Health Care Experiences of Transgender Adults: An Integrated Mixed Research Literature Review. (April 2019)

• Record Type: Journal Article
• Authors: Cicero, Ethan C.; Reisner, Sari L.; Silva, Susan G.; Merwin, Elizabeth I.; Humphreys, Janice C.
• Is Part Of: Advances in nursing science. Volume 42:Number 2(2019)
• Publication Date: 2019-04
• Subjects: accessibility of health services -- gender affirmation -- gender-affirming -- health care disparities -- health care experiences -- health care utilization -- literature review -- nurse-patient relations -- nursing -- transgender; Nursing -- Periodicals; Nursing -- Social aspects -- Periodicals; Nursing -- Psychological aspects -- Periodicals; Psychiatric nursing -- Periodicals; 362.173
• DOI: 10.1097/ANS.0000000000000256
• Languages: English
• ISSNs: 0161-9268

Abstract

Abstract : 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.