International Journal of Transgender Health最新文献

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Gender-Affirming identification documents are associated with positive health-related outcomes for transgender people in Bolivia. 在玻利维亚,性别确认身份证件与跨性别者健康相关的积极结果有关。
IF 8.4 2区 医学
International Journal of Transgender Health Pub Date : 2025-08-21 eCollection Date: 2026-01-01 DOI: 10.1080/26895269.2025.2549128
Callan Hummel, V Ximena Velasco-Guachalla, Luna Sharlotte Humerez Aquino, Rebe Silvey
{"title":"Gender-Affirming identification documents are associated with positive health-related outcomes for transgender people in Bolivia.","authors":"Callan Hummel, V Ximena Velasco-Guachalla, Luna Sharlotte Humerez Aquino, Rebe Silvey","doi":"10.1080/26895269.2025.2549128","DOIUrl":"10.1080/26895269.2025.2549128","url":null,"abstract":"<p><strong>Purpose: </strong>Legislation has improved access to gender-affirming identification documents (IDs) in many countries but few studies address the laws' effects. We document the relationship between gender-affirming IDs and four measures of health-related outcomes for a nonprobability sample of transgender people in Bolivia, where a 2016 gender identity law improved access to gender-affirming IDs.</p><p><strong>Methods: </strong>We interviewed 18 transgender advocates in three Bolivian cities about the law and its effects. We then developed a survey with the Organization of Transgender, Transsexual, and Transfeminine People of Bolivia (OTRAF) and surveyed 93 transgender people from across Bolivia about their demographics, work, health, discrimination experiences, and political engagement in June 2023.</p><p><strong>Results: </strong>Interviews emphasize the importance of gender-affirming IDs to transgender Bolivians. Survey respondents who had changed their names and gender data on their IDs were significantly more likely to report taking a human immunodeficiency virus (HIV) test in the last six months, to have taken hormone replacement therapy (HRT), and to be taking HRT under doctor supervision than those who have not, in logistic regression and propensity score matching analyses. The analyses include variables that could influence health-related outcomes such as income, education, employment, gender identity, location, and age.</p><p><strong>Conclusion: </strong>We suggest that access to gender-affirming IDs can improve health-related outcomes and that gender identity laws have important public health impacts for transgender communities.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 5","pages":"2530-2543"},"PeriodicalIF":8.4,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618081/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076239","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}
引用次数: 0
Including gender data in electronic health records to improve the care provided to transgender and non-binary patients in Quebec: A queer bioethics analysis. 将性别数据纳入电子健康记录以改善对魁北克跨性别和非二元患者的护理:一项奇怪的生物伦理学分析。
IF 8.4 2区 医学
International Journal of Transgender Health Pub Date : 2025-08-14 eCollection Date: 2026-01-01 DOI: 10.1080/26895269.2025.2546069
Clara Tardif, B Godard
{"title":"Including gender data in electronic health records to improve the care provided to transgender and non-binary patients in Quebec: A queer bioethics analysis.","authors":"Clara Tardif, B Godard","doi":"10.1080/26895269.2025.2546069","DOIUrl":"10.1080/26895269.2025.2546069","url":null,"abstract":"<p><strong>Background: </strong>In 2011, the Institute of Medicine (IOM) released the first report to comprehensively compile the state of knowledge on LGBTQIA+ health at different stages of life. This report highlighted the need to include data on gender identity in electronic health records (EHRs), in addition to birth-assigned sex, to improve care for transgender or non-binary (TNB) patients and reduce health disparities. Quebec has yet to implement this change. Given the significant discrimination, marginalization and violence TNB patients face in healthcare, carefully examining the risks and potential benefits of this proposal through an ethical analysis is essential. This study aims to determine whether systematically including gender data in Quebec EHRs is ethically advisable.</p><p><strong>Methods: </strong>A critical interpretive literature review was conducted on three online databases (PubMed, ScienceDirect, and Google Scholar) to examine the proposition of gender data inclusion in EHRs. The findings were critically assessed through a queer bioethics lens.