IDEAS home Printed from https://ideas.repec.org/a/gam/jsoctx/v13y2023i5p125-d1146869.html
   My bibliography  Save this article

Transgender Health between Barriers: A Scoping Review and Integrated Strategies

Author

Listed:
  • Davide Costa

    (Department of Law, Economics, and Sociology, University “Magna Graecia” of Catanzaro, 88100 Catanzaro, Italy)

Abstract

Transgender people have garnered attention in recent years. They have different health problems; the fact, however, that they belong to a minority means that this is characterized by complex mechanisms of stigmatization. This paper aims to analyze the current literature on the barriers to health services encountered by transgender people. This scoping review is based on the following research questions: (1) What are the main barriers to health care encountered by transgender people? (2) Is it possible to organize these barriers according to a macro-, meso- and microanalysis approach? (3) What are the main characteristics of the barriers to health care encountered by transgender people? (4) Are there significant relations between the different types of barriers? The review was undertaken following the PRISMA extension for scoping reviews. In total, 32 studies were included from which three types of barriers with different subcategories were identified: health system barriers, social barriers, and individual barriers. In conclusion, due to the complexity of gender issues and barriers to health care, a multidisciplinary approach is necessary. In this regard, some integrated strategies to reduce barriers to health care for transgender people are proposed.

