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Kahn NF, Kidd KM, Hodax JK, Goldenberg ME, Asante PG, Kyweluk MA, Christakis DA, Pratt W, Richardson LP, Sequeira GM. Telemedicine-Based Provision of Adolescent Gender-Affirming Medical Care to Promote Equitable Access. Telemed J E Health 2024. [PMID: 38597959 DOI: 10.1089/tmj.2023.0575] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/11/2024] Open
Abstract
Purpose: To explore transgender and nonbinary (TNB) young adults' (1) interest in receiving gender-affirming medications through telemedicine before age 18 years and (2) willingness to initiate this care with primary care providers (PCPs). Methods: Data were from a survey of TNB young adults who had not received gender-affirming medications before age 18 years. Chi-square and Wald tests identified demographic differences in telemedicine interest and willingness to initiate medications with their PCP as minors. Results: Among 280 respondents, 82.5% indicated interest in telemedicine and 42.0% were willing to initiate medications with their PCP. Black/African American respondents were more likely to indicate interest in telemedicine than White and multiracial respondents. Respondents from rural areas were more likely to indicate willingness to initiate medications with their PCP than those from urban areas. Conclusions: Telemedicine expansion and further support for PCPs may represent critical opportunities to promote equitable access to adolescent gender-affirming care.
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Affiliation(s)
- Nicole F Kahn
- Seattle Children's Hospital and Research Institute, Seattle, Washington, USA
- University of Washington School of Medicine, Department of Pediatrics, Seattle, Washington, USA
| | - Kacie M Kidd
- West Virginia University School of Medicine, Department of Pediatrics, Morgantown, West Virginia, USA
| | - Juanita K Hodax
- Seattle Children's Hospital and Research Institute, Seattle, Washington, USA
- University of Washington School of Medicine, Department of Pediatrics, Seattle, Washington, USA
| | | | - Peter G Asante
- Seattle Children's Hospital and Research Institute, Seattle, Washington, USA
| | | | - Dimitri A Christakis
- Seattle Children's Hospital and Research Institute, Seattle, Washington, USA
- University of Washington School of Medicine, Department of Pediatrics, Seattle, Washington, USA
| | - Wanda Pratt
- University of Washington School of Medicine, Department of Pediatrics, Seattle, Washington, USA
| | - Laura P Richardson
- Seattle Children's Hospital and Research Institute, Seattle, Washington, USA
- University of Washington School of Medicine, Department of Pediatrics, Seattle, Washington, USA
| | - Gina M Sequeira
- Seattle Children's Hospital and Research Institute, Seattle, Washington, USA
- University of Washington School of Medicine, Department of Pediatrics, Seattle, Washington, USA
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