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Published Online: 11 January 2023

Gender-Affirming Primary Care Access Among Rural Transgender and Gender Diverse Adults in Five Northeastern U.S. States

Publication: LGBT Health
Volume 10, Issue Number 1

Abstract

Purpose: Little is known about the prevalence and predictors of gender-affirming primary care (GAPC) access among rural transgender and gender diverse (TGD) adults. This study therefore sought to characterize the prevalence and predictors of GAPC within a sample of rural TGD adults.
Methods: A nonprobability convenience sample (n = 244) of rural TGD adults was recruited across five Northeastern U.S. states (Connecticut, Massachusetts, New Hampshire, New York, Vermont) and completed a health needs assessment from March 2019 to October of 2019.
Results: Transgender women and men had higher odds of accessing GAPC than nonbinary and gender diverse respondents. Respondents aged 25–39 had higher odds of accessing GAPC than those 18–24 years old.
Conclusion: This study found high prevalence of barriers to GAPC among rural TGD people, highlighting system-level improvement opportunities.

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References

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Published In

cover image LGBT Health
LGBT Health
Volume 10Issue Number 1January 2023
Pages: 86 - 92
PubMed: 35960329

History

Published online: 11 January 2023
Published in print: January 2023
Published ahead of print: 12 August 2022

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Authors

Affiliations

Anthony N. Almazan
Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA.
Matan Benyishay
The Fenway Institute, Fenway Health, Boston, Massachusetts, USA.
Brooke Stott
The Fenway Institute, Fenway Health, Boston, Massachusetts, USA.
Virginia Vedilago
The Fenway Institute, Fenway Health, Boston, Massachusetts, USA.
The Fenway Institute, Fenway Health, Boston, Massachusetts, USA.
Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Division of Endocrinology, Diabetes and Hypertension, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA.
Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA.
The Fenway Institute, Fenway Health, Boston, Massachusetts, USA.
Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, USA.

Notes

Address correspondence to: Alex S. Keuroghlian, MD, MPH, The Fenway Institute, Fenway Health, 1340 Boylston Street, Boston, MA 02115, USA [email protected]

Authors' Contributions

A.S.K. and S.L.R. conceived the original idea for this study. A.S.K., S.L.R., and V.V. designed the study. V.V. and B.S. led the acquisition and interpretation of data. A.N.A. and M.B. led the analysis of data. A.N.A. led the drafting of the article. All authors revised the article critically for important intellectual content and approved the final version of the article. All authors agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Author Disclosure Statement

A.S.K. and S.L.R. declare royalties as editors of a McGraw Hill textbook on transgender and gender diverse health care. The authors declare no competing financial interests.

Funding Information

The Plan and Act for Transgender Health (PATH) Project was funded by the Panjandrum Foundation.

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