ArticleWomen's health issues : official publication of the Jacobs Institute of Women's Health
"The Health System Just Wasn't Built for Us": Queer Cisgender Women and Gender Expansive Individuals' Strategies for Navigating Reproductive Health Care.
Article in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Barriers to sexual and reproductive health care faced by transgender and gender diverse people: a systematic review.Reproductive health · 2025Pooled it
- Interrogating the Effects of Technologies of Pregnancy Surveillance on Queer, Trans and Nonbinary Midwifery Service-Users.Sociology of health & illness · 2026Article
- Vaginal microbiomes and their pertinent social context: a microbial ecological review proffering AMR-STI acquisition and emergence.Biology of sex differences · 2026Review
- Health Professionals' Approaches to Support Patient Diversity in the Assessment of Vaginismus: A Critical Feminist Qualitative Study for Inclusive Care.Healthcare (Basel, Switzerland) · 2026Article
- Encounters in the Swedish health and welfare sector: experiences of people identifying as LGBTQ.BMC public health · 2025Article
- Contraceptive use in lesbian and bisexual women: findings from the Australian Longitudinal Study on Women's Health.Reproductive health · 2025Article
- Experiences of Gender and Racial/Ethnic Discrimination in Sexual Healthcare Among Transgender and Nonbinary Young Adults of Color.Perspectives on sexual and reproductive health · 2025Article
- Components of a Digital Storytelling Intervention for Human Papillomavirus and Cancer Prevention Among LGBTQ+ Individuals: Formative Mixed Methods Inquiry.JMIR formative research · 2025Article
- Mapping the scientific literature on obstetric and perinatal health among sexual and gender minoritized (SGM) childbearing people and their infants: a scoping review.BMC pregnancy and childbirth · 2024Article
- Sexual Orientation-Specific Policies Are Associated With Prenatal Care Use in the First Trimester Among Sexual Minority Women: Results From a Prospective Cohort Study.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2024Article
- Sexual orientation-related disparities in perinatal mental health among a prospective cohort study.SSM. Mental health · 2024Article
- "We're Here, We're Queer, Get Used to It": Advancing LGBTQAmerican journal of public health · 2024Article
- Healthcare providers' perspectives on pregnancy experiences among sexual and gender minority youth.Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives · 2022Article
- "Give me the sense that I matter:" Queer women's recommendations for an ideal cervical cancer screening exam and pathways to screening equity.Women's health (London, England)Article
Corrections and comments
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Authors and funding
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Funding
Abstract
backgroundThe LGBTQ health disparities literature documents barriers to comprehensive and queer-inclusive care. Queer cisgender women and gender expansive individuals assigned female at birth experience myriad health disparities related to reproductive health, in part owing to the health care system. However, few studies have examined how queer individuals cope with and overcome barriers to queer-competent reproductive health care. This study aims to understand the strategies queer cisgender women and gender expansive individuals use to meet their reproductive health needs.
methodsInvestigators conducted interviews with 22 queer cisgender women and gender expansive individuals assigned female at birth about their experiences seeking reproductive health care services. We used inductive coding and thematic analysis to identify themes related to meeting reproductive health and health care needs.
resultsFindings highlight the prevalence of negative and harmful experiences while seeking reproductive health care. In response to these negative experiences, individuals developed active strategies to meet their health needs, including seeking information and community, seeking alternative models of care, and managing identity disclosure. Importantly, these strategies varied in effectiveness, depending on participants' social and economic advantage.
conclusionsQueer individuals face numerous barriers to queer-competent reproductive health care when seeking reproductive health services. While queer patients are often resilient and creative, developing strategies to get their needs met, the presence of such strategies highlights the need for structural changes in the health system to better serve queer patients.
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