International Journal of Transgender Health最新文献

{"title":"Is there a role for Acellular Dermal Matrix for vaginal canal lining in primary gender-affirming vaginoplasty?","authors":"David Le, Zain Aryanpour, Ty Higuchi, Christodoulos Kaoutzanis","doi":"10.1080/26895269.2025.2483219","DOIUrl":"10.1080/26895269.2025.2483219","url":null,"abstract":"","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 2","pages":"1166-1167"},"PeriodicalIF":14.8,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13015058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522461","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":"\"Uncle maria you look beautiful\": Experiences of family acceptance among transgender women of color in South Florida.","authors":"Jimenez D R, Beaulaurier R, Fava N, Kiplagat S, De La Rosa M, Sastre F, Dévieux J, Coudray M, Clarke R, Cyrus E","doi":"10.1080/26895269.2025.2479186","DOIUrl":"10.1080/26895269.2025.2479186","url":null,"abstract":"<p><strong>Introduction: </strong>This qualitative study aimed to explore the dynamics between transgender women of color and their family members through the lens of the minority stress framework. Transgender women of color are more at risk of negative health and social outcomes compared to other LGBTQIA+ populations due to discrimination and transphobia based on racial/ethnic and transgender identity (minority stress). While caregivers and siblings can help buffer the negative impact of minority stress, behaviors such as rejection, aggression, and indifference to transgender identity can elevate mental and physical health risks.</p><p><strong>Methods: </strong>A secondary qualitative analysis from in-depth interviews and focus groups (<i>n</i> = 20) of transgender women of color in South Florida was conducted to explore relationship dynamics between participants and their family members.</p><p><strong>Results: </strong>In response to questions about family member relationships, four overarching themes emerged: 1) family aggression, 2) sociocultural and religious barriers, 3) a spectrum of acceptance, and 4) external support networks. Transgender women of color may experience direct and indirect forms of minority stress by family members, including stressors from those they consider accepting of their transgender identity. Additionally, participants reported having to expend resilience resources even among family members deemed as accepting. In many instances, family attitudes toward transfeminine identity were based on rigid sociocultural norms and religious views.</p><p><strong>Conclusions: </strong>Given the unique, chronic, and socially constructed stress experienced throughout the lifespan of transgender women of color, culturally competent research should focus on strengthening and educating family member relationships perceived as supportive as well as fostering individual and community resilience strategies.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 1","pages":"590-607"},"PeriodicalIF":14.8,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12857720/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146107593","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":"Naturalistic psychedelic experiences and gender-based self-acceptance in transgender and gender-expansive people.","authors":"Skylar J Gaughan, Angie R Wootton, Daphne Krantz, Alan K Davis, Jennifer E James, Rocco Rinaldi-Rose, Rafaelle Lancelotta, Jae M Sevelius","doi":"10.1080/26895269.2025.2478112","DOIUrl":"10.1080/26895269.2025.2478112","url":null,"abstract":"<p><strong>Background: </strong>While psychedelic medicines have increasingly been studied for their utility as an adjunct to psychotherapy, transgender and gender-expansive (TGE) individuals have rarely been the focus of psychedelic research. This study examines TGE people's naturalistic, non-clinical psychedelic experiences to explore how TGE people use psychedelics and how they describe relationships between psychedelic use and their gender journey.</p><p><strong>Methods: </strong>Informed by Black feminist epistemological methodology, we conducted a qualitative analysis of 20 in-depth, hour-long, semi-structured Zoom interviews of TGE individuals who previously responded to a quantitative survey about their psychedelic experiences. The interviews explored participant narratives about their naturalistic psychedelic use and how it may have informed their gender journey.</p><p><strong>Results: </strong>We found three main themes. First, participants described how their mindset and the setting of their psychedelic experience influenced the quality of that experience. Second, many participants reported that naturalistic psychedelic experiences facilitated increased self-acceptance of their gender identity via increased self-compassion and an expanded concept of gender. Third, some participants described various experiences related to their mental health during and after naturalistic psychedelic use, including challenging experiences such as gender dysphoria and mental health benefits such as gender euphoria.</p><p><strong>Discussion: </strong>These observations may help mental health clinicians better support TGE people who use psychedelics. Clinicians should consider encouraging the preparation of a gender-affirming setting and mindset before psychedelic use and supporting potential shifts in gender understanding and self-acceptance after psychedelic use. Tailored educational resources for TGE people who engage with psychedelic substances in naturalistic settings are needed.