{"title":"Mental Health Status and Its Psychosocial Correlates Among Help-Seeking Transgender Individuals: Experiences from a Clinic in South India","authors":"S. Srinivasan, Sruti Chandrasekaran","doi":"10.1089/trgh.2022.0150","DOIUrl":"https://doi.org/10.1089/trgh.2022.0150","url":null,"abstract":"","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":"4 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139274207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Anderson, Angela D. Alston, Barbara J. Warren, Ethan Morgan, Jeff A. Bridge, Jodi L. Ford
{"title":"Minority Stress Across Proximal Contexts and Suicide in Transgender Young Adults: A Critical Scoping Review","authors":"A. Anderson, Angela D. Alston, Barbara J. Warren, Ethan Morgan, Jeff A. Bridge, Jodi L. Ford","doi":"10.1089/trgh.2022.0188","DOIUrl":"https://doi.org/10.1089/trgh.2022.0188","url":null,"abstract":"","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":"48 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139274458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jada M. English, Rebecca Butcher, Linda M. Kinney, Lee K. Brown, Oakland C. Walters, Gaines Blasdel, John H. Turco, Rachel A. Moses
Purpose: The purpose of this study was to compare the Gender Congruence and Life Satisfaction (GCLS) Scale scores between transgender men and nonbinary individuals assigned female at birth who have had metoidioplasty and phalloplasty gender-affirming surgery (MaPGAS) versus those who have not. Methods: We conducted a national cross-sectional survey of individuals considering or post-MaPGAS recruited through social media and a community health center. Data collected included demographics, medical health history, and GCLS scale scores. GCLS scale items evaluate gender congruence across psychological, physical, quality of life, genital, chest, and social domains on a 1–5 Likert scale, with higher values indicating greater gender congruence. The mean GCLS total and subscale scores were compared between groups, and open-ended comments related to gender, mental well-being, and life satisfaction were thematically analyzed. Results: A total of 326 participants, mean age 29.9 years (standard deviation 8.8), identifying primarily as transgender male (n=208, 64%) and White (n=273, 74%) completed the survey. Respondents post-phalloplasty scored the highest on the GCLS scale overall, with a mean score of 3.97/5.00 (p<0.001), and had the highest ratings in three subdomains: genitalia at 3.32 (p<0.001), life satisfaction at 3.81 (p<0.004), and psychological functioning at 4.22 (p=0.002). Respondents who had not undergone MaPGAS had the lowest ratings of gender congruence on the genitalia subscale (mean score=2.82). The open-ended comments frequently cited the COVID-19 pandemic as an exacerbating issue with gender congruence. Conclusion: In this cohort of individuals considering MaPGAS, individuals post-MaPGAS demonstrated higher GCLS scale scores. Individuals post-phalloplasty reported the highest overall GCLS score and majority subscale scores.
