International Journal of Transgenderism最新文献

{"title":"Health-related quality of life in transgender adolescents: Associations with body image and emotional and behavioral problems","authors":"Mieke Röder, C. Barkmann, H. Richter-Appelt, M. Schulte-Markwort, U. Ravens-Sieberer, Inga Becker","doi":"10.1080/15532739.2018.1425649","DOIUrl":"https://doi.org/10.1080/15532739.2018.1425649","url":null,"abstract":"ABSTRACT Background: Transgender adolescents who apply for treatment often experience a marked increase in body-related distress when entering puberty, accompanied by internalizing problems and poor peer relations. Although adolescence is a time of considerable psychosocial and physical change, generally associated with a decline in health-related quality of life (HRQoL), research on HRQoL in transgender youth and possible predictors is sparse. This study thus aims to explore the predictive value of body image factors and emotional and behavioral problems for HRQoL. Methods: This cross-sectional one-group observational study was carried out at the Child and Adolescent psychiatric department (Gender Identity Service) in Hamburg, Germany. A sample of n = 126 (103 trans male and 23 trans female) adolescents, who were referred for counseling and/or treatment completed different standardized instruments before undergoing any sort of treatment. Firstly, five dimensions of HRQoL were explored in transgender adolescents and secondly, a linear regression model was applied to assess the impact of body image and emotional and behavioral problems on overall HRQoL. Results: HRQoL was generally impaired in transgender adolescents compared to norm scores, especially with regard to aspects of psychological and physical well-being. Linear regression analysis revealed that greater internalizing problems and less body satisfaction significantly predicted lower HRQoL outcomes. Conclusions: Impaired HRQoL may be explained by high degrees of internalizing problems and low body satisfaction. Thus, one important aim of mental health professionals working with youth should be to provide appropriate treatment and counseling options that may contribute to overall well-being in the long-term.","PeriodicalId":56012,"journal":{"name":"International Journal of Transgenderism","volume":"55 1","pages":"78 - 91"},"PeriodicalIF":0.0,"publicationDate":"2018-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85640310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing implicit and explicit attitudes of gay, straight, and non-monosexual groups toward transmen and transwomen","authors":"T. S. Wang-Jones, A. Hauson, Bernardo M. Ferdman, Kate Hattrup, R. Lowman","doi":"10.1080/15532739.2018.1428138","DOIUrl":"https://doi.org/10.1080/15532739.2018.1428138","url":null,"abstract":"ABSTRACT Background: Transphobia studies have typically relied on self-report measures from heterosexual samples. However, there is evidence suggesting the need to use indirect measures and to explore transphobia among other populations. Aims: This study examined how explicit and implicit attitudes toward transwomen and transmen differ between people of different sexual orientations. Methods: Cisgender participants (N = 265) completed measures of explicit feelings toward transmen and transwomen, as well as Implicit Association Tests (IAT) for each group. Comparisons were made between 54 gay, 79 straight, and 132 non-monosexual (asexual, bisexual, pansexual) individuals. Results: An interaction was found between measurement type (explicit, implicit) and sexual orientation (straight, gay, non-monosexual). With regard to transmen, gay respondents’ explicit and implicit scores diverged such that they explicitly reported lower bias than their straight counterparts, but their Transmen-IAT showed an implicit preference for biological men over transmen. For attitudes toward transwomen, implicit measurement scores were consistently negative and did not differ by group. Gay participants also reported positive explicit attitudes toward transwomen, similar to non-monosexual people. Discussion: Overall, findings show that gay people tend to report positive attitudes toward transgender people explicitly, but tend to have implicit bias against both transmen and transwomen. Future studies need to explore the origins of these biases and how they relate to the complex interplay of sex, gender, and sexual orientation.","PeriodicalId":56012,"journal":{"name":"International Journal of Transgenderism","volume":"5 1","pages":"106 - 95"},"PeriodicalIF":0.0,"publicationDate":"2018-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87258272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Provider quality and barriers to care for transgender people: An analysis of data from the Wisconsin transgender community health assessment","authors":"Shor Salkas, J. Conniff, Stephanie L. Budge","doi":"10.1080/15532739.2017.1369484","DOIUrl":"https://doi.org/10.1080/15532739.2017.1369484","url":null,"abstract":"ABSTRACT Background: Transgender people in the United States often lack access to high-quality health care. Methods: A group of researchers and transgender people came together in a community-based participatory research process to survey transgender