Initial Clinical Needs Among Transgender and Non-binary Individuals in a Large, Urban Gender Health Program

Autor: Amy K. Weimer, Gladys Ng, Mark S. Litwin, Kristen Williams, Thomas W. Gaither, Christopher A. Mann
Rok vydání: 2021
Předmět:
Male
medicine.medical_specialty
gender affirming care
Sexual Behavior
media_common.quotation_subject
Clinical Sciences
8.1 Organisation and delivery of services
Fertility
Sexual and Gender Minorities (SGM/LGBT*)
Transgender Persons
01 natural sciences
7.3 Management and decision making
Sexual and Gender Minorities
03 medical and health sciences
0302 clinical medicine
7.1 Individual care needs
Clinical Research
General & Internal Medicine
Behavioral and Social Science
Transgender
Health care
Internal Medicine
medicine
Humans
030212 general & internal medicine
0101 mathematics
Original Research
media_common
Sexual identity
business.industry
010102 general mathematics
Gender Identity
Health Services
non-binary
transgender
Summary statistics
gender health
Family medicine
Sexual orientation
Queer
Female
Management of diseases and conditions
business
Transsexualism
Health and social care services research
Diversity (politics)
Zdroj: Journal of general internal medicine, vol 37, iss 1
J Gen Intern Med
ISSN: 1525-1497
0884-8734
DOI: 10.1007/s11606-021-06791-9
Popis: BACKGROUND: Transgender and gender-diverse individuals are particularly vulnerable to healthcare discrimination and related health sequelae. OBJECTIVE: To demonstrate diversity in demographics and explore variance in needs at the time of intake among patients seeking care at a large, urban gender health program. DESIGN: We present summary statistics of patient demographics, medical histories, and gender-affirming care needs stratified by gender identity and sexual orientation. PARTICIPANTS: We reviewed all intake interviews with individuals seeking care in our gender health program from 2017 to 2020. MAIN MEASURES: Clients reported all the types of care in which they were interested at the time of intake as their “reason for call” (i.e., establish primary care, hormone management, surgical services, fertility services, behavioral health, or other health concerns). KEY RESULTS: Of 836 patients analyzed, 350 identified as trans women, 263 as trans men, and 223 as non-binary. The most prevalent sexual identity was straight among trans women (34%) and trans men (38%), whereas most (69%) non-binary individuals identified as pansexual or queer; only 3% of non-binary individuals identified as straight. Over half of patients reported primary care, hormone management, or surgical services as the primary reason for contacting our program. Straight, transgender women were more likely to report surgical services as their primary reason for contacting our program, whereas gay transgender men were more likely to report primary care as their reason. CONCLUSIONS: Individuals contacting our gender health program to establish care were diverse in sexual orientation and gender-affirming care needs. Care needs varied with both gender identity and sexual orientation, but primary care, hormone management, and surgical services were high priorities across groups. Providers of gender-affirming care should inquire about sexual orientation and detailed treatment priorities, as trans and gender-diverse populations are not uniform in their treatment needs or goals. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s11606-021-06791-9.
Databáze: OpenAIRE
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