International Journal of Transgender Health最新文献

{"title":"Artificial intelligence as ally? Rethinking community education in transgender youth trauma research.","authors":"Andika Pratama, Fanny Zakkiyah Mr, Adruni Arifina","doi":"10.1080/26895269.2025.2573036","DOIUrl":"10.1080/26895269.2025.2573036","url":null,"abstract":"","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 5","pages":"2782-2784"},"PeriodicalIF":8.4,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618145/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076382","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":"A call for greater attention to embodied change in trans health research.","authors":"John E Castle","doi":"10.1080/26895269.2025.2571427","DOIUrl":"10.1080/26895269.2025.2571427","url":null,"abstract":"","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 5","pages":"2289-2293"},"PeriodicalIF":8.4,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618162/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076406","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":"An open letter of intent to pursue certification from the world professional association for transgender health.","authors":"Lindsay-Rose Dunstan","doi":"10.1080/26895269.2025.2573041","DOIUrl":"10.1080/26895269.2025.2573041","url":null,"abstract":"","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 5","pages":"2785"},"PeriodicalIF":8.4,"publicationDate":"2025-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618178/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076444","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":"Adult sexual risk behavior in a Canadian sample of two-spirit, trans, and non-binary survivors of childhood sexual abuse.","authors":"A Dana Ménard, Storm Balint, Oliver Cheek, Heather MacIntosh","doi":"10.1080/26895269.2025.2568691","DOIUrl":"10.1080/26895269.2025.2568691","url":null,"abstract":"<p><strong>Background: </strong>Research on the impacts of CSA on survivors' sexual outcomes as adults has found an increase in sexual risk behaviors, including earlier sexual debut, greater involvement in transactional sex, and having sex under the influence of alcohol/drugs, among others. However, the impact of CSA on adult sexual risk behaviors in two-spirit, trans, and non-binary (2STNB) individuals has not been investigated.</p><p><strong>Objective: </strong>The goal of this investigation was to determine the impact of CSA on sexual risk as measured through a composite instrument in a sample of Canadian 2STNB adults and to identify contributors to this relationship.</p><p><strong>Participants and setting: </strong>A sample of 309 Canadian 2STNB individuals was recruited through the assistance of community organizations; 125 identified having experienced CSA.</p><p><strong>Methods: </strong>Participants completed an online survey including measures of adverse childhood experiences, sexual self-esteem (SSE), condom self-efficacy (CSE), symptoms of post-traumatic stress disorder (PTSD), experiences of interpersonal violence (IPV), and sexual risk behavior, as well as demographic questions.</p><p><strong>Results: </strong>Path analysis demonstrated significant indirect effects from CSA to risk behavior through IPV and PTSD (β=.03, <i>p</i><.05), and through IPV and CSE (β = -0.02, <i>p</i> < .05). The full sequential pathway from CSA through SSE and CSE to risk was not statistically significant (β = .04, <i>p</i> = .13), though significant pathways were observed between SSE and sexual risk (β=.38, <i>p</i><.05), and from SSE to CSE to risk (β = .04, <i>p</i> < .05).</p><p><strong>Conclusions: </strong>Experiences of CSA were associated with greater risk behavior in survivors through their experiences of IPV and PTSD symptoms. Focused attention on these mediators through education and therapy could help decrease risk behavior in survivors.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 5","pages":"2597-2610"},"PeriodicalIF":8.4,"publicationDate":"2025-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618080/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076365","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":"A pilot feasibility and acceptability evaluation of Trans Care: A CBPR digital health intervention for transgender and nonbinary adults experiencing gender dysphoria.","authors":"Louis Lindley, Stephanie L Budge","doi":"10.1080/26895269.2025.2570422","DOIUrl":"10.1080/26895269.2025.2570422","url":null,"abstract":"<p><strong>Background: </strong>Despite gender dysphoria's well-documented negative consequences, no empirically tested psychological interventions have been developed specifically to target gender dysphoria. To address this gap, we developed Trans Care, a free, self-guided digital intervention aimed at increasing coping skills to reduce gender dysphoria-related distress. Using community-based participatory research methods, we co-developed the intervention with TNB community input to ensure relevance and accessibility to diverse TNB populations.