Wisconsinites about their health care experiences. A multiple regression analysis of survey data was used to evaluate the association between barriers to health care, gender identity, and quality of medical and mental health care provider. Results: Seventy-seven respondents were included in this analysis. Transmasculine respondents were more likely than transfeminine respondents to report barriers to high-quality health care, but having a high-quality medical or mental health care provider was associated with reporting fewer barriers to care across the entire sample. Discussion: This community-based study suggests that health care providers play a key role in facilitating access to care for transgender Wisconsinites in the USA.","PeriodicalId":56012,"journal":{"name":"International Journal of Transgenderism","volume":"33 1","pages":"59 - 63"},"PeriodicalIF":0.0,"publicationDate":"2018-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80385932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Special issue of International Journal of Transgenderism: Transgender people of color and intersections of oppression","authors":"M. P. Galupo, Jaymie Campbell Orphanidys","doi":"10.1080/15532739.2018.1459246","DOIUrl":"https://doi.org/10.1080/15532739.2018.1459246","url":null,"abstract":"","PeriodicalId":56012,"journal":{"name":"International Journal of Transgenderism","volume":"5 1","pages":"113 - 113"},"PeriodicalIF":0.0,"publicationDate":"2018-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84988658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The transgender parent: Experiences and constructions of pregnancy and parenthood for transgender men in Australia","authors":"Rosie Charter, J. Ussher, J. Perz, K. Robinson","doi":"10.1080/15532739.2017.1399496","DOIUrl":"https://doi.org/10.1080/15532739.2017.1399496","url":null,"abstract":"ABSTRACT Background: Transgender (trans) men are commonly born with the reproductive anatomy that allows them to become pregnant and give birth and many wish to do so. However, little is known about Australian trans men's experiences of desiring parenthood and gestational pregnancy. Aims: The present study aims to address this gap in the literature through addressing the following research questions: how do Australian trans men construct and experience their desire for parenthood? And, how do Australian trans men construct and experience gestational pregnancy? Methods: This study aimed to explore these experiences, through a mixed-methods research design using online survey data and one-on-one interviews, with 25 trans men, aged 25–46 years old, who had experienced a gestational pregnancy. Data were analyzed using thematic analysis. Results: For our participants, parenthood was initially described as alienating and complex, however transitioning enabled participants to negotiate and construct their own parenting identity. Pregnancy was positioned as a problematic but “functional sacrifice,” however formal assisted fertility experiences were rife with exclusion. At the same time dysphoria associated with withdrawing from testosterone and the growing fecund body were significantly troubling. Changes to the chest were of particular concern for participants. Exclusion, isolation, and loneliness were the predominant features of trans men's experiences of gestational pregnancies. Healthcare systems are not generally supportive of trans bodies and identities and trans men encounter significant issues when interacting with healthcare providers. As such, the results reinforce the importance of inclusive and specialized health services to support trans men through pregnancy.","PeriodicalId":56012,"journal":{"name":"International Journal of Transgenderism","volume":"23 1","pages":"64 - 77"},"PeriodicalIF":0.0,"publicationDate":"2018-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90590396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Estimating the population size of transgender women in San Francisco using multiple methods, 2013","authors":"P. Wesson, Redha F. Qabazard, E. Wilson, W. Mcfarland, H. Raymond","doi":"10.1080/15532739.2017.1376729","DOIUrl":"https://doi.org/10.1080/15532739.2017.1376729","url":null,"abstract":"ABSTRACT Purpose: To estimate the number of adult transgender women (TGW) in San Francisco and to provide an example of how estimation can be conducted. Methods: Using nine different services accessed by the TGW population, the service multiplier, integrated into a respondent-driven sampling (RDS) survey of TGW, was used to calculate nine estimates of the TGW population in San Francisco. Both the successive sampling method, also integrated into the RDS survey of TGW, and a population proportion from the literature each calculated an additional estimate of the TGW population. The median of all 11 estimates was calculated to present a single estimate of the TGW population in San Francisco. Results: The median of estimates was 978 TGW in San Francisco (plausibility bounds 635 – 1,400). This estimate is consistent with known cases of HIV among TGW and surveys on the prevalence of infection in the TGW population. Conclusion: Using multiple methods, we estimate the TGW population size to be 0.13% of the San Francisco