{"title":"Metoidioplasty and Phalloplasty Gender-Affirming Surgery and Association with Gender Congruence and Life Satisfaction: A Cross-Sectional Study","authors":"Jada M. English, Rebecca Butcher, Linda M. Kinney, Lee K. Brown, Oakland C. Walters, Gaines Blasdel, John H. Turco, Rachel A. Moses","doi":"10.1089/trgh.2023.0060","DOIUrl":"https://doi.org/10.1089/trgh.2023.0060","url":null,"abstract":"Purpose: The purpose of this study was to compare the Gender Congruence and Life Satisfaction (GCLS) Scale scores between transgender men and nonbinary individuals assigned female at birth who have had metoidioplasty and phalloplasty gender-affirming surgery (MaPGAS) versus those who have not. Methods: We conducted a national cross-sectional survey of individuals considering or post-MaPGAS recruited through social media and a community health center. Data collected included demographics, medical health history, and GCLS scale scores. GCLS scale items evaluate gender congruence across psychological, physical, quality of life, genital, chest, and social domains on a 1–5 Likert scale, with higher values indicating greater gender congruence. The mean GCLS total and subscale scores were compared between groups, and open-ended comments related to gender, mental well-being, and life satisfaction were thematically analyzed. Results: A total of 326 participants, mean age 29.9 years (standard deviation 8.8), identifying primarily as transgender male (n=208, 64%) and White (n=273, 74%) completed the survey. Respondents post-phalloplasty scored the highest on the GCLS scale overall, with a mean score of 3.97/5.00 (p<0.001), and had the highest ratings in three subdomains: genitalia at 3.32 (p<0.001), life satisfaction at 3.81 (p<0.004), and psychological functioning at 4.22 (p=0.002). Respondents who had not undergone MaPGAS had the lowest ratings of gender congruence on the genitalia subscale (mean score=2.82). The open-ended comments frequently cited the COVID-19 pandemic as an exacerbating issue with gender congruence. Conclusion: In this cohort of individuals considering MaPGAS, individuals post-MaPGAS demonstrated higher GCLS scale scores. Individuals post-phalloplasty reported the highest overall GCLS score and majority subscale scores.","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":"32 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135093122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Purpose: Transgender medicine has become rapidly recognized and evolving in health care system. The consequences of hormone therapy are among the most concerned health issues in transgender population. This study aims to compare bone turnover markers before and after testosterone administration in hormone-naive transgender men. Methods: This prospective study included 20 hormone-naive transgender men. Comparisons of serum C-terminal cross-linking telopeptide of type I collagen (CTX) at baseline with 12 weeks and 24 weeks were analyzed using Wilcoxon signed-rank test. Serum procollagen type I N-propeptide (P1NP) and osteocalcin levels at 24 weeks compared to baseline were also assessed. Pearson's correlation coefficient analysis was used to compare the correlation between serum bone turnover markers and sex hormone levels. Results: At 12 weeks after testosterone administration, significant higher serum CTX level compared to baseline (p-value 0.035) was demonstrated. At 24 weeks after testosterone administration, there were significant differences in serum CTX, P1NP, and osteocalcin levels compared to baseline (p-value 0.019, <0.001, and 0.003, respectively). Serum CTX, P1NP, and osteocalcin levels significantly increased 28.30%, 44.26%, and 21.89%, respectively, at 24 weeks after testosterone treatment. There was a moderate negative correlation between serum CTX and estradiol level. Conclusion: Testosterone administration in transgender men significantly increased the levels of bone turnover markers. Further, well-controlled studies of bone health in transgender men are required to prove and assess the other aspects of bone status over a long-term follow-up period. Thai Clinical Trial Registry identification number TCTR20220817002.
{"title":"The Effects of Testosterone on Bone Turnover Markers Among Hormone-Naive Transgender Men","authors":"Suchanant Chavaengkiat, Ammarin Suwan, Krasean Panyakhamlerd, Lalita Wattanachanya, Thanapob Bumphenkiatikul","doi":"10.1089/trgh.2023.0056","DOIUrl":"https://doi.org/10.1089/trgh.2023.0056","url":null,"abstract":"Purpose: Transgender medicine has become rapidly recognized and evolving in health care system. The consequences of hormone therapy are among the most concerned health issues in transgender population. This study aims to compare bone turnover markers before and after testosterone administration in hormone-naive transgender men. Methods: This prospective study included 20 hormone-naive transgender men. Comparisons of serum C-terminal cross-linking telopeptide of type I collagen (CTX) at baseline with 12 weeks and 24 weeks were analyzed using Wilcoxon signed-rank test. Serum procollagen type I N-propeptide (P1NP) and osteocalcin levels at 24 weeks compared to baseline were also assessed. Pearson's correlation coefficient analysis was used to compare the correlation between serum bone turnover markers and sex hormone levels. Results: At 12 weeks after testosterone