or strengthened after the coming out process, particularly in the long term.</p><p><strong>Conclusion: </strong>Overall, the twin relationship likely functions similarly to other close relationships (i.e. parents, non-twin siblings), notably the potential to provide affirming support, rather than contributing to a twin-specific experience. However, further research is required to explore these dynamics in greater depth.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 5","pages":"2570-2578"},"PeriodicalIF":8.4,"publicationDate":"2025-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618197/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"I'm not alone here\": A qualitative study of social media as a source of support for transgender and gender diverse youth of color.","authors":"Marla E Eisenberg, Alberto Amadori, Samantha E Lawrence, Hana-May Eadeh, César Escobar-Viera, Sydney Hainsworth, G Nic Rider","doi":"10.1080/26895269.2025.2575869","DOIUrl":"10.1080/26895269.2025.2575869","url":null,"abstract":"<p><strong>Background: </strong>Social media has come under scrutiny, leading to recommendations that adolescents reduce or eliminate use. However, social media may offer benefits, particularly to marginalized groups; understanding ways in which this social context can be positive and supportive is expected to lead to more targeted recommendations for use.</p><p><strong>Methods: </strong>This qualitative study investigates ways in which social media is a source of support for transgender and gender diverse (TGD) youth of color. Participants were recruited through youth serving organizations, community events, a Youth Advisory Board, personal and professional networks, and prior study contacts. We conducted and analyzed 43 individual interviews with 13-19-year-old TGD youth of color from the United States in 2022. 37 participants specifically referenced social media as a source of support. Transcripts were analyzed using reflexive inductive and deductive processes to identify common themes.</p><p><strong>Results: </strong>Six main themes emerged: <i>curating online spaces, finding acceptance and friends, finding similar others, representation matters, learning and getting information,</i> and <i>digital allyship</i>. Results indicate that social media has the potential to be a meaningful source of support for TGD youth of color.</p><p><strong>Conclusions: </strong>Public conversation and preventive interventions require a more nuanced discussion of the risks and benefits of social media, including practical recommendations for media literacy and intentional curation of online spaces to bolster support for TGD youth of color.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 5","pages":"2718-2730"},"PeriodicalIF":8.4,"publicationDate":"2025-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618112/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Toward leaving no one behind: HIV infection among trans communities in Kazakhstan.","authors":"Kelsey G Reeder, Yong Gun Lee, Jimin Sung, Vitaliy Vinogradov, Gulnara Zhakupova, Gaukhar Mergenova, Alissa Davis, Emily Allen Paine, Sholpan Primbetova, Assel Terlikbayeva, Sultana Kali, Timothy Hunt, Elwin Wu","doi":"10.1080/26895269.2025.2577163","DOIUrl":"10.1080/26895269.2025.2577163","url":null,"abstract":"<p><strong>Background: </strong>Central Asia, and Kazakhstan in particular, is virtually absent from global transgender (trans) Human Immunodeficiency Virus (HIV) research, despite evidence of disproportionate barriers to care. This absence erases local realities, weakens the evidence base, and renders communities invisible in policy. While global studies highlight trans people's heightened vulnerability to HIV and sexually transmitted infections (STIs) due to stigma, limited access, and scarce affirming services, little epidemiological data from Central Asia exists. This study addresses that absence by examining both known and newly detected infection prevalence among trans participants in Kazakhstan, underscoring the need to center trans health in the pursuit of collective trans liberation.</p><p><strong>Aims: </strong>Generate the first empirical data on HIV risk, prevention engagement, and structural determinants among trans people in Kazakhstan, situating findings within regional and global commitments to leaving no one behind in health.</p><p><strong>Methods: </strong>Analysis of HIV and STI prevalence among 68 trans participants in Almaty, Astana, and Shymkent (2018-2022), drawing on behavioral and biological data from a National Institute on Drug Abuse-funded prevention trial for substance-using cisgender (cis) and trans gay and bisexual men who have sex with men.</p><p><strong>Results: </strong>Most participants (69%) had tested for HIV at least once, 32% in the past six months; however, 37% did not know their current status. Fourteen (21%) were confirmed HIV-positive, 79% previously unaware. Nearly half tested positive for at least one STI, with 10% for multiple.</p><p><strong>Discussion: </strong>Findings reveal high HIV and STI burdens and critical gaps between self-reported awareness and confirmed diagnoses. Testing rates fall below UNAIDS 95-95-95 targets, highlighting the urgent need for expanded testing, research, and community-led interventions. Making these realities visible is essential for improving health in Kazakhstan and advancing collective trans liberation worldwide; without centering trans experiences, the global struggle for trans health and rights remains incomplete and the principle of leaving no one behind unfulfilled.