Suggested Citation

  • Davide Costa, 2023. "Transgender Health between Barriers: A Scoping Review and Integrated Strategies," Societies, MDPI, vol. 13(5), pages 1-29, May.
  • Handle: RePEc:gam:jsoctx:v:13:y:2023:i:5:p:125-:d:1146869
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/2075-4698/13/5/125/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/2075-4698/13/5/125/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Rotondi, N.K. & Bauer, G.R. & Scanlon, K. & Kaay, M. & Travers, R. & Travers, A., 2013. "Nonprescribed hormone use and self-performed surgeries: "do-it-yourself" transitions in transgender communities in Ontario, Canada," American Journal of Public Health, American Public Health Association, vol. 103(10), pages 1830-1836.
    2. Sandro Serpa & Carlos Miguel Ferreira, 2019. "Micro, Meso and Macro Levels of Social Analysis," International Journal of Social Science Studies, Redfame publishing, vol. 7(3), pages 120-124, May.
    3. White Hughto, Jaclyn M. & Reisner, Sari L. & Pachankis, John E., 2015. "Transgender stigma and health: A critical review of stigma determinants, mechanisms, and interventions," Social Science & Medicine, Elsevier, vol. 147(C), pages 222-231.
    4. Stroumsa, D., 2014. "The state of transgender health care: Policy, law, and medical frameworks," American Journal of Public Health, American Public Health Association, vol. 104(3), pages 31-38.
    5. Maria Elisa Castro-Peraza & Jesús Manuel García-Acosta & Naira Delgado & Ana María Perdomo-Hernández & Maria Inmaculada Sosa-Alvarez & Rosa Llabrés-Solé & Nieves Doria Lorenzo-Rocha, 2019. "Gender Identity: The Human Right of Depathologization," IJERPH, MDPI, vol. 16(6), pages 1-11, March.
    6. Bockting, W.O. & Miner, M.H. & Swinburne Romine, R.E. & Hamilton, A. & Coleman, E., 2013. "Stigma, mental health, and resilience in an online sample of the US transgender population," American Journal of Public Health, American Public Health Association, vol. 103(5), pages 943-951.
    7. Shanna K. Kattari & Jarrod Call & Brendon T. Holloway & Leonardo Kattari & Kristie L. Seelman, 2021. "Exploring the Experiences of Transgender and Gender Diverse Adults in Accessing a Trans Knowledgeable Primary Care Physician," IJERPH, MDPI, vol. 18(24), pages 1-14, December.
    8. Erin Ziegler & Ruta Valaitis & Nancy Carter & Cathy Risdon & Jennifer Yost, 2020. "Primary Care for Transgender Individuals: A Review of the Literature Reflecting a Canadian Perspective," SAGE Open, , vol. 10(3), pages 21582440209, September.
    9. Malin Lindroth, 2016. "‘Competent persons who can treat you with competence, as simple as that’ – an interview study with transgender people on their experiences of meeting health care professionals," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(23-24), pages 3511-3521, December.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Luca Fumarco & Benjamin Harrell & Patrick Button & David Schwegman & E Dils, 2020. "Gender Identity, Race, and Ethnicity-based Discrimination in Access to Mental Health Care: Evidence from an Audit Correspondence Field Experiment," NBER Working Papers 28164, National Bureau of Economic Research, Inc.
    2. King, Wesley M. & Hughto, Jaclyn M.W. & Operario, Don, 2020. "Transgender stigma: A critical scoping review of definitions, domains, and measures used in empirical research," Social Science & Medicine, Elsevier, vol. 250(C).
    3. Hannah Van Borm & Marlot Dhoop & Allien Van Acker & Stijn Baert, 2020. "What does someone's gender identity signal to employers?," International Journal of Manpower, Emerald Group Publishing Limited, vol. 41(6), pages 753-777, March.
    4. MacKinnon, K.R. & Ashley, F. & Kia, H. & Lam, J.S.H. & Krakowsky, Y. & Ross, L.E., 2021. "Preventing transition “regret”: An institutional ethnography of gender-affirming medical care assessment practices in Canada," Social Science & Medicine, Elsevier, vol. 291(C).
    5. Clark, Kirsty A. & White Hughto, Jaclyn M. & Pachankis, John E., 2017. "“What's the right thing to do?” Correctional healthcare providers' knowledge, attitudes and experiences caring for transgender inmates," Social Science & Medicine, Elsevier, vol. 193(C), pages 80-89.
    6. Danya Lagos, 2018. "Looking at Population Health Beyond “Male” and “Female”: Implications of Transgender Identity and Gender Nonconformity for Population Health," Demography, Springer;Population Association of America (PAA), vol. 55(6), pages 2097-2117, December.
    7. Goldberg, Abbie E. & Tornello, Samantha & Farr, Rachel & Smith, JuliAnna Z. & Miranda, Liam, 2020. "Barriers to adoption and foster care and openness to child characteristics among transgender adults," Children and Youth Services Review, Elsevier, vol. 109(C).
    8. Noralla, Nora, 2024. "Access Denied: A qualitative Study on transgender health policy in Egypt," Social Science & Medicine, Elsevier, vol. 348(C).
    9. Ahmad, Husnain F & Banuri, Sheheryar & Bokhari, Farasat, 2024. "Discrimination in healthcare: A field experiment with Pakistan's transgender community," Labour Economics, Elsevier, vol. 87(C).
    10. Sari L Reisner & Jaclyn M W Hughto, 2019. "Comparing the health of non-binary and binary transgender adults in a statewide non-probability sample," PLOS ONE, Public Library of Science, vol. 14(8), pages 1-20, August.
    11. Lewis, Tom & Doyle, David Matthew & Barreto, Manuela & Jackson, Debby, 2021. "Social relationship experiences of transgender people and their relational partners: A meta-synthesis," Social Science & Medicine, Elsevier, vol. 282(C).
    12. Ethan C Cicero & Sari L Reisner & Elizabeth I Merwin & Janice C Humphreys & Susan G Silva, 2020. "The health status of transgender and gender nonbinary adults in the United States," PLOS ONE, Public Library of Science, vol. 15(2), pages 1-20, February.
    13. Cristiano Scandurra & Vincenzo Bochicchio & Anna Lisa Amodeo & Concetta Esposito & Paolo Valerio & Nelson Mauro Maldonato & Dario Bacchini & Roberto Vitelli, 2018. "Internalized Transphobia, Resilience, and Mental Health: Applying the Psychological Mediation Framework to Italian Transgender Individuals," IJERPH, MDPI, vol. 15(3), pages 1-19, March.
    14. Ajay Keshav Pandey & Kristie Seelman, 2022. "History of Sex Work Is Associated with Increased Risk of Adverse Mental Health and Substance Use Outcomes in Transgender Adults," IJERPH, MDPI, vol. 19(23), pages 1-16, November.
    15. Ann‐Christin von Vogelsang & Camilla Milton & Ingrid Ericsson & Lars Strömberg, 2016. "‘Wouldn't it be easier if you continued to be a guy?’ – a qualitative interview study of transsexual persons’ experiences of encounters with healthcare professionals," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(23-24), pages 3577-3588, December.
    16. Zia Ullah & Esra AlDhaen & Rana Tahir Naveed & Naveed Ahmad & Miklas Scholz & Tasawar Abdul Hamid & Heesup Han, 2021. "Towards Making an Invisible Diversity Visible: A Study of Socially Structured Barriers for Purple Collar Employees in the Workplace," Sustainability, MDPI, vol. 13(16), pages 1-16, August.
    17. Xu, Chen & Gong, Xingying & Fu, Wanyan & Xu, Yanjun & Xu, Haiyan & Chen, Wenjing & Li, Min, 2020. "The role of career adaptability and resilience in mental health problems in Chinese adolescents," Children and Youth Services Review, Elsevier, vol. 112(C).
    18. Kia, Hannah & MacKinnon, Kinnon Ross & Abramovich, Alex & Bonato, Sarah, 2021. "Peer support as a protective factor against suicide in trans populations: A scoping review," Social Science & Medicine, Elsevier, vol. 279(C).
    19. Power, Luke & Hardy, Mark, 2024. "Predictors of care leavers’ health outcomes: A scoping review," Children and Youth Services Review, Elsevier, vol. 157(C).
    20. Anna Baleige & Mathilde Guernut & Frédéric Denis, 2022. "Trans Expertise and the Revision and Translation of ICD-11: An Analysis of Available French Data from a Trans Perspective," IJERPH, MDPI, vol. 19(19), pages 1-11, September.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jsoctx:v:13:y:2023:i:5:p:125-:d:1146869. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.