</p><p><strong>Results and discussion: </strong>We retrieved 24 articles that met our inclusion criteria. Four themes were identified and analyzed: 1) hierarchical binaries embedded in EHRs; 2) potential of increased stigmatization due to heightened visibility; 3) significance of gender-affirming clinical environments; and 4) clinical significance of documenting both birth-assigned sex and gender data.</p><p><strong>Conclusion: </strong>This analysis identifies key ethical considerations that must be addressed and ultimately finds that the benefits of including gender data in Quebec EHRs outweigh the risks. This change would represent a meaningful step toward a system that better affirms diverse identities, supports self-determination, and challenges normative frameworks in place.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 4","pages":"2019-2033"},"PeriodicalIF":8.4,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13403454/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608738","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}
引用次数: 0
The inescapable cage of a man and a woman: Experiences of non-binary people with gender identity (non-)affirmation in the context of a gendered language. 一个男人和一个女人的牢笼:性别认同(非)肯定的非二元人群在性别语言语境中的经历。
IF 8.4 2区 医学
International Journal of Transgender Health Pub Date : 2025-08-14 eCollection Date: 2026-01-01 DOI: 10.1080/26895269.2025.2544022
Lucia Feketova, Limor Raviv
{"title":"The inescapable cage of a man and a woman: Experiences of non-binary people with gender identity (non-)affirmation in the context of a gendered language.","authors":"Lucia Feketova, Limor Raviv","doi":"10.1080/26895269.2025.2544022","DOIUrl":"10.1080/26895269.2025.2544022","url":null,"abstract":"<p><strong>Introduction: </strong>Experiencing a lack of identity verification is an issue which most of the transgender community struggles with. Non-binary people's daily struggle for affirmation may be even more difficult in a binary gendered language, which forces speakers to grammatically encode gender distinctions in speech. As such, this study explores such experiences and their impact on non-binary individuals in Italian context.</p><p><strong>Methods: </strong>We explored the experiences of 13 non-binary Italians via semi-structured interviews. Participants were recruited through social media and LGBTQ+ groups in Italy and the UK. Reflexive thematic analysis was adopted to analyze the data.</p><p><strong>Results: </strong>Three main themes were developed: (1) <i>Structures of Erasure</i> (subthemes: <i>Unspoken Selves, Gender binary prison, and Institutional binary gender fixation</i>), (2) <i>The Labor of Affirmation, and</i> (3) <i>Affirmative Networks</i>. Our findings suggest that non-binary adults perceived the lack of appropriate and accessible language as being limiting in capturing, expressing, and affirming their identities. For many, this was associated with negative implications for their well-being. Nevertheless, they identified that their families, friends, and community created safe spaces where they felt recognized.</p><p><strong>Discussion: </strong>These results expand current understanding of the linguistic mechanisms behind non-affirmation and emphasize the importance of having a support network and more accessible gender-neutral Italian for improving mental health and identity affirmation. Furthermore, these findings contribute to our understanding of non-affirmation as not just an act done by other people, but also the inability to express one's gender in a way that is congruent with their inner self-concept.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 5","pages":"2461-2486"},"PeriodicalIF":8.4,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076183","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}
引用次数: 0
From Recognition to Rights: Suicidal Risk and Protective Factors Among Trans and Gender Diverse Youth in Japan. 从认识到权利:日本跨性别和性别多元化青年的自杀风险和保护因素。
IF 8.4 2区 医学
International Journal of Transgender Health Pub Date : 2025-08-14 eCollection Date: 2026-01-01 DOI: 10.1080/26895269.2025.2544901
Adam O Hill, Noriyo Kaneko, Stuart Gilmour, Lily Miyata, Ruby Grant, Teddy Cook, Adam Bourne, Natalie Amos