</p><p><strong>Aims: </strong>This study tests the feasibility and acceptability of the pilot trial for Trans Care with a predominantly Black, Indigenous, and People of Color sample.</p><p><strong>Methods: </strong>Participants were recruited <i>via</i> online forums and social media and a total of 87 participants completed at least one module. Feasibility and acceptability were assessed through attrition, validated and trial-specific quantitative measures, and qualitative questions.</p><p><strong>Results: </strong>Participants reported the intervention was feasible and acceptable through both qualitative and quantitative analyses. Specifically, participants noted their gratitude for the intervention and indicated their excitement to inform other TNB community members of the intervention. Attrition (38.32%) was slightly higher than hypothesized (<33%); however, attrition was lower than in previous online interventions with TNB populations.</p><p><strong>Conclusions: </strong>Results suggest that Trans Care is feasible and acceptable as an intervention, which warrants further investigation <i>via</i> randomized controlled trials. At a time when transgender and non-binary people are experiencing less access to health care for gender dysphoria in the US, this intervention has the potential to assist with reducing distress.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 5","pages":"2640-2656"},"PeriodicalIF":8.4,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618117/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076389","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 couldn't practice in a place where my patients couldn't get the care they need\": A qualitative exploration of residency decision-making among Southern medical students interested in providing gender-affirming care.","authors":"Sophie Knifton, Tecora Turner, Chuka Onuh, Ashley Gordon, Madeline Quasebarth, Lee Hasselbacher","doi":"10.1080/26895269.2025.2569725","DOIUrl":"10.1080/26895269.2025.2569725","url":null,"abstract":"<p><strong>Introduction: </strong>Legislative efforts to restrict healthcare access for transgender individuals have increased across the United States recently. Limited research has explored how anti-transgender state legislation impacts where medical students wish to attend residency and practice medicine in the future. We explored factors that influence residency choices among medical students from the Southern United States-a region heavily impacted by anti-transgender legislation.</p><p><strong>Methods: </strong>We conducted in-depth interviews with Southern medical students who want to provide abortion and/or gender-affirming care and applied to residency during the 2023 application cycle (<i>N</i> = 22). Interviews were conducted virtually between February and June 2024 and audio-recorded, de-identified, transcribed, and coded using Dedoose.</p><p><strong>Results: </strong>Most participants identified as cisgender women (86.4%) and as either White (40.1%) or Black or African American (36.4%). Participants represented ten Southern states and nine medical specialties. Four major themes emerged from our reflective thematic analysis: (1) Gender-affirming care as essential healthcare and a human right; (2) Challenges identifying gender-affirming care training opportunities in residency; (3) Moral distress about training in states that restrict or ban gender-affirming care; (4) Responsibility to serve and advocate for transgender patients, especially in Southern home communities.</p><p><strong>Conclusions: </strong>Southern medical students interested in providing gender-affirming care are balancing conflicting priorities between their clinical aspirations, personal responsibilities, and legal and geographical limitations. More transparency regarding gender-affirming care training opportunities in residency can help support medical students make informed decisions.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 5","pages":"2628-2639"},"PeriodicalIF":8.4,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076349","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":"Beyond and through the body: Subjective experiences of gender dysphoria across bodily and social dimensions.","authors":"Bianca Di Giannantonio, Lorenzo Giordano, Alessandra Gigliotti, Vittorio Lingiardi, Guido Giovanardi","doi":"10.1080/26895269.2025.2569724","DOIUrl":"10.1080/26895269.2025.2569724","url":null,"abstract":"<p><strong>Background: </strong>Traditional definitions of gender dysphoria (GD) reflect a binary, body-centered understanding of distress, often neglecting the influence of social and cultural contexts and failing to capture the lived experiences of transgender and nonbinary (TNB) individuals-especially nonbinary people.