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":" ","pages":""},"PeriodicalIF":14.8,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12998233/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147487888","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":"Effect of short, animated storytelling, conveying the lived experiences of a mother vs a father of a trans child, on transphobia among US parents: A randomized controlled trial.","authors":"M Adam, M Greuel, S Liu, J R Rogge, A Martin, D Amsalem","doi":"10.1080/26895269.2025.2478497","DOIUrl":"10.1080/26895269.2025.2478497","url":null,"abstract":"<p><strong>Background: </strong>Societal transphobia fuels alarmingly high rates of suicidality among transgender and gender diverse (TGD) youth. Short, animated storytelling (SAS) videos, aimed at scaling the lived experiences of TGD youth and their families, have proven effective for reducing transphobia, while protecting the identities of the narrators. Prior research raises questions about whether gender-matching of the narrator and the viewer could impact the effectiveness of these interventions.</p><p><strong>Methods: </strong>We recruited US parents, aged 18-50, via an online academic research platform and randomized them into three groups. The two intervention arms watched an SAS video conveying the lived experiences of either a father or a mother of a transgender child. The control group read educational materials about TGD youth. We used the Transgender Stigma Scale to measure transphobia at baseline, immediately post-exposure and 30 days later.</p><p><strong>Results: </strong>We analyzed data from 1229 participants. We found an immediate group-by-time effect (<i>C</i> ² = 15.6, d.f. = 2, <i>p</i> < 0.001) from baseline to post-intervention, in both the father's video group (0.88 [95% CI: 0.52, 1.25]) and the mother's video group (0.82 [95% CI: 0.51, 1.14]), when compared with the educational control group (0.004 [95% CI: -0.34, 0.35]). Although some effect remained, this was no longer significant after 30 days. We also observed a greater effect of the father's video on transphobia reduction in male participants (0.44 [0.25] vs 1.16 [0.21]; <i>t</i> = 2.2, <i>p</i> = 0.028), while both interventions reduced transphobia in female participants.</p><p><strong>Conclusions: </strong>This study highlights the potential for gender-matching to enhance the effectiveness of SAS, video interventions, aimed at reducing transphobia among parents.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 2","pages":"917-929"},"PeriodicalIF":14.8,"publicationDate":"2025-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13015113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522439","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":"Migration, healthcare access, and the role of government schemes: Insights from South Indian trans women.","authors":"K Kavitha, Prof Nirmala Menon","doi":"10.1080/26895269.2025.2478092","DOIUrl":"10.1080/26895269.2025.2478092","url":null,"abstract":"<p><strong>Background: </strong>Research on the challenges, marginalization, and identity of trans women in India has sparked important discussions, contributing to progressive changes in society. While the visibility and recognition of trans women is steadily growing, beneficial schemes tailored to their unique challenges are often overlooked, underscoring the need for greater attention and action.</p><p><strong>Aim: </strong>The article aims to identify the unique healthcare and migration challenges faced by South Indian trans women and the reach and utilization of government-provided facilities by their community.</p><p><strong>Method: </strong>A survey of 53 and interviews with 4 South Indian trans women focused on the utilization of state and central government schemes. Data from public and private healthcare facilities in Madurai were collected and visualized using Airtable, with results disseminated in Tamil and English to ensure accessibility for the trans community.</p><p><strong>Results: </strong>A relationship was identified between the effectiveness of state government welfare schemes and the well-being of the trans women's community. However, central government schemes often fail to reach their entire population. Furthermore, state government transportation schemes do not sufficiently support their healthcare access and economic development.</p><p><strong>Discussion: </strong>To enhance the socio-economic development of trans women, policymakers can ensure that beneficial schemes comprehensively reach all segments of society. Increased promotion, awareness, and advancements in these schemes are necessary to meet the needs of the trans women community. Additionally, extending free bus fare facilities specifically to trans women is recommended to improve their healthcare access, mobility, economic opportunities, and integration into mainstream society.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 2","pages":"902-916"},"PeriodicalIF":14.8,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13015021/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522477","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":"Transgender women undergoing feminizing hormone therapy: An increased risk of testicular germ cell tumor? Case report of two cases.","authors":"Benoît Mesnard, François-Xavier Madec, Ismaël Chelghaf","doi":"10.1080/26895269.2025.2478495","DOIUrl":"10.1080/26895269.2025.2478495","url":null,"abstract":"","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 1","pages":"627-629"},"PeriodicalIF":14.8,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12857716/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146108026","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":"10.1080/26895269.2025.2479266","DOIUrl":"10.1080/26895269.2025.2479266","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1080/15532739.2025.2465710.].