Gender affirming hormone therapy dosing behaviors among transgender and nonbinary adults.


Journal

Humanities & social sciences communications
ISSN: 2662-9992
Titre abrégé: Humanit Soc Sci Commun
Pays: England
ID NLM: 101772751

Informations de publication

Date de publication:
2022
Historique:
entrez: 13 1 2023
pubmed: 14 1 2023
medline: 14 1 2023
Statut: ppublish

Résumé

Gender-affirming hormones have been shown to improve psychological functioning and quality of life among transgender and nonbinary (trans) people, yet, scant research exists regarding whether and why individuals take more or less hormones than prescribed. Drawing on survey data from 379 trans people who were prescribed hormones, we utilized multivariable logistic regression models to identify factors associated with hormone-dosing behaviors and content analysis to examine the reasons for dose modifications. Overall, 24% of trans individuals took more hormones than prescribed and 57% took less. Taking more hormones than prescribed was significantly associated with having the same provider for primary and gender-affirming care and gender-based discrimination. Income and insurance coverage barriers were significantly associated with taking less hormones than prescribed. Differences by gender identity were also observed. Addressing barriers to hormone access and cost could help to ensure safe hormone-dosing behaviors and the achievement trans people's gender-affirmation goals.

Identifiants

pubmed: 36636110
doi: 10.1057/s41599-022-01291-5
pmc: PMC9833814
mid: NIHMS1835987
pii:
doi:

Types de publication

Journal Article

Langues

eng

Subventions

Organisme : NIMH NIH HHS
ID : K01 MH114715
Pays : United States
Organisme : NIMHD NIH HHS
ID : L60 MD012898
Pays : United States
Organisme : NIAID NIH HHS
ID : P30 AI042853
Pays : United States
Organisme : NIAID NIH HHS
ID : T32 AI102623
Pays : United States

Déclaration de conflit d'intérêts

Competing interests The authors declare no competing interests.

Références

Perspect Psychol Sci. 2021 Nov;16(6):1159-1164
pubmed: 31747342
Soc Sci Med. 2014 Jun;110:65-73
pubmed: 24727533
Int J Transgend. 2019;20(1):49-62
pubmed: 31217753
J Nurs Scholarsh. 2015 Sep;47(5):417-24
pubmed: 26243380
Transgend Health. 2019 Oct 16;4(1):226-246
pubmed: 31637302
Int J Ment Health Syst. 2014 Jun 21;8:25
pubmed: 24987456
Br J Dermatol. 2019 Jan;180(1):26-30
pubmed: 30101531
SSM Popul Health. 2020 May 11;11:100595
pubmed: 32435684
PLoS One. 2019 Aug 27;14(8):e0221583
pubmed: 31454395
Br J Math Stat Psychol. 2014 Feb;67(1):117-32
pubmed: 23647492
Endocr Rev. 2019 Feb 1;40(1):97-117
pubmed: 30307546
Int J Transgend Health. 2019 Dec 11;21(1):70-78
pubmed: 33015660
Ann Fam Med. 2022 Mar-Apr;20(2):157-163
pubmed: 35045967
Transgend Health. 2021 Jul 30;6(4):207-216
pubmed: 34414277
BMC Pregnancy Childbirth. 2017 Nov 8;17(Suppl 2):332
pubmed: 29143629
JAMA Dermatol. 2021 Mar 1;157(3):290-295
pubmed: 33471082
Front Psychol. 2019 Jun 25;10:1453
pubmed: 31293486
Front Endocrinol (Lausanne). 2021 Jul 29;12:717766
pubmed: 34394009
Transgend Health. 2019 Apr 11;4(1):131-135
pubmed: 31289750
Soc Sci Med. 2015 Dec;147:222-31
pubmed: 26599625
Am J Health Syst Pharm. 2020 Mar 5;77(6):427-433
pubmed: 32012216
J Immigr Minor Health. 2018 Feb;20(1):115-123
pubmed: 27804013
ANS Adv Nurs Sci. 2019 Apr/Jun;42(2):123-138
pubmed: 30839332
Transgend Health. 2017 Feb 01;2(1):17-28
pubmed: 28861545
J Intern Med. 2022 May;291(5):574-592
pubmed: 34982475
Qual Health Res. 2008 Oct;18(10):1345-55
pubmed: 18832767
Med Care. 2009 Aug;47(8):826-34
pubmed: 19584762
J Interpers Violence. 2021 Mar;36(5-6):2633-2655
pubmed: 29528801
N Engl J Med. 2017 May 11;376(19):1801-1804
pubmed: 28402247
Ann Fam Med. 2020 Nov;18(6):528-534
pubmed: 33168681
Curr Opin Endocrinol Diabetes Obes. 2016 Apr;23(2):198-207
pubmed: 26845331
Patient Educ Couns. 2020 Oct;103(10):2116-2131
pubmed: 32402489
Soc Sci Med. 2022 Jan;292:114610
pubmed: 34923191
J Adolesc Health. 2019 Apr;64(4):467-471
pubmed: 30241721
Horm Behav. 2019 Apr;110:29-39
pubmed: 30822410
Transgend Health. 2019 Aug 07;4(1):162-167
pubmed: 31482132
Ann Intern Med. 2018 Aug 21;169(4):205-213
pubmed: 29987313
Endocr Pract. 2018 Apr;24(4):329-333
pubmed: 29561193
Sex Res Social Policy. 2018 Mar;15(1):48-59
pubmed: 29527241
Horm Behav. 2021 Feb;128:104912
pubmed: 33309817
J Sex Med. 2018 Jan;15(1):94-101
pubmed: 29175227
Front Psychiatry. 2021 May 25;12:602293
pubmed: 34113267
Soc Psychiatry Psychiatr Epidemiol. 2022 May;57(5):963-971
pubmed: 35137246
JAMA Intern Med. 2013 Feb 11;173(3):210-8
pubmed: 23277199
J Endocr Soc. 2021 Feb 02;5(4):bvab011
pubmed: 33644622
J Sex Med. 2021 Feb;18(2):410-422
pubmed: 33422448
Transgend Health. 2016 Jan;1(1):21-31
pubmed: 27595141

