Evidence map›Paper›PMID 40549722›Full record

ArticlePloS one2025

Barriers experienced by and educational needs of clinicians who provide care for transgender, nonbinary, and gender-diverse young adults in the Mid-Atlantic and Southern United States.

Jessica Kremen, Meg Quint, Regina Tham, Kaiden Kane, Elizabeth R Boskey, Cassandra Morrow, Sari L Reisner, Rena Xu

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
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.

Jessica KremenDepartment of Endocrinology, Boston Children's Hospital, Boston, Massachusetts, United States of America.
Meg QuintDepartment of Epidemiology, University of Michigan School of Public Health, Ann Arbor, Michigan, United States of America.
Regina ThamDepartment of Urology, Boston Children's Hospital, Boston, Massachusetts, United States of America.
Kaiden KaneDepartment of Urology, Boston Children's Hospital, Boston, Massachusetts, United States of America.
Elizabeth R BoskeyDivision of Gynecology, Boston Children's Hospital, Boston, Massachusetts, United States of America.ORCID 0000-0002-4982-1323
Cassandra MorrowDepartment of Urology, Boston Children's Hospital, Boston, Massachusetts, United States of America.
Sari L ReisnerDepartment of Epidemiology, University of Michigan School of Public Health, Ann Arbor, Michigan, United States of America.
Rena XuDepartment of Urology, Boston Children's Hospital, Boston, Massachusetts, United States of America.ORCID 0000-0002-0142-7589

Funding

TransHealthGUIDE: Transforming Health for Gender-Diverse Young Adults Using Interventions to Drive EquityU01MH136558 · NIMH · BOSTON CHILDREN'S HOSPITAL · PI REISNER, SARI, XU, RENA · 2023 to 2025
$4.0M
NIMH NIH HHS U01 MH136558
6 · The paper itself

Abstract

purposeThe purpose of this study is to identify and explore the educational needs of and broader barriers experienced by clinicians who provide care to transgender, nonbinary, and gender diverse (TGD) young adults (aged 18-24), with a focus on unique healthcare needs and challenges.

methodsBetween April 2022 - July 2022, we conducted qualitative interviews with 13 clinicians (n = 9 medical and n = 4 mental health) about perceived needs and barriers relating to the care of TGD young adults. Clinicians were recruited throughout the Southeastern and Mid-Atlantic United States and were a mix of general practitioners and specialists. Using a hybrid deductive and inductive thematic analysis approach, the interview transcripts were analyzed and key themes identified.

resultsThematic analyses of these interviews identified three main themes: the need for knowledgeable clinicians, the need and desire for reliable training resources and mentorship, and concerns surrounding the impact of the sociopolitical environment. Many participants noted a lack of access to local educational opportunities and mentorship but expressed willingness to seek these out if centralized resources, such as national platforms or accessible training modules, were available.

conclusionThis study identifies both gaps in clinician education and broader barriers - such as local politics and access to mentorship - that hinder the ability to provide effective care to TGD young adults. These findings will help to inform the development of clinician education and support programs.

Indexed as

Health PersonnelTransgender PersonsAdolescentAdultFemaleHealth Services AccessibilityHealth Services Needs and DemandHumansMaleQualitative ResearchUnited StatesYoung Adult

Identifiers

PMID40549722
PMCPMC12184940

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.