Forced to adapt: Structural constraints and healthcare trade-offs among transgender and gender-diverse populations in the United States
• TGD individuals face healthcare trade-offs due to systemic barriers. • Trade-offs include sacrificing geographic convenience, preferred care, affordability, and high-quality care pathways. • Structural constraints, not individual choices, drive healthcare trade-offs among TDG patients. • Findings call for policy reforms in insurance, training, and telehealth access. • Study reframes trade-offs as outcomes of structural neglect, not resilience.
Authors
- Ellesse-Roselee Akré (ORCID: https://orcid.org/0000-0002-2380-6344)
- Nik M. Lampe (ORCID: https://orcid.org/0000-0003-1692-6740)
- Harry Barbee (ORCID: https://orcid.org/0000-0002-5000-0442)
- Jordan Ramnarine (ORCID: https://orcid.org/0000-0002-3737-3228)
- Marci D. Exsted (ORCID: https://orcid.org/0000-0001-9642-8789)
Institutions
- University of Minnesota (US)
- Johns Hopkins University (US)
- University of Toronto (CA)
- University of South Florida (US)
- Public Health Ontario (CA)
Publication Details
- Journal
- SSM - Qualitative Research in Health
- Published
- 2025-12-04
- DOI
- https://doi.org/10.1016/j.ssmqr.2025.100682
- Primary Topic
- LGBTQ Health, Identity, and Policy
- Type
- article
- Field-Weighted Citation Impact
- 0.00