ArticlePloS one2021
Trans and gender diverse people's experiences of healthcare access in Australia: A qualitative study in people with complex needs.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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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.
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.
Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The experiences of transgender and nonbinary adults in primary care: A systematic review.The European journal of general practice · 2024Pooled it
- The experiences of transgender and nonbinary individuals in general practice in Denmark, with a focus on 'safer space'.Scandinavian journal of primary health care · 2026Article
- Influences on Transmasculine People's Experiences of Contraceptive Methods and Services in the UK: One-on-One Interviews and a Focus Group.Healthcare (Basel, Switzerland) · 2026Article
- Patient and clinician perspectives on misgendering in healthcare.BMJ quality & safety · 2026Article
- An Exploration of the Views and Perspectives of Australian Trans and Gender Diverse Individuals About Transvaginal Ultrasound.Perspectives on sexual and reproductive health · 2026Article
- Trans and gender-diverse people's experiences of primary care in Sweden - a qualitative study.BMC primary care · 2025Article
- Emergency department presentations by trans and gender diverse people in Sydney, Australia: Retrospective case series.Emergency medicine Australasia : EMA · 2025Article
- Article
- Experiences of transwomen individuals in accessing oral health care in a low and middle-income country: a qualitative study from Pakistan.BMC public health · 2025Article
- Analysing the scientific literature on transgender and gender diverse persons' experiences with sexual and reproductive health care services from an intersectional perspective.International journal for equity in health · 2025Article
- MAHI: A multidimensional access to healthcare index for hijra, kothi, and transgender individuals.International journal of transgender health · 2025Article
- A scoping review of the literature exploring experiences in the trans and gender diverse community with chest binding practices.International journal of transgender health · 2025Article
- Risk factors to mental health challenges among the LGBTI+ community in Gaborone, Botswana.Curationis · 2024Article
- Using focus groups to inform a peer health navigator service for people who are transgender and gender diverse in Saskatchewan, Canada.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Trans-Inclusive Communication and Self-Perceived Barriers to It, as Reported by Doctors-A Mixed-Methods Survey in Germany.Healthcare (Basel, Switzerland) · 2024Article
- "Ever since I knew I was trans I knew I wanted hormone therapy": a qualitative exploration into the journey of Australian trans individuals accessing feminizing gender-affirming hormone therapy.International journal of transgender health · 2024Article
- Exploring Mediators of Mental Health Service Use Among Transgender Individuals in Ontario, Canada.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2023Article
- Gender-Affirming Hormone Therapy for the Trans, Gender Diverse, and Nonbinary Community: Coordinating World Professional Association for Transgender Health and Informed Consent Models of Care.Transgender health · 2023Article
- "I don't know much about providing pharmaceutical care to people who are transgender": A qualitative study of experiences and attitudes of pharmacists.Exploratory research in clinical and social pharmacy · 2023Article
- Developing the "Oppression-to-Incarceration Cycle" of Black American and First Nations Australian Trans Women: Applying the Intersectionality Research for Transgender Health Justice Framework.Journal of correctional health care : the official journal of the National Commission on Correctional Health Care · 2023Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThis study aimed to explore the experiences of healthcare access in a diverse sample of trans and gender diverse individuals with complex needs using qualitative methods. We recruited 12 individuals using trans community-based networks facilitated by the Gender Centre. Each individual participated in an in-depth, semi structured interview conducted by a peer interviewer. Interviews were analysed thematically.
findingsParticipants had a range of complex health needs to manage, including ongoing access to gender-affirming hormones, mental health care and sexual health care. Some also had chronic diseases. Accordingly, scheduling appointments and affording the co-payments required were major preoccupations. Most participants were not in full time work, and economic hardship proved to be a major compounding factor in issues of healthcare access, impacting on the choice of clinician or practice. Other barriers to accessing health included issues within health services, such as disrespectful attitudes, misgendering, 'deadnaming' (calling the person by their previous name), displaying an excessive interest is aspects of the participants' life that were irrelevant to the consultation, and displaying ignorance of trans services such that the participants felt an obligation to educate them. In addition, participants noted how stereotyped ideas of trans people could result in inaccurate assumptions about their healthcare needs. Positive attributes of services were identified as respectful communication styles, clean, welcoming spaces, and signs that indicated professionalism, care and openness, such as relevant information pamphlets and visibility of LGBTIQ service orientation. Participants valued peer-based advice very highly, and some would act on and trust medical advice from peers above advice from medical professionals.
conclusionThese findings demonstrate a need for comprehensive wrap-around service provision for trans people with complex needs which includes a substantial peer-based component, and addresses physical and mental health and social services conveniently and affordably.
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Registered trials
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