ArticleBMC health services research2026
Experiences of sexually and gender-diverse women with community-based health promotion services in Canada.
Article in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study aimed to explore the experiences and perspectives of sexually and gender-diverse women regarding community agency-based health promotion, identify barriers and facilitators to healthcare access, and suggest improvements to inform inclusive and culturally competent strategies for enhancing service delivery and promoting health equity.
designA qualitative descriptive study using semi-structured interviews and thematic analysis.
settingCommunity agency-based healthcare services in Canada, including urban, suburban, and rural locations across Ontario, Quebec, and Manitoba.
participantsTwenty sexually and gender-diverse women (ages 18–70+) who had accessed community agency services for health advice or support were recruited. Participants identified as transgender women, female, cisgender and non-binary. OUTCOME MEASURES: Identification of experiences, barriers, facilitators, and suggested strategies for improving community agency-based health promotion services were the key outcome measures.
resultsFour major themes were identified: healthcare experiences (including satisfaction and use of gender-affirming care and mental health resources), factors necessary for healthcare service provision (e.g., cultural competence, supportive environments, inclusive policies), barriers or challenges of using community agencies (including long wait times, financial and transportation barriers, limited provider knowledge, and discrimination), and strategies to improve care (offering flexible and virtual services, extending service hours, increasing provider diversity and training, and enhancing advocacy and publicity). Most participants reported positive relationships with providers, though some highlighted ongoing challenges related to cultural sensitivity.
conclusionCommunity agencies are critical sources of culturally safe healthcare for sexually and gender-diverse women but they face barriers to access such as limited capacity, staffing shortages, and structural discrimination. Addressing these barriers through expanded service hours, enhanced provider training, greater diversity among staff, targeted advocacy, and improved information dissemination can result in more equitable healthcare outcomes for this population. Future research should further examine systemic changes to optimize culturally competent care delivery.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.