Gender affirming therapy for gender dysphoria : a rapid qualitative review /

Transgender, non-binary, and genderqueer people face high levels of discrimination, stigma and violence. Transgender individuals comprise a diverse group with specific and varied social, medical and psychological needs. Transgender people can experience high rates of distress and suicidality. Almost...

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Bibliographic Details
Online Access: Full text
Main Authors: Brooker, Ann-Sylvia (Author), Loshak, Hannah (Author)
Format: Electronic eBook
Language:English
Published: Ottawa : CADTH, 2020
Series:Rapid response report (Canadian Agency for Drugs and Technologies in Health)
Subjects:

MARC

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100 1 |a Brooker, Ann-Sylvia,  |e author.  |0 n 2019182893 
245 1 0 |a Gender affirming therapy for gender dysphoria :  |b a rapid qualitative review /  |c authors: Ann-Sylvia Brooker, Hannah Loshak. 
264 1 |a Ottawa :  |b CADTH,  |c June 08, 2020. 
300 |a 1 online resource (1 PDF file (33 pages)) :  |b illustration. 
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490 1 |a CADTH rapid response report,  |x 1922-8147 
504 |a Includes bibliographical references. 
520 |a Transgender, non-binary, and genderqueer people face high levels of discrimination, stigma and violence. Transgender individuals comprise a diverse group with specific and varied social, medical and psychological needs. Transgender people can experience high rates of distress and suicidality. Almost half (43%) of transgender people have a history of attempting suicide. Suicide risk is highest when experiencing transphobia and when waiting to transition. Rates of suicidality can drop markedly once transition has been completed. Some transgender individuals choose hormone therapy or gender reassignment surgery. Currently, candidates for hormone therapy must demonstrate a consistent and persistent gender-variant identity that meets criteria for gender dysphoria as categorized by the DSM- 5. Within the health care setting, transgender people have been underserved and often experience discrimination. This is may be due to the absence of training about transgender health in health professional education. Historically, transgender people's needs for hormone therapy were served exclusively by endocrinologists. More recently there has been a shift in the duty of responsibility toward community physicians. Given the historical context of marginalization of this community, their diverse health needs, and the shift of medical care from specialists to primary care physicians, it is important to examine the experiences of transgender individuals within the current Canadian context and to explore the experiences of the health care providers who treat them. This report loks at: How do people living with gender dysphoria experience the initiation of gender affirming therapy and what are their expectations of this process? Given that the initiation of gender affirming therapy has traditionally been within the domain of specialist practitioners, how do primary care providers caring for people living with gender dysphoria understand their role in, and comfort level with, initiating this process? How are primary care providers involved in decision-making regarding gender affirming therapy? How is this experienced by patients? By primary care providers? 
536 |a Funding: CADTH receives funding from Canada's federal, provincial, and territorial governments, with the exception of Quebec. 
588 |a Description based on online resource; title from PDF title page (viewed March 31, 2021) 
650 1 2 |a Gender Dysphoria  |x therapy.  |0 D000068116Q000628 
650 1 2 |a Transgender Persons  |x psychology.  |0 D063106Q000523 
650 2 2 |a Gender Identity.  |0 D005783 
650 2 2 |a Primary Health Care.  |0 D011320 
650 2 2 |a Health Services for Transgender Persons.  |0 D062985 
650 2 2 |a Health Services Accessibility.  |0 D006297 
650 2 2 |a Qualitative Research.  |0 D036301 
650 7 |a Gender dysphoria.  |2 homoit  |0 homoit0000567 
650 7 |a Medicalization.  |2 homoit  |0 homoit0001006 
650 7 |a Gender identity.  |2 homoit  |0 homoit0000571 
650 7 |a Gender.  |2 homoit  |0 homoit0000560 
650 7 |a Gender minorities.  |2 homoit  |0 homoit0001817 
650 7 |a LGBTQ+ people.  |2 homoit  |0 homoit0000915 
650 7 |a Transgender people.  |2 homoit  |0 homoit0001378 
651 2 |a Canada.  |0 D002170 
651 2 |a United States.  |0 D014481 
655 2 |a Review.  |0 D016454 
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952 f f |a Massachusetts College of Pharmacy and Health Sciences  |b Online  |c Online  |d E-Collections  |t 0  |e NCBI  |h Other scheme 
856 4 0 |t 0  |u http://www.ncbi.nlm.nih.gov/books/NBK564233/  |y Full text