Evidence map›Paper›PMID 35535515›Full record

ReviewBJPsych open2022

Lived experiences of transgender forced migrants and their mental health outcomes: systematic review and meta-ethnography.

Susannah Hermaszewska, Angela Sweeney, B Camminga, Riley Botelle, Kate Elliott, Jacqueline Sin

Open access · goldAbstract readReview
In one paragraph

Review in BJPsych open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
6.0field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 2 countries.

Susannah HermaszewskaSchool of Health Sciences, City University of London, UK.ORCID https://orcid.org/0000-0001-7698-8295
Angela SweeneyDepartment of Health Service and Population Research, King's College London, UK.ORCID https://orcid.org/0000-0001-6020-7490
B CammingaAfrican Centre for Migration & Society, University of the Witwatersrand, Johannesburg, South Africa.
Riley BotelleRoyal Berkshire Hospital, Reading, UK.ORCID https://orcid.org/0000-0002-3052-5698
Kate ElliottEast London NHS Foundation Trust, UK.
Jacqueline SinSchool of Health Sciences, City University of London, UK.ORCID https://orcid.org/0000-0003-0590-7165
City, University of London · GBEast London NHS Foundation Trust · GBKing's College London · GBRoyal Berkshire Hospital · GBUniversity of the Witwatersrand · ZA

Funding

National Institute for Health Research
6 · The paper itself

Abstract

backgroundOwing to multiple, complex and intersecting health inequities, systemic oppression and violence and discrimination in their home countries, some transgender people are forced to migrate to countries that offer them better legal protection and wider social acceptance.

aimsThis review sought to explore and understand the multiple factors that shape the mental health outcomes of transgender forced migrants (TFMs).

methodWe systematically searched nine electronic databases for multidisciplinary literature (PROSPERO ID: CRD42020183062). We used a meta-ethnographic approach to synthesise data. We completed a quality appraisal and developed a socio-ecological model to draw together our findings.

resultsWe retrieved 3399 records and screened titles, abstracts and full text to include 24 qualitative studies in this review. The synthesis identified individual survival strategies and factors in interpersonal, organisational and societal environments that contributed to profound deprivation and mental distress in TFMs. Pervasive and persistent violence and discrimination, economic exclusion, barriers to healthcare and a dependency on legal documentation were identified as key factors leading to poor mental health outcomes. Sources of resilience included community acceptance and support, being granted asylum, societal affirmation of gender, fulfilment of basic rights and healthcare access. Individual strategies for survival, such as hope and having purpose in life, were important in bringing relief from distress.

conclusionsImproved communication and knowledge about the unique needs and concerns of TFMs through interventions at the individual, interpersonal, organisational and societal levels are necessary to improve mental health outcomes.

Indexed as

mental healthmigrationQualitative researchrefugeetransgender

Identifiers

PMID35535515
PMCPMC9169499
OpenAlexW4229455635

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.