ArticleAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2021
Gender Affirmation as a Source of Resilience for Addressing Stigmatizing Healthcare Experiences of Transgender Youth of Color.
Article in Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.
- 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
- Emergency Department Care Experiences of Transgender and Gender Expansive Patients: A Qualitative Study.Transgender health · 2026Article
- Team-Based Analysis of Large-Scale Qualitative Data: Tutorial Using a Nationwide SMS Text Messaging Poll of Youth.Journal of medical Internet research · 2026Article
- PrEP Intentions, Heavy Substance Use, and Gender Affirmation among Black and Latine Transgender and Gender-Expansive Youth: A Structural Equation Modeling Analysis.AIDS and behavior · 2026Article
- Exploring alcohol use and harm reduction techniques among transgender and gender diverse youth in Canada: A qualitative study.International journal of transgender health · 2026Article
- "At the mercy of the State": Transgender and nonbinary young adults' experiences navigating restrictive healthcare legislation.Social science & medicine (1982) · 2026Article
- Factors Associated with Medical Mistrust Among Sexual and Gender Minority Young Adults.Sexuality research & social policy : journal of NSRC : SR & SP · 2026Article
- Barriers to gender affirming healthcare for transgender and non-binary people with endometriosis.International journal of transgender health · 2026Article
- Trans and gender-diverse people's experiences of primary care in Sweden - a qualitative study.BMC primary care · 2025Article
- Investigating the Relationship Between Social Support and Health Care Barriers Among Sexually and Gender Diverse Young Adults in the United States.LGBT health · 2025Article
- Gender-Affirming Care and Health Outcomes Among Transgender and Gender Expansive Youth: Research Advances and Future Priorities.Transgender health · 2025Article
- Medical gender affirmation appears protective against problematic substance use among transgender women and transfeminine adults: Findings from The LITE Study.Drug and alcohol dependence · 2025Article
- Stability and Change in Gender Identity and Sexual Orientation Across Childhood and Adolescence.Monographs of the Society for Research in Child Development · 2025Article
- Intentions to Use PrEP Among a National Sample of Transgender and Gender-Expansive Youth and Emerging Adults: Examining Gender Minority Stress, Substance Use, and Gender Affirmation.AIDS and behavior · 2025Article
- "Seeing the balance in the two worlds in which I exist": Latinx trans and nonbinary individuals' experiences of within-culture gender minority stress and resilience.Journal of counseling psychology · 2025Article
- "They Think Transgender is Like Something on the Side:" Perceptions of Transgender Women of Color of Cisgender Members of the LGBTQIA+ "Community".Journal of homosexuality · 2025Article
- The Role of Stigma and Resilience in Healthcare Engagement Among Transgender Latinas in the U.S. South: Baseline Findings from the ChiCAS Study.Journal of immigrant and minority health · 2024Article
- Accounting for Cisnormativity: Understanding Transgender and Non-Binary Young People's Strategies to Resist and Reduce Inequality in Healthcare.Social currents · 2024Article
- Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundTransgender and other gender diverse (TGD) youth of color experience stigma within healthcare. Gender affirmation can be a resilience resource; however, little is known about gender affirmation within healthcare. PURPOSE: This study explores TGD youth of color's experiences of stigma and gender affirmation across the entire healthcare experience and their role on motivation to seek care.
methodsIn 2015, cross-sectional surveys and individual in-depth interviews were conducted among 187 TGD youth ages 16-24 living in 14 U.S. cities. Analyses followed a mixed-methods design whereby 33 participants were purposively selected for a qualitative phenomenological analysis based on quantitatively reported gender affirmation needs. Subsequent quantitative analyses examined how healthcare use differed by access to gender affirmation.
resultsParticipants qualitatively described experiencing stigma across multiple healthcare settings (e.g., primary care, emergency care, medical gender affirmation), including before (finding providers, scheduling), during (waiting rooms, provider interactions), and after (pharmacy) healthcare visits. Participants who quantitatively reported access to gender-affirming healthcare still described negative healthcare experiences, either because they accessed multiple healthcare services or because of prior negative experiences. Stigma and gender affirmation (both inside and outside of healthcare) influenced motivation to seek care, with variation depending on the type of care. Quantitative analyses confirmed these findings; access to gender affirmation differed for participants who delayed primary care vs. those who did not, but did not vary based on participants' use of medical gender affirmation.
conclusionsFindings highlight the importance of promoting gender-affirming healthcare environments to increase access to care for TGD youth of color.
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Registered trials
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.