administration, significant higher serum CTX level compared to baseline (p-value 0.035) was demonstrated. At 24 weeks after testosterone administration, there were significant differences in serum CTX, P1NP, and osteocalcin levels compared to baseline (p-value 0.019, <0.001, and 0.003, respectively). Serum CTX, P1NP, and osteocalcin levels significantly increased 28.30%, 44.26%, and 21.89%, respectively, at 24 weeks after testosterone treatment. There was a moderate negative correlation between serum CTX and estradiol level. Conclusion: Testosterone administration in transgender men significantly increased the levels of bone turnover markers. Further, well-controlled studies of bone health in transgender men are required to prove and assess the other aspects of bone status over a long-term follow-up period. Thai Clinical Trial Registry identification number TCTR20220817002.","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":"352 18","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135393267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Esther Calvete, Aitor Jiménez-Granado, Maite Larrucea-Iruretagoyena, Sara Rodriguez-Gonzalez, Liria Fernández-González
Purpose: The purpose of this study was to explore the association of self-compassion with nonsuicidal self-injury (NSSI) behavior in transgender and non-binary adolescents and young adults. Secondary aims were to examine (1) whether self-compassion buffered the association between victimization experiences and NSSI and (2) whether anxiety and depression symptoms explained the association between self-compassion and NSSI. Method: The participants were 236 Spanish-speaking transgender and non-binary adolescents and young adults (mean age=20.86, standard deviation [SD]=2.92), who were assessed through an online questionnaire consisting of several self-report measures. Path analysis was used to test the moderation hypothesis and the indirect associations between variables. Results: Victimization was associated with anxiety and depression symptoms and NSSI, whereas self-compassion was negatively associated with them. Self-compassion buffered the association between victimization and NSSI such that victimization was significantly associated with a higher frequency of NSSI only in participants with low levels of self-compassion. Anxiety and depression explained part of the association between self-compassion and NSSI. Conclusion: These results are important for future interventions aimed at reducing the negative consequences of victimization in transgender and non-binary people, focusing on developing their self-compassion.
{"title":"Nonsuicidal Self-Injury in Transgender and Non-Binary Adolescents and Young Adults: The Protective Role of Self-Compassion","authors":"Esther Calvete, Aitor Jiménez-Granado, Maite Larrucea-Iruretagoyena, Sara Rodriguez-Gonzalez, Liria Fernández-González","doi":"10.1089/trgh.2023.0070","DOIUrl":"https://doi.org/10.1089/trgh.2023.0070","url":null,"abstract":"Purpose: The purpose of this study was to explore the association of self-compassion with nonsuicidal self-injury (NSSI) behavior in transgender and non-binary adolescents and young adults. Secondary aims were to examine (1) whether self-compassion buffered the association between victimization experiences and NSSI and (2) whether anxiety and depression symptoms explained the association between self-compassion and NSSI. Method: The participants were 236 Spanish-speaking transgender and non-binary adolescents and young adults (mean age=20.86, standard deviation [SD]=2.92), who were assessed through an online questionnaire consisting of several self-report measures. Path analysis was used to test the moderation hypothesis and the indirect associations between variables. Results: Victimization was associated with anxiety and depression symptoms and NSSI, whereas self-compassion was negatively associated with them. Self-compassion buffered the association between victimization and NSSI such that victimization was significantly associated with a higher frequency of NSSI only in participants with low levels of self-compassion. Anxiety and depression explained part of the association between self-compassion and NSSI. Conclusion: These results are important for future interventions aimed at reducing the negative consequences of victimization in transgender and non-binary people, focusing on developing their self-compassion.","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":"358 9","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135391904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Purpose: This online study examined minority stress and general psychological processes as determinants of physical health in transgender and nonbinary adults. Methods: A sample of 266 transgender and nonbinary participants completed self-report measures of depression, physical health, and minority stressors. Results: Indirect association between distal stress and physical health through proximal stress and depression was statistically significant. Individuals who experienced greater distal stress reported greater proximal stress, which was associated with greater depression symptoms, which was associated with worse physical health. Conclusion: Findings suggest that both group-specific stress responses and general psychological processes are germane to understanding physical health disparities.
