International Journal of Transgender Health最新文献

{"title":"Building capacity to address equity in sexual wellbeing among transgender and gender expansive communities in Philadelphia, United States.","authors":"Louis Listerud, Blake Kosciow, Ari Kirkman, Alana Richards, Ayden Scheim, Elena Cyrus, Dalmacio D Flores, Falon Seibert-Burns, Naiymah A Sanchez, Abigail Kopf, Ahmea Branch, Robert K Graves, Lee Carson, Steven Meanley","doi":"10.1080/15532739.2025.2469842","DOIUrl":"10.1080/15532739.2025.2469842","url":null,"abstract":"<p><strong>Background: </strong>Transgender and/or gender expansive (TGE) individuals in the United States (US) face barriers to sexual wellbeing. TGE communities have largely been excluded from sex education programs, putting the onus of programming on community agencies and healthcare providers. Acceptable TGE-tailored educational programming for sexual wellbeing has been understudied. Sexual health experts have recently outlined a framework for supporting sexual wellness <i>via</i> comprehensive public health education, recommending attention to the intersecting pillars of sexual health, sexual pleasure, sexual wellbeing, and sexual justice. Guided by this framework, the objective of our study was to ascertain sexual wellbeing program needs among TGE communities.</p><p><strong>Methods: </strong>As part of a community-engaged research study, we conducted qualitative interviews (<i>n</i> = 29) with TGE individuals (age range: 21-55; 62.1% people of color) residing in Philadelphia to understand sexual wellbeing programmatic needs and preferences. Participants were presented with 11 topics based on the pillars of sexual wellness, and asked to expand upon the three they believed deserve prioritization. Our team performed a thematic analysis on all interviews.</p><p><strong>Results: </strong>Participants' most highly ranked topics were consent, boundaries, safety, security, and agency in interpersonal dynamics, trauma-informed and sex-positive sexual wellbeing approaches, and shame, self-esteem and acceptance of gender and sexual identity. Participants identified several intervention strategies for addressing these topics, including in-person, trans-led didactic sessions (e.g. workshops and classes for TGE people) to discuss effective sexual health communication with partners. Participants thought that sexual wellness interventions should be implemented in community-based settings as well as in centralized online resources.</p><p><strong>Conclusion: </strong>Our study provides insights for leveraging community priorities into community- and clinic-based programming to support equity in sexual wellbeing for TGE individuals. By incorporating education around safety and trauma-informed approaches, providers may facilitate sexual wellbeing among TGE individuals. Future studies should develop TGE-tailored sexual wellbeing interventions and evaluate their impact on sexual wellbeing indicators.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 2","pages":"855-869"},"PeriodicalIF":8.4,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13015095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522442","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":"Correction.","authors":"","doi":"10.1080/15532739.2025.2471161","DOIUrl":"https://doi.org/10.1080/15532739.2025.2471161","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1080/26895269.2023.2278064.].</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"26 4","pages":"1429-1431"},"PeriodicalIF":14.8,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12573520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145432567","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":"Which transgender and gender diverse groups benefit most from E-health? Subgroup analyses of the randomized controlled trial i²TransHealth in Germany.","authors":"Janis Renner, Peer Briken, Arne Dekker, Lea Pregartbauer, Antonia Zapf, Susanne Sehner, Amra Pepić, Matthias Augustin, Timo O Nieder","doi":"10.1080/15532739.2025.2465710","DOIUrl":"10.1080/15532739.2025.2465710","url":null,"abstract":"<p><strong>Background: </strong>Transgender and gender diverse (TGD) people, particularly those living in underserved remote areas, often face barriers to accessing primary and specialty healthcare services due to geographic isolation and the scarcity of trained professionals in these regions. While e-health interventions have gained prominence in TGD-informed healthcare, no research to date has examined their subgroup-specific effectiveness in addressing the challenges faced by TGD people.</p><p><strong>Aim: </strong>This study aimed to investigate the responsiveness of various subgroups within the TGD population in Germany to the i²TransHealth e-health intervention, shedding light on its potential to mitigate disparities in healthcare access and outcomes through digital solutions such as video consultations and chat conversations.</p><p><strong>Methods: </strong>In this secondary analysis of a randomized controlled trial (RCT) conducted in Hamburg, Germany, involving 174 TGD study participants from four northern federal states of the country, we assessed the impact of the i²TransHealth e-health intervention on psychological distress.