An Analysis of Gender-Affirming Care Offerings on United States Pediatric Hospital Websites: Exploring the Impact of State Legislative Bans.

IF 3.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH LGBT health Pub Date : 2025-02-17 DOI:10.1089/lgbt.2024.0214
Isabelle C Band, Bethany Dubois, Atoosa Ghofranian, Katrina S Nietsch, Joseph A Lee, Jenna Friedenthal, Alan B Copperman, Samantha L Estevez
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Abstract

Purpose: This longitudinal study compared the presence of information about gender-affirming care (GAC) on U.S. pediatric hospital websites in March 2022, when bans on the provision of pediatric GAC had been passed in two states, versus in October 2023, when bans had been passed in 22 states and implemented in 15 states without court blockage. Methods: All U.S. pediatric hospitals, sourced from online databases, excluding specialty hospitals (e.g., rehabilitation) were included (n = 149). In March 2022 and October 2023, two independent reviewers systematically reviewed each hospital website for GAC information. The presence of GAC information on websites was analyzed based on: 1) GAC legal status (legal, banned, or proposed ban blocked by court) in the hospital's state, (2) geographic location using the U.S. Census regions (Northeast, Midwest, South, and West), (3) the presence of hospital affiliation with a U.S. medical school, and (4) presence of hospital religious affiliation. Results: A total of 149 pediatric hospital websites were surveyed. In 2022, 105 (70%) hospital websites published content about GAC offerings versus 87 (58%) in 2023 (p = 0.001). This decrease in available information was significant in states where GAC bans had been passed without court blockage (60% vs. 29%, p = 0.001) and in the Southern region (63% vs. 39%, p = 0.004). Academic and secular hospitals were also more likely to include GAC information on websites. Conclusion: Legislation may hinder the ability of transgender youth and/or their parents to access previously available information about GAC and to identify local transgender care providers.

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目的:这项纵向研究比较了 2022 年 3 月与 2023 年 10 月美国儿科医院网站上有关性别确认护理(GAC)的信息,前者有两个州通过了禁止提供儿科 GAC 的禁令,后者有 22 个州通过了禁令,15 个州在没有法院阻挠的情况下实施了禁令。方法:纳入从在线数据库中获取的所有美国儿科医院,不包括专科医院(如康复医院)(n = 149)。2022 年 3 月和 2023 年 10 月,两名独立审查员系统审查了每家医院网站上的 GAC 信息。网站上是否存在 GAC 信息的分析依据是1) GAC 在医院所在州的法律地位(合法、被禁止或被法院阻止的拟议禁令),(2) 使用美国人口普查区域(东北部、中西部、南部和西部)的地理位置,(3) 医院是否与美国医学院有关联,以及 (4) 医院是否与宗教有关联。结果:共调查了 149 家儿科医院网站。2022 年,105 家(70%)医院网站发布了有关 GAC 产品的内容,而 2023 年为 87 家(58%)(p = 0.001)。在未受法院阻挠而通过 GAC 禁令的各州(60% 对 29%,p = 0.001)和南部地区(63% 对 39%,p = 0.004),可用信息明显减少。学术医院和非宗教医院也更有可能在网站上发布 GAC 信息。结论:立法可能会阻碍变性青少年和/或其父母获取以前可获得的 GAC 信息以及确定当地变性医疗服务提供者的能力。
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来源期刊
LGBT health
LGBT health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -
CiteScore
6.60
自引率
6.20%
发文量
80
期刊介绍: LGBT Health is the premier peer-reviewed journal dedicated to promoting optimal healthcare for millions of sexual and gender minority persons worldwide by focusing specifically on health while maintaining sufficient breadth to encompass the full range of relevant biopsychosocial and health policy issues. This Journal aims to promote greater awareness of the health concerns particular to each sexual minority population, and to improve availability and delivery of culturally appropriate healthcare services. LGBT Health also encourages further research and increased funding in this critical but currently underserved domain. The Journal provides a much-needed authoritative source and international forum in all areas pertinent to LGBT health and healthcare services. Contributions from all continents are solicited including Asia and Africa which are currently underrepresented in sex research.
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