Experiences of transgender and non-binary youth accessing gender-affirming care: A systematic review and meta-ethnography.

<h4>Objective</h4>Transgender and non-binary individuals frequently engage with healthcare services to obtain gender-affirming care. Little data exist on the experiences of young people accessing gender care. This systematic review and meta-ethnography aimed to identify and synthesise da...

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Autores principales:	Seán Kearns, Thilo Kroll, Donal O'Shea, Karl Neff
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/a650f8796cda47319c7b01131911b0f9
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spelling	oai:doaj.org-article:a650f8796cda47319c7b01131911b0f92021-12-02T20:14:42ZExperiences of transgender and non-binary youth accessing gender-affirming care: A systematic review and meta-ethnography.1932-620310.1371/journal.pone.0257194https://doaj.org/article/a650f8796cda47319c7b01131911b0f92021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0257194https://doaj.org/toc/1932-6203<h4>Objective</h4>Transgender and non-binary individuals frequently engage with healthcare services to obtain gender-affirming care. Little data exist on the experiences of young people accessing gender care. This systematic review and meta-ethnography aimed to identify and synthesise data on youths' experiences accessing gender-affirming healthcare.<h4>Method</h4>A systematic review and meta-ethnography focusing on qualitative research on the experiences of transgender and non-binary youth accessing gender care was completed between April-December 2020. The following databases were used: PsychINFO, MEDLINE, EMBASE, and CINAHL. The protocol was registered on PROSPERO, international prospective register of Systematic Reviews (CRD42020139908).<h4>Results</h4>Ten studies were included in the final review. The sample included participants with diverse gender identities and included the perspective of parents/caregivers. Five dimensions (third-order constructs) were identified and contextualized into the following themes: 1.) Disclosure of gender identity. 2.) The pursuit of care. 3.) The cost of care. 4.) Complex family/caregiver dynamics. 5.) Patient-provider relationships. Each dimension details a complicated set of factors that can impact healthcare navigation and are explained through a new conceptual model titled "The Rainbow Brick Road".<h4>Conclusion</h4>This synthesis expands understanding into the experience of transgender and non-binary youth accessing gender-affirming healthcare. Ryvicker's behavioural-ecological model of healthcare navigation is discussed in relation to the findings and compared to the authors' conceptual model. This detailed analysis reveals unique insights on healthcare navigation challenges and the traits, resources, and infrastructure needed to overcome these. Importantly, this paper reveals the critical need for more research with non-binary youth and research which includes the population in the design.Seán KearnsThilo KrollDonal O'SheaKarl NeffPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0257194 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Seán Kearns Thilo Kroll Donal O'Shea Karl Neff Experiences of transgender and non-binary youth accessing gender-affirming care: A systematic review and meta-ethnography.
description	<h4>Objective</h4>Transgender and non-binary individuals frequently engage with healthcare services to obtain gender-affirming care. Little data exist on the experiences of young people accessing gender care. This systematic review and meta-ethnography aimed to identify and synthesise data on youths' experiences accessing gender-affirming healthcare.<h4>Method</h4>A systematic review and meta-ethnography focusing on qualitative research on the experiences of transgender and non-binary youth accessing gender care was completed between April-December 2020. The following databases were used: PsychINFO, MEDLINE, EMBASE, and CINAHL. The protocol was registered on PROSPERO, international prospective register of Systematic Reviews (CRD42020139908).<h4>Results</h4>Ten studies were included in the final review. The sample included participants with diverse gender identities and included the perspective of parents/caregivers. Five dimensions (third-order constructs) were identified and contextualized into the following themes: 1.) Disclosure of gender identity. 2.) The pursuit of care. 3.) The cost of care. 4.) Complex family/caregiver dynamics. 5.) Patient-provider relationships. Each dimension details a complicated set of factors that can impact healthcare navigation and are explained through a new conceptual model titled "The Rainbow Brick Road".<h4>Conclusion</h4>This synthesis expands understanding into the experience of transgender and non-binary youth accessing gender-affirming healthcare. Ryvicker's behavioural-ecological model of healthcare navigation is discussed in relation to the findings and compared to the authors' conceptual model. This detailed analysis reveals unique insights on healthcare navigation challenges and the traits, resources, and infrastructure needed to overcome these. Importantly, this paper reveals the critical need for more research with non-binary youth and research which includes the population in the design.
format	article
author	Seán Kearns Thilo Kroll Donal O'Shea Karl Neff
author_facet	Seán Kearns Thilo Kroll Donal O'Shea Karl Neff
author_sort	Seán Kearns
title	Experiences of transgender and non-binary youth accessing gender-affirming care: A systematic review and meta-ethnography.
title_short	Experiences of transgender and non-binary youth accessing gender-affirming care: A systematic review and meta-ethnography.
title_full	Experiences of transgender and non-binary youth accessing gender-affirming care: A systematic review and meta-ethnography.
title_fullStr	Experiences of transgender and non-binary youth accessing gender-affirming care: A systematic review and meta-ethnography.
title_full_unstemmed	Experiences of transgender and non-binary youth accessing gender-affirming care: A systematic review and meta-ethnography.
title_sort	experiences of transgender and non-binary youth accessing gender-affirming care: a systematic review and meta-ethnography.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/a650f8796cda47319c7b01131911b0f9
work_keys_str_mv	AT seankearns experiencesoftransgenderandnonbinaryyouthaccessinggenderaffirmingcareasystematicreviewandmetaethnography AT thilokroll experiencesoftransgenderandnonbinaryyouthaccessinggenderaffirmingcareasystematicreviewandmetaethnography AT donaloshea experiencesoftransgenderandnonbinaryyouthaccessinggenderaffirmingcareasystematicreviewandmetaethnography AT karlneff experiencesoftransgenderandnonbinaryyouthaccessinggenderaffirmingcareasystematicreviewandmetaethnography
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Experiences of transgender and non-binary youth accessing gender-affirming care: A systematic review and meta-ethnography.

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