{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T01:16:24Z","timestamp":1775610984677,"version":"3.50.1"},"reference-count":14,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2021,5,1]],"date-time":"2021-05-01T00:00:00Z","timestamp":1619827200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,5,1]],"date-time":"2021-05-01T00:00:00Z","timestamp":1619827200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,5,14]],"date-time":"2022-05-14T00:00:00Z","timestamp":1652486400000},"content-version":"vor","delay-in-days":378,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,5,1]],"date-time":"2021-05-01T00:00:00Z","timestamp":1619827200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2021,5,1]],"date-time":"2021-05-01T00:00:00Z","timestamp":1619827200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2021,5,1]],"date-time":"2021-05-01T00:00:00Z","timestamp":1619827200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2021,5,1]],"date-time":"2021-05-01T00:00:00Z","timestamp":1619827200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2021,5,1]],"date-time":"2021-05-01T00:00:00Z","timestamp":1619827200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["cell.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Med"],"published-print":{"date-parts":[[2021,5]]},"DOI":"10.1016\/j.medj.2021.04.025","type":"journal-article","created":{"date-parts":[[2021,5,14]],"date-time":"2021-05-14T10:38:04Z","timestamp":1620988684000},"page":"472-475","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"title":["Challenges in transgender health"],"prefix":"10.1016","volume":"2","author":[{"given":"Asa","family":"Radix","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander B.","family":"Harris","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.medj.2021.04.025_bib1","series-title":"How many adults identify as transgender in the United States","author":"Flores","year":"2016"},{"key":"10.1016\/j.medj.2021.04.025_bib2","doi-asserted-by":"crossref","first-page":"67","DOI":"10.15585\/mmwr.mm6803a3","article-title":"Transgender Identity and Experiences of Violence Victimization, Substance Use, Suicide Risk, and Sexual Risk Behaviors Among High School Students - 19 States and Large Urban School Districts, 2017","volume":"68","author":"Johns","year":"2019","journal-title":"MMWR Morb. Mortal. Wkly. Rep."},{"key":"10.1016\/j.medj.2021.04.025_bib3","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1016\/j.jadohealth.2017.04.014","article-title":"Risk and Protective Factors in the Lives of Transgender\/Gender Nonconforming Adolescents","volume":"61","author":"Eisenberg","year":"2017","journal-title":"J.\u00a0Adolesc. Health"},{"key":"10.1016\/j.medj.2021.04.025_bib4","series-title":"The Report of the 2015\u00a0U.S.Transgender Survey","author":"James","year":"2016"},{"key":"10.1016\/j.medj.2021.04.025_bib5","doi-asserted-by":"crossref","first-page":"3869","DOI":"10.1210\/jc.2017-01658","article-title":"Endocrine Treatment of Gender-Dysphoric\/Gender-Incongruent Persons: An\u00a0Endocrine Society Clinical Practice Guideline","volume":"102","author":"Hembree","year":"2017","journal-title":"J.\u00a0Clin. Endocrinol. Metab."},{"key":"10.1016\/j.medj.2021.04.025_bib6","doi-asserted-by":"crossref","first-page":"638919","DOI":"10.1155\/2014\/638919","article-title":"An overview of neovaginal reconstruction options in male to female transsexuals","volume":"2014","author":"Bizic","year":"2014","journal-title":"ScientificWorldJournal"},{"key":"10.1016\/j.medj.2021.04.025_bib7","doi-asserted-by":"crossref","first-page":"723","DOI":"10.1097\/01.sap.0000258974.41516.bc","article-title":"On the origin of pedicled skin inversion vaginoplasty: life and work of Dr Georges Burou of Casablanca","volume":"59","author":"Hage","year":"2007","journal-title":"Ann. Plast. Surg."},{"key":"10.1016\/j.medj.2021.04.025_bib8","doi-asserted-by":"crossref","DOI":"10.1016\/j.surg.2021.02.013","article-title":"A review of gender affirmation surgery: What we know, and what we need to know","author":"Akhavan","year":"2021","journal-title":"Surgery"},{"key":"10.1016\/j.medj.2021.04.025_bib9","series-title":"Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People, Version 7","author":"Coleman","year":"2012"},{"key":"10.1016\/j.medj.2021.04.025_bib10","first-page":"800","article-title":"Surgical Outcomes Following Gender Affirming Penile Reconstruction: Patient-Reported Outcomes From a Multi-Center, International Survey of 129 Transmasculine Patients","volume":"18","author":"Robinson","year":"2021","journal-title":"J.\u00a0Sex. Med."},{"key":"10.1016\/j.medj.2021.04.025_bib11","doi-asserted-by":"crossref","first-page":"135e","DOI":"10.1097\/PRS.0000000000007499","article-title":"The Affordable Care Act and Its Impact on Plastic and Gender-Affirmation Surgery","volume":"147","author":"Wiegmann","year":"2021","journal-title":"Plast. Reconstr. Surg."},{"key":"10.1016\/j.medj.2021.04.025_bib12","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1016\/j.ucl.2019.07.002","article-title":"A Systematic Review of the Psychological Benefits of Gender-Affirming Surgery","volume":"46","author":"Wernick","year":"2019","journal-title":"Urol. Clin. North Am."},{"key":"10.1016\/j.medj.2021.04.025_bib13","doi-asserted-by":"crossref","first-page":"b011","DOI":"10.1210\/jendso\/bvab011","article-title":"Hormone Therapy, Mental Health, and Quality of Life Among Transgender People: A Systematic Review","volume":"5","author":"Baker","year":"2021","journal-title":"J Endocr Soc"},{"key":"10.1016\/j.medj.2021.04.025_bib14","doi-asserted-by":"crossref","first-page":"480","DOI":"10.1097\/PRS.0000000000007579","article-title":"An Option for Shaft-Only Gender-Affirming Phalloplasty: Vaginal Preservation and Vulvoscrotoplasty. A Technical Description","volume":"147","author":"Chen","year":"2021","journal-title":"Plast. Reconstr. Surg."}],"container-title":["Med"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666634021001744?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666634021001744?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T02:54:39Z","timestamp":1763002479000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2666634021001744"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5]]},"references-count":14,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021,5]]}},"alternative-id":["S2666634021001744"],"URL":"https:\/\/doi.org\/10.1016\/j.medj.2021.04.025","relation":{},"ISSN":["2666-6340"],"issn-type":[{"value":"2666-6340","type":"print"}],"subject":[],"published":{"date-parts":[[2021,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Challenges in transgender health","name":"articletitle","label":"Article Title"},{"value":"Med","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.medj.2021.04.025","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"simple-article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 Elsevier Inc.","name":"copyright","label":"Copyright"}]}}