The Impact of COVID-19 on Healthcare Access for Gender-Diverse Adults: A Qualitative Study.
Background: Transgender and gender-diverse (TGD) individuals, whose well-being relies on gender-affirming care, faced heightened barriers during the COVID-19 pandemic. Structural inequities intensified as non-emergent services were deprioritized. Objective: In this paper we examined changes and dela...
| Publicado en: | Health Services Insights Vol. 19; pp. 1 - 15 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
7/9/2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=195272654&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195272654 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11786329 B10H jtl: Health Services Insights issn: 11786329 maglogo: Y pubinfo: dt: 7/9/2026 vid: 19 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 195272654 195272654 195272654 10.1177/11786329261464655 195272654 ppf: 1 ppct: 14 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: The Impact of COVID-19 on Healthcare Access for Gender-Diverse Adults: A Qualitative Study. aug: au: Sahasrabudhe, Saniya Snyder, Jaylin Akré, Ellesse-Roselee affil: Department of Health Policy and Management, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA sug: subj: Health Services Accessibility Evaluation Gender-Nonconforming Persons Psychosocial Factors COVID-19 Pandemic Human United States Adult Qualitative Studies Surveys Snowball Sample Purposive Sample Gender Affirming Care Primary Health Care Preventive Health Care Mental Health Services Social Norms Organizational Policies Telehealth Quality of Health Care Gender Affirmation Surgery Waiting Lists Data Analysis Software Thematic Analysis Adult: 19-44 years ab: Background: Transgender and gender-diverse (TGD) individuals, whose well-being relies on gender-affirming care, faced heightened barriers during the COVID-19 pandemic. Structural inequities intensified as non-emergent services were deprioritized. Objective: In this paper we examined changes and delays in healthcare access by TGD populations across the United States during the COVID-19 pandemic. Methods & Design: From September 2022 through March 2023, we administered an online survey to TGD adults in the United States. Participants responded to the question, "How did COVID-19 impact your experience accessing healthcare?" We used inductive coding and thematic analysis techniques to analyze the 87 responses. Results: Response themes were: (1) shift to telehealth, (2) availability and access and why those were limited, (3) affordability, (4) delays in gender-affirming care, and (5) delays in healthcare overall. Participants frequently discussed telehealth shifts and access limitations. Conclusion: TGD individuals face significant, structurally rooted healthcare barriers that COVID-19 intensified. Integrating gender-affirming care into comprehensive healthcare systems is essential for ensuring accessible care for TGD populations. Additionally, creating and reforming relevant policies with input from TGD individuals can help reduce healthcare access disparities going forward and in future crises. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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