Highs, Lows, and Hormones: A Qualitative Metasynthesis of Transgender Individuals' Experiences Undergoing Gender-Affirming Hormone Therapy

被引:9
作者
Fowler, James A. [1 ,6 ]
Warzywoda, Sarah [1 ]
Franks, Nia [2 ]
Mendis, Marini [1 ]
Lazarou, Mattea [1 ]
Bisshop, Fiona [3 ]
Wood, Penny [4 ]
Dean, Judith A. [1 ,5 ]
机构
[1] Univ Queensland, Fac Med, Sch Publ Hlth, Herston, Qld, Australia
[2] Univ Southern Queensland, Fac Hlth Engn & Sci, Sch Psychol & Counselling, Ctr Hlth Res,Inst Resilient Reg, Ipswich, Qld, Australia
[3] Holdsworth House Med Practice, Brisbane, Qld, Australia
[4] Alexander Hts Family Practice, Perth, WA, Australia
[5] Univ Queensland, Poche Ctr Indigenous Hlth, Brisbane, Qld, Australia
[6] Univ Queensland, Fac Med, Sch Publ Hlth, 288 Herston Rd,Level 4 Publ Hlth Bldg, Brisbane, Qld 4006, Australia
关键词
Hormone therapy; transgender; qualitative; systematic review; transition; MENTAL-HEALTH; CARE; PEOPLE; BARRIERS; ACCESS; POPULATIONS; IDENTITIES; SEXUALITY; DENIALS; ADULTS;
D O I
10.1080/00918369.2023.2186759
中图分类号
B84 [心理学];
学科分类号
04 ; 0402 ;
摘要
Gender Affirming Hormone Therapy (GAHT) is a key therapeutic approach which aims to help trans and gender diverse (or simply "trans") individuals' transition from their sex-presumed-at-birth to their experienced gender identity. Previous reviews have focused on synthesizing quantitative experiences; however, a qualitative lens is important to understand the personal journey of GAHT. This review provides a qualitative meta-synthesis of the experiences of trans people around the world who have undergone GAHT to elicit contextualized understanding of the changes experienced. Systematic searches of eight databases identified an initial 2670 papers, refined to a final 28 papers. Overall, findings suggested that the GAHT journey is unique and elicited a myriad of changes which, whilst challenging at times, were life-changing and brought about positive psychological, physical, and social changes. Other themes explored GAHT not being treated as a fix-all for associated mental health issues, the rules that govern appraisal of physical changes, how privilege and social identity evolve, and the power of affirmation. This work offers important recommendations to improve the care offered to trans people undergoing GAHT. Namely, person-centered support is essential, and peer-navigation may be a useful future direction to explore.
引用
收藏
页码:1652 / 1683
页数:32
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