Evidence map›Paper›PMID 37697934›Full record

ArticlePediatrics2023

Adolescent and Caregiver Perspectives on Receiving Gender-Affirming Care in Primary Care.

Gina M Sequeria, Jessy Guler, Valentino Reyes, Peter G Asante, Nicole Kahn, Yomna Anan, Kevin Bocek, Kacie Kidd, Dimitri Christakis, Wanda Pratt and 1 more

Open access · greenAbstract read
In one paragraph

Article in Pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Telemedicine-Based Provision of Adolescent Gender-Affirming Medical Care to Promote Equitable Access.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024
    Article
  3. Comfort Providing Gender-Affirming Care and Preferences for Consultative Support Among Rural Pediatric Primary Care Providers.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024
    Article
  4. 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

11 authors at 3 institutions in 1 country.

Gina M SequeriaSeattle Children's Hospital, Seattle, Washington.
Jessy GulerSeattle Children's Hospital, Seattle, Washington.
Valentino ReyesSeattle Children's Hospital, Seattle, Washington.
Peter G AsanteUniversity of Washington School of Medicine, Seattle, Washington.
Nicole KahnSeattle Children's Hospital, Seattle, Washington.
Yomna AnanSeattle Children's Hospital, Seattle, Washington.
Kevin BocekSeattle Children's Hospital, Seattle, Washington.
Kacie KiddWest Virginia University, Morgantown, West Virginia.
Dimitri ChristakisSeattle Children's Hospital, Seattle, Washington.
Wanda PrattUniversity of Washington School of Medicine, Seattle, Washington.
Laura P RichardsonSeattle Children's Hospital, Seattle, Washington.
Seattle Children's Hospital · USUniversity of Washington · USWest Virginia University · US

Funding

PEDSnet Scholars: A Training Program for Pediatric Learning Health System ResearchersK12HS026393 · AHRQ · CHILDREN'S HOSP OF PHILADELPHIA · PI FORREST, CHRISTOPHER B, MOON, JEANHEE · 2018 to 2022
$4.0M
AHRQ HHS K12 HS026393
6 · The paper itself

Abstract

backgroundTransgender and gender-diverse (TGD) adolescents experience barriers to receiving gender-affirming care. Delivering services in the pediatric primary care setting may help facilitate improved access. With this study, we aimed to explore TGD adolescents' and caregivers' experiences receiving primary care services and their perspectives regarding gender-affirming care delivery in pediatric primary care.

methodsTGD adolescents aged 14 to 17 and caregivers of TGD adolescents currently receiving gender-affirming medical care participated in 1-hour-long, semi-structured, individual, virtual interviews. Each interview was recorded and transcribed. Transcripts were then individually coded, and themes were generated iteratively by using a reflexive thematic analysis framework. Recruitment of each group continued until thematic saturation was reached.

resultsA total of 33 participants (15 adolescents and 18 caregivers) completed interviews. Adolescent participants (mean age of 15.7 years) predominantly identified as transmasculine or trans male (73%), and caregiver participants were predominantly mothers (83.3%). Four themes were identified, which included (1) barriers, such as microaggressions and poor psychosocial support, (2) benefits, such as existing trusted relationships with primary care providers (PCPs) and convenience, (3) improvement strategies, such as training and interdisciplinary collaboration, and (4) opportunities for integrating primary care and specialty gender-affirming care.

conclusionsTGD adolescents and their caregivers reported previous negative interactions with PCPs; however, some desired to receive gender-affirming care in this setting, citing increased convenience, efficiency, and availability. Participants highlighted an ongoing need for further work to provide resources, education, and training to PCPs and their staff and improve PCP-to-specialist communication and collaboration.

Indexed as

CaregiversTransgender PersonsAdolescentChildCommunicationEducational StatusFemaleHumansMalePrimary Health Care

Identifiers

PMID37697934
PMCPMC10698727
OpenAlexW4386624287

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.