{"title":"From Recognition to Rights: Suicidal Risk and Protective Factors Among Trans and Gender Diverse Youth in Japan.","authors":"Adam O Hill, Noriyo Kaneko, Stuart Gilmour, Lily Miyata, Ruby Grant, Teddy Cook, Adam Bourne, Natalie Amos","doi":"10.1080/26895269.2025.2544901","DOIUrl":"10.1080/26895269.2025.2544901","url":null,"abstract":"<p><strong>Background: </strong>Trans and gender diverse youth experience disproportionately high rates of suicidal ideation and suicide attempts globally. In Japan, which has one of the highest youth suicide rates among OECD countries, research on this population remains limited.</p><p><strong>Aims: </strong>This study aimed to identify demographic and psychosocial factors associated with suicidal ideation and suicide attempts in the past 12 months among trans and gender diverse youth in Japan.</p><p><strong>Methods: </strong>Data were drawn from a 2024 national cross-sectional online survey. Analyses focused on 1,693 trans and gender diverse participants aged 15-25 years. Multivariable logistic regressions were conducted to identify correlates of past-year suicidal ideation and suicide attempts.</p><p><strong>Results: </strong>In total, 45.2% of participants reported suicidal ideation and 14.7% reported a suicide attempt in the past year. Harassment, social exclusion based on gender identity, and recent homelessness were strongly associated with both suicidal ideation and attempt in the past 12 months. In contrast, disclosure of gender identity to friends was associated with reduced odds of suicidal ideation. Suicide attempts were less common among participants aged 21-25 and more common among those not currently in education.</p><p><strong>Conclusions: </strong>Findings underscore the urgent need for targeted suicide prevention strategies for trans and gender diverse youth in Japan. National policy must address systemic drivers such as harassment, exclusion, and homelessness, while expanding access to gender-affirming peer and community supports.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 5","pages":"2487-2501"},"PeriodicalIF":8.4,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618125/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076065","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}
引用次数: 0
Ethical and cultural barriers to transgender adolescent health in Indonesia: Bridging global standards with local realities. 印度尼西亚跨性别青少年健康的伦理和文化障碍:将全球标准与当地现实联系起来。
IF 8.4 2区 医学
International Journal of Transgender Health Pub Date : 2025-08-14 eCollection Date: 2026-01-01 DOI: 10.1080/26895269.2025.2545576
Andika Pratama, Nouval Nanola
{"title":"Ethical and cultural barriers to transgender adolescent health in Indonesia: Bridging global standards with local realities.","authors":"Andika Pratama, Nouval Nanola","doi":"10.1080/26895269.2025.2545576","DOIUrl":"10.1080/26895269.2025.2545576","url":null,"abstract":"","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 4","pages":"2277-2279"},"PeriodicalIF":8.4,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13403351/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608788","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}
引用次数: 0
Living a livable body: Trans masculinities, surgery, and resistance in the Global South. 生活在一个宜居的身体:全球南方的跨性别男性,手术和抵抗。
IF 8.4 2区 医学
International Journal of Transgender Health Pub Date : 2025-08-13 eCollection Date: 2026-01-01 DOI: 10.1080/26895269.2025.2547253
Paola Patiño Rabines
{"title":"Living a livable body: Trans masculinities, surgery, and resistance in the Global South.","authors":"Paola Patiño Rabines","doi":"10.1080/26895269.2025.2547253","DOIUrl":"10.1080/26895269.2025.2547253","url":null,"abstract":"<p><strong>Background: </strong>In the Global South, transmasculine individuals often access gender-affirming care within systems marked by structural inequality, limited legal protections, and cisnormative medical frameworks. In Peru, the absence of trans-inclusive public health policies has rendered transmasculine surgeries rare, under-researched, and stigmatized, further marginalizing these experiences in both biomedical and academic discourses.</p><p><strong>Aim: </strong>This study aims to explore the lived experience of a Peruvian trans man-among the first to undergo phalloplasty in the country-to examine how gender-affirming surgery can function as an act of self-determination, resistance, and survival under precarious conditions.</p><p><strong>Methods: </strong>Using a single-case narrative design, this qualitative study draws from a four-hour in-depth interview and employs a feminist decolonial analytical framework. Thematic analysis was conducted to identify key dimensions of the participant's experience, including healthcare navigation, bodily autonomy, and affective-political meanings of transition.