</p><p><strong>Aim: </strong>The present study aimed at exploring TNB young adults' subjective experiences of GD across bodily and social dimensions, while also attending to the interaction between these experiences and their fluctuations over time and context, moving beyond binary and transnormative assumptions.</p><p><strong>Methods: </strong>Four focus group discussions were conducted with 13 participants (aged 18-27 years), exploring their lived experiences of GD. A thematic analysis was applied to the verbatim transcripts, guided by the central question: \"How do TNB individuals experience gender dysphoria?\"</p><p><strong>Results: </strong>Three overarching themes and 11 subthemes were identified: (1) <i>inhabiting the body</i>, detailing visceral somatic sensations, the avoidance of mirrors and touch, alienation from specific body parts, and discomfort shaped by sociocultural meanings; (2) <i>inhabiting the world</i>, capturing distress arising from conflicts with binary gender norms and transnormativity, experiences of misgendering and invalidation, and persistent gender-related rumination; (3) <i>changes in the subjective experience of GD</i>, highlighting the variability of GD across social contexts, life stages, and gender-affirming interventions.</p><p><strong>Discussion: </strong>The findings conceptualize GD as a multidimensional and dynamic experience, encompassing bodily discomfort and distress, social recognition, interpersonal dynamics, and minority stress. The results challenge body-centric, binary clinical models and advocate for more nuanced, experience-near frameworks for care and assessment that are better attuned to the clinical realities and therapeutic needs of TNB individuals.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 5","pages":"2611-2627"},"PeriodicalIF":8.4,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618101/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076438","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":"Experiences of disordered eating and exercise behaviors of neurodivergent, gender diverse youth: A scoping review.","authors":"Van Slothouber, Janice Phonepraseuth, Sally Lindsay","doi":"10.1080/26895269.2025.2566186","DOIUrl":"10.1080/26895269.2025.2566186","url":null,"abstract":"<p><strong>Objective: </strong>Research shows that both gender diverse youth and neurodivergent youth are at an increased risk of engaging in disordered eating behavior or developing feeding and eating disorders, yet little is known about eating disorders in youth who are both gender diverse <i>and</i> neurodivergent. This article examines the existing literature that explores disordered eating in neurodivergent, gender diverse youth.</p><p><strong>Method: </strong>A scoping review was conducted using the Joanna Briggs Institute (JBI) guidelines for scoping reviews and Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews (PRISMA-ScR) checklist. We searched Embase, Healthstar, MEDLINE, PsycINFO, Scopus, and Web of Science for relevant articles.</p><p><strong>Results: </strong>31 articles from our searches met inclusion criteria. An additional five articles were found from reference lists of included articles, for a total of 36 articles. Following best practices for reporting for scoping reviews, we used a basic qualitative content analysis to organize the findings into the following three broad categories: (1) Rates and severity of feeding and eating disorders and neurodivergence of gender diverse youth; (2) Factors contributing to feeding and eating disorder or disordered eating behavior development in gender diverse, neurodivergent youth; and (3) Treatment outcomes.</p><p><strong>Discussion: </strong>Gender diverse, neurodivergent youth are at increased risk of developing feeding and eating disorders or disordered eating behaviors. Experiences of gender dysphoria, cognitive differences, and minority stress may contribute to this increased risk. While access to gender-affirming care is a necessary component of treatment, it does not appear to be sufficient for resolving feeding and eating disorders or disordered eating behaviors in this population.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 4","pages":"2244-2276"},"PeriodicalIF":8.4,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13403547/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608759","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 had this fear that as an autistic person, they would take me less seriously\": Trans autistic experiences of epistemic (in)justice in gender-affirming care.","authors":"Kai Jacobsen","doi":"10.1080/26895269.2025.2566190","DOIUrl":"10.1080/26895269.2025.2566190","url":null,"abstract":"<p><strong>Background: </strong>A disproportionate number of transgender and nonbinary people are autistic, and research suggests that trans autistic people experience significant barriers and challenges to accessing gender-affirming care. Much of the existing research in this area focuses on determining why trans people are more likely to be autistic, and less research has attended to trans autistic people's lived experiences of accessing gender-affirming care.