Journal
ADVANCES IN NURSING SCIENCE
Volume 42, Issue 2, Pages 123-138Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/ANS.0000000000000256
Keywords
accessibility of health services; gender affirmation; gender-affirming; health care disparities; health care experiences; health care utilization; literature review; nurse-patient relations; nursing; transgender
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Funding
- National Institute of Nursing Research of the National Institutes of Health [F31NR017115, T32NR016920]
- Robert Wood Johnson Foundation Future of Nursing Scholars program
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This integrated literature review, framed by the gender affirmation framework, sought to contextualize the experiences of transgender adults interfacing with health care after the release of Healthy People 2020. The constructs of the gender affirmation framework represented 4 a priori themes used to organize the findings. The 23 articles synthesized (quantitative, n = 13; qualitative, n = 7; case studies, n = 2; and mixed methods, n = 1) revealed numerous obstacles accessing health care, discrimination from health care professionals and clinicians, restricted health insurance benefits for medically necessary care, and barriers to medically necessary care, such as cross-sex hormones, as well as primary and preventative health care.
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