</p><p><strong>Results: </strong>Findings show that surgical transition in Peru is shaped by financial precarity, social stigma, and institutional neglect, yet also becomes a terrain for transmasculine agency. The participant reframed surgery not as correction, but as an embodied intervention toward livability, presence, and gender affirmation. Photography and bodily documentation emerged as practices of self-construction and resistance within a cisnormative and colonial context.</p><p><strong>Conclusion: </strong>This article contributes to trans health scholarship from the Global South by foregrounding localized, intersectional narratives of transmasculine embodiment. It calls for trans-centered, decolonial healthcare models in Latin America and highlights how gender-affirming practices can be both personal and political acts of resistance and survival.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 4","pages":"2034-2045"},"PeriodicalIF":8.4,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13403540/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608746","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}
引用次数: 0
To find oneself in existential motion through unfamiliar terrain: A phenomenological Reflective Lifeworld Research study of becoming a parent to a child expressing a transgender or gender diverse identity in Sweden. 通过不熟悉的地形在存在运动中发现自己:一项现象学反思生活世界研究,研究瑞典成为表达跨性别或性别多元化身份的孩子的父母。
IF 8.4 2区 医学
International Journal of Transgender Health Pub Date : 2025-08-12 eCollection Date: 2026-01-01 DOI: 10.1080/26895269.2025.2540423
Kristiina Tyni, Matilda Wurm, Anna Sofia Bratt
{"title":"To find oneself in existential motion through unfamiliar terrain: A phenomenological Reflective Lifeworld Research study of becoming a parent to a child expressing a transgender or gender diverse identity in Sweden.","authors":"Kristiina Tyni, Matilda Wurm, Anna Sofia Bratt","doi":"10.1080/26895269.2025.2540423","DOIUrl":"10.1080/26895269.2025.2540423","url":null,"abstract":"<p><strong>Background: </strong>Parental support is a crucial protective factor for the well-being of transgender and gender diverse (TGD) children and youth. Yet, parents often undergo complex processes before reaching an affirming stance.</p><p><strong>Aim: </strong>This is the first study to explore the experiences of Swedish parents to TGD children.</p><p><strong>Methods: </strong>The study explored Swedish parents' lived experiences of the phenomenon \"becoming a parent to a child expressing a TGD identity\" using a Reflective Lifeworld Research (RLR) approach to capture the essence of the phenomenon. Twenty-eight cisgender parents from nineteen families across Sweden participated in in-depth lifeworld interviews.</p><p><strong>Results: </strong>The essence of the phenomenon was <i>to find oneself in existential motion through unfamiliar terrain</i>, further detailed by three constituents: (1) The unsettling of gendered familiarity, (2) Seeking certainty in uncertainty, and (3) Self-reflection and shifting relationships.</p><p><strong>Discussion: </strong>The phenomenon was shaped by cisnormative assumptions, triggering emotional dissonance and conflicting emotions, yet also of hope and recognition. The results highlighted the emotional labor required to support the children while managing internal tensions, as well as the potential for personal gender reflection, understanding, and expression of gender. These findings expand previous international research by emphasizing relational and existential dimensions and by adding experiences from a Swedish context.</p><p><strong>Conclusion: </strong>The study underscores the need for enhanced knowledge about gender diversity, clearer guidelines, and accessible and reflective support systems for parents, fostering space also for emotional processing, relational negotiation, and identity work in the light of cisnormativity. Such systems are vital for promoting the health and resilience of both TGD children, youth, and their families.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 5","pages":"2445-2460"},"PeriodicalIF":8.4,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618094/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076216","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}
引用次数: 0
Intersectionality and family support of Latin American transgender individuals: A scoping review. 拉丁美洲跨性别者的交叉性和家庭支持:一项范围审查。
IF 8.4 2区 医学
International Journal of Transgender Health Pub Date : 2025-08-09 eCollection Date: 2026-01-01 DOI: 10.1080/26895269.2025.2544020
Deivid D A Nunes, Giovanna C Pedreira, Sabra L Katz-Wise
