Evidence map›Paper›PMID 41891066›Full record

ArticleInternational journal of transgender health2026

Vocal-Gender Incongruence, wellbeing, and safety: The medical necessity of gender-affirming vocal training.

Shanna D Stryker, Ishita Dubey, Jules L Madzia, Sarah Pickle, Gregory R Dion, Victoria S McKenna

Abstract read
In one paragraph

Article in International journal of transgender health, 2026. 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. 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

6 authors.

Shanna D StrykerDepartment of Family & Community Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Ishita DubeyDepartment of Family & Community Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Jules L MadziaDepartment of Family & Community Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Sarah PickleDepartment of Family & Community Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Gregory R DionDepartment of Otolaryngology - Head & Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, OH, USA.ORCID https://orcid.org/0000-0003-4389-3104
Victoria S McKennaDepartment of Communication Sciences and Disorders, University of Cincinnati College of Allied Health Sciences, Cincinnati, OH, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Voice is a gender signifier, and incongruence between a person's gender identity and others' perception of their gender based on their voice can trigger dysphoria in transgender/gender diverse (TGD) individuals. Vocal-gender incongruence (VGI) can also signal one's TGD identity, which may be unsafe given the prevalence of discrimination and victimization experienced by TGD persons. Methods: To understand the impact of VGI on wellness and safety, a cross-sectional electronic survey was developed. The Quality-of-Life Scale (QOLS), a modified version of the Transgender Self-Evaluation Questionnaire (TSEQ), and questions assessing experiences of violence, discrimination and misgendering were included. Differences in safety and wellness measures between participants with and without VGI were assessed using t-tests and chi-squared tests. Linear and logistic regression analyses were conducted to examine the relationships between VGI and safety, quality of life, and experiences of discrimination or misgendering. Results: Of 187 TGD participants, 127 (68%) reported VGI. Participants with VGI had significantly lower scores on the QOLS (70 vs 76; Conclusion: VGI is associated with lower quality of life and experiences of discrimination and verbal harassment for TGD individuals. Therefore, healthcare that alleviates VGI, including gender-affirming vocal training, is medically necessary.

Indexed as

Discriminationsafetyspeechtransgendervoice

Identifiers

PMID41891066
PMCPMC13015075

What OpenQuestion holds

Textmetadata
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.