{"title":"Physical Health in Transgender and Nonbinary Adults: The Roles of Minority Stress and General Psychological Processes","authors":"Laura C. Wilson","doi":"10.1089/trgh.2023.0079","DOIUrl":"https://doi.org/10.1089/trgh.2023.0079","url":null,"abstract":"Purpose: This online study examined minority stress and general psychological processes as determinants of physical health in transgender and nonbinary adults. Methods: A sample of 266 transgender and nonbinary participants completed self-report measures of depression, physical health, and minority stressors. Results: Indirect association between distal stress and physical health through proximal stress and depression was statistically significant. Individuals who experienced greater distal stress reported greater proximal stress, which was associated with greater depression symptoms, which was associated with worse physical health. Conclusion: Findings suggest that both group-specific stress responses and general psychological processes are germane to understanding physical health disparities.","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135933405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abby Walch, Janet Y. Lee, Jenise C. Wong, Madeline Deutsch, Diane Ehrensaft, Megumi Okumura, Stephen M. Rosenthal
Purpose: The purpose of this study was to determine whether clinician comfort differs in the provision of gender-affirming medical care to transgender and gender diverse (TGD) youth with binary versus nonbinary gender identities. Methods: A cross-sectional survey was distributed to three international health professional electronic mailing lists. Comfort providing gonadotropin-releasing hormone agonist (GnRHa) and gender-affirming hormone therapy (GAHT) to nonbinary and binary TGD youth was assessed using 5-point Likert scales and analyzed with Wilcoxon signed-rank tests. Logistic regression modeling comfort providing GnRHa and GAHT to nonbinary compared to binary TGD youth was performed to identify relevant predictors. Results: Fifty-five respondents completed the survey. Respondents reported more comfort providing both GnRHa therapy and GAHT to binary compared to nonbinary TGD youth. In univariate analyses, being in a pediatric endocrinology specialty and work within a multidisciplinary clinic setting were associated with less comfort providing GAHT to nonbinary compared to binary TGD youth. Non-straight/non-heterosexual sexual orientation, being in a general pediatrics specialty, and higher estimated percentage of nonbinary TGD youth cared for in clinical practice were associated with more comfort. Only nonstraight/nonheterosexual sexual orientation maintained significance after adjusting for potential confounders in multivariate analyses. Conclusions: Clinicians are less comfortable providing gender-affirming medical care to nonbinary versus binary TGD youth. Efforts to decrease barriers and to inform development of clinical practice guidelines inclusive of nonbinary TGD youth are needed.
{"title":"Clinicians Report Less Comfort in Provision of Medical Care to Nonbinary Transgender Youth","authors":"Abby Walch, Janet Y. Lee, Jenise C. Wong, Madeline Deutsch, Diane Ehrensaft, Megumi Okumura, Stephen M. Rosenthal","doi":"10.1089/trgh.2023.0029","DOIUrl":"https://doi.org/10.1089/trgh.2023.0029","url":null,"abstract":"Purpose: The purpose of this study was to determine whether clinician comfort differs in the provision of gender-affirming medical care to transgender and gender diverse (TGD) youth with binary versus nonbinary gender identities. Methods: A cross-sectional survey was distributed to three international health professional electronic mailing lists. Comfort providing gonadotropin-releasing hormone agonist (GnRHa) and gender-affirming hormone therapy (GAHT) to nonbinary and binary TGD youth was assessed