{"title":"Intersectionality and family support of Latin American transgender individuals: A scoping review.","authors":"Deivid D A Nunes, Giovanna C Pedreira, Sabra L Katz-Wise","doi":"10.1080/26895269.2025.2544020","DOIUrl":"10.1080/26895269.2025.2544020","url":null,"abstract":"<p><strong>Background: </strong>Previous reviews regarding family support within transgender communities have not considered intersecting identities and related experiences of oppression, particularly when examining families of Latina/e/o transgender individuals. The purpose of using an intersectionality framework is to investigate how multiple dimensions of Latina/e/o transgender individuals interact within their social context, especially considering unique cultural values, such as <i>familismo</i>.</p><p><strong>Aim: </strong>This review aimed to determine the state of the field regarding the use of an intersectionality framework when analyzing family support of Latina/e/o transgender individuals.</p><p><strong>Methods: </strong>Seven academic databases were searched for peer-reviewed literature published before July 2024 that included Latina/e/o transgender individuals living in the U.S. or Latin America and examined family support. Previous literature reviews, populations outside the U.S. or Latin America, research not discussing Latina/e/o transgender individuals separately, and studies not examining family support were excluded. A tailored evaluation tool was used to assess each article's degree of commitment to an intersectional framework.</p><p><strong>Results: </strong>Twenty-seven articles were included: 14 quantitative, 12 qualitative, and 1 mixed methods. Fourteen studies were conducted in the U.S. and 13 were conducted in Latin American countries. Only 9 articles were determined to be committed to an intersectionality framework.</p><p><strong>Conclusion: </strong>Although few studies have addressed the effects of intersecting identities on the experience of Latina/e/o transgender individuals within the family context, an intersectional framework highlights how multiple identities and experiences may be associated with Latina/e/o transgender individuals' health status, family support, and sense of wellbeing. Recommendations for future research and clinical practice are discussed.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 4","pages":"2220-2243"},"PeriodicalIF":8.4,"publicationDate":"2025-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13403354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608735","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}
引用次数: 0
Barriers to gender affirming healthcare for transgender and non-binary people with endometriosis. 子宫内膜异位症变性人和非二元性别患者的性别确认保健障碍。
IF 8.4 2区 医学
International Journal of Transgender Health Pub Date : 2025-08-08 eCollection Date: 2026-01-01 DOI: 10.1080/26895269.2025.2545578
Cheryl Eder, Rizwana Roomaney
{"title":"Barriers to gender affirming healthcare for transgender and non-binary people with endometriosis.","authors":"Cheryl Eder, Rizwana Roomaney","doi":"10.1080/26895269.2025.2545578","DOIUrl":"10.1080/26895269.2025.2545578","url":null,"abstract":"<p><strong>Background: </strong>Endometriosis is a chronic and painful gynaecological condition that is known to negatively affect people's quality of life. Much of endometriosis research has focussed on cisgender women with endometriosis, but endometriosis is known to affect transgender and non-binary people. There is limited research on the treatment of endometriosis for transgender and non-binary people.</p><p><strong>Aim: </strong>To explore transgender and non-binary people with endometriosis experience of gender affirming endometriosis treatment.</p><p><strong>Methods: </strong>We conducted a follow-up study with eight transgender and non-binary participants with endometriosis. We collected data through an online semi-structured interview and we used Hermeneutic analysis to analyze the data. We applied Svenaeus' Phenomenology of Medicine as our theoretical framework.</p><p><strong>Results: </strong>We reported our findings under five themes: (1) Gender affirming endometriosis healthcare, (2) Endometriosis hormonal treatments that are not gender affirming, (3) The impact of not being heard by HCPs, (4) Barriers in receiving gender affirming endometriosis healthcare, and (5) Medical appointments and examinations that are not gender affirming.