ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2022
Binary and Nonbinary Transgender Adolescents' Healthcare Experiences, Avoidance, and Well Visits.
Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 27 citations in OpenAlex.
- Desired Nonmedical Gender-Affirming Support During Adolescence Among Transgender and Nonbinary Young Adults.Transgender health · 2026Article
- Fewer screens, greater needs: housing insecurity and healthcare costs for transgender patients in a safety-net system.Health affairs scholar · 2026Article
- Perceived Stigma and Quality of Life in Binary and Nonbinary/Queer Transgender Individuals in Italy: The Mediating Roles of Patient-Provider Relationship Quality and Barriers to Care.European journal of investigation in health, psychology and education · 2025Article
- Healthcare Mistreatment is Associated With Psychological Distress, Suicidality, and Substance Use Among Transgender and Nonbinary Emerging Adults.Emerging adulthood (Print) · 2025Article
- Supporting Transgender, Nonbinary, and Gender Diverse Youth During Solid Organ Transplantation.Pediatric transplantation · 2025Review
- Understanding harms associated with gender identity conversion efforts among transgender and nonbinary individuals: The role of preexisting mental well-being.International journal of transgender health · 2025Article
- The experience of youth on the waitlist for gender-affirming care in Manitoba.Paediatrics & child health · 2024Article
- Clinical pharmacology in adolescent transgender medicine.British journal of clinical pharmacology · 2024Review
- Protecting Graduate Medical Education and Gender-Diverse Youth.Journal of graduate medical education · 2024Article
- Does discrimination prevent transgender and gender diverse people from seeking healthcare?: A nationwide cohort study in South Korea.International journal of transgender health · 2024Article
- A retrospective review of psychosocial correlates of chronic pain in cisgender, transgender, and gender-diverse youth receiving evaluation in interdisciplinary pediatric pain clinics.Canadian journal of pain = Revue canadienne de la douleur · 2024Article
- Adolescent and Caregiver Perspectives on Receiving Gender-Affirming Care in Primary Care.Pediatrics · 2023Article
- Experiences of discrimination in healthcare settings, trust in providers and disordered eating behaviors in LGBTQ+ college students.Eating disordersArticle
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6 authors at 2 institutions in 1 country.
Funding
Abstract
purposeTo explore differences in healthcare experiences, healthcare avoidance, and well visit attendance between binary and nonbinary transgender adolescents; also, to explore the association between distinct healthcare experiences and healthcare avoidance and well visits.
methodsWe surveyed transgender adolescents ages 12-26 (n = 156) recruited from a multidisciplinary gender clinic from July through November 2018. Differences in distinct healthcare experiences by demographics were assessed using multivariable linear regression. Multivariable logistic regression was used to examine independent associations between demographics and lifetime healthcare avoidance and past-year well visit and also, associations between distinct healthcare experiences and lifetime healthcare avoidance and past-year well visit.
resultsCompared to transfeminine adolescents, more non-affirming healthcare experiences were reported by nonbinary (β = 1.41, 95% confidence interval [CI]: 0.49, 2.33) and transmasculine adolescents (β = 0.78, 95% CI: 0.02, 1.53). Gender-affirming healthcare experiences did not differ by demographics. Transmasculine adolescents had over three times the odds of lifetime healthcare avoidance (adjusted odds ratio [aOR] = 3.58, 95% CI: 1.41, 9.08) than transfeminine peers. Only younger age was associated with past-year well visit (aOR = 3.83, 95% CI: 1.44, 10.17). Non-affirming healthcare experiences were positively associated with healthcare avoidance (aOR = 1.85, 95% CI: 1.47, 2.34). Gender-affirming healthcare experiences were not associated with healthcare avoidance or past-year well visit. DISCUSSION: Nonbinary and transmasculine adolescents experienced more non-affirming healthcare experiences than transfeminine adolescents. Non-affirming healthcare experiences were associated with healthcare avoidance, which was disproportionately more prevalent among transmasculine adolescents. Providers must be better equipped to provide inclusive, gender-affirming care to increase receipt of care for transgender adolescents beyond specialized gender clinics.
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