International Journal of Transgender Health最新文献

{"title":"A Call to Action: Advancing Research, Practice, and Policy for Middle Aged and Older Transgender and Nonbinary Communities.","authors":"Jamison Green, Jude Patton, Danit Ariel, John C Capozuca, Max Fuhrmann, Ames Simmons, Ethan C Cicero","doi":"10.1080/26895269.2025.2522244","DOIUrl":"10.1080/26895269.2025.2522244","url":null,"abstract":"","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":" ","pages":""},"PeriodicalIF":8.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A call to action: Advancing research, practice, and policy for middle aged and older transgender and nonbinary communities.","authors":"Jamison Green, Jude Patton, Danit Ariel, John C Capozuca, Max Fuhrmann, Ames Simmons, Ethan C Cicero","doi":"10.1080/26895269.2025.2522244","DOIUrl":"10.1080/26895269.2025.2522244","url":null,"abstract":"","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 1","pages":"1-5"},"PeriodicalIF":8.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12376073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799727","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":"Current directions in research on patient experiences of metoidioplasty and phalloplasty.","authors":"Elijah R Castle, John E Castle, Leo L Rutherford","doi":"10.1080/26895269.2025.2521607","DOIUrl":"10.1080/26895269.2025.2521607","url":null,"abstract":"","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"26 4","pages":"951-954"},"PeriodicalIF":8.4,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12573541/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145432589","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":"10.1080/26895269.2025.2526243","DOIUrl":"https://doi.org/10.1080/26895269.2025.2526243","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1080/26895269.2025.2522257.].</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 3","pages":"1728"},"PeriodicalIF":14.8,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13185066/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147983908","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":"Social transition in young trans people accessing gender-affirming care.","authors":"Pip Buckingham, Michelle A Tollit, Grace Wong, Rushani Wijesuriya, Monsurul Hoq, Carmen C Pace, Ken C Pang","doi":"10.1080/26895269.2025.2516678","DOIUrl":"10.1080/26895269.2025.2516678","url":null,"abstract":"<p><strong>Background: </strong>In-depth quantitative study of how young people undertake social transition is lacking. We aimed to provide a comprehensive profile of social transition among young people accessing gender-affirming care.</p><p><strong>Methods: </strong>In this cross-sectional study (<i>n</i> = 482), young people aged 8-17 years completed online questionnaires before their first appointment at a pediatric gender clinic. Measures captured social transition in different contexts (home, school, online, friends, and extended family) by assessing extent of social transition, and changes to presentation, name and pronouns or intent to make these changes. Young people also reported their concerns about socially transitioning.</p><p><strong>Results: </strong>The vast majority expressed preferences to socially transition by changing their presentation (96.0%), name (89.6%), and/or pronouns (94.3%). Compared to presentation (74.4%), fewer young people had changed their name (45.8%) or pronouns (44.1%) across all the examined contexts. Social transition was most commonly observed either online or with friends, with home and school being less common contexts, and extended family the least likely context in which to observe change. Overall, there were 129 unique patterns of social transition across contexts, highlighting the heterogeneous nature of social transition. Most young people reported being concerned about socially transitioning (88.8%), with the most prevalent concerns related to bullying, prejudice or discrimination (59.5%).</p><p><strong>Discussion: </strong>Young trans people show a complex profile of social transition that is context-dependent and likely reflects differences in underlying levels of safety and support. Understanding these nuanced patterns of social transition is necessary to improve clinical care and develop relevant policies and guidelines.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 5","pages":"2332-2350"},"PeriodicalIF":8.4,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618105/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076221","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 perceptions of alcohol and other drug (AOD) service workers regarding the inclusion of transgender and gender diverse (TGD) clients in accessing public residential treatment in Victoria, Australia.","authors":"N Robinson-Griffith, K Schliephake, A Peart, R P Ogeil","doi":"10.1080/26895269.2025.2519785","DOIUrl":"10.1080/26895269.2025.2519785","url":null,"abstract":"<p><strong>Introduction: </strong>There are unique challenges associated with providing inclusive, equitable care to transgender and gender diverse (TGD) people within residential alcohol and other drug (AOD) settings. With an increase in inclusion-based legislation, publicly funded services are required to provide inclusive care for TGD people. This study explored perceptions of AOD service workers regarding the inclusion of TGD clients in public residential AOD services in Victoria, Australia. We assessed workers' perspectives on their services' ability to provide TGD-inclusive care, and identified individual services workers levels of TGD inclusive practice.