</p><p><strong>Methods: </strong>To better understand these barriers and their impacts, I conducted qualitative interviews with 12 trans autistic people who had recently accessed gender-affirming medical care in the province of Ontario, Canada. Interviews were analyzed using reflexive thematic analysis.</p><p><strong>Results: </strong>Participants reported being frequently not believed, listened to, or taken seriously by healthcare providers, which I conceptualize as instances of epistemic injustice. I identify how medical discourses, ideologies, and clinical guidelines create conditions for gender-affirming care in which trans autistic people experience pervasive epistemic injustice. For example, participants felt pressure to conform to a transnormative and neuronormative narrative in order to be taken seriously by gender-affirming care providers. Some providers misinterpreted autistic communication styles and unfairly discredited their client's knowledge, eroding their trust in health care. While participants used creative self-advocacy strategies to access care, some providers felt threatened by this challenge to their epistemic power and medical authority. Conversely, participants also had positive experiences of epistemic justice when providers took their knowledge and lived experience seriously.</p><p><strong>Conclusion: </strong>I argue that gender-affirming care providers must practice epistemic humility by listening deeply and acknowledging the limits of their knowledge to deliver patient-centered care for trans autistic people. Systemic changes to the healthcare system and disrupting transnormativity and neuronormativity are necessary to improve trans autistic people's experiences of gender-affirming care and enable epistemic justice.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 5","pages":"2579-2596"},"PeriodicalIF":8.4,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076311","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 of gynaecological gender-affirming surgeries: A prospective cohort study.","authors":"A Vestering, T C van de Grift, F A Groenman, Joyce D Asseler, Robert A de Leeuw, B P C Kreukels, J A F Huirne, N M van Mello","doi":"10.1080/26895269.2025.2549123","DOIUrl":"10.1080/26895269.2025.2549123","url":null,"abstract":"<p><strong>Background: </strong>Research on motivations and impact of gynaecological gender-affirming surgeries (GGS)-such as hysterectomy and oophorectomy-on transmasculine and gender diverse individuals remains limited.</p><p><strong>Aim: </strong>This study aimed to evaluate patient-reported outcomes of GGS, focusing on motivations and the surgeries' effects on dysphoria and quality of life.</p><p><strong>Methods: </strong>A prospective cohort study was conducted in which transmasculine and gender diverse individuals undergoing GGS were included between August 2022 and February 2024. Preoperative and postoperative (3 and 9 months) data were collected through online questionnaires, including self-constructed and validated measures (Gender Congruence and Life Satisfaction Scale and Short Form-12 Health Survey). Self-constructed measures were used to collect data on general health, motivation for surgery, recovery, and the impact of surgery on various domains (i.e. dysphoria, mental well-being, self-esteem, sexual well-being and overall impact) measured on an 11-point Likert scale (-5 to +5), corresponding with very negative to very positive. A sample size calculation resulted in a sample of 109 participants.</p><p><strong>Results: </strong>The study included 112 participants; 69 (60.7%) underwent hysterectomy, 6 (5.4%) salpingectomy, 32 (28.6%) colpectomy with hysterectomy, and 6 (5.4%) colpectomy alone. Gender dysphoria (95.0%) was the primary motivator. Other motivations included physical complaints (67.0%) and pregnancy prevention (55%) for hysterectomy. For colpectomy, reasons included penetration avoidance (75.8%) and future surgery preparation (97%). Surgery resulted in significant improvement across all domains, with a median of +3 (IQR 1-5) for dysphoria and +3 (IQR 2-5) for overall impact. The majority reported positive effects postoperative, although a small minority experienced no change or a negative impact in various domains.</p><p><strong>Discussion: </strong>Gynaecological gender-affirming surgeries can significantly reduce dysphoria and positively impact transmasculine and gender diverse individuals. At the same time, this study highlights the diversity of experiences, showing that while these procedures have affirming potential, the process of postoperative recovery can be complex and varied.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 5","pages":"2502-2513"},"PeriodicalIF":8.4,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618092/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076235","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}