International Journal of Transgender Health最新文献

{"title":"\"It was actually my family and friends who noticed that my voice changed\": An interview study on the experiences of transgender and non-binary youth and young adults three years into medical treatment.","authors":"Reidar Schei Jessen, Anne Wæhre, Linda W David, Line Indrevoll Stänicke, Erik Stänicke","doi":"10.1080/26895269.2025.2478498","DOIUrl":"10.1080/26895269.2025.2478498","url":null,"abstract":"<p><strong>Objective: </strong>As the number of transgender and non-binary (TGN) youth and young adults referred for gender-affirming medical treatment increases, there is a need to better understand how these individuals experience the interventions. The aim of the present study is to expand our understanding of how TGN youth and young adults perceive bodily changes following medical treatment as part of gender-affirming care.</p><p><strong>Method: </strong>Ten life-mode interviews exploring individuals' everyday experiences and the meanings they attach to them were conducted with TGN youth and young adults in Norway, assigned female at birth, aged 17-22, three years after they initiated gender-affirming medical treatment to align their bodies with their gender identities. The data were analyzed using thematic analysis.</p><p><strong>Results: </strong>Based on the analysis of the semi-structured interviews, we developed three major themes and six sub-themes: (1) <i>A pragmatic approach to making decisions regarding medical treatment</i> indicates that the participants are continuously weighing the risks and benefits, together with a gradual, step-by-step introduction of medical treatment. (2) <i>Embodying medical treatment</i> indicates that bodily changes are tangible but, over time, anchor a sense of masculinity and a sense of self as male. (3) <i>Grounding medical treatment in everyday life</i> indicates that bodily changes help connect the inside with the outside, with family and friends serving as sources of support and mediators of meaning, highlighting the psychosocial aspects of gender-affirming care.</p><p><strong>Conclusion: </strong>The psychosocial aspects related to medical treatment in gender-affirming care are important vantage points for exploring the social meaning of the body and bodily changes. We therefore suggest that psychosocial aspects of gender-affirming care should be attended to and integrated alongside medical treatment.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 4","pages":"1782-1796"},"PeriodicalIF":8.4,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13403449/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608796","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":8.4,"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":8.4,"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":8.4,"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":8.4,"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":8.4,"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}

{"title":"A scoping review of the lived experiences of gender diverse children and youth with disabilities.","authors":"Van Slothouber, Teya Oliver, Sarah Leo, Sally Lindsay","doi":"10.1080/15532739.2025.2464229","DOIUrl":"10.1080/15532739.2025.2464229","url":null,"abstract":"<p><strong>Background: </strong>Research exploring the lived experiences of gender diverse children and youth with disabilities is still in its infancy. Previous research has either focused on adults or has lumped the experiences of trans and nonbinary children and youth with disabilities in with broader findings of 2SLGBTQI + youth with disabilities. This is problematic given that experiences of sexual diversity are different than experiences of gender diversity and the experiences of children and youth are not identical to adults.</p><p><strong>Aims: </strong>We conducted a scoping review to map and synthesize research that explores the lived experiences of young people with disabilities who also identify as trans, nonbinary, or gender diverse. The question guiding the review was: what are the lived experiences of gender diverse children and youth with disabilities?</p><p><strong>Methods: </strong>We followed Joanna Briggs Institute (JBI) best practices in scoping review methodology in addition to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, extension for scoping reviews (PRISMA-ScR) checklist. We searched seven databases: Ovid Medline, Healthstar, Embase, PsycINFO, Scopus, Sociological Abstracts, and Web of Science for empirical peer-reviewed research.</p><p><strong>Results: </strong>We identified 21 articles that met our inclusion criteria, with an additional 2 articles found from other sources, resulting in 23 included articles. We organized the data in the available research into the following three overarching categories: (1) Experiences of discrimination and abuse; (2) Impact of minoritized identities on health; and (3) Coping strategies of, and interventions to support, gender minoritized youth with disabilities.</p><p><strong>Conclusions: </strong>Our review shows that gender diverse children and youth with disabilities are at increased risk of experiencing discrimination and abuse, which impacts their psychological well-being and quality of life. We conclude that this population requires increased opportunities to socialize in affirming and inclusive environments and greater supports for accessing social and medical transition.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 1","pages":"226-250"},"PeriodicalIF":8.