Auteurs

Arjee Restar (A)

Department of Epidemiology, School of Public Health, University of Washington, Seattle, WA, USA.
Department of Behavioral and Social Sciences, Yale University School of Public Health, New Haven, CT, USA.
Center for Applied Transgender Studies, Chicago, IL, USA.

E J Dusic (EJ)

Department of Biostatistics, School of Public Health, University of Washington, Seattle, WA, USA.

Henri Garrison-Desany (H)

Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

Elle Lett (E)

Center for Applied Transgender Studies, Chicago, IL, USA.
Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

Avery Everhart (A)

Center for Applied Transgender Studies, Chicago, IL, USA.
Population, Health, & Place Program, Spatial Sciences Institute, Dornsife College of Letters, Arts, & Sciences, University of Southern California, Los Angeles, CA, USA.

Kellan E Baker (KE)

Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Whitman-Walker Institute, Washington, DC, USA.

Ayden I Scheim (AI)

Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA.

S Wilson Beckham (SW)

Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

Sari Reisner (S)

Department of Epidemiology, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA.

Adam J Rose (AJ)

Hebrew University School of Public Health, Jerusalem, Israel.

Matthew J Mimiaga (MJ)

UCLA Center for LGBTQ+ Advocacy, Research & Health, Los Angeles, CA, USA.
Department of Epidemiology, UCLA Fielding School of Public Health, Los Angeles, CA, USA.

Asa Radix (A)

Department of Behavioral and Social Sciences, Yale University School of Public Health, New Haven, CT, USA.
Department of Epidemiology, Columbia University, New York, NY, USA.
Callen-Lorde Community Health Center, New York, NY, USA.

Don Operario (D)

Departments of Behavioral and Social Sciences and Epidemiology, Brown University School of Public Health, Providence, RI, USA.

Jaclyn M W Hughto (JMW)

Departments of Behavioral and Social Sciences and Epidemiology, Brown University School of Public Health, Providence, RI, USA.
Fenway Health, The Fenway Institute, Boston, MA, USA.

Classifications MeSH