Nonprescription Hormone Use Among Transgender Women—National HIV Behavioral Surveillance Among Transgender Women, Seven Urban Areas, United States, 20192020 Article Swipe
Evelyn Olansky
,
Kathryn Lee
,
Senad Handanagić
,
Lindsay Trujillo
,
Narquis Barak
,
Kathleen A. Brady
,
Sarah Braunstein
,
Jasmine Davis
,
Sara N. Glick
,
Infectious Diseases
,
Public Health
,
King County
,
STD Program
,
Andrea Harrington
,
Jasmine Lopez
,
Yingbo Ma
,
Aleks Martin
,
Public Health
,
King County
,
STD Program
,
Genetha Mustaafaa
,
Tanner Nassau
,
Gia Olaes
,
Jennifer Reuer
,
Alexis V. Rivera
,
William T. Robinson
,
Hepatitis Program
,
Ekow Kwa Sey
,
Sofia Sicro
,
Brittany Taylor
,
Dillon Trujillo
,
Erin C. Wilson
,
Pascale Wortley
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.15585/mmwr.su7301a4
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.15585/mmwr.su7301a4
Certain transgender women who seek gender-affirming hormone treatment (GAHT) face economic and social barriers that limit or prevent access to medically supervised GAHT. Transgender women facing such barriers might acquire GAHT without prescription, potentially without proper dosage, administration, and health monitoring in the absence of medical supervision. For this report, survey data were analyzed from 1,165 transgender women in seven urban areas in the United States to examine associations between self-reported use of nonprescription GAHT and known correlates of nonprescription GAHT, including cost, insurance coverage for GAHT, homelessness, receiving money or drugs in exchange for sex during the past 12 months (exchange sex), lack of comfort discussing gender with provider, and lack of health care use. After controlling for complex sampling design, transgender women who reported recent health care use or insurance coverage for GAHT were less likely to report nonprescription GAHT, and those reporting recent exchange sex or recent homelessness were more likely to report nonprescription GAHT. Findings suggest that transgender women were more likely to use GAHT without a prescription in situations of economic and social marginalization (e.g., disengagement from health care, lack of insurance or trans-specific health care, homelessness, or engagement in sex work). Public health professionals can use these results to design effective interventions to facilitate prescribed hormone use among transgender women in the United States, although access to housing, trans-affirming health care, and insurance coverage might be needed to prevent nonprescription use.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.15585/mmwr.su7301a4
- https://www.cdc.gov/mmwr/volumes/73/su/pdfs/su7301a4-H.pdf
- OA Status
- diamond
- Cited By
- 8
- References
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- Related Works
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- OpenAlex ID
- https://openalex.org/W4391131094
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4391131094Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.15585/mmwr.su7301a4Digital Object Identifier
- Title
-
Nonprescription Hormone Use Among Transgender Women—National HIV Behavioral Surveillance Among Transgender Women, Seven Urban Areas, United States, 20192020Work title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-01-23Full publication date if available
- Authors
-
Evelyn Olansky, Kathryn Lee, Senad Handanagić, Lindsay Trujillo, Narquis Barak, Kathleen A. Brady, Sarah Braunstein, Jasmine Davis, Sara N. Glick, Infectious Diseases, Public Health, King County, STD Program, Andrea Harrington, Jasmine Lopez, Yingbo Ma, Aleks Martin, Public Health, King County, STD Program, Genetha Mustaafaa, Tanner Nassau, Gia Olaes, Jennifer Reuer, Alexis V. Rivera, William T. Robinson, Hepatitis Program, Ekow Kwa Sey, Sofia Sicro, Brittany Taylor, Dillon Trujillo, Erin C. Wilson, Pascale WortleyList of authors in order
- Landing page
-
https://doi.org/10.15585/mmwr.su7301a4Publisher landing page
- PDF URL
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https://www.cdc.gov/mmwr/volumes/73/su/pdfs/su7301a4-H.pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
diamondOpen access status per OpenAlex
- OA URL
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https://www.cdc.gov/mmwr/volumes/73/su/pdfs/su7301a4-H.pdfDirect OA link when available
- Concepts
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Transgender, Medicine, Psychological intervention, Health care, Medical prescription, Family medicine, Public health, Psychology, Nursing, Political science, Law, PsychoanalysisTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
8Total citation count in OpenAlex
- Citations by year (recent)
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2025: 5, 2024: 3Per-year citation counts (last 5 years)
- References (count)
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13Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| referenced_works | https://openalex.org/W3106491540, https://openalex.org/W1502354749, https://openalex.org/W3128499532, https://openalex.org/W2955653733, https://openalex.org/W2548724077, https://openalex.org/W1934058713, https://openalex.org/W1543489987, https://openalex.org/W2971935077, https://openalex.org/W3120944779, https://openalex.org/W3037825947, https://openalex.org/W4391134969, https://openalex.org/W2888976198, https://openalex.org/W2616414633 |
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