Evidence map›Paper›PMID 33186863›Full record

ArticleJournal of pediatric nursing

"We Deserve Care and we Deserve Competent Care": Qualitative Perspectives on Health Care from Transgender Youth in the Southeast United States.

Sanjana Pampati, Jack Andrzejewski, Riley J Steiner, Catherine N Rasberry, Susan H Adkins, Catherine A Lesesne, Lorin Boyce, Rose Grace Grose, Michelle M Johns

Abstract read
In one paragraph

Article in Journal of pediatric nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–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

18 citing papers in PubMed.

  1. Co-Development and Validation of a Patient-Reported Experience Measure for Trans and Gender Diverse Young People: A Multi-Stage Participatory Study Protocol.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  2. Examining the Experiences of Transgender and Non-Binary Nursing Students and Nurses in Canada.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2025
    Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Adolescent Providers' Experiences of Harassment Related to Delivering Gender-Affirming Care.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2023
    Article
  11. Article
  12. Article
  13. Barriers Pediatric PCP's Identify To Providing Gender-Affirming Care For Adolescents.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2023
    Article
  14. Review
  15. Article
  16. Review
  17. "These Laws Will Be Devastating": Provider Perspectives on Legislation Banning Gender-Affirming Care for Transgender Adolescents.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2021
    Article
  18. Review
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

9 authors.

Sanjana PampatiOak Ridge Institute for Science and Education (ORISE), TN, United States of America. Electronic address: mix2@cdc.gov.
Jack AndrzejewskiOak Ridge Institute for Science and Education (ORISE), TN, United States of America.
Riley J SteinerCenters for Disease Control and Prevention, Division of Reproductive Health, GA, United States of America.
Catherine N RasberryCenters for Disease Control and Prevention, Division of Adolescent and School Health, GA, United States of America.
Susan H AdkinsCenters for Disease Control and Prevention, Division of Adolescent and School Health, GA, United States of America.
Catherine A LesesneICF, GA, United States of America.
Lorin BoyceICF, GA, United States of America.
Rose Grace GroseDepartment of Community Health Education, Colorado School of Public Health at the University of Northern Colorado, CO, United States of America.
Michelle M JohnsCenters for Disease Control and Prevention, Division of Adolescent and School Health, GA, United States of America.

Funding

Training Program in Substance Use, HIV and Related InfectionsT32DA023356 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Natasha Martin, Steffanie A Strathdee · 2007 to 2026
$7.8M
Intramural CDC HHS CC999999NIDA NIH HHS T32 DA023356
6 · The paper itself

Abstract

purposeTransgender populations experience health inequities that underscore the importance of ensuring access to high quality care. We thematically summarize the health care experiences of transgender youth living in the southeast United States to identify potential barriers and facilitators to health care. DESIGN AND

methodsTransgender youth recruited from community settings in an urban area of the southeast United States participated in individual interviews (n = 33) and focus groups (n = 9) about protective factors. We conducted a thematic analysis of data from 42 participants who described their experiences seeking and receiving health care.

resultsParticipants reported a wide range of gender identities. The individual interview sample was majority Black (54.5%) and the mean age was 21.7 years and focus group participants were all white and the mean age was 16.8 years. Participants described numerous barriers to health care, including limited availability of gender affirming care, logistical challenges, such as gatekeeping and cost, concerns about confidentiality in relation to sexual behavior and gender identity, and inadequate cultural competency among providers regarding gender-affirming care. Facilitators included intake procedures collecting chosen pronouns and names and consistent use of them by providers, and open communication, including active listening.

conclusionsFindings underscore the need for a multi-component approach to ensure both transgender- and youth-friendly care. PRACTICE IMPLICATIONS: Providers and office staff may benefit from transgender cultural competency trainings. In addition, clinic protocols relating to confidentiality and chosen name and pronoun use may help facilitate access to and receipt of quality care.

Indexed as

Transgender PersonsAdolescentAdultFemaleGender IdentityHealth Services AccessibilityHumansMaleQualitative ResearchSexual BehaviorUnited StatesYoung AdultBarriersHealth careTransgenderYouth

Identifiers

PMID33186863
PMCPMC7941262

What OpenQuestion holds

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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.