ArticlePloS one2021
Understanding community member and health care professional perspectives on gender-affirming care-A qualitative study.
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 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Health professionals' knowledge and understanding of inclusion health: a systematic literature review.Health policy and planning · 2026Pooled it
- Enabling and hindering aspects of the i²TransHealth e-health intervention for transgender and gender diverse people in Germany: a qualitative process evaluation.BMC health services research · 2026Trial
- Health equity and medical mistrust: a mixed-methods analysis of medical and social determinants among transgender women of colour in the TURNNT cohort study.Culture, health & sexuality · 2026Article
- Ethical and cultural barriers to transgender adolescent health in Indonesia: Bridging global standards with local realities.International journal of transgender health · 2026Article
- Leveraging community engagement and human-centered design to develop multilevel implementation strategies to enhance adoption of a health equity intervention.Implementation science communications · 2025Article
- "A standard of how we want to see people be treated": Developing LGBTQ+ community guidelines.International journal of LGBTQ+ youth studies · 2025Article
- Healthcare navigation services support access to gender-affirming care: A qualitative analysis of chat conversations.PloS one · 2025Article
- Navigating access to medical gender affirmation in Tasmania, Australia: an exploratory study.International journal of transgender health · 2024Article
- Cancer screening and management in the transgender population: Review of literature and special considerations for gender affirmation surgery.World journal of clinical oncology · 2023Article
- Voices from a Multidisciplinary Healthcare Center: Understanding Barriers in Gender-Affirming Care-A Qualitative Exploration.International journal of environmental research and public health · 2023Article
- The Often-Circuitous Path to Affirming Mental Health Care for Transgender and Gender-Diverse Adults.Current psychiatry reports · 2023Review
- "Coming Home to My Body": A Qualitative Exploration of Gender-Affirming Care-Seeking and Mental Health.Journal of gay & lesbian mental health · 2023Article
- Medical considerations in the care of transgender and gender diverse patients with eating disorders.Journal of eating disorders · 2022Review
- Prevalence and Factors Associated With Gender-Affirming Surgery Among Transgender Women & Transgender Men in a Community-Based Clinic in Metro Manila, Philippines: A Retrospective Study.Sexual medicine · 2022Article
- Gender-Affirming Telepsychology During and After the COVID-19 Pandemic: Recommendations for Adult Transgender and Gender Diverse Populations.Journal of health service psychology · 2021Article
- Barriers to Accessing Health Care in Rural Regions by Transgender, Non-Binary, and Gender Diverse People: A Case-Based Scoping Review.Frontiers in endocrinology · 2021Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTransgender and gender diverse (TGD) people experience significant barriers to accessing affirming health services. There is a paucity of literature examining how both community members and health care professionals (HCPs) understand potential causes and solutions for these barriers, particularly in non-urban settings.
objectiveWe present the first systematic examination of perspectives from community members and HCPs regarding barriers to and solutions for promoting access to gender-affirming health care.
designStudy activities were conducted through the Plan and Act for Transgender Health (PATH) Project, a health needs assessment of TGD people. Community members in the catchment area were recruited to participate in focus group discussions about access to gender-affirming health care and optimal health service delivery models in March-October 2019. HCPs were recruited to participate in focus group discussions or in-depth interviews about experiences working with TGD clients. Data were analyzed using an inductive grounded theory approach.
setting25 rural counties in Massachusetts, New York, Connecticut, Vermont, and New Hampshire.
participantsStudy participants included 61 adult TGD community members and 23 HCPs working in the catchment area.
resultsBoth community members and HCPs spoke of the need for connectedness and linkages among disparate health system components for gender-affirming health care. Participants expressed this priority through calls for systems-level improvements within existing services (e.g., expanded data collection, expanded mental health services, inclusive and affirming health care environments, and TGD staff). They also expressed the need for expanded TGD community outreach and engagement (e.g., incorporation of a patient feedback process, TGD health navigators, and resource mapping). LIMITATIONS: Findings specifically reflect the perspectives of community members and HCPs in the rural New England area. Furthermore, the study sample was predominantly White non-Hispanic.
conclusionInterventions to achieve accessible gender-affirming health care must address the diverse perspectives and needs of both community members and HCPs.
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