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Experiences of transgender and non-binary youth accessing gender-affirming care: A systematic review and meta-ethnography
- Source :
- PLoS ONE, PLoS ONE, Vol 16, Iss 9, p e0257194 (2021)
- Publication Year :
- 2021
- Publisher :
- Public Library of Science (PLoS), 2021.
-
Abstract
- Objective 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. Method 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). Results 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”. Conclusion 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.
- Subjects :
- Male
Economics
Science
Health Care Providers
Population
MEDLINE
Social Sciences
CINAHL
Research and Analysis Methods
Transgender Persons
Health Services Accessibility
Health Economics
Sociology
Mental Health and Psychiatry
Health care
Transgender
Medicine and Health Sciences
Psychology
Humans
Public and Occupational Health
Human Families
education
Medical education
education.field_of_study
Multidisciplinary
business.industry
Conceptual model (computer science)
Biology and Life Sciences
Gender Identity
Qualitative Studies
Health Care
Systematic review
Caregivers
Research Design
Medicine
Female
Behavioral and Social Aspects of Health
business
Transsexualism
Research Article
Health Insurance
Qualitative research
Subjects
Details
- ISSN :
- 19326203
- Volume :
- 16
- Database :
- OpenAIRE
- Journal :
- PLOS ONE
- Accession number :
- edsair.doi.dedup.....b0a85453741ee74f1e824d346bf99cb3