(Q28162)
Statements
Transgender and gender-diverse (TGD) persons experience health inequities compared to their cisgender peers, which is in part related to limited evidence informing their care. (English)
BACKGROUND AND OBJECTIVE (English)
Copyright: © 2024 Pattar et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. (English)
2024
Thus, we aimed to describe the literature informing care provision of TGD individuals. (English)
BACKGROUND AND OBJECTIVE (English)
Copyright: © 2024 Pattar et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. (English)
2024
Literature cited by the World Professional Association of Transgender Health Standards of Care Version 8 was reviewed. (English)
DATA SOURCE, ELIGIBILITY CRITERIA, AND SYNTHESIS METHODS (English)
no value
Copyright: © 2024 Pattar et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. (English)
2024
Original research articles, excluding systematic reviews (n = 74), were assessed (n = 1809). (English)
DATA SOURCE, ELIGIBILITY CRITERIA, AND SYNTHESIS METHODS (English)
no value
Copyright: © 2024 Pattar et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. (English)
2024
Studies where the population of interest were only caregivers, providers, siblings, partners, or children of TGD individuals were excluded (n = 7). (English)
DATA SOURCE, ELIGIBILITY CRITERIA, AND SYNTHESIS METHODS (English)
no value
Copyright: © 2024 Pattar et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. (English)
2024
Results were synthesized in a descriptive manner. (English)
DATA SOURCE, ELIGIBILITY CRITERIA, AND SYNTHESIS METHODS (English)
no value
Copyright: © 2024 Pattar et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. (English)
2024
Of 1809 citations, 696 studies met the inclusion criteria. (English)
RESULTS (English)
Copyright: © 2024 Pattar et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. (English)
2024
TGD-only populations were represented in 65% of studies. (English)
RESULTS (English)
Copyright: © 2024 Pattar et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. (English)
2024
White (38%) participants and young adults (18 to 29 years old, 64%) were the most well-represented study populations. (English)
RESULTS (English)
Copyright: © 2024 Pattar et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. (English)
2024
Almost half of studies (45%) were cross-sectional, and approximately a third were longitudinal in nature (37%). (English)
RESULTS (English)
Copyright: © 2024 Pattar et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. (English)
2024
Overall, the median number of TGD participants (median [IQR]: 104 [32, 356]) included in each study was approximately one third of included cisgender participants (271 [47, 15405]). (English)
RESULTS (English)
Copyright: © 2024 Pattar et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. (English)
2024
In studies where both TGD and cisgender individuals were included (n = 74), the proportion of TGD to cisgender participants was 1:2 [1:20, 1:1]. (English)
RESULTS (English)
Copyright: © 2024 Pattar et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. (English)
2024
Less than a third of studies stratified results by sex (32%) or gender (28%), and even fewer included sex (4%) or gender (3%) as a covariate in the analysis. (English)
RESULTS (English)
Copyright: © 2024 Pattar et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. (English)
2024
The proportion of studies with populations including both TGD and cisgender participants increased between 1969 and 2023, while the proportion of studies with study populations of unspecified gender identity decreased over the same time period. (English)
RESULTS (English)
Copyright: © 2024 Pattar et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. (English)
2024
While TGD participant-only studies make up most of the literature informing care of this population, longitudinal studies including a diversity of TGD individuals across life stages are required to improve the quality of evidence. (English)
CONCLUSIONS (English)
Copyright: © 2024 Pattar et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. (English)
2024
Badal S B (English)
Pattar (English)
BSB
Nabilah (English)
Gulamhusein (English)
N
Chantal L (English)
Rytz (English)
CL
Keila (English)
Turino Miranda (English)
K
Lauren B (English)
Beach (English)
LB
Zack (English)
Marshall (English)
Z
David (English)
Collister (English)
D
Dina N (English)
Greene (English)
DN
Cameron T (English)
Whitley (English)
CT
Nathalie (English)
Saad (English)
N
Sandra M (English)
Dumanski (English)
SM
Tyrone G (English)
Harrison (English)
TG
Lindsay (English)
Peace (English)
L
Amelia M (English)
Newbert (English)
AM
Sofia B (English)
Ahmed (English)
SB
6 October 2024
4 October 2024
The authors have declared that no competing interests exist. (English)