Evidence map›Paper›PMID 37086334›Full record

ArticlePrevention science : the official journal of the Society for Prevention Research2023

Differences in Health Care Experiences among Transgender and Gender Diverse Youth by Gender Identity and Race/Ethnicity.

Michelle M Johns, Allegra R Gordon, Jack Andrzejewski, Christopher R Harper, Stuart Michaels, Christopher Hansen, Erin Fordyce, Richard Dunville

Abstract read
PubMed Publisher
In one paragraph

Article in Prevention science : the official journal of the Society for Prevention Research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
6.7field-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

11 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Recommendations for healthcare organization websites: towards demonstrating LGBTQ+ inclusivity in oncology care.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  4. The Role of Policy in Preventing Discrimination-Based Suicide and Substance Use Coping Outcomes Within the Transgender Community.Prevention science : the official journal of the Society for Prevention Research · 2025
    Article
  5. Article
  6. Article
  7. Mental Health during Medical Transition in a US and Canadian Sample of Early Socially Transitioned Transgender Youth.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025
    Article
  8. Article
  9. Review
  10. Article
  11. Article
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

8 authors at 4 institutions in 2 countries.

Michelle M JohnsDivision of Adolescent and School Health, Centers for Disease Control and Prevention, Atlanta, GA, USA. johns-michelle@norc.org.ORCID 0000-0002-9057-2752
Allegra R GordonBoston University School of Public Health, Boston, MA, USA.
Jack AndrzejewskiSan Diego Joint Doctoral Program in Public Health, San Diego State University, University of California, San Diego, CA, USA.
Christopher R HarperDivision of Violence Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Stuart MichaelsNORC at the University of Chicago, 1447 Peachtree Street NE, Suite 700, Atlanta, GA, 30309, USA.
Christopher HansenNORC at the University of Chicago, 1447 Peachtree Street NE, Suite 700, Atlanta, GA, 30309, USA.
Erin FordyceNORC at the University of Chicago, 1447 Peachtree Street NE, Suite 700, Atlanta, GA, 30309, USA.
Richard DunvilleNORC at the University of Chicago, 1447 Peachtree Street NE, Suite 700, Atlanta, GA, 30309, USA.
University of Chicago · USCenters for Disease Control and Prevention · USBoston University · USSan Diego State University · US

Funding

Training Program in Substance Use, HIV and Related InfectionsT32DA023356 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Natasha Martin, Steffanie A Strathdee · 2007 to 2026
$7.8M
NIDA NIH HHS T32 DA023356
6 · The paper itself

Abstract

Transgender and gender diverse (TGD) youth experience significant risk for negative health outcomes, yet few studies exist that address TGD youth's experiences of health care. This paper explores the equitable access and utilization of health care in a sample of TGD youth of diverse gender and racial/ethnic identities. Data for this analysis are from the TGD subsample (n = 1415) of the 2018 Survey of Today's Adolescent Relationships and Transitions (START) Project. We assessed five health care experiences: being insured, having a current health care provider, being out to one's provider, believing your provider was knowledgeable about transgender issues, and barriers to accessing care due to gender identity/expression. We examined the proportion of TGD youth who reported each of these outcomes and within-group differences by gender identity and race/ethnicity using descriptive statistics, logistic regression, and predicted probabilities. When differences were examined by gender identity, barriers to equitable care were consistently more present among transgender females than youth of other gender identities. There were few significant differences by race/ethnicity; however, dual referent models demonstrated barriers to equitable care were particularly evident among Black and Hispanic transgender women. We discuss these findings through the lens of intersectionality and highlight the importance of research and intervention work focused on reducing barriers to equitable care for TGD youth.

Indexed as

Transgender PersonsAdolescentDelivery of Health CareEthnicityFemaleGender IdentityHumansMaleSurveys and QuestionnairesAdolescentsGender diversityHealth careHealth disparitiesHealth equityTransgender

Identifiers

PMID37086334
OpenAlexW4366742373

What OpenQuestion holds

Textmetadata
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.