using 5-point Likert scales and analyzed with Wilcoxon signed-rank tests. Logistic regression modeling comfort providing GnRHa and GAHT to nonbinary compared to binary TGD youth was performed to identify relevant predictors. Results: Fifty-five respondents completed the survey. Respondents reported more comfort providing both GnRHa therapy and GAHT to binary compared to nonbinary TGD youth. In univariate analyses, being in a pediatric endocrinology specialty and work within a multidisciplinary clinic setting were associated with less comfort providing GAHT to nonbinary compared to binary TGD youth. Non-straight/non-heterosexual sexual orientation, being in a general pediatrics specialty, and higher estimated percentage of nonbinary TGD youth cared for in clinical practice were associated with more comfort. Only nonstraight/nonheterosexual sexual orientation maintained significance after adjusting for potential confounders in multivariate analyses. Conclusions: Clinicians are less comfortable providing gender-affirming medical care to nonbinary versus binary TGD youth. Efforts to decrease barriers and to inform development of clinical practice guidelines inclusive of nonbinary TGD youth are needed.","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":"113 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136022708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jessica L. Marquez, Jack D. Sudduth, Ashraf A. Patel, Devin Eddington, Priya Lewis, Cori Agarwal
{"title":"The Association of Body Mass Index Category and Postoperative Complications in Gender Affirming Mastectomy for Chest Reconstruction","authors":"Jessica L. Marquez, Jack D. Sudduth, Ashraf A. Patel, Devin Eddington, Priya Lewis, Cori Agarwal","doi":"10.1089/trgh.2023.0112","DOIUrl":"https://doi.org/10.1089/trgh.2023.0112","url":null,"abstract":"","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":"C-35 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134909099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anne M. Gadomski, Melissa B. Scribani, Nancy Tallman, Jane O'Bryan, Christopher Wolf-Gould, Carolyn Wolf-Gould
Purpose: To examine changes in health-related quality of life (HRQOL), this 2-year follow-up study reassessed the HRQOL of transgender and gender expansive (TG/GE) young people enrolled in a patient registry at the Gender Wellness Center (GWC) in upstate New York. Methods: Registry patients had to have a gender-affirming care follow-up visit at the GWC within a 2 year window (+6 months) of their baseline survey to complete follow-up. Youth <18 years of age completed the Child Health Questionnaire-Child Form 87 (CHQ-CF87); youth >18 years of age completed the Short Form-36v2 (SF-36v2). We analyzed change from baseline to follow-up for 11 CHQ-CF87 subscales and 8 SF-36v2 subscales. We compared follow-up HRQOL results to U.S. population standards. We abstracted receipt of gender-affirming care from GWC electronic medical records. Results: Among the 173 patients who completed HRQOL assessments at baseline, 108 completed follow-up (62% response rate) from May 2019 to March 2022. The mean age for those completing the CHQ-CF87 was 14.6±2.2 years (range 10–17) and for the SF-36v2 was 19.7±2.3 years (range 18–24). CHQ-CF87 Behavior and Role/Social Physical Functioning subscale scores improved significantly among youth 8–17 years of age from baseline. Follow-up SF-36v2 scores for patients 18–24 years of age did not change significantly. Follow-up HRQOL mental health scores remained statistically significantly lower than U.S. population standards for both age groups. Conclusions: Two year follow-up HRQOL data from TG/GE youth receiving gender-affirming care improved in two domains, but did not change among young adults (>18 years of age). Mental health remains suboptimal compared to national standards.
