Evidence map›Paper›PMID 40955728›Full record

ArticleJournal of advanced nursing2026

Perceptions of Trans and Gender Non-Conforming People on General Health Care in the Being LGBTQI+ in Ireland Study.

Agnes Higgins, Carmel Downes, Karin O'Sullivan, Matt Kennedy, Thelma Begley, Mark Monahan, Renee Molloy, Brian Keogh, Louise Doyle, Jan De Vries

Abstract read
In one paragraph

Article in Journal of advanced nursing, 2026. 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. Article
  3. 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

10 authors.

Agnes HigginsThe University of Dublin Trinity College, School of Nursing and Midwifery, Dublin, Ireland.ORCID https://orcid.org/0000-0002-0631-1884
Carmel DownesThe University of Dublin Trinity College, School of Nursing and Midwifery, Dublin, Ireland.ORCID https://orcid.org/0000-0001-7115-550X
Karin O'SullivanThe University of Dublin Trinity College, School of Nursing and Midwifery, Dublin, Ireland.ORCID https://orcid.org/0000-0002-6559-7659
Matt KennedyThe University of Dublin Trinity College, School of Nursing and Midwifery, Dublin, Ireland.ORCID https://orcid.org/0000-0002-3513-8371
Thelma BegleyThe University of Dublin Trinity College, School of Nursing and Midwifery, Dublin, Ireland.ORCID https://orcid.org/0000-0001-7090-6367
Mark MonahanThe University of Dublin Trinity College, School of Nursing and Midwifery, Dublin, Ireland.ORCID https://orcid.org/0000-0001-8609-7912
Renee MolloyThe University of Dublin Trinity College, School of Nursing and Midwifery, Dublin, Ireland.ORCID https://orcid.org/0000-0001-9819-6328
Brian KeoghThe University of Dublin Trinity College, School of Nursing and Midwifery, Dublin, Ireland.ORCID https://orcid.org/0000-0001-6349-486X
Louise DoyleThe University of Dublin Trinity College, School of Nursing and Midwifery, Dublin, Ireland.ORCID https://orcid.org/0000-0002-0153-8326
Jan De VriesThe University of Dublin Trinity College, School of Nursing and Midwifery, Dublin, Ireland.ORCID https://orcid.org/0000-0001-5073-895X

Funding

Health Service Executive; National Office for Suicide Prevention; the HSE National Social Inclusion Office; Department of Children, Equality, Disability, Integration and Youth
6 · The paper itself

Abstract

aimTo examine if trans and gender non-conforming participants perceive greater healthcare inequities in their interactions with healthcare practitioners than cisgender sexual minority participants, and analyse free text responses from transgender and gender non-conforming participants to gain possible insight into causes of inequities.

designA cross-sectional study.

methodsAn anonymous online survey of over 2800 self-selecting LGBTQI+ participants, 30% of whom identified as trans and gender non-conforming. The research team devised closed and open-ended questions about perceptions of healthcare provision and analysed quantitative responses using SPSS and open-ended data through thematic analysis.

resultsOver half of trans and gender non-conforming participants reported having had occasion to educate healthcare professionals about LGBTQI+ identities and a majority reported that healthcare professionals made incorrect assumptions about their LGBTQI+ identity. Invalidation and pathologisation of participants' trans and gender non-conforming identity and unhelpful therapeutic approaches were some of the negative health experiences cited.

conclusionTrans and gender non-conforming populations experience significant barriers to healthcare relative to their cisgender sexual minority peers. Cisnormative thinking in healthcare practice together with a lack of knowledge of trans and gender non-conforming people's experiences leads to substandard care and acts as a barrier to disclosure and help seeking. IMPLICATIONS: Culturally responsive healthcare is critical to ending health inequities experienced by trans and gender non-conforming people. IMPACT: Problem addressed: Healthcare inequities among trans and gender non-conforming participants. MAIN

findingsTrans and gender non-conforming participants reported more negative perceptions of their healthcare experiences compared to cisgender sexual minority participants. Where and on whom will the research have an impact? Healthcare educators/practitioners. REPORTING

methodStrobe. PUBLIC OR PATIENT CONTRIBUTION: Members of the LGBTQI+ community were part of the research advisory group and inputted into paper authorship. PAPER CONTRIBUTION TO THE WIDER GLOBAL CLINICAL COMMUNITY: Highlights the need for training to increase cultural competency among healthcare providers.

Indexed as

Healthcare DisparitiesSexual and Gender MinoritiesTransgender PersonsAdolescentAdultAgedCross-Sectional StudiesFemaleGender-Nonconforming PersonsHumansIrelandMaleMiddle AgedSurveys and QuestionnairesYoung Adultbarriersgender non‐conforminghealth care inequitysurveytransgender

Identifiers

PMID40955728
PMCPMC13176712

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.