Improving Equitable Transition to Adult Care for Transgender and Gender Expansive Adolescents and Young Adults

Baer Karrington; Marshall Hamilton; David J Inwards-Breland

doi:doi:10.11648/j.ajp.20220801.11

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Improving Equitable Transition to Adult Care for Transgender and Gender Expansive Adolescents and Young Adults

Baer Karrington, Marshall Hamilton, David J Inwards-Breland

Published in American Journal of Pediatrics (Volume 8, Issue 1)

Received: 8 November 2021 Accepted: 27 December 2021 Published: 8 January 2022

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Abstract

Transgender and gender expansive (TGE) adolescents and young adults are a marginalized group who have many health disparities in relation to their cisgender peers secondary to transphobia and cis-normativity, with TGE people of racially minoritized identities also having to navigate the intersection of racism. One area of TGE care with little to no research, yet that has the potential to help improve overall wellbeing of TGE individuals, is transitioning care from pediatric to adult care. In other medical specialties, such as diabetes management and mental health, transition of care (ToC) interventions have been correlated with positive health outcomes. In this paper, we explore how ToC may be tailored for TGE adolescents and young adults through an anti-racist and health equity lens using a current review of ToC interventions in other realms of care. Four domains of ToC were identified in the review: planning for transition, transfer assistance, integration into adult care, and care coordination. We explore TGE specific intervention recommendations for each domain, with additional recommendations for how to approach research in this area. ToC from pediatrics to adult care is a vital time for all patients, and improved ToC has been correlated with better health outcomes. Tailoring ToC interventions to TGE adolescents and young adults may help to address health disparities in this group.

Published in	American Journal of Pediatrics (Volume 8, Issue 1)
DOI	10.11648/j.ajp.20220801.11
Page(s)	1-5
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Transition of Care, Transgender, Gender Expansive, Health Equity, Adolescent

References

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APA Style

Baer Karrington, Marshall Hamilton, David J Inwards-Breland. (2022). Improving Equitable Transition to Adult Care for Transgender and Gender Expansive Adolescents and Young Adults. American Journal of Pediatrics, 8(1), 1-5. https://doi.org/10.11648/j.ajp.20220801.11

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ACS Style

Baer Karrington; Marshall Hamilton; David J Inwards-Breland. Improving Equitable Transition to Adult Care for Transgender and Gender Expansive Adolescents and Young Adults. Am. J. Pediatr. 2022, 8(1), 1-5. doi: 10.11648/j.ajp.20220801.11

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AMA Style

Baer Karrington, Marshall Hamilton, David J Inwards-Breland. Improving Equitable Transition to Adult Care for Transgender and Gender Expansive Adolescents and Young Adults. Am J Pediatr. 2022;8(1):1-5. doi: 10.11648/j.ajp.20220801.11

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@article{10.11648/j.ajp.20220801.11,
  author = {Baer Karrington and Marshall Hamilton and David J Inwards-Breland},
  title = {Improving Equitable Transition to Adult Care for Transgender and Gender Expansive Adolescents and Young Adults},
  journal = {American Journal of Pediatrics},
  volume = {8},
  number = {1},
  pages = {1-5},
  doi = {10.11648/j.ajp.20220801.11},
  url = {https://doi.org/10.11648/j.ajp.20220801.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20220801.11},
  abstract = {Transgender and gender expansive (TGE) adolescents and young adults are a marginalized group who have many health disparities in relation to their cisgender peers secondary to transphobia and cis-normativity, with TGE people of racially minoritized identities also having to navigate the intersection of racism. One area of TGE care with little to no research, yet that has the potential to help improve overall wellbeing of TGE individuals, is transitioning care from pediatric to adult care. In other medical specialties, such as diabetes management and mental health, transition of care (ToC) interventions have been correlated with positive health outcomes. In this paper, we explore how ToC may be tailored for TGE adolescents and young adults through an anti-racist and health equity lens using a current review of ToC interventions in other realms of care. Four domains of ToC were identified in the review: planning for transition, transfer assistance, integration into adult care, and care coordination. We explore TGE specific intervention recommendations for each domain, with additional recommendations for how to approach research in this area. ToC from pediatrics to adult care is a vital time for all patients, and improved ToC has been correlated with better health outcomes. Tailoring ToC interventions to TGE adolescents and young adults may help to address health disparities in this group.},
 year = {2022}
}

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TY  - JOUR
T1  - Improving Equitable Transition to Adult Care for Transgender and Gender Expansive Adolescents and Young Adults
AU  - Baer Karrington
AU  - Marshall Hamilton
AU  - David J Inwards-Breland
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DO  - 10.11648/j.ajp.20220801.11
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AB  - Transgender and gender expansive (TGE) adolescents and young adults are a marginalized group who have many health disparities in relation to their cisgender peers secondary to transphobia and cis-normativity, with TGE people of racially minoritized identities also having to navigate the intersection of racism. One area of TGE care with little to no research, yet that has the potential to help improve overall wellbeing of TGE individuals, is transitioning care from pediatric to adult care. In other medical specialties, such as diabetes management and mental health, transition of care (ToC) interventions have been correlated with positive health outcomes. In this paper, we explore how ToC may be tailored for TGE adolescents and young adults through an anti-racist and health equity lens using a current review of ToC interventions in other realms of care. Four domains of ToC were identified in the review: planning for transition, transfer assistance, integration into adult care, and care coordination. We explore TGE specific intervention recommendations for each domain, with additional recommendations for how to approach research in this area. ToC from pediatrics to adult care is a vital time for all patients, and improved ToC has been correlated with better health outcomes. Tailoring ToC interventions to TGE adolescents and young adults may help to address health disparities in this group.
VL  - 8
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Author Information