</p><p><strong>Method: </strong>A mixed-methods cross-sectional design was employed combining a quantitative survey with qualitative perspectives from key informant interviews. The survey (completed by 85 workers) included demographic questions and the Trans-Inclusive Provider Scale (TIPS) and Transgender Inclusive Behavior Scale (TIBS) to measure inclusive practices and behaviors. Key informant interviews provided deeper context and understanding of the barriers and facilitators to TGD inclusive care.</p><p><strong>Results: </strong>We found significant gaps in TGD-inclusive practices among AOD service workers, despite a general willingness to support TGD clients. Participants who identified as LGBTIQA+ reported significantly higher TIBS scores than non-LGBTIQA+ identifying participants (χ² = 19.132, <i>p</i> = .004), and those with a TGD friend or family member had higher TIBS scores (χ² = 20.030, <i>p</i> = .000). A negative correlation was observed between participant age and TIBS scores (r = -0.344, <i>p</i> = .002), indicating that younger workers exhibited more inclusive behaviors. Qualitative findings highlighted the need for visible indicators of inclusion, enhanced training, and flexible service models to improve TGD inclusivity.</p><p><strong>Discussion: </strong>While there appears to be a strong desire to provide TGD inclusive care, significant gaps in knowledge and practice remain within the residential AOD sector. Addressing these gaps through targeted training, improved visual signaling, and flexible service provision can work to address inequities in care.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 5","pages":"2351-2362"},"PeriodicalIF":8.4,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076037","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 think the website has completely reshaped our community': The history of the development of a trans-led online health resource.","authors":"Damien W Riggs, Salem Skelton","doi":"10.1080/26895269.2025.2515377","DOIUrl":"10.1080/26895269.2025.2515377","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this paper was to qualitatively document the development of a trans-led online health resource for trans people living in South Australia, and its perceived impact on trans communities.</p><p><strong>Methods: </strong>A qualitative study was undertaken. Interviews were undertaken in 2024 with five key people involved in the development and maintenance of the resource. Transcribed interview data were analyzed thematically.</p><p><strong>Results: </strong>Four themes were developed: 1) Countering Misinformation and Monopoly, 2) The Decentralization of Knowledge, 3) A Resource for and by Trans Communities, and 4) Empowering People to Make Healthcare Decisions.</p><p><strong>Conclusions: </strong>The paper concludes by highlighting the importance of trans-led advocacy and activism in the space of trans healthcare.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 5","pages":"2326-2331"},"PeriodicalIF":8.4,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618119/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076155","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":"Erratum: Notice of duplicate publication: Fertility counseling guide for transgender and gender diverse people.","authors":"","doi":"10.1080/26895269.2025.2510136","DOIUrl":"10.1080/26895269.2025.2510136","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1080/26895269.2023.2257062.].</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"26 3","pages":"949"},"PeriodicalIF":14.8,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312136/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776662","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":"Aggression changes during masculinizing and feminizing gender-affirming hormone therapy (GAHT) - A prospective clinical study.","authors":"Tine Taulbjerg Kristensen, Louise Lehmann Christensen, Ole Skov, Camilla Viola Buskbjerg Palm, Guy T'Sjoen, Marianne Skovsager Andersen, Dorte Glintborg, Kirsten K Roessler","doi":"10.1080/26895269.2025.2503222","DOIUrl":"10.1080/26895269.2025.2503222","url":null,"abstract":"<p><strong>Introduction: </strong>Testosterone and aggression have been positively associated, but it remains unclear whether gender-affirming hormone therapy (GAHT)-induced testosterone changes affect aggression in transgender persons. This study investigates aggression changes and associations between aggression and testosterone, depression, and anxiety during the first year of GAHT.