Health Care Providers' Comfort With and Barriers to Care of Transgender Youth

被引:143
|
作者
Vance, Stanley R., Jr. [1 ]
Halpern-Felsher, Bonnie L. [1 ]
Rosenthal, Stephen M. [2 ]
机构
[1] Univ Calif San Francisco, Benioff Childrens Hosp, Div Adolescent & Young Adult Med, San Francisco, CA 94188 USA
[2] Univ Calif San Francisco, Benioff Childrens Hosp, Div Pediat Endocrinol, San Francisco, CA 94188 USA
关键词
Transgender persons; Health services for transgender persons; Mental health services; Gender identity; CHILDREN; ADOLESCENTS; MANAGEMENT;
D O I
10.1016/j.jadohealth.2014.11.002
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Purpose: To explore providers' clinical experiences, comfort, and confidence with and barriers to providing care to transgender youth. Methods: An online survey was administered to members of the Society for Adolescent Health and Medicine and the Pediatric Endocrine Society with items querying about clinical exposure to transgender youth, familiarity with and adherence to existing clinical practice guidelines, perceived barriers to providing transgender-related care, and comfort and confidence with providing transgender-related care. The response rate was 21.9% (n = 475). Results: Of the respondents, 66.5% had provided care to transgender youth, 62.4% felt comfortable with providing transgender medical therapy, and 47.1% felt confident in doing so. Principal barriers to provision of transgender-related care were lack of the following: training, exposure to transgender patients, available qualified mental health providers, and insurance reimbursement. Conclusions: This study suggests that more training in transgender-related care, available qualified mental health providers, and insurance reimbursement for transgender-related care are needed. (C) 2015 Society for Adolescent Health and Medicine. All rights reserved.
引用
收藏
页码:251 / 253
页数:3
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