{"title":"Two-Year Follow-Up Study of Health-Related Quality of Life Among Transgender and Gender Expansive Youth Receiving Gender-Affirming Care","authors":"Anne M. Gadomski, Melissa B. Scribani, Nancy Tallman, Jane O'Bryan, Christopher Wolf-Gould, Carolyn Wolf-Gould","doi":"10.1089/trgh.2022.0165","DOIUrl":"https://doi.org/10.1089/trgh.2022.0165","url":null,"abstract":"Purpose: To examine changes in health-related quality of life (HRQOL), this 2-year follow-up study reassessed the HRQOL of transgender and gender expansive (TG/GE) young people enrolled in a patient registry at the Gender Wellness Center (GWC) in upstate New York. Methods: Registry patients had to have a gender-affirming care follow-up visit at the GWC within a 2 year window (+6 months) of their baseline survey to complete follow-up. Youth <18 years of age completed the Child Health Questionnaire-Child Form 87 (CHQ-CF87); youth >18 years of age completed the Short Form-36v2 (SF-36v2). We analyzed change from baseline to follow-up for 11 CHQ-CF87 subscales and 8 SF-36v2 subscales. We compared follow-up HRQOL results to U.S. population standards. We abstracted receipt of gender-affirming care from GWC electronic medical records. Results: Among the 173 patients who completed HRQOL assessments at baseline, 108 completed follow-up (62% response rate) from May 2019 to March 2022. The mean age for those completing the CHQ-CF87 was 14.6±2.2 years (range 10–17) and for the SF-36v2 was 19.7±2.3 years (range 18–24). CHQ-CF87 Behavior and Role/Social Physical Functioning subscale scores improved significantly among youth 8–17 years of age from baseline. Follow-up SF-36v2 scores for patients 18–24 years of age did not change significantly. Follow-up HRQOL mental health scores remained statistically significantly lower than U.S. population standards for both age groups. Conclusions: Two year follow-up HRQOL data from TG/GE youth receiving gender-affirming care improved in two domains, but did not change among young adults (>18 years of age). Mental health remains suboptimal compared to national standards.","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136033692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kristin A. Schuller, Rebekah P. Crawford, Marilena Wolf
Purpose: The purposes of this study were to determine which transgender and gender nonconforming (TGNC) adults used mental health services in the past 12 months, to compare TGNC who did and did not access mental health care, to query reasons for not accessing mental health services, and to determine what indicators influenced mental health service utilization. Methods: The research team gathered data from 274 TGNC adults from September to November 2019 via an electronic survey. This exploratory study assessed mixed methods data on mental health services utilization. The convergent, parallel mixed methods design was used to compare and interpret the quantitative and qualitative data for convergence or divergence. Results: Approximately 24% of TGNC adults did not use mental health services, with 44% of that group indicating it was because they did not need them, which means that 56% needed services but did not use them. The top reasons for not accessing needed mental health services included: inability to pay, not believing that care would be effective, not expecting to find providers who understood specific TGNC experiences or needs, and not trusting mental health professionals. Income, location, and mental health status were significant indicators. Conclusion: This study provides evidence that some TGNC adults who do not utilize mental health services still need them while outlining the specific barriers that inhibit TGNC adults from accessing needed mental health care. Comparing TGNC adults who did and did not access mental health services reveals that mental health status, location, and income are predictive of mental health service utilization. Recommendations are discussed.
{"title":"Predictors of Mental Health Service Utilization Among Transgender and Gender Nonconforming Adults","authors":"Kristin A. Schuller, Rebekah P. Crawford, Marilena Wolf","doi":"10.1089/trgh.2023.0107","DOIUrl":"https://doi.org/10.1089/trgh.2023.0107","url":null,"abstract":"Purpose: The purposes of this study were to determine which transgender and gender nonconforming (TGNC) adults used mental health services in the past 12 months, to compare TGNC who did and did not access mental health care, to query reasons for not accessing mental health services, and to determine what indicators influenced mental health service utilization. Methods: The research team gathered data from 274 TGNC adults from September to November 2019 via an electronic survey. This exploratory study assessed mixed methods data on mental health services utilization. The convergent, parallel mixed methods design was used to compare and interpret the quantitative and qualitative data for convergence or divergence. Results: Approximately 24% of TGNC adults did not use mental health services, with 44% of that group indicating it was because they did not need them, which means that 56% needed services but did not use them. The top reasons for not accessing needed mental health services included: inability to pay, not believing that care would be effective, not expecting to find providers who understood specific TGNC experiences or needs, and not trusting mental health professionals. Income, location, and mental health status were significant indicators. Conclusion: This study provides evidence that some TGNC adults who do not utilize mental health services still need them while outlining the specific barriers that inhibit TGNC adults from accessing needed mental health care. Comparing TGNC adults who did and did not access mental health services reveals that mental health status, location, and income are predictive of mental health service utilization. Recommendations are discussed.","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136034759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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