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Gender affirming hormone therapy dosing behaviors among transgender and nonbinary adults
Journal article   Open access   Peer reviewed

Gender affirming hormone therapy dosing behaviors among transgender and nonbinary adults

Arjee Restar, E. J Dusic, Henri Garrison-Desany, Elle Lett, Avery Everhart, Kellan E Baker, Ayden I Scheim, S. Wilson Beckham, Sari Reisner, Adam J Rose, …
Humanities & social sciences communications, v 9(1)
01 Dec 2022
url
https://doi.org/10.1057/s41599-022-01291-5View
Published, Version of Record (VoR)CC BY V4.0 Open

Abstract

Gender identity Health insurance Hormones Insurance coverage
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.

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14 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being
#5 Gender Equality

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Humanities, Multidisciplinary
Social Sciences, Interdisciplinary
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