Legislation, Market Size, and Access to Gender-affirming Genital Surgery in the United States
Background:. The value of gender-affirming genital surgery (GAGS) has been established for certain transgender or gender non-conforming patients. This study aimed to determine the availability of GAGS by state and region in the United States, and to query possible associations of access to care with...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2021-02-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003422 |
| _version_ | 1818434751574310912 |
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| author | Alexander F. Dagi, MPhil Elizabeth R. Boskey, PhD, MPH Laura C. Nuzzi, BA Christine O. Kang, MD, MHS, MS Oren Ganor, MD Brian I. Labow, MD Amir H. Taghinia, MD, MPH, MBA |
| author_facet | Alexander F. Dagi, MPhil Elizabeth R. Boskey, PhD, MPH Laura C. Nuzzi, BA Christine O. Kang, MD, MHS, MS Oren Ganor, MD Brian I. Labow, MD Amir H. Taghinia, MD, MPH, MBA |
| author_sort | Alexander F. Dagi, MPhil |
| collection | DOAJ |
| description | Background:. The value of gender-affirming genital surgery (GAGS) has been established for certain transgender or gender non-conforming patients. This study aimed to determine the availability of GAGS by state and region in the United States, and to query possible associations of access to care with healthcare legislation and local market size.
Methods:. This was a cross-sectional study reporting on the distribution of hospitals and private practices offering GAGS in the United States. A list of prospective gender surgeons was compiled from 18 online databases. All surgeons were individually verified and were excluded if they did not perform phalloplasty, metoidioplasty, or vaginoplasty. Pertinent legislative and transgender or gender non-conforming population data were derived from the Movement Advancement Project and the Williams Institute.
Results:. Seventy-one practices in the United States offered GAGS in 2019. Forty-seven percent of states did not have a practice offering GAGS. A large prospective transgender or gender non-conforming market size increased the odds of GAGS availability in a state more than did local healthcare legislation supporting insurance coverage for gender-affirming care in 2019.
Conclusions:. Access to gender-affirming genital surgery was highly disparate in 2019. Factors that predicted access to care, including state healthcare legislation and prospective market sizes, may indicate strategies for overcoming disparities. |
| first_indexed | 2024-12-14T16:41:58Z |
| format | Article |
| id | doaj.art-124f9d660bbf4b85bedbb0848e1e60f8 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-12-14T16:41:58Z |
| publishDate | 2021-02-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-124f9d660bbf4b85bedbb0848e1e60f82022-12-21T22:54:18ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742021-02-0192e342210.1097/GOX.0000000000003422202102000-00028Legislation, Market Size, and Access to Gender-affirming Genital Surgery in the United StatesAlexander F. Dagi, MPhil0Elizabeth R. Boskey, PhD, MPH1Laura C. Nuzzi, BA2Christine O. Kang, MD, MHS, MS3Oren Ganor, MD4Brian I. Labow, MD5Amir H. Taghinia, MD, MPH, MBA6From the * Department of Plastic and Oral Surgery, Boston Children’s Hospital, Harvard Medical School, Boston, Mass.From the * Department of Plastic and Oral Surgery, Boston Children’s Hospital, Harvard Medical School, Boston, Mass.From the * Department of Plastic and Oral Surgery, Boston Children’s Hospital, Harvard Medical School, Boston, Mass.From the * Department of Plastic and Oral Surgery, Boston Children’s Hospital, Harvard Medical School, Boston, Mass.From the * Department of Plastic and Oral Surgery, Boston Children’s Hospital, Harvard Medical School, Boston, Mass.From the * Department of Plastic and Oral Surgery, Boston Children’s Hospital, Harvard Medical School, Boston, Mass.From the * Department of Plastic and Oral Surgery, Boston Children’s Hospital, Harvard Medical School, Boston, Mass.Background:. The value of gender-affirming genital surgery (GAGS) has been established for certain transgender or gender non-conforming patients. This study aimed to determine the availability of GAGS by state and region in the United States, and to query possible associations of access to care with healthcare legislation and local market size. Methods:. This was a cross-sectional study reporting on the distribution of hospitals and private practices offering GAGS in the United States. A list of prospective gender surgeons was compiled from 18 online databases. All surgeons were individually verified and were excluded if they did not perform phalloplasty, metoidioplasty, or vaginoplasty. Pertinent legislative and transgender or gender non-conforming population data were derived from the Movement Advancement Project and the Williams Institute. Results:. Seventy-one practices in the United States offered GAGS in 2019. Forty-seven percent of states did not have a practice offering GAGS. A large prospective transgender or gender non-conforming market size increased the odds of GAGS availability in a state more than did local healthcare legislation supporting insurance coverage for gender-affirming care in 2019. Conclusions:. Access to gender-affirming genital surgery was highly disparate in 2019. Factors that predicted access to care, including state healthcare legislation and prospective market sizes, may indicate strategies for overcoming disparities.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003422 |
| spellingShingle | Alexander F. Dagi, MPhil Elizabeth R. Boskey, PhD, MPH Laura C. Nuzzi, BA Christine O. Kang, MD, MHS, MS Oren Ganor, MD Brian I. Labow, MD Amir H. Taghinia, MD, MPH, MBA Legislation, Market Size, and Access to Gender-affirming Genital Surgery in the United States Plastic and Reconstructive Surgery, Global Open |
| title | Legislation, Market Size, and Access to Gender-affirming Genital Surgery in the United States |
| title_full | Legislation, Market Size, and Access to Gender-affirming Genital Surgery in the United States |
| title_fullStr | Legislation, Market Size, and Access to Gender-affirming Genital Surgery in the United States |
| title_full_unstemmed | Legislation, Market Size, and Access to Gender-affirming Genital Surgery in the United States |
| title_short | Legislation, Market Size, and Access to Gender-affirming Genital Surgery in the United States |
| title_sort | legislation market size and access to gender affirming genital surgery in the united states |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003422 |
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