population. Despite small numbers, TGW bear a disproportionate burden of HIV infection in San Francisco. TGW are a priority for HIV care and prevention services.","PeriodicalId":56012,"journal":{"name":"International Journal of Transgenderism","volume":"43 1","pages":"107 - 112"},"PeriodicalIF":0.0,"publicationDate":"2018-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74275166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preventive healthcare services use among transgender young adults.","authors":"Annie-Laurie McRee,&nbsp;Amy L Gower,&nbsp;Paul L Reiter","doi":"10.1080/15532739.2018.1470593","DOIUrl":"10.1080/15532739.2018.1470593","url":null,"abstract":"<p><strong>Background/aims: </strong>Existing research on the health of transgender young adults focuses largely on gender-related care with little attention to important preventive healthcare services such as well-visits, vaccination and screening.</p><p><strong>Methods: </strong>We analyzed data from a national sample of transgender young adults in the United States who were 18-26 years of age and completed an online survey during Fall 2013 (<i>n</i>=34). Most respondents were 22-26 years old (59%) and non-Hispanic White (68%). We calculated descriptive statistics (i.e., frequencies and percentages) to describe transgender young adults use of preventive healthcare services, with particular attention to vaccination against human papillomavirus (HPV) and sexual health services. We also examined the acceptability of home-based self-testing for sexually-transmitted infections (STIs), which could be a novel strategy for increasing screening among this population.</p><p><strong>Results: </strong>Only 35% of respondents reported either receiving a routine check-up (past year) or initiating the HPV vaccination series (≥1 dose). Among unvaccinated respondents, the most commonly reported reasons for not getting HPV vaccine were: not being sexually active (32%); having only 1 sexual partner (23%); and being unaware of the vaccine (23%). Fewer than half of respondents had been tested for STIs (47%) but most (71%) were willing to use an STI self-test at home.</p><p><strong>Discussion: </strong>Findings suggest that the healthcare needs of transgender young adults are not being adequately addressed. Efforts to increase providers' capacity to effectively and appropriately serve transgender young adults-such as a wider variety of exam, preventive services, and testing options (e.g., self-collected samples)-are needed.</p>","PeriodicalId":56012,"journal":{"name":"International Journal of Transgenderism","volume":"19 4","pages":"417-423"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15532739.2018.1470593","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37252662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Discussing Transgender Topics within Gay-Straight Alliances: Factors that Could Promote More Frequent Conversations.","authors":"V Paul Poteat,&nbsp;Jerel P Calzo,&nbsp;Hirokazu Yoshikawa,&nbsp;Sj Miller,&nbsp;Christopher J Ceccolini,&nbsp;Sarah Rosenbach,&nbsp;Nina Mauceri","doi":"10.1080/15532739.2017.1407983","DOIUrl":"https://doi.org/10.1080/15532739.2017.1407983","url":null,"abstract":"<p><strong>Background: </strong>Gay-Straight Alliances (GSAs) have potential to facilitate conversations on transgender and gender diversity issues among members. We examined how frequently GSA members discussed transgender and gender diversity topics within GSAs, whether GSAs varied from one another in the extent to which these conversations occurred, and identified factors that distinguished which members and GSAs discussed such topics more often than others.</p><p><strong>Methods: </strong>Participants were 295 members of 33 high school GSAs in the state of Massachusetts who completed surveys that assessed their experiences within their GSA.</p><p><strong>Results: </strong>On average, youth discussed transgender and gender diversity issues with some regularity, but this varied significantly across GSAs and among youth within each GSA. Youth who had transgender friends, perceived a more respectful GSA climate, and accessed more information/resources and engaged in more advocacy within the GSA reported more frequently discussing transgender and gender diversity issues. Also, GSAs with transgender members, whose members collectively perceived a more respectful climate, accessed more information/resources and did more advocacy, and who reported lower socializing or support discussed transgender and gender diversity issues more frequently than other GSAs.</p><p><strong>Conclusions: </strong>This information could inform GSA programming to facilitate more transgender and gender diversity topic discussions and ensure that members feel encouraged to participate in them.