Evidence map›Paper›PMID 39992774›Full record

ArticleHealth psychology : official journal of the Division of Health Psychology, American Psychological Association2025

Intersectional structural oppression as a fundamental cause: Reflections on implementing a medical-legal partnership project.

Kristi E Gamarel, Wesley M Correll-King, Laura Jadwin-Cakmak, Julisa Abad, Jay Kaplan, Belinda L Needham, Arjee J Restar

Abstract read
In one paragraph

Article in Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2025. 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
–field-weighted citation impact
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.

  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

7 authors.

Kristi E GamarelDepartment of Health Behavior and Health Equity, University of Michigan School of Public Health.ORCID 0000-0001-9405-7515
Wesley M Correll-KingDepartment of Health Behavior and Health Equity, University of Michigan School of Public Health.
Laura Jadwin-CakmakDepartment of Health Behavior and Health Equity, University of Michigan School of Public Health.
Julisa AbadFair Michigan Foundation.
Jay KaplanAmerican Civil Liberties Union.
Belinda L NeedhamDepartment of Epidemiology, University of Michigan School of Public Health.
Arjee J RestarDepartment of Epidemiology, University of Washington School of Public Health.

Funding

SDMC; Statistical Data Mgmt CoreUM2HD111102 · NICHD · FLORIDA STATE UNIVERSITY · PI Lisa B Hightow-Weidman, Sybil Hosek · 2023 to 2026
$49.7M
TRAINING IN SOCIAL AND ECONOMIC DEMOGRAPHYT32HD007339 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Sarah A. Burgard · 1987 to 2026
$14.9M
Scientific/Technical CoreP2CHD041028 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Sarah A. Burgard · 2017 to 2026
$6.5M
Training Program for Scientists Conducting Research to Reduce HIV Health DisparitR25MH067127 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Emily A Arnold, Torsten Brian Neilands · 2003 to 2026
$5.4M
NICHD NIH HHS P2C HD041028NICHD NIH HHS T32 HD007339NICHD NIH HHS UM2 HD111102NIH HHSNIMH NIH HHS R25 MH067127University of Michigan Office of the Vice President for Research
6 · The paper itself

Abstract

objectiveIntersectional and structural intervention approaches are critical to addressing health inequities experienced by transgender and gender diverse (trans) populations. In this commentary, we reflect on the implementation of a community-led, medical-legal partnership project designed to address barriers to legal gender affirmation and improve health outcomes for trans women of color with criminal records in Detroit.

methodWe initiated a partnership between a community health center and legal advocacy organization to address the health-harming legal needs of five trans women of color with criminal records via attorney support and financial assistance.

resultsWe enrolled four participants, and two received legal name changes. Our low success rate was largely because of legal costs that far exceeded our expectations and resources. These costs stemmed from compounding monetary sanctions participants received for low-level vehicular civil infractions.

conclusionsOur implementation of this intervention revealed structural intersectional oppression in action. Monetary sanctions interact with Michigan name change policies requiring court appearances for applicants with criminal records, creating nearly insurmountable barriers to legal gender affirmation for economically vulnerable communities subjected to racism and cissexism. Building intersectional structural competency inclusive of legal literacy via multisectoral collaborations between diverse legal and policy experts, community members, and academic researchers is critical to developing interventions to address structural determinants of trans health. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Indexed as

Community Health CentersGender-Affirming CarePatient AdvocacyTransgender PersonsAdultFemaleHealth InequitiesHumansIntersectional FrameworkMaleMichiganMiddle Aged

Identifiers

PMID39992774
PMCPMC11856429

What OpenQuestion holds

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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.