</p><p><strong>Results: </strong>Subgroup analyses revealed that i²TransHealth demonstrated effectiveness for TGD individuals overall, with higher age and education levels being associated with greater reductions in psychological distress. Clinically meaningful differences in treatment effectiveness were not observed in other subgroup variables, including residence size.</p><p><strong>Conclusion: </strong>E-health interventions like i²TransHealth offer promise in addressing the specific challenges faced by TGD people, particularly those in underserved remote areas. To enhance inclusivity and equity, interventions should consider the diverse needs of this population, emphasizing the importance of tailored approaches that accommodate varying educational backgrounds and geographic contexts.The trial was pre-registered at Clinicaltrials.gov (NCT04290286).</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 2","pages":"824-839"},"PeriodicalIF":8.4,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13015102/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522471","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":"Co-transitions: Understanding the ways couples navigate gender transition together.","authors":"Nomi Ostrander","doi":"10.1080/15532739.2025.2464231","DOIUrl":"10.1080/15532739.2025.2464231","url":null,"abstract":"<p><p><b>Background:</b> Gender transition is thought of as an individual experience, but it often occurs while the person transitioning is in a romantic relationship. <b>Aims:</b> This study aimed to explore the romantic relationships of couples who maintained their relationships following a partner's gender transition. <b>Method:</b> Twelve couples were interviewed individually and as a dyad. <b>Results:</b> Three key themes emerged in the interviews. First, couples struggled with initial grief and relationship ambiguity. Cisgender partners wondered about what their partner's transition goal looked like and the transgender partner wondered if there was a transition breaking point in the relationship. Second, cisgender partners realized they had their own process of identity exploration. This process often included reexamining their sexual orientation, as well as considering what public and private intimacy would look like now. Finally, the couples discussed relationship stabilization. This is the point at which they knew the relationship would survive the transition. These experiences are not only common to the couples in the interview but also reflect the author's clinical experiences as a therapist and her experience as a trans woman who maintained her romantic relationship with her cisgender wife through transition. <b>Conclusions:</b> The results of this study are useful for transgender families, researchers, and clinicians.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 2","pages":"814-823"},"PeriodicalIF":8.4,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13015039/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522489","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":"Gatekeeping gender-affirming care is detrimental to detrans people.","authors":"Florence Ashley, Neeki Parsa, Til Kus, Lee Leveille, Ky Schevers, G Nic Rider","doi":"10.1080/15532739.2025.2462582","DOIUrl":"10.1080/15532739.2025.2462582","url":null,"abstract":"<p><strong>Background: </strong>Gender assessments are often required to access gender-affirming medical interventions. These assessments are typically defended as a way of preventing regret, offering a compromise between the interests of trans and detrans people. Whether they do is integral to ongoing debates about models of care in transgender health.</p><p><strong>Methods: </strong>Building on previous work demonstrating the inefficacy of gender assessments, this article explores the impact of gender assessments and argues that they are detrimental to detrans people.</p><p><strong>Results: </strong>Assessments appear to be detrimental to detrans people because they disincentivize honesty and authenticity, inhibit gender exploration, increase shame and anger associated with detransition, foster transnormativity, hinder the development of a strong therapeutic alliance, and diminish the quality of informational disclosure.</p><p><strong>Conclusion: </strong>Given the detrimental consequences of gender assessments, clinicians should reconsider gatekeeping practices in favor of supporting patient decision-making and offering better care to people who detransition.