ArticleTransgender health2022
Gender-Affirming Mental Health Care Access and Utilization Among Rural Transgender and Gender Diverse Adults in Five Northeastern U.S. States.
Article in Transgender health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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.
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Who cites it
13 citing papers in PubMed.
- Desired Nonmedical Gender-Affirming Support During Adolescence Among Transgender and Nonbinary Young Adults.Transgender health · 2026Article
- Implementation of a single session psychotherapy intervention in primary care integrated behavioral health: a single-arm pilot study.BMC primary care · 2026Article
- Surgical and hormonal gender-affirming care: cross-domain determinants and artificial intelligence-enabled expansion.International journal for equity in health · 2026Review
- A pilot feasibility and acceptability evaluation of Trans Care: A CBPR digital health intervention for transgender and nonbinary adults experiencing gender dysphoria.International journal of transgender health · 2026Article
- The Impact of COVID-19 on Healthcare Access for Gender-Diverse Adults: A Qualitative Study.Health services insights · 2026Article
- Intersectional discrimination and alcohol problems among transfeminine people of color: The moderating role of financial instability.Journal of health psychology · 2026Article
- Structural barriers to accessing gender-affirming care for transgender and gender diverse (TGD) individuals in the United States.International journal of transgender health · 2026Review
- Leveraging community engagement and human-centered design to develop multilevel implementation strategies to enhance adoption of a health equity intervention.Implementation science communications · 2025Article
- Ethnoracial inequities in social stressors and patterns of alcohol use in a population of United States transgender Veterans.Social science & medicine (1982) · 2025Article
- Article
- Predictors of Mental Health Service Utilization Among Transgender and Gender Nonconforming Adults.Transgender health · 2025Article
- Demands for Health Care and Barriers to Health Care Access Among Transgender and Nonbinary People in Chile: A Nationwide Survey.Transgender health · 2025Article
- Relationships between structural stigma, societal stigma, and minority stress among gender minority people.Scientific reports · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose: Transgender and gender diverse (TGD) populations are burdened by substantial mental health disparities. The mental health needs of TGD people in rural areas remain largely unknown. This study sought to characterize gender-affirming mental health service access and utilization in a sample of TGD adults from predominantly rural areas in the northeastern United States. Methods: A nonprobability sample of 241 TGD adults was recruited from 25 counties across Connecticut, Massachusetts, New Hampshire, New York, and Vermont. Participants completed a cross-sectional computer-administered survey, including self-reported mental health and mental health care needs. Bivariate and multivariable models were fit to examine the association of mental health service utilization with: sociodemographics; health insurance coverage; name and gender marker change; mental health symptoms; perceived stigma; mental health, substance use disorder, and somatic diagnoses; and violence victimization. Primary outcomes were utilizing either psychotherapy or psychopharmacology, both, or neither service. Results: Around 68.9% of the sample resided in rural areas. Fifty-one percent of respondents currently utilized at least one gender-affirming mental health service (48.5% psychotherapy, 18.7% psychopharmacology, 16.2% both services). Common barriers to gender-affirming mental health services were lack of trained providers, lack of mental health integration with primary care, financial costs, difficulty scheduling, distances that were too far, and transportation issues. Factors most important in choosing a mental health care provider were health insurance, gender-affirming care, rapport, and availability. Conclusion: Access to and utilization of gender-affirming mental health services was suboptimal in this sample. Achieving mental health equity will require addressing barriers experienced by TGD people in rural areas.
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