Evidence map›Paper›PMID 30070960›Full record

ArticleLGBT health

Perceived Barriers to HIV Prevention Services for Transgender Youth.

Celia B Fisher, Adam L Fried, Margaret Desmond, Kathryn Macapagal, Brian Mustanski

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in LGBT health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  11. Being Out: Impact of Disclosure on Sexual and Reproductive Healthcare Receipt in a Sample of Sexual Minority Women and Gender Diverse Youth.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Celia B Fisher1 Center for Ethics Education, Fordham University , Bronx, New York.
Adam L Fried1 Center for Ethics Education, Fordham University , Bronx, New York.
Margaret Desmond1 Center for Ethics Education, Fordham University , Bronx, New York.
Kathryn Macapagal2 Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University , Chicago, Illinois.
Brian Mustanski2 Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University , Chicago, Illinois.

Funding

Ethics in HIV Prevention Research Involving LGBT YouthR01MD009561 · NIMHD · NORTHWESTERN UNIVERSITY AT CHICAGO · PI FISHER, CELIA B, MUSTANSKI, BRIAN · 2014 to 2017
$2.0M
NIMHD NIH HHS R01 MD009561
6 · The paper itself

Abstract

purposeMany transgender youth lack access to transgender affirming care, which may put them at risk for HIV. This study explored transgender youth's perceptions regarding encounters with primary care providers (PCPs) related to gender and sexual minority (GSM) identity and sexual health.

methodsYouth ages 14-21 (N = 228; 45% trans masculine, 41% trans feminine, 14% gender nonbinary) completed a survey on GSM identity disclosure and acceptance, gender-affirming services, sexual health attitudes and behaviors, and interactions with PCPs involving GSM identity and concerns about stigma and confidentiality.

resultsA factor analysis yielded three scales: GSM Stigma, Confidentiality Concerns, and GSM-Sexual Health Information. Items from the GSM Stigma scale showed that nearly half of respondents had not disclosed their GSM identity to their PCP due to concern about an unaccepting PCP. One-quarter of youth were less inclined to discuss GSM identity and sexual health with their PCP due to concern that their provider would disclose this information to parents; these concerns were greater among adolescents <18 and those not out to parents about their gender identity. Only 25% felt their PCP was helpful about GSM-specific sexual health issues. Youth who were out to parents about their gender identity and had received gender-affirming hormone therapy were more likely to report receiving GSM-specific sexual health information.

conclusionsTransgender youth may not discuss their GSM identity or sexual health with PCPs because they anticipate GSM stigma and fear being "outed" to parents. PCPs should receive transgender-inclusive training to adequately address youths' sexual health needs and privacy concerns.

Indexed as

Attitude to HealthHealth Services AccessibilityAdolescentConfidentialityFemaleHealth Care SurveysHIV InfectionsHumansMalePhysician-Patient RelationsPhysicians, Primary CareSocial StigmaTransgender PersonsYoung Adultadolescentshealth disparitiesHIV/AIDSpreventionstigmatransgender

Identifiers

PMID30070960
PMCPMC6145040

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.