</p><p><strong>Discussion: </strong>Participants experienced a number of barriers in receiving gender affirming endometriosis healthcare perpetuating a sense of unhomelikeness. Barriers included HCPs limited communication, limited research on gender affirming endometriosis healthcare, patients needing to advocate for their own gender affirming healthcare and medical spaces that are not gender inclusive. HCPs have a critical role in supporting their transgender and non-binary patients with endometriosis in managing living with this chronic condition. We recommend that further research, training and awareness is needed that focusses on gender affirming endometriosis healthcare.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 4","pages":"2008-2018"},"PeriodicalIF":8.4,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13403546/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608751","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}
引用次数: 0
"Providers had no idea what to do with me": A mixed-methods analysis of detransition/retransition support, care, and information needs among sexual and gender minority individuals. “提供者不知道如何对待我”:一项对性和性别少数群体去变性/再变性支持、护理和信息需求的混合方法分析。
IF 8.4 2区 医学
International Journal of Transgender Health Pub Date : 2025-08-01 eCollection Date: 2026-01-01 DOI: 10.1080/26895269.2025.2538744
Kirsty Rackliff, Pablo Expósito-Campos, Wren Ariel Gould, David J Kinitz, Madeline Rosen, S Rudd, June S H Lam, Annie Pullen Sansfaçon, Kinnon Ross MacKinnon
{"title":"\"Providers had no idea what to do with me\": A mixed-methods analysis of detransition/retransition support, care, and information needs among sexual and gender minority individuals.","authors":"Kirsty Rackliff, Pablo Expósito-Campos, Wren Ariel Gould, David J Kinitz, Madeline Rosen, S Rudd, June S H Lam, Annie Pullen Sansfaçon, Kinnon Ross MacKinnon","doi":"10.1080/26895269.2025.2538744","DOIUrl":"10.1080/26895269.2025.2538744","url":null,"abstract":"<p><strong>Background: </strong>Detransition refers to stopping, shifting, or reversal of an initial gender transition. Some people detransition temporarily, and later re-start a transition process, or retransition. Despite calls for research and care surrounding detransition/retransition, these experiences remain poorly understood by care providers and LGBTQ2S+ community-serving organizations.</p><p><strong>Methods: </strong>Between December 2023-April 2024, a cross-sectional survey was administered to 957 individuals (aged 16 and older) living in the US or Canada who self-identified with experiences of detransition. Participants were recruited <i>via</i> advertisements across eight major social media platforms, direct emails sent to ∼1200 former research participants, and to >615 LGBTQ2S+ organizations and gender-affirming care providers. Mixed qualitative and quantitative data were collected and analyzed regarding participants' experiences and care needs during detransition and, if relevant, retransition. Data about care experiences and needs were analyzed descriptively using frequencies and percentages. Interpretive description was utilized to analyze qualitative responses.</p><p><strong>Results: </strong>Participants reported a wide range of current gender identities/expressions such as: woman (<i>n</i> = 386; 40.3%); gender nonconforming woman (<i>n</i> = 241; 25.2%); nonbinary (<i>n</i> = 238; 24.9%); and/or detrans woman; (<i>n</i> = 152; 22.5%). A majority of the sample were sexual minorities. A majority reported being bisexual (<i>n</i> = 429; 44.8%), queer (<i>n</i> = 277; 28.9%), and/or lesbian (<i>n</i> = 254; 26.5%). Qualitative analysis identified three key themes: (1) <i>accessing detransition-related care needs within the gender-affirming care system</i>; (2) <i>detransition-related social/legal needs to navigate a second transition</i>; and (3) <i>detransition preventative and retransition needs</i>. Each of these themes encompassed four subthemes, including <i>access to detrans-knowledgeable care providers</i> (<i>n</i> = 162; 28.8%); <i>medical information</i> (<i>n</i> = 62; 11.0%); <i>mental healthcare and supports</i> (<i>n</i> = 92; 16.3%); <i>interpersonal supports</i> (<i>n</i> = 124; 22.0%); and <i>community supports</i> (<i>n</i> = 163; 29.0%).</p><p><strong>Conclusion: </strong>Greater understanding and community-led care relating to detransition/retransition from an LGBTQ2S+-affirming lens can help to mitigate minority stressors and distress associated with these experiences.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 4","pages":"1964-1981"},"PeriodicalIF":8.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13403355/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608720","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}
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