Evidence map›Paper›PMID 38172910›Full record

ArticleBMC women's health2024

Transgender women's perspectives on mental health care related to vaginoplasty for gender affirmation.

Emily E Marra, Hilary Mabel, Sharon Feldman, Mary Beth Mercer, Murat Altinay, Cecile A Ferrando

Open access · goldAbstract read
In one paragraph

Article in BMC women's health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.3field-weighted citation impact, top 23% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

6 authors at 5 institutions in 3 countries.

Emily E MarraCase Western Reserve University School of Medicine, Cleveland, OH, USA.
Hilary MabelClinical Ethics, Wellstar Health System, Marietta, GA, USA.
Sharon FeldmanUniversity of Melbourne, Melbourne, Australia.
Mary Beth MercerCenter for Bioethics, Women's Health Institute, Cleveland Clinic, Cleveland, OH, USA.
Murat AltinayDepartment of Psychiatry and Psychology, Center for Behavioral Health, Center for LGBT Care, Cleveland Clinic, Cleveland, OH, USA.
Cecile A FerrandoCenter for Urogynecology and Pelvic Reconstructive Surgery, Obstetrics & Gynecology Institute, Cleveland, OH, USA. ferranc2@ccf.org.
Case Western Reserve University · USCleveland Clinic · USUniversity of Melbourne · AUWellStar Health System · USWomen's Health Research Institute · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to describe patient experiences and attitudes about the role of the mental health professional as it relates to pursuing gender affirmation surgery.

methodsThis was a mixed-models study with semi-structured interviews. Participants who presented for gender affirming vaginoplasty and had completed pre-surgical requirements but had not yet had the procedure were invited to participate in the study. Semi-structured phone interviews were conducted from November 2019 and December 2020 until saturation of themes was achieved at a sample size of 14. Interviews were then transcribed verbatim and coded by theme. Qualitative analysis was performed using a grounded theory approach.

resultsAlmost half of the patients did not identify any barriers to obtaining mental health care, but a majority brought up concerns for less advantaged peers, with less access to resources. Some patients also felt that there was benefit to be obtained from the mental health care required before going through with surgery, while others felt the requirements were discriminatory. Finally, a large proportion of our participants reported concerns with the role of mental health care and the requirements set forth by the World Professional Association for Transgender Health (WPATH), and patients gave suggestions for future improvements including decreasing barriers to care while rethinking how guidelines impact patients.

conclusionThere are many competing goals to balance when it comes to the guidelines for gender affirmation surgery, and patients had differing and complex relationships with mental health care and the pre-surgical process.

Indexed as

Gender-Affirming SurgeryTransgender PersonsTranssexualismVaginaFemaleGender IdentityHumansMaleMental HealthMental Health ServicesMental health careQualitative methodsTransgenderVaginoplasty

Identifiers

PMID38172910
PMCPMC10765568
OpenAlexW4390547379

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.