Evidence map›Paper›PMID 32924839›Full record

ArticleCulture, health & sexuality2021

A "tax" on gender affirmation and safety: costs and benefits of intranational migration for transgender young adults in the San Francisco Bay area.

Kristi E Gamarel, Wesley M King, Raha Mouzoon, Hui Xie, Victorine Stanislaus, Mariko Iwamoto, Keanu Baxter, Sabrina Suico, Tooru Nemoto, Don Operario

Open access · greenAbstract read
In one paragraph

Article in Culture, health & sexuality, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.5field-weighted citation impact, top 11% of its field
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

10 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
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  9. Primary Care for Transgender Adolescents and Young Adults in Rhode Island: An Analysis of the all Payers Claims Database.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2021
    Article
  10. Article
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

10 authors at 3 institutions in 1 country.

Kristi E GamarelDepartment of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI, USA.
Wesley M KingDepartment of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI, USA.
Raha MouzoonDepartment of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI, USA.
Hui XiePublic Health Institute, Oakland, CA, USA.
Victorine StanislausPublic Health Institute, Oakland, CA, USA.
Mariko IwamotoPublic Health Institute, Oakland, CA, USA.
Keanu BaxterPublic Health Institute, Oakland, CA, USA.
Sabrina SuicoPublic Health Institute, Oakland, CA, USA.
Tooru NemotoPublic Health Institute, Oakland, CA, USA.
Don OperarioDepartment of Behavior and Social Sciences, Brown University School of Public Health, Providence, RI, USA.
Public Health Institute · USUniversity of Michigan–Ann Arbor · USBrown University · US

Funding

Scientific/Technical CoreP2CHD041028 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Sarah A. Burgard · 2017 to 2026
$6.5M
Training Program for Scientists Conducting Research to Reduce HIV Health DisparitR25MH067127 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Emily A Arnold, Torsten Brian Neilands · 2003 to 2026
$5.4M
Substance and Non-Prescribed Hormone Use Among TransmenR01DA039971 · NIDA · PUBLIC HEALTH INSTITUTE · PI NEMOTO, TOORU, OPERARIO, DON · 2016 to 2020
$2.2M
NICHD NIH HHS P2C HD041028NIDA NIH HHS R01 DA039971NIMH NIH HHS R25 MH067127
6 · The paper itself

Abstract

Many transgender (trans) young adults migrate to urban enclaves with known infrastructures to fulfil gender affirmation needs such as obtaining trans-inclusive healthcare and support. This study sought to explore experiences of intranational migration (i.e. migration within a single country) for gender affirmation among trans young adults who relocated to San Francisco. A convenience sample of 61 trans young adults aged 18 to 29 (32% nonbinary, 28% trans women, and 40% trans men; 84% identified as a person of colour) participated in a one-time qualitative interview as part of a larger study. Thematic analysis was used to develop and refine the codes and themes. Three overarching themes became apparent regarding intranational migration and gender affirmation needs: (1) access to basic gender affirmation needs; (2) safety; and (3) the price of gender affirmation. Migration for gender affirmation and safety placed informants at risk for structural vulnerabilities including homelessness, unemployment and racism. Despite these structural vulnerabilities, participants were willing to "pay" the price in order to gain gender affirmation and safety. Findings underscore the importance of moving beyond individual-level risk factors to understand how unmet gender affirmation needs may place trans young adults in structurally vulnerable positions that can affect health and wellness.

Indexed as

Transgender PersonsTranssexualismCost-Benefit AnalysisFemaleGender IdentityHumansMaleSan FranciscoYoung Adultgender affirmationinequitiesintranational migrationTransgenderUSA

Identifiers

PMID32924839
PMCPMC7956137
OpenAlexW3084788138

What OpenQuestion holds

Textmetadata
LicenceTDM
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.