</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 2","pages":"1171-1172"},"PeriodicalIF":14.8,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13015022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522467","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":"Warming the Whare: An Indigenous knowledge centered guideline for trans health justice in perinatal care.","authors":"George Parker, Elizabeth Kerekere, Suzanne Miller, Sally Baddock, Jaimie Veale, Fleur Kelsey, Alex Ker","doi":"10.1080/26895269.2025.2476231","DOIUrl":"10.1080/26895269.2025.2476231","url":null,"abstract":"","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"26 3","pages":"475-479"},"PeriodicalIF":14.8,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776663","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":"Vocal-Gender Incongruence, wellbeing, and safety: The medical necessity of gender-affirming vocal training.","authors":"Shanna D Stryker, Ishita Dubey, Jules L Madzia, Sarah Pickle, Gregory R Dion, Victoria S McKenna","doi":"10.1080/26895269.2025.2475183","DOIUrl":"10.1080/26895269.2025.2475183","url":null,"abstract":"<p><strong>Background: </strong>Voice is a gender signifier, and incongruence between a person's gender identity and others' perception of their gender based on their voice can trigger dysphoria in transgender/gender diverse (TGD) individuals. Vocal-gender incongruence (VGI) can also signal one's TGD identity, which may be unsafe given the prevalence of discrimination and victimization experienced by TGD persons.</p><p><strong>Methods: </strong>To understand the impact of VGI on wellness and safety, a cross-sectional electronic survey was developed. The Quality-of-Life Scale (QOLS), a modified version of the Transgender Self-Evaluation Questionnaire (TSEQ), and questions assessing experiences of violence, discrimination and misgendering were included. Differences in safety and wellness measures between participants with and without VGI were assessed using t-tests and chi-squared tests. Linear and logistic regression analyses were conducted to examine the relationships between VGI and safety, quality of life, and experiences of discrimination or misgendering.</p><p><strong>Results: </strong>Of 187 TGD participants, 127 (68%) reported VGI. Participants with VGI had significantly lower scores on the QOLS (70 vs 76; <i>p</i>=.02) and were significantly more likely to have been misgendered based on their voice in the past year (<i>p</i> < .001; 85% vs. 33%). Higher TSEQ scores (indicating higher impact of VGI on daily life) were associated with lower QOLS scores (β = 0.06; 95% CI 0.04, 0.09; <i>p</i> < .001) and with greater likelihood of having experienced public discrimination (β = 0.03; 95% CI 0.02, 0.05; <i>p</i> < .001), medical discrimination (β = 0.04; 95% CI 0.02, 0.06; <i>p</i> < .001), and verbal harassment (β = 0.03; 95% CI 0.01, 0.04; <i>p</i> < .001) but not physical harm (β = 0.03; 95% CI 0.002, 0.06; <i>p</i> = 0.05).</p><p><strong>Conclusion: </strong>VGI is associated with lower quality of life and experiences of discrimination and verbal harassment for TGD individuals. Therefore, healthcare that alleviates VGI, including gender-affirming vocal training, is medically necessary.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 2","pages":"888-901"},"PeriodicalIF":14.8,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13015075/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522475","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":"Exploring alcohol use and harm reduction techniques among transgender and gender diverse youth in Canada: A qualitative study.","authors":"Theodore F Quinn, Alexandra Uhrig, Sarah S Dermody, Trevor A Hart, Alex Abramovich","doi":"10.1080/15532739.2025.2471903","DOIUrl":"10.1080/15532739.2025.2471903","url":null,"abstract":"<p><p><b><i>Background:</i></b> Compared to their cisgender peers, transgender and gender-diverse (TGD) youth and young adults report problematic drinking patterns (e.g. frequency of use, greater likelihood of use, and elevated risks for harmful use), as well as increased-risk of experiencing alcohol-related harms. Previous research suggests that increases in drinking among TGD populations may be motivated by experiences of gender minority stress (GMS). This study examines the lived/living experiences of Canadian TGD youth (ages 18-29), focusing on their experiences of GMS and resilience as it pertains to alcohol use, related harms, and harm reduction techniques. <b><i>Methods:</i></b> Semi-structured interviews with a peer researcher were conducted between November 2022 and May 2023, and in total, nineteen youth were interviewed. Questions focused on themes of GMS, resilience, and alcohol use. Data was coded and analyzed using an inductive thematic analysis approach. <b><i>Results:</i></b> Findings demonstrate that experiences of GMS (e.g. gender non-affirmation, discrimination, gender dysphoria, etc.), including difficulty accessing healthcare, was a primary drinking motivation among TGD youth. That is, alcohol was often used as a means to cope with GMS, and experiencing such stressors often similarly resulted in increased alcohol use. <b><i>Conclusions:</i></b> Our findings highlight the necessity of gender-affirming care, programming, and practices for TGD youth, as well as the important role of positive supports (e.g. family, community connections), all of which may serve to mitigate the heightened risks of increased alcohol use and related harms among TGD youth.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 2","pages":"870-887"},"PeriodicalIF":14.8,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13015069/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522492","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}