</p>","PeriodicalId":56012,"journal":{"name":"International Journal of Transgenderism","volume":"19 2","pages":"119-131"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15532739.2017.1407983","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36940699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating the outcome of the initial assessment at a national transgender health service: Time to review the process?","authors":"Bethany A. Jones, Nicola Brewin, C. Richards, M. Van Eijk, A. Stephenson-Allen, J. Arcelus","doi":"10.1080/15532739.2017.1372838","DOIUrl":"https://doi.org/10.1080/15532739.2017.1372838","url":null,"abstract":"ABSTRACT Background: Globally, there is a lack of a standardized assessment process prior to the initiation of gender affirming medical interventions and consequently there is a discrepancy in this process among different transgender health services. Aim: The main objective of this study is to investigate the outcome of the initial assessment process at a national transgender health service. Method: The outcome of people over the age of 17 years, assessed at a large national transgender health service in the United Kingdom during a 2-year period was categorized into: (1) recommendation for cross-sex hormone treatment, or (2) no recommendation for cross-sex hormone treatment. In addition, 200 case notes were reviewed in order to investigate the level of agreement between the two clinicians involved in the assessment process. Results: During the study period, a total number of 617 people completed their assessment at the service. Following assessment 380 (61.6%) patients were recommended for cross-sex hormone treatment, leaving 237 (38.4%) patients who required a longer assessment period or were discharged. The factors associated with being recommended for cross-sex hormone treatment were having socially transitioned, not smoking, having initiated cross-sex hormones prior to assessment, being older, and assigned male at birth. Out of the 200 case notes reviewed, agreement between assessor 1 and 2 (3 months apart) was found in 88% (n = 176) of the cases. Discussion: Although the results of the study may not be generalizable to other international centers, questioning the assessment process and the role of the assessors is important to ensure treatment is offered in a timely and efficient manner. The findings from this study suggest that the routine inclusion of two assessors needs to be reviewed.","PeriodicalId":56012,"journal":{"name":"International Journal of Transgenderism","volume":"5 1","pages":"427 - 432"},"PeriodicalIF":0.0,"publicationDate":"2017-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89733495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Non-binary and binary transgender youth: Comparison of mental health, self-harm, suicidality, substance use and victimization experiences.","authors":"Katharine A Rimes,&nbsp;Nicola Goodship,&nbsp;Greg Ussher,&nbsp;Dan Baker,&nbsp;Elizabeth West","doi":"10.1080/15532739.2017.1370627","DOIUrl":"https://doi.org/10.1080/15532739.2017.1370627","url":null,"abstract":"<p><p>  <b><i>Background</i></b> : Little research has compared the mental health and victimization experiences of non-binary youth depending on their sex assigned at birth (SAAB), or compared these two groups with binary transgender youth. <b><i>Aims</i></b> : To compare mental health, self-harm and suicidality, substance use and victimization experiences between non-binary and binary transgender young adults, both male assigned at birth (MAAB) and female assigned at birth (FAAB). <b><i>Methods</i></b> : Online survey data from 677 participants from the \"Youth Chances\" community study of 16 to 25 year olds in the United Kingdom was analyzed, comparing across binary participants (transgender females (<i>n</i> = 105) and transgender males (<i>n</i> = 210)) and non-binary participants (MAAB (<i>n</i> = 93) and FAAB (<i>n</i> = 269)). <b><i>Results</i></b> : Female SAAB participants (binary and non-binary) were more likely to report a current mental health condition and history of self-harm than male SAAB participants (binary and non-binary). Similarly, female SAAB participants (binary and non-binary) were more likely to report childhood sexual abuse than male SAAB participants (binary and non-binary); the reverse pattern was found for lifetime physical assault relating to being LGBTQ. Non-binary MAAB participants were less likely than the other groups to report past suicide attempts and previous help-seeking for depression/anxiety. Binary participants reported lower life satisfaction than non-binary participants. For all four groups, mental health problems, self-harm, suicidality, alcohol use and victimization experiences were generally higher than that of youth in general population studies. <b><i>Conclusions</i></b> : These findings highlight the importance of considering both non-binary versus binary gender identity and SAAB in relation to mental health problems, self-harm, suicidality and substance use in transgender youth. The roles of sexual abuse, other abuse and discrimination in contributing to increased rates of mental illness and self-harm in non-binary and binary transgender individuals, particularly those who were assigned female at birth, relative to those assigned male, require investigation.</p>","PeriodicalId":56012,"journal":{"name":"International Journal of Transgenderism","volume":" ","pages":"230-240"},"PeriodicalIF":0.0,"publicationDate":"2017-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15532739.2017.1370627","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38442171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}