Baer Karrington

Department of Adolescent Medicine, Seattle Children’s Hospital, Seattle, USA
Marshall Hamilton

Department of Social Work, Brandman University, Irvine, USA
David J Inwards-Breland

Department of Adolescent and Young Adult Medicine, University of California San Diego, San Diego, USA

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APA Style

Baer Karrington, Marshall Hamilton, David J Inwards-Breland. (2022). Improving Equitable Transition to Adult Care for Transgender and Gender Expansive Adolescents and Young Adults. American Journal of Pediatrics, 8(1), 1-5. https://doi.org/10.11648/j.ajp.20220801.11

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ACS Style

Baer Karrington; Marshall Hamilton; David J Inwards-Breland. Improving Equitable Transition to Adult Care for Transgender and Gender Expansive Adolescents and Young Adults. Am. J. Pediatr. 2022, 8(1), 1-5. doi: 10.11648/j.ajp.20220801.11

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AMA Style

Baer Karrington, Marshall Hamilton, David J Inwards-Breland. Improving Equitable Transition to Adult Care for Transgender and Gender Expansive Adolescents and Young Adults. Am J Pediatr. 2022;8(1):1-5. doi: 10.11648/j.ajp.20220801.11

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@article{10.11648/j.ajp.20220801.11,
  author = {Baer Karrington and Marshall Hamilton and David J Inwards-Breland},
  title = {Improving Equitable Transition to Adult Care for Transgender and Gender Expansive Adolescents and Young Adults},
  journal = {American Journal of Pediatrics},
  volume = {8},
  number = {1},
  pages = {1-5},
  doi = {10.11648/j.ajp.20220801.11},
  url = {https://doi.org/10.11648/j.ajp.20220801.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20220801.11},
  abstract = {Transgender and gender expansive (TGE) adolescents and young adults are a marginalized group who have many health disparities in relation to their cisgender peers secondary to transphobia and cis-normativity, with TGE people of racially minoritized identities also having to navigate the intersection of racism. One area of TGE care with little to no research, yet that has the potential to help improve overall wellbeing of TGE individuals, is transitioning care from pediatric to adult care. In other medical specialties, such as diabetes management and mental health, transition of care (ToC) interventions have been correlated with positive health outcomes. In this paper, we explore how ToC may be tailored for TGE adolescents and young adults through an anti-racist and health equity lens using a current review of ToC interventions in other realms of care. Four domains of ToC were identified in the review: planning for transition, transfer assistance, integration into adult care, and care coordination. We explore TGE specific intervention recommendations for each domain, with additional recommendations for how to approach research in this area. ToC from pediatrics to adult care is a vital time for all patients, and improved ToC has been correlated with better health outcomes. Tailoring ToC interventions to TGE adolescents and young adults may help to address health disparities in this group.},
 year = {2022}
}

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TY  - JOUR
T1  - Improving Equitable Transition to Adult Care for Transgender and Gender Expansive Adolescents and Young Adults
AU  - Baer Karrington
AU  - Marshall Hamilton
AU  - David J Inwards-Breland
Y1  - 2022/01/08
PY  - 2022
N1  - https://doi.org/10.11648/j.ajp.20220801.11
DO  - 10.11648/j.ajp.20220801.11
T2  - American Journal of Pediatrics
JF  - American Journal of Pediatrics
JO  - American Journal of Pediatrics
SP  - 1
EP  - 5
PB  - Science Publishing Group
SN  - 2472-0909
UR  - https://doi.org/10.11648/j.ajp.20220801.11
AB  - Transgender and gender expansive (TGE) adolescents and young adults are a marginalized group who have many health disparities in relation to their cisgender peers secondary to transphobia and cis-normativity, with TGE people of racially minoritized identities also having to navigate the intersection of racism. One area of TGE care with little to no research, yet that has the potential to help improve overall wellbeing of TGE individuals, is transitioning care from pediatric to adult care. In other medical specialties, such as diabetes management and mental health, transition of care (ToC) interventions have been correlated with positive health outcomes. In this paper, we explore how ToC may be tailored for TGE adolescents and young adults through an anti-racist and health equity lens using a current review of ToC interventions in other realms of care. Four domains of ToC were identified in the review: planning for transition, transfer assistance, integration into adult care, and care coordination. We explore TGE specific intervention recommendations for each domain, with additional recommendations for how to approach research in this area. ToC from pediatrics to adult care is a vital time for all patients, and improved ToC has been correlated with better health outcomes. Tailoring ToC interventions to TGE adolescents and young adults may help to address health disparities in this group.
VL  - 8
IS  - 1
ER  -

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