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“I just felt supported”: Transgender and non-binary patient perspectives on receiving transition-related healthcare in family planning clinics

Transgender and non-binary people face challenges in accessing gender affirming hormone therapy. Family planning clinics across the United States have greatly expanded transgender care services in the last ten years offering increased access to these services. This national qualitative study describ...

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Detalles Bibliográficos
Autores principales: Ingraham, Natalie, Fox, Lindsey, Gonzalez, Andres Leon, Riegelsberger, Aerin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9302788/
https://www.ncbi.nlm.nih.gov/pubmed/35862408
http://dx.doi.org/10.1371/journal.pone.0271691
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author Ingraham, Natalie
Fox, Lindsey
Gonzalez, Andres Leon
Riegelsberger, Aerin
author_facet Ingraham, Natalie
Fox, Lindsey
Gonzalez, Andres Leon
Riegelsberger, Aerin
author_sort Ingraham, Natalie
collection PubMed
description Transgender and non-binary people face challenges in accessing gender affirming hormone therapy. Family planning clinics across the United States have greatly expanded transgender care services in the last ten years offering increased access to these services. This national qualitative study describes transgender and non-binary patients’ experiences of receiving transgender care in family planning clinics. We completed 34 in-depth interviews with transgender and non-binary people over age 18 who had received transition-related care at a family planning clinic in the last year from 2019–2020. We analyzed interview data in Dedoose using constant comparative analysis and inductive thematic analysis. Patients reported overwhelmingly positive experiences at family planning clinics and were especially surprised at the ease and speed of the informed consent process. Barriers to care remain for patients in rural areas, low income patients, and patients who need specialized care. Some of the barriers relate to the gender binary and transphobia built into the medical systems, which cause patients and providers to have to find “work arounds” the binary medical and insurance systems. Patients also shared their idealized visions of transition related care that center on strong referral networks and hiring of LGBTQ staff at the clinics. Family planning clinics currently provide affirming and supportive care, especially those that use the informed consent model. Family planning clinics could provide increased access to transgender healthcare outside of major metropolitan areas and for transgender and gender non-conforming clients across the lifespan.
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spelling pubmed-93027882022-07-22 “I just felt supported”: Transgender and non-binary patient perspectives on receiving transition-related healthcare in family planning clinics Ingraham, Natalie Fox, Lindsey Gonzalez, Andres Leon Riegelsberger, Aerin PLoS One Research Article Transgender and non-binary people face challenges in accessing gender affirming hormone therapy. Family planning clinics across the United States have greatly expanded transgender care services in the last ten years offering increased access to these services. This national qualitative study describes transgender and non-binary patients’ experiences of receiving transgender care in family planning clinics. We completed 34 in-depth interviews with transgender and non-binary people over age 18 who had received transition-related care at a family planning clinic in the last year from 2019–2020. We analyzed interview data in Dedoose using constant comparative analysis and inductive thematic analysis. Patients reported overwhelmingly positive experiences at family planning clinics and were especially surprised at the ease and speed of the informed consent process. Barriers to care remain for patients in rural areas, low income patients, and patients who need specialized care. Some of the barriers relate to the gender binary and transphobia built into the medical systems, which cause patients and providers to have to find “work arounds” the binary medical and insurance systems. Patients also shared their idealized visions of transition related care that center on strong referral networks and hiring of LGBTQ staff at the clinics. Family planning clinics currently provide affirming and supportive care, especially those that use the informed consent model. Family planning clinics could provide increased access to transgender healthcare outside of major metropolitan areas and for transgender and gender non-conforming clients across the lifespan. Public Library of Science 2022-07-21 /pmc/articles/PMC9302788/ /pubmed/35862408 http://dx.doi.org/10.1371/journal.pone.0271691 Text en © 2022 Ingraham et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Ingraham, Natalie
Fox, Lindsey
Gonzalez, Andres Leon
Riegelsberger, Aerin
“I just felt supported”: Transgender and non-binary patient perspectives on receiving transition-related healthcare in family planning clinics
title “I just felt supported”: Transgender and non-binary patient perspectives on receiving transition-related healthcare in family planning clinics
title_full “I just felt supported”: Transgender and non-binary patient perspectives on receiving transition-related healthcare in family planning clinics
title_fullStr “I just felt supported”: Transgender and non-binary patient perspectives on receiving transition-related healthcare in family planning clinics
title_full_unstemmed “I just felt supported”: Transgender and non-binary patient perspectives on receiving transition-related healthcare in family planning clinics
title_short “I just felt supported”: Transgender and non-binary patient perspectives on receiving transition-related healthcare in family planning clinics
title_sort “i just felt supported”: transgender and non-binary patient perspectives on receiving transition-related healthcare in family planning clinics
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9302788/
https://www.ncbi.nlm.nih.gov/pubmed/35862408
http://dx.doi.org/10.1371/journal.pone.0271691
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