“It’s just a general lack of awareness, that breeds a sense that there isn’t space to talk about our needs”: barriers and facilitators experienced by transgender people accessing healthcare in Aotearoa/New Zealand

International Journal of Transgender Health, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 21

Published: Jan. 22, 2024

Introduction Transgender people face serious health disparities associated with underlying social determinants, such as unmet healthcare needs and negative experiences providers. Healthcare accessibility dimensions include availability, approachability, acceptability, affordability, appropriateness. This study aimed to identify the perceived barriers facilitators that transgender in Aotearoa/New Zealand experience within these dimensions, few studies have explored multiple of access for using a large national sample.

Language: Английский

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Gender-affirming hormone therapy and impacts on quality of life: a narrative review

medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2025, Volume and Issue: unknown

Published: March 12, 2025

ABSTRACT Background Transgender and gender-nonconforming (TGNC) people often face significant disparities in health education access to quality medical management. This narrative literature review examines the relationship between TGNC patients seeking hormone replacement therapy resulting improved outcomes. Methods Our search identified papers through databases PubMed, PsycINFO, CINAHL, Embase, Web of Science including terms relating gender-affirming (GAHT), transgender identities, patient healthcare experiences Further inclusion criteria required published after 1979 with a majority participants located United States. Data extraction assessment selected were completed using JBI Manual for Evidence Synthesis, tool created based on Mixed Appraisal Tool, Covidence software. Common themes narratively reviewed. Results The yielded 19,482 results across five 51 included data assessment. Most 2020-2024 enrolled young adults cross-sectional studies. Recurrent observed from synthesis include mental life outcomes associated GAHT use. Distance clinics, cost care, insurance coverage, governmental policies commonly barriers obtaining care. Conclusions gaps information reflect importance additional research health-related diverse participant populations rigorous longitudinal methods. With these changes, we expect satisfaction, individuals. HIGHLIGHTS Gender-affirming is reduced levels depression, anxiety, suicidal ideation individuals Significant high costs, lack limited knowledgeable providers, geographical distance discriminatory number studies has increased significantly recent years, reflecting growing recognition existing its effects are cross-sectional, limiting ability assess long-term Establishing standardized assessments outcomes, life, would enhance reliability comparability future

Language: Английский

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Risk and protective factors for new‐onset binge eating, low weight, and self‐harm symptoms in >35,000 individuals in the UK during the COVID‐19 pandemic

International Journal of Eating Disorders, Journal Year: 2022, Volume and Issue: 56(1), P. 91 - 107

Published: Oct. 31, 2022

Abstract Objective The disruption caused by the COVID‐19 pandemic has been associated with poor mental health, including increases in eating disorders and self‐harm symptoms. We investigated risk protective factors for new onset of these symptoms during pandemic. Method Data were from Psychiatry Neurological Genetics study Repeated Assessment Mental health Pandemics Study ( n = 36,715). Exposures socio‐demographic characteristics, lifetime psychiatric disorder, COVID‐related variables, SARS‐CoV‐2 infection/illness COVID‐19. identified four subsamples participants without pre‐pandemic experience our outcomes: binge 24,211), low weight 24,364), suicidal and/or ideation 18,040), 29,948). Participants reported on outcomes at frequent intervals (fortnightly to monthly). fitted multiple logistic regression models identify outcomes. Results Within each subsample, was by: 21% eating, 10.8% weight, 23.5% ideation, 3.5% self‐harm. Shared included having a not being paid employment, higher worry scores, racially minoritized. Conversely, infection SARS‐CoV‐2/illness linked lower odds ideation. Discussion Overall, we detected shared that may drive comorbidity between Subgroups individuals require more monitoring future pandemics. Public Significance In sample 35,000 UK residents, people who had as part minoritized group, or worried about likely first time People need particular attention pandemics enable early identification

Language: Английский

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Age-specific determinants of psychiatric outcomes after the first COVID-19 wave: baseline findings from a Canadian online cohort study

Child and Adolescent Psychiatry and Mental Health, Journal Year: 2023, Volume and Issue: 17(1)

Published: Feb. 6, 2023

Canadians endured unprecedented mental health (MH) and support access challenges during the first COVID-19 wave. Identifying groups of individuals who remain at risk beyond acute pandemic phase is key to guiding systemic intervention efforts policy. We hypothesized that determinants three complementary, clinically actionable psychiatric outcomes would differ across Canadian age groups.The Personal Impacts Survey (PICS) was iteratively developed with stakeholder feedback, incorporating validated, age-appropriate measures. Baseline, cross-sectional online data collected between November 2020-July 2021 used in analyses. Age group-specific were sought for baseline MH outcomes: (1) current probable depression, generalized anxiety disorder, obsessive-compulsive disorder and/or suicide attempt COVID-19, (2) increased severity any lifetime diagnosis, (3) inadequate COVID-19. Multivariable logistic regression models constructed children, youth (self- parent-report), young adults (19-29 years) over 29 years, using survey type as a covariate. Statistical significance defined by 95% confidence interval excluding an odds ratio one.Data from 3140 surveys analyzed. Late adolescence early adulthood identified life phases worst outcomes. Poverty, limited education, home maker/caregiver roles, female non-binary gender, LGBTQ2S + status special educational, medical conditions differentially groups.Negative impacts on include poor clearly persisted wave, widening pre-existing inequity gaps. This should guide policy makers clinicians future prioritization efforts.