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 5","pages":"2731-2739"},"PeriodicalIF":8.4,"publicationDate":"2025-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618151/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating vaccine hesitancy in transgender and gender diverse patients at a gender-affirming clinic in New Mexico, USA.","authors":"Monica Douglas, Kelsea Aragon, Melissa H Roberts, Matthew E Borrego, Heather Cabos, Alyssa Barnes, Kory Sillivent, Isaac Olona, Robert Trujillo, Kristin Bacon, Nicolas Olivas, Kellen Day, Bernadette Jakeman","doi":"10.1080/26895269.2025.2574512","DOIUrl":"10.1080/26895269.2025.2574512","url":null,"abstract":"<p><strong>Objective: </strong>This study evaluated vaccine hesitancy (VH) scores in transgender and gender-diverse patients for four vaccines: human papillomavirus (HPV), hepatitis B (HBV), influenza, and COVID-19.</p><p><strong>Methods: </strong>A cross-sectional study was conducted at a gender-affirming care clinic in New Mexico, USA. Participants aged >18 years with a diagnosis of gender dysphoria were eligible for inclusion. Participants completed an electronic survey during their clinic visit. Demographic characteristics were collected, and additional survey items were adapted from the Vaccine Hesitancy Scale developed by the SAGE Working Group. Higher VH scores indicated greater hesitancy.</p><p><strong>Results: </strong>181 participants completed surveys. The mean age was 30.0 years and the majority of participants were white (64.1%). Gender was reported as male (39.8%), female (31.5%), non-binary/non-conforming (24.3%), and prefer not to respond (4.4%). Vaccination rates were: COVID-19 (92.8%), influenza (74.0%), HBV (65.7%), and HPV (61.4%). For all vaccines, overall VH scores were higher (<i>p</i> < 0.01) in the unvaccinated groups. For HBV and influenza vaccines, there were significant differences for each of the 3Cs <i>(confidence, complacency, convenience)</i> between vaccinated and unvaccinated groups (<i>p</i> < 0.001). For HPV, there was a significant difference in <i>confidence</i> (<i>p</i> = 0.03) and <i>convenience</i> (<i>p</i> < 0.01) scores. For COVID-19, there were significant differences in <i>confidence</i> (<i>p</i> < 0.0001) and <i>complacency</i> (<i>p</i> < 0.0001). Hesitancy scores ≥ 2.0 were significantly (<i>p</i> < 0.05) associated with being unvaccinated for all but the HPV vaccine (<i>p</i> > 0.05).</p><p><strong>Conclusion: </strong>Survey responses from unvaccinated participants indicate a higher degree of VH compared to vaccinated participants. Differing VH determinants were associated with unvaccinated status for the HPV, HBV, influenza, and COVID-19 vaccines.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 5","pages":"2705-2717"},"PeriodicalIF":8.4,"publicationDate":"2025-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618121/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149075897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"I feel under attack\": Transgender pre- and adolescents and caregivers opposition to restrictions on gender-affirming medical care in Brazil.","authors":"Bruna Caruso Mazzolani, Luana Cordeiro de Oliveira, Igor Longobardi, Fabiana Infante Smaira, Fernanda Sabatini, Fernanda Evangelista Bandeira de Melo, Samuel Bittar, Thifany Helena Torres, Fernanda Baeza Scagliusi, Alexandre Saadeh, Hamilton Roschel, Bruno Gualano","doi":"10.1080/26895269.2025.2573035","DOIUrl":"10.1080/26895269.2025.2573035","url":null,"abstract":"<p><strong>Background and aim: </strong>In April 2025, Brazil's Federal Council of Medicine (CFM) issued Resolution 2.427/2025 banning puberty blockers, restricting hormone therapy until age 18, and delaying gender-affirming surgeries until age 21. These measures sharply contrast with previous national protocols aligned with international standards of care. We conducted a qualitative study to explore how transgender adolescents and their caregivers perceive these new restrictions.</p><p><strong>Methods: </strong>Nine focus groups were held between May and June 2025 with 5 pre-adolescents and 26 adolescents (11-18 years) and 21 caregivers receiving care at Brazil's largest gender identity outpatient clinic. Discussions were transcribed verbatim, coded, and analyzed using qualitative content analysis.</p><p><strong>Results: </strong>Participants consistently viewed the resolution as unjust, ideologically motivated, and detached from scientific evidence. Adolescents described puberty blockers and hormone therapy as life-saving, emphasizing their positive physical and psychological effects. They rejected detransition as a valid justification for restrictions, framing it as rare and often driven by external pressures. Caregivers echoed these concerns, describing the resolution as harmful, unscientific, and likely to exacerbate inequalities, mental health challenges, and unsafe self-medication practices. Both groups highlighted that gender-affirming care is preceded by long-term, multidisciplinary follow-up under robust clinical protocols, minimizing risks of regret or adverse outcomes.</p><p><strong>Conclusion: </strong>Findings show that restrictive policies are not perceived as neutral regulation but as an assault on the rights, health, and dignity of transgender youth. By amplifying the lived experiences of adolescents and caregivers, this study points out the urgent need for evidence-based, inclusive, and participatory health policies that do not exclude trans voices.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 5","pages":"2677-2692"},"PeriodicalIF":8.4,"publicationDate":"2025-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618098/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}