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"26 1","pages":"235-252"},"PeriodicalIF":14.8,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11837931/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469673","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 have been thinking about this for a long time\": Navigating gender affirming medical care decisions for trans and nonbinary youth and their families in six countries.","authors":"Charles-Antoine Thibeault, Sabra L Katz-Wise, Patrick André Schmitt, Annie Pullen Sansfaçon","doi":"10.1080/26895269.2024.2447758","DOIUrl":"10.1080/26895269.2024.2447758","url":null,"abstract":"<p><strong>Background: </strong>It is frequently reported that access to gender affirming medical care (GAMC) is burdened with many barriers, such as lack of parental support, geographic distance, absence of social support, and medical professionals' lack of knowledge. While the current knowledge shows that trans and nonbinary youth (TNBY) experience many challenges when accessing GAMC, there is still limited information available regarding how they navigate GAMC decisions as youth approach puberty.</p><p><strong>Methods: </strong>To fulfill that gap, a team of researchers conducted semi-structured interviews in six countries (Australia, Canada, India, Switzerland, the UK, and the US) with TNBY ages 8-14 years and their families.</p><p><strong>Results: </strong>Thematic analysis was conducted on baseline interview data from an international longitudinal study, yielding three themes, and subthemes, relevant to making GAMC decisions: (1) Participants' decisions guided by expectations, (2) conditions for reaching an informed decision, and (3) the role of time in GAMC decision-making. Of these themes, several subthemes allowed researchers to understand how families navigate whether to seek GAMC, and if so, deciding on specific care trajectories.</p><p><strong>Conclusion: </strong>Results indicated that making decisions regarding GAMC is a process that moves beyond medical impacts and side-effects, as many family dynamics, access to information and time also played into TNBY's decisions to seek GAMC.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 1","pages":"408-422"},"PeriodicalIF":14.8,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12857701/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146107616","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":"Lived experiences: Exploring detransition narratives.","authors":"Amy C Maragos, Chris Brown, Luke R Allen","doi":"10.1080/26895269.2025.2458696","DOIUrl":"10.1080/26895269.2025.2458696","url":null,"abstract":"<p><strong>Background: </strong>Many people who have experienced gender incongruence decide to go through the process of transitioning. A small number of people who transition will decide to stop or reverse some or all aspects of their transition process and detransition.</p><p><strong>Aims: </strong>To bridge the gap in the psychology literature and the emerging yet poorly understood phenomenon of gender detransition, the aim of the current study was to explore the lived experiences of this unique population.</p><p><strong>Method: </strong>Thirteen adults who detransitioned participated in semi-structured interviews regarding the external and internal stressors that contributed to their decision to detransition. The authors used Meyer's minority stress model as a theoretical framework and consensual qualitative research methods to conceptualize and analyze the data.</p><p><strong>Results: </strong>Results of the interview data highlighted that the factors contributing to a person's decision to transition and detransition are multifaceted and unique. Participants' decision to transition were influenced by others who suggested or encouraged them to transition, gender dysphoria, body image concerns, and poor mental health. Participants reported several external (e.g. negative experiences with health service providers) and internal (e.g. regret regarding insufficient exploration) stressors with being transgender. Outcomes of detransitioning were explored and included relational change, increased self-acceptance, improved well-being, and loss of trans community.</p><p><strong>Conclusions: </strong>Study limitations, implications for counseling, and future research are discussed.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"26 1","pages":"215-234"},"PeriodicalIF":8.4,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11837908/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469345","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":"Getting to the bottom of it: Comparative medical and psychological risk for gonadectomy among individuals with and without presurgical psychological assessment.","authors":"James Michael Brennan, Sree Sinha, Jared Boot-Haury, Kaela M Joseph","doi":"10.1080/26895269.2025.2454288","DOIUrl":"10.1080/26895269.2025.2454288","url":null,"abstract":"<p><p><b><i>Background:</i></b> Presurgical psychological assessments (PPA) can be helpful in assessing for psychological risk factors and identifying medical risk factors that may impede recovery from surgery. Transgender and gender diverse (TGD) individuals seeking medically-necessary, gender-affirming hysterectomy and orchiectomy are recommended to undergo a PPA, yet individuals undergoing this surgery for other medical reasons are not. The present study sought to investigate comparative risk profiles among TGD individuals who underwent a PPA prior to hysterectomy or