Language: Английский

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How to ensure better healthcare experiences for transgender people

Family Practice, Journal Year: 2022, Volume and Issue: 39(6), P. 1190 - 1191

Published: April 29, 2022

To the Editor, We read with great interest work by Treharne et al. "Supportive interactions primary care doctors are associated better mental health among transgender people: results of a nationwide survey in Aotearoa/New Zealand" recently published Journal.1 The Authors evaluated, population, which most common negative experiences healthcare and particular role doctors. They refer to psychiatric disorders their starting point was consideration that people can perpetuate disparities.1 analysed regression modelling technique data from Counting Ourselves: Aoteroa New Zealand Trans Non-Binary Health Survey. It is community-based people. Participants recruited through professional academic research networks, queer community groups, social media advertising, reported experience answering 2 sets questions 2015 US Negative experiences, supportive psychological distress, nonsuicidal self-injury, suicidality have been evaluated study. Data 948 individuals general practitioner or doctor were show consequences competent, equitable, respectful treatment more often self-harm, suicidality. Transgender favourable condition if they receive right attention support providers, so one relevant conclusions study need provide high-quality routine for people.1 Survey indicate approximately 0.6% population identifies as transgender,2 gender incongruence range 0.4%–1.2% birth assigned female 0.5%–1.3% male.3 family unique fundamental4 it even where pockets marginality fragility may exist.

Language: Английский

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A Contextualization of Transgender Women and Condom Use Using the HIV Syndemic Framework: Scoping Review

International Journal of Sexual Health, Journal Year: 2024, Volume and Issue: 36(2), P. 221 - 235

Published: March 21, 2024

Objective: To contextualize condom use in the transgender women population utilizing HIV syndemic framework. Methods: Studies reporting frequency and factors associated with risk were systematically searched. We followed Scoping Reviews (PRISMA-ScR) checklist. Results: Social have a proven relationship using condoms among women. Syndemic factors, defined as co-occurring adverse that interact to contribute behaviors, deserve specific analysis develop strategies face Conclusions: A perspective allows generate health intervention prevention policies protect

Language: Английский

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The Parallel Pandemic: A Systematic Review on the Effects of the COVID-19 Pandemic on OCD among Children and Adolescents

International Journal of Environmental Research and Public Health, Journal Year: 2023, Volume and Issue: 20(23), P. 7095 - 7095

Published: Nov. 22, 2023

The COVID-19 pandemic and the accompanying social changes severely impacted mental health globally. Children adolescents may have been vulnerable to adverse outcomes, especially obsessive-compulsive disorder (OCD), due their underdeveloped resilience coping skills stemming from progressing physical psychological development. Few studies explored parallels between OCD trends in this population. This systematic review aims identify impacts of on among children adolescents. Using PRISMA guidelines, a search eight databases for that assessed outcomes independently or as part other psychiatric diagnoses during was conducted. limited humans those written English published January 2020 May 2023. We identified 788 articles, out which 71 were selected full-text review. Twenty-two papers synthesized 10 countries final analysis. found 77% our suggested had negative impact also complex interplay individual, household, socio-structural factors associated with aggravation OCD. Conversely, few revealed strengthened relationships resilience. findings study emphasize need screening support population, periods.

Language: Английский

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Exposure to Childhood Healthcare Discrimination and Healthcare Avoidance among Transgender and Gender Independent Adults during a Global Pandemic

International Journal of Environmental Research and Public Health, Journal Year: 2022, Volume and Issue: 19(12), P. 7440 - 7440

Published: June 17, 2022

Transgender and gender-independent individuals (TGI) encounter myriad barriers to accessing affirming healthcare. Healthcare discrimination erasure exposure among TGI is vital understanding healthcare accessibility, utilization behaviors, health disparities in this population. Exposure gender identity-related childhood may contribute adults’ behaviors. The commonality of its relationship avoidance during the early months COVID-19 pandemic adults were explored. aged 18 59 (N = 342) United States recruited online summer 2020. Among who reported discrimination, 51% experiencing two or more distinct forms discrimination. Hierarchical logistic regression indicated that significantly increased odds pandemic, after accounting for demographic factors self-reported symptoms (odds ratio 1.30, 95% confidence interval 1.10, 1.54). These findings suggest a prominent barrier adults, even global pandemic.

Language: Английский

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Healthcare Service Utilization and Perceived Gaps: The Experience of French-Speaking 2S/LGBTQI+ People in Manitoba.

PubMed, Journal Year: 2024, Volume and Issue: 19(3), P. 62 - 77

Published: Feb. 1, 2024

Ethnolinguistically diverse 2S/LGBTQI+ (two-spirit, lesbian, gay, bisexual, transgender, queer and intersex) populations have unique healthcare needs experience health inequities compared to their cisgender or heterosexual peers. This community-based participatory study sought describe the profile experiences of official language minority French-speaking adults in Manitoba. Participants (

Language: Английский

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Child Sexual Abuse and Wellbeing Among LGBTQ + Individuals: The Role of Family in Healing

LGBTQ+ Family An Interdisciplinary Journal, Journal Year: 2024, Volume and Issue: 20(4), P. 265 - 278

Published: March 8, 2024

The present study was undertaken to understand the prevalence of child sexual abuse and its association with wellbeing a sample LGBTQ + individuals in India. A total 206 respondents took part study. WHO-5 scale developed by World Health Organization used assess respondents. among high (46.1 per cent). In general, level found be below average. Among those who had experienced abuse, majority were cisgender women. Cisgender women also more likely have much lower mean rank compared other groups similarly, identified as lesbians themselves bisexual, pansexual, gay. Other associated factors been discussed full paper. role family supporting helping heal, has detail. There is need for families empathetic toward victims.

Language: Английский

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