Transgender

About: Transgender is a research topic. Over the lifetime, 13813 publications have been published within this topic receiving 266252 citations. The topic is also known as: transgender & transgender persons.

Temporal Trends in Gender-Affirming Surgery Among Transgender Patients in the United States.

Abstract: Importance Little is known about the incidence of gender-affirming surgical procedures for transgender patients in the United States. Objectives To investigate the incidence and trends over time of gender-affirming surgical procedures and to analyze characteristics and payer status of transgender patients seeking these operations. Design, Setting, and Participants In this descriptive observational study from 2000 to 2014, data were analyzed from the National Inpatient Sample, a representative pool of inpatient visits across the United States. The initial analyses were done from June to August 2015. Patients of interest were identified byInternational Classification of Diseases,Ninth Revision, diagnosis codes for transsexualism or gender identity disorder. Subanalysis focused on patients with procedure codes for surgery related to gender affirmation. Main Outcomes and Measures Demographics, health insurance plan, and type of surgery for patients who sought gender-affirming surgery were compared between 2000-2005 and 2006-2011, as well as annually from 2012 to 2014. Results This study included 37 827 encounters (median [interquartile range] patient age, 38 [26-49] years) identified by a diagnosis code of transsexualism or gender identity disorder. Of all encounters, 4118 (10.9%) involved gender-affirming surgery. The incidence of genital surgery increased over time: in 2000-2005, 72.0% of patients who underwent gender-affirming procedures had genital surgery; in 2006-2011, 83.9% of patients who underwent gender-affirming procedures had genital surgery. Most patients (2319 of 4118 [56.3%]) undergoing these procedures were not covered by any health insurance plan. The number of patients seeking these procedures who were covered by Medicare or Medicaid increased by 3-fold in 2014 (to 70) compared with 2012-2013 (from 25). No patients who underwent inpatient gender-affirming surgery died in the hospital. Conclusions and Relevance Most transgender patients in this national sample undergoing inpatient gender-affirming surgery were classified as self-pay; however, an increasing number of transgender patients are being covered by private insurance, Medicare, or Medicaid. As coverage for these procedures increases, likely so will demand for qualified surgeons to perform them.

Transgender-inclusive measures of sex/gender for population surveys: Mixed-methods evaluation and recommendations.

Abstract: Given that an estimated 06% of the US population is transgender (trans) and that large health disparities for this population have been documented, government and research organizations are increasingly expanding measures of sex/gender to be trans inclusive Options suggested for trans community surveys, such as expansive check-all-that-apply gender identity lists and write-in options that offer maximum flexibility, are generally not appropriate for broad population surveys These require limited questions and a small number of categories for analysis Limited evaluation has been undertaken of trans-inclusive population survey measures for sex/gender, including those currently in use Using an internet survey and follow-up of 311 participants, and cognitive interviews from a maximum-diversity sub-sample (n = 79), we conducted a mixed-methods evaluation of two existing measures: a two-step question developed in the United States and a multidimensional measure developed in Canada We found very low levels of item missingness, and no indicators of confusion on the part of cisgender (non-trans) participants for both measures However, a majority of interview participants indicated problems with each question item set Agreement between the two measures in assessment of gender identity was very high (K = 09081), but gender identity was a poor proxy for other dimensions of sex or gender among trans participants Issues to inform measure development or adaptation that emerged from analysis included dimensions of sex/gender measured, whether non-binary identities were trans, Indigenous and cultural identities, proxy reporting, temporality concerns, and the inability of a single item to provide a valid measure of sex/gender Based on this evaluation, we recommend that population surveys meant for multi-purpose analysis consider a new Multidimensional Sex/Gender Measure for testing that includes three simple items (one asked only of a small sub-group) to assess gender identity and lived gender, with optional additions We provide considerations for adaptation of this measure to different contexts

“Just Getting Out of Bed Is a Revolutionary Act” The Resilience of Transgender People of Color Who Have Survived Traumatic Life Events

Abstract: This study was a phenomenological and feminist investigation of the resilience of transgender people of color who have experienced a wide range of traumatic life events (e.g., hate crimes, intimate...

Sex Changes: The Politics of Transgenderism

Abstract: Ground-breaking work on gender transgression by one of the most provocative lesbian authors in the U.S.-- Transgenderism is a hot subject, with books by Kate Bornstein, Leslie Feinberg, and others garnering national attentionThis work springs from my own profound discomfort with gender. As a small child, I put Ken in Barbie's formal, tied him up, and stuck him back in the box. He had been kidnapped, I decided. Barbie got to wear Ken's suit and had a series of mad adventures trying to rescue Ken with her sidekick, a troll doll with bright green hair".So begins Pat Califia's honest, meticulously researched analysis of the contemporary history of transsexuality. Based on in-depth interviews with gender transgressors who "opened their lives, minds, hearts, and bedroom to the gaze of strangers", this book combines a well-thought-out chronology with Pat Califia's hallmark candor and insight. "My lesbianism is largely a product of my profound emotional and erotic involvement with other women. But it was also a strategy for reducing gender dysphoria, part of a search for a place where I could be more of a man, or at least a different sort of woman".Writing about both male-to-female and female-to-male transsexuals, Califia examines the lives of early transgender pioneers like Christine Jorgenson, Jan Morris, and Mark Rees; partners of transgendered people such as Minnie Bruce Pratt; and contemporary transgender activists, including Leslie Feinberg and Kate Bornstein.Califia scrutinizes feminist resistance to transsexuals occupying women's space and the Christian Right's backlash against transsexuals. Finally, the book explores the future of gender. Califia's first book oforiginal material in four years, Sex Changes includes an extensive bibliography and resource list.