orchiectomy for gender affirmation compared to cisgender and TGD individuals who underwent hysterectomy or orchiectomy for other medical reasons without a formal assessment. <b><i>Methods:</i></b> Retrospective chart review was conducted on 195 patients at an integrated health care system. Medical, psychological, and overall risk scores were tabulated and mean ranks were compared among TGD patients with PPA (n = 43), TGD patients without PPA (n = 27), and cisgender patients (n = 125), none of whom underwent PPA. <b><i>Results:</i></b> Significant mean rank differences were found for overall and psychological risk, yet the mean rank scores for TGD patients with PPA group did not differ significantly from the cisgender group. No differences in medical risk scores among the groups were found. Eighty-six percent of TGD individuals with PPA were classified as having good prognosis for surgery. <b><i>Conclusions:</i></b> TGD patients who underwent a PPA tended to have low overall risk for surgical outcome, indicating that PPA may not have been necessary for these patients and instead served as an unwarranted barrier to medically-necessary care. It is recommended that health care systems, providers, and third-party payors align requirements for PPA for gonadectomy with the recommendations of the World Professional Association of Transgender Health Standards of Care 8 to remove barriers to medically-necessary care, particularly for surgeries with low complication rates, like hysterectomy and orchiectomy.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 1","pages":"553-570"},"PeriodicalIF":14.8,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12857712/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146107804","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":"Growing old as a trans woman sex worker: A scoping review.","authors":"Mariana Melo, Alexandra Oliveira, Sara Isabel Magalhães","doi":"10.1080/26895269.2025.2450242","DOIUrl":"10.1080/26895269.2025.2450242","url":null,"abstract":"<p><strong>Background and objectives: </strong>Although older trans women sex workers have been denied access to the support structures available in the community and although their vulnerability is known to increase as they age, little research has been conducted on this subject. This scoping review aimed to address gaps in the literature by collecting data from the peer-reviewed and grey literature that deal with the experiences and characteristics of older trans women sex workers.</p><p><strong>Methods: </strong>A scoping review was conducted using the PRISMA extension for scoping reviews (PRISMA-ScR). A search was carried out using EBSCO, PubMed, SciELO, Scopus and Web of Science, as well as sources of unpublished studies and the grey literature. Of the 963 documents initially identified, 26 met the inclusion criteria and were analyzed using a reflexive thematic analysis method (Braun & Clarke).</p><p><strong>Findings: </strong>Trans women sex workers are considered old prematurely, which contributes to less attractiveness and value in the sex market. This, combined with the challenges of trans aging per se, can increase their vulnerability. According to the data, trans women sex workers may face more risks as they get older because they lose value in the sex market, often their only source of income. In contrast, younger trans women see them as being more experienced, as having witnessed and survived violence, and sometimes as maternal figures (\"Trans Mothers\"). Some strategies for dealing with aging were identified, such as trying to appear as young as possible and, when this is no longer feasible, resorting to dangerous and painful strategies such as 'passing as' (being mistaken for cisgender women) or \"de-transformation\" (returning to an identity that is socially consistent with the sex assigned at birth). Finally, these results showed the need for and the importance of implementing protective policies for this population.</p><p><strong>Conclusion: </strong>Older trans women sex workers face major access barriers to fundamental social rights, which, combined with the challenges of growing older, have disallowed them from surviving aging. Some practical implications and suggestions for future research are provided. This scoping review protocol is registered with the Open Science Framework (OSF).</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 1","pages":"197-225"},"PeriodicalIF":14.8,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12857710/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146107908","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":"Correction.","authors":"","doi":"10.1080/26895269.2025.2457228","DOIUrl":"10.1080/26895269.2025.2457228","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1080/26895269.2024.2445094.].</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 1","pages":"630"},"PeriodicalIF":14.8,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12825579/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146054638","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}