Gender-Affirming Surgical History, Satisfaction, and Unmet Needs Among Transgender Adults

作者：David R. Pletta, Meg Quint, Asa Radix, Kenneth H. Mayer, Jennifer Potter, Devin Coon, Alex S. Keuroghlian, Jaclyn M. W. Hughto, Sari L. Reisner · 发表于：JAMA Network Open · 年份：2025 · DOI：10.1001/jamanetworkopen.2025.32494 · 被引用次数：4 · 研究领域：LGBTQ Health, Identity, and Policy、Sex and Gender in Healthcare、African Sexualities and LGBTQ+ Issues

Importance: Gender-affirming surgery (GAS) is an effective treatment for gender dysphoria among transgender, nonbinary, and gender diverse (TGD) individuals. Research is needed to assess GAS history, factors associated with GAS satisfaction, desired yet unobtained GAS, and barriers and facilitators to GAS access for TGD individuals. Objective: To assess of the prevalence of GAS, surgical satisfaction, and encountered barriers among TGD adults and the factors associated with these outcomes. Design, Setting, and Participants: This cross-sectional study, conducted from October 2024 to June 2025, used baseline electronic survey data from TGD adult primary care patients enrolled in LEGACY, a longitudinal cohort study. Data were collected from February 2019 to March 2021. Exposures: Age, gender identity, race, Latine or Hispanic ethnicity, educational attainment, homelessness, income, health insurance, HIV status, gender marker change, gender-affirming hormone use, severe psychological distress, self-rated health, and participation during the COVID-19 pandemic. Main Outcomes and Measures: The main outcomes were receipt of GAS, high surgical satisfaction, and encountered barriers to GAS (eg, waiting lists, cost). Descriptive analyses and logistic regression models, stratified by gender identity, were used to examine the association between the exposures and these outcomes. Results: The study cohort of 2176 patients were a mean (SD) age of 30.3 (10.3) years; 1413 (64.9%) identified a...