Health Care Experiences of Transgender Adults: An Integrated Mixed Research Literature Review
- PMID: 30839332
- PMCID: PMC6502664
- DOI: 10.1097/ANS.0000000000000256
Health Care Experiences of Transgender Adults: An Integrated Mixed Research Literature Review
Abstract
This integrated literature review, framed by the gender affirmation framework, sought to contextualize the experiences of transgender adults interfacing with health care after the release of Healthy People 2020. The constructs of the gender affirmation framework represented 4 a priori themes used to organize the findings. The 23 articles synthesized (quantitative, n = 13; qualitative, n = 7; case studies, n = 2; and mixed methods, n = 1) revealed numerous obstacles accessing health care, discrimination from health care professionals and clinicians, restricted health insurance benefits for medically necessary care, and barriers to medically necessary care, such as cross-sex hormones, as well as primary and preventative health care.
Conflict of interest statement
Conflict of interest: No conflict of interest has been declared by the author(s).
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References
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- Institute of Medicine. The health of lesbian, gay, bisexual, and transgender people: Building a foundation for better understanding National Academies Press; Washington, DC; 2011. - PubMed
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- James SE, Herman JL, Rankin S, Keisling M, Mottet L, Ana M. The report of the 2015 U.S. Transgender Survey Washington, DC: National Center for Transgender Equality; 2016.
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- Flores AR, Herman JL, Gates GJ, Brown TNT. How many adults identify as transgender in the United States Los Angeles, CA: The Williams Institute;2016.
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