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12857724/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146107725","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":"\"Fuel for the fire\": Trans rage as a motivating force against cisgenderism.","authors":"Salem Skelton","doi":"10.1080/15532739.2025.2468988","DOIUrl":"10.1080/15532739.2025.2468988","url":null,"abstract":"<p><strong>Background: </strong>Trans rage is a sense of rage toward cisgenderism that is commonly, but not exclusively, experienced by trans peoples, individually and collectively. Despite its revolutionary history, trans rage and the ways in which it manifests for trans and non-binary peoples has remained an under researched area in trans studies.</p><p><strong>Aims: </strong>This paper aims to investigate how trans peoples' experiences of cisgenderism impact their feelings of trans rage, how trans rage manifests for trans peoples, how trans peoples channel their feelings of trans rage, and how trans rage can be harnessed to challenge cisgenderism.</p><p><strong>Methods: </strong>26 trans and non-binary people aged 18+ living in Australia were interviewed about their experiences with family, shame, and resilience, with a subsection of resilience focused on trans rage. Thematic analysis was used to explore participants' experiences of trans rage.</p><p><strong>Results: </strong>Through thematic analysis four themes were developed: 1) Cisgenderism as a source of trans rage, 2) Constructive and destructive manifestations of trans rage, 3) Trans rage as a motivating force, and 4) Collective trans rage as a challenge to cisgenderism.</p><p><strong>Conclusions: </strong>Through an exploration of participants' experiences of trans rage, the research findings demonstrate its potential as a motivating force to challenge cisgenderism through activism, solidarity building, and community organizing. In a time where trans rights are being used as a key political wedge issue, we must better understand how we can harness the transformative power of trans rage in order to push back against anti-trans bigotry, and to begin dismantling the cisgenderist belief systems that support it. This paper concludes by calling for ongoing theorization of trans rage and its applications, and a call-to-action to expand these applications across a broad range of settings, beyond academia, in an intersectional manner building solidarity with cis people as they too would benefit from challenging cisgenderism.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 2","pages":"840-854"},"PeriodicalIF":8.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13015081/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522484","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":"Family planning desires and barriers to fertility preservation for transgender and gender-diverse military service members in the United States.","authors":"Elisabeth Lee, David Boedeker, Kiley Hunkler, Michael Pacheco, Felicia Balzano, Noelle Larson, Ean Saberski, Jacqueline Y Kikuchi","doi":"10.1080/15532739.2025.2469279","DOIUrl":"10.1080/15532739.2025.2469279","url":null,"abstract":"<p><strong>Purpose: </strong>Fertility preservation is recommended prior to initiation of gender-affirming hormone therapy. However, barriers have been described in providing appropriate counseling and pursuing fertility preservation. We hypothesized transgender and gender diverse (TGD) people serving in the United States military would face their own unique barriers to fertility preservation given the historic undulating policies with respect to their ability to openly serve. We aimed to evaluate barriers that transgender and gender diverse (TGD) individuals face when pursuing fertility preservation in the United States Military Health System (MHS).</p><p><strong>Methods: </strong>We developed a mixed-methods study using an explanatory sequential design. Data collection occurred between February and April 2024. We created and distributed a survey to all individuals presenting for an initial surgical consultation for gender-affirming genital reconstructive surgery at our institution and posted it on a social media page for TGD military service members. This survey assessed family-building desires, barriers to family-building, and satisfaction with prior fertility preservation counseling. In the survey, participants had the option to request a follow-up interview. We report descriptive statistics from both the survey and interviews.</p><p><strong>Results: </strong>We received 26 responses from self-identified transgender men (<i>n</i> = 9), transgender women (<i>n</i> = 14), and nonbinary (<i>n</i> = 3) individuals aged 21 to 49. Most respondents were married (61.5%) and desired at least one child (76.9%). The majority of respondents did not feel supported in building their families during their military service (61.5%). Twenty respondents agreed to participate in a follow-up interview, and ten interviews were conducted. Five barriers emerged from coding interviews: heterogeneity in counseling, limited resources and support, systemic barriers, providers' implicit bias and insurance policy.</p><p><strong>Conclusion: </strong>Numerous family planning and fertility preservation barriers exist for TGD people within the Military Health System. Although many individuals stated they received fertility preservation counseling, many felt it was a formality and lacked individualization. This research highlights the need to standardize fertility preservation counseling, train US military providers on fertility preservation counseling for TGD service members and pursue policy reform to decrease barriers to accessing this care.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 2","pages":"1115-1129"},"PeriodicalIF":8.4,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13015071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522437","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}