ArticleThe Journal of emergency medicine2021
Experiences of Transgender and Gender Nonbinary Patients in the Emergency Department and Recommendations for Health Care Policy, Education, and Practice.
Article in The Journal of emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 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
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Delivering transgender-specific knowledge and skills into health and allied health studies and training: a systematic review.European child & adolescent psychiatry · 2024Pooled it
- Authentic Allyship for Trans and Gender Diverse People: A Patterns of Knowing Perspective in Nursing.Nursing philosophy : an international journal for healthcare professionals · 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
- Beyond cultural competency: Applying an antiracism lens to LGBTQ+ care and health.Journal of public health research · 2026Article
- LGBTQ+ Health Care Training for OB/GYN Residents Using a Simulation-Based Learning Experience.MedEdPORTAL : the journal of teaching and learning resources · 2026Article
- Decompensated Toxic Shock in a Gender-Diverse Adolescent: A Pediatric Emergency Medicine Simulation Case.MedEdPORTAL : the journal of teaching and learning resources · 2026Article
- Suicidal thoughts and behaviors among gender-minority adolescents in the emergency department.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025Article
- The Dissectionality of Care in the U.S.: A Scoping Review in Healthcare of Implicit Bias, Perceived Discrimination, and Minority Stress Among Sexual and Gender Minorities.Archives of sexual behavior · 2025Article
- Validation of a Methodology to Investigate Care Inequities for Transgender Patients.The western journal of emergency medicine · 2025Observational
- Emergency department presentations by trans and gender diverse people in Sydney, Australia: Retrospective case series.Emergency medicine Australasia : EMA · 2025Article
- Understanding the Association Between Medical Mistrust and Unmet Medical Care Need in Gender and Sexually Diverse People of Color Assigned Female at Birth.LGBT health · 2025Article
- "It's just a general lack of awareness, that breeds a sense that there isn't space to talk about our needs": Barriers and facilitators experienced by transgender people accessing healthcare in Aotearoa/New Zealand.International journal of transgender health · 2025Article
- Exploring LGBT2Q+ Intracategorical Factors in Mental Health Service Utilization: Differences in Gender Modalities, Sexual Orientations, and Ethnoracial Groups in Canada.Community mental health journal · 2024Article
- Transgender and non-binary patient simulations can foster cultural sensitivity and knowledge among internal medicine residents: a pilot study.Advances in simulation (London, England) · 2024Article
- Time ratio disparities among ED patients undergoing head CT.Emergency radiology · 2023Article
- Prevalence and correlates of experiencing drug-related discrimination among people who use drugs presenting at emergency department at high risk of opioid overdose.Addictive behaviors reports · 2023Article
- Article
- Disparities in Pediatric Mental and Behavioral Health Conditions.Pediatrics · 2022Review
- Emergency care of LGBTQIA+ patients requires more than understanding the acronym.AEM education and training · 2022Article
- Examining the Emergency Department Care Experiences of Equity-Deserving Groups Using an Intersectional Lens.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundTransgender and gender nonbinary (trans/NB) individuals face many barriers to accessing health care in the United States due to systemic and clinician discrimination. Such experiences can lead to avoidance or delays in seeking care. These issues are relevant for emergency department (ED) clinicians and staff because trans/NB patients may use the ED in times of crisis.
objectivesThe purpose of this study was to qualitatively explore experiences of trans/NB individuals accessing health care in the ED and provide recommendations for improvements.
methodsThis study involved semi-structured qualitative interviews with nine trans/NB individuals living in Arkansas about their experiences when visiting local EDs.
resultsInterviews revealed four main themes: 1) system and structural issues; 2) interactions with clinicians/staff influence care received; 3) perceptions of clinician knowledge and education about trans/NB health; and 4) impact on future health and health care access. Participants recommended education for current and future ED clinicians and staff to improve knowledge of best practices for trans/NB health care. Recommendations were also made to improve ED policy for inclusive and affirming intake processes, intake forms, and electronic health record (EHR) documentation, including documentation and use of patients' chosen name and pronouns.
conclusionThe negative experiences and discrimination reported by trans/NB patients in ED visits underscores the importance of improving ED clinician knowledge of gender-affirming care practices, ED intake policies and practices, and EHR documentation in EDs.
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Registered trials
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