“These Laws Will Be Devastating”: Provider Perspectives on Legislation Banning Gender-Affirming Care for Transgender Adolescents

Hughes, Landon; Kidd, Kacie M.; Gamarel, Kristi E.; Operario, Don; Dowshen, Nadia

doi:10.1016/j.jadohealth.2021.08.020

Cited by 57 publications

(18 citation statements)

References 21 publications

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“…These barriers include TGD minors and their families having difficulty identifying a knowledgeable provider with training in pediatric gender-affirming care as well as uncoordinated care and significant insurance limitations [ 6 , 7 ]. Additionally, this care has come under legislative threat, as numerous states have considered legislation that would ban gender-affirming medical and surgical interventions for TGD minors, which would create even more barriers to receiving this needed care [ 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

Trans*Forming Access and Care in Rural Areas: A Community-Engaged Approach

Gandy-Guedes

Kidd

Weiss

et al. 2021

IJERPH

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Research indicates that rural transgender and gender diverse (TGD) populations have a greater need for health services when compared with their urban counterparts, face unique barriers to accessing services, and have health disparities that are less researched than urban TGD populations. Therefore, the primary aim of this mixed-methods study (n = 24) was to increase research on the health care needs of TGD people in a rural Appalachian American context. This study was guided by a community-engaged model utilizing a community advisory board of TGD people and supportive parents of TGD children. Quantitative results indicate that travel burden is high, affirming provider availability is low, and the impacts on the health and mental health of TGD people in this sample are notable. Qualitative results provide recommendations for providers and health care systems to better serve this population. Integrated mixed-methods results further illustrate ways that rural TGD people and families adapt to the services available to them, sometimes at significant economic and emotional costs. This study contributes to the small but growing body of literature on the unique needs of rural TGD populations, including both adults and minors with supportive parents, by offering insights into strategies to address known disparities.

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Section: Introductionmentioning

confidence: 99%

Trans*Forming Access and Care in Rural Areas: A Community-Engaged Approach

Gandy-Guedes

Kidd

Weiss

et al. 2021

IJERPH

Self Cite

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“…Many of these probable effects were highlighted in a recent national survey of physicians and nurse practitioners who offer gender-affirming care . Stated personal adverse consequences included moral distress—the inner conflict from knowing the right thing to do yet being constrained by institutional barriers—in this case, prohibition from providing care that follows accepted pediatric guidelines .…”

mentioning

confidence: 99%

Clinician-Level Implications of Bans on Gender-Affirming Medical Care for Youth in the US

Warling

Keuroghlian

2022

JAMA Pediatr

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“…Providers on the front lines must be emissaries of these strong supportive stances and amplify the facts about GAC. Legislative endorsement of misinformation harms and invalidates all TGE youth [35,36]. Our patients are watching to see how we protect their right to exist and we cannot let them down.…”

Section: Discussionmentioning

confidence: 99%

“…Experts contend that pervasive transphobia threatens the mental and physical well-being of TGE persons [4]. Hostile legislation and misconceptions about GAC perpetuate this harm [35,36].…”

Section: Recent Legislation Falsely Asserts That Medical Aspects Of G...mentioning

confidence: 99%

Scientific Misinformation and Gender Affirming Care: Tools for Providers on the Front Lines

McNamara¹,

Lepore²,

Alstott³

et al. 2022

Journal of Adolescent Health

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“These Laws Will Be Devastating”: Provider Perspectives on Legislation Banning Gender-Affirming Care for Transgender Adolescents

Cited by 57 publications

References 21 publications

Trans*Forming Access and Care in Rural Areas: A Community-Engaged Approach

Trans*Forming Access and Care in Rural Areas: A Community-Engaged Approach

Clinician-Level Implications of Bans on Gender-Affirming Medical Care for Youth in the US

Scientific Misinformation and Gender Affirming Care: Tools for Providers on the Front Lines

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