</p><p><strong>Methods: </strong>Alternative-Short-Aggression-Questionnaire scores were assessed in transmasculine and transfeminine adults at baseline, six weeks, and one year post-GAHT initiation. Cisgender men and women were the comparison groups. Linear mixed effect models evaluated aggression score changes and group-differences, including effects of testosterone, depression, and anxiety, controlling for age and education.</p><p><strong>Results: </strong>Baseline data included 50 transmasculine (median age = 22 years), 62 transfeminine (median age = 24 years), 176 cisgender men (median age = 31 years), and 470 cisgender women (median age = 25 years). Seventy-one percent of transgender participants completed all follow-ups. Total and verbal aggression scores decreased after one year across transmasculine and transfeminine persons (mean difference (MD) = -1.6, <i>p</i> = .018 and MD = -0.8, <i>p</i> = .004), with no changes in other aggression dimensions. At baseline, transmasculine participants showed higher total aggression (MD = 3.4, <i>p</i> = .009) and anger (MD = 1.8, <i>p</i> < .001) scores than transfeminine persons. Transmasculine (MD = 3.3, <i>p</i> = .015) and transfeminine (MD = 6.5, <i>p</i> = <.001) persons had lower total aggression scores than cisgender men. Testosterone was not associated with aggression, whereas anxiety was significantly positively associated with aggression scores.</p><p><strong>Discussion: </strong>There was no GAHT-induced increased aggression in transmasculine persons. Total aggression scores decreased after one year across GAHT-types. Transgender aggression scores were significantly lower than cisgender men, indicating no risk of pathological aggression in the transgender population. Limitations included participant numbers and self-report measures.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 2","pages":"1020-1032"},"PeriodicalIF":8.4,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13015110/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522445","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":"QT interval changes in transgender/gender diverse adolescents receiving gonadotropin-releasing hormone agonist and gender-affirming hormonal treatment.","authors":"Hussein Zaitoon, Livia Kapusta, Galit Israeli, Anat Segev-Becker, Gil Beer, Alexander Lowenthal, Gili Yaeger Yarom, Asaf Oren, Liat Perl","doi":"10.1080/26895269.2025.2503219","DOIUrl":"10.1080/26895269.2025.2503219","url":null,"abstract":"<p><p><b><i>Background</i></b> : Hormones play a significant role in modulating cardiac electrophysiology. Gonadotropin-releasing hormone agonists (GnRHa) and gender-affirming hormonal treatment (GAHT) may impact QTc intervals, which could have clinical implications.</p><p><strong>Aim: </strong>To evaluate QTc interval changes in transgender/gender-diverse (TGD) adolescents undergoing GnRHa and GAHT.</p><p><strong>Methods: </strong>This prospective study included 39 TGD adolescents (20 females), mean age 15.6 ± 1.4 years, Tanner stage 4-5. QTc intervals were measured before and after GnRHa treatment and following GAHT initiation.</p><p><strong>Results: </strong>The mean QTc increased significantly from 382.4 ± 16.2 ms at baseline to 402.9 ± 20.1 ms after GnRHa treatment (<i>p</i> = .019) and remained prolonged at 402.8 ± 19.6 ms after estrogen addition (<i>p</i> = .988) in 10 TGD females, with an overall significant change across all treatment phases (<i>p</i> = .020). The mean QTc increased from 371.6 ± 15.4 ms to 380.8 ± 13.5 ms (<i>p</i> = .180) in 10 TGD females who initiated combined GnRHa and estrogen. Pooling both TGD female groups, mean QTc increased significantly from 377.0 ± 16.3 ms to 391.8 ± 19.9 ms after GnRHa and estrogen (<i>p</i> = .014). The mean QTc increased from 386.3 ± 15.5 ms at baseline to 398.8 ± 24.1 ms after GnRHa treatment (<i>p</i> = .178) and decreased significantly to 377.7 ± 18.1 ms after the addition of testosterone (<i>p</i> = .009) in 6 TGD males, with an overall significant change across all treatment phases (<i>p</i> = .010). The mean QTc decreased from 395 ± 20.3 ms to 385.2 ± 19.8 ms (<i>p</i> = .139) in 13-TGD males who initiated combined GnRHa and testosterone. Pooling both TGD male groups, mean QTc decreased significantly from 392.4 ± 19.0 ms to 382.8 ± 19.1 ms after GnRHa and testosterone (<i>p</i> = .044). Two participants, prescribed psychiatric medications exhibited a borderline/short QTc after adding testosterone. No arrhythmias were observed.</p><p><strong>Discussion and conclusion: </strong>QTc prolongation was observed in TGD female adolescents after the initiation of GnRHa, while TGD males showed a decrease in QTc following testosterone administration. Further studies on the clinical implications of QT interval changes in this population are warranted.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 2","pages":"1033-1044"},"PeriodicalIF":8.4,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13015028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522396","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}