{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T01:58:08Z","timestamp":1793325488502,"version":"4.5.0"},"reference-count":38,"publisher":"American Speech Language Hearing Association","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Speech Lang Pathol"],"published-print":{"date-parts":[[2020,8,4]]},"abstract":"<jats:sec>\n            <jats:title>Purpose<\/jats:title>\n            <jats:p>Voice\u2013gender incongruence has predominantly been investigated in the past through the perspective of feminine-identifying individuals seeking feminine-sounding voices. The purpose of this study was to determine the prevalence of self-reported voice\u2013gender incongruence in the transgender, nonbinary, and gender-nonconforming (TNG) community and to describe health information\u2013seeking behaviors exhibited when individuals attempt to address their voice and communication challenges.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Method<\/jats:title>\n            <jats:p>An online survey was designed with questions targeting the self-reported prevalence of voice\u2013gender incongruence, characteristics of this complaint, and health information\u2013seeking behaviors. Valid standardized measures, including the Voice Handicap Index and the Barriers to Help-Seeking Scale, were also included.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>\n              Four hundred five participants were sorted into three groups based on gender identity (feminine, masculine, gender-neutral) to facilitate comparative analysis. Ninety-six percent of participants reported the experience of voice\u2013gender incongruence in the past, and 88% reported that they currently experience voice\u2013gender incongruence. There were no significant differences in reported voice\u2013gender incongruence between groups. Voice Handicap Index scores were significantly higher for those who currently experience voice\u2013gender incongruence (\n              <jats:italic>p<\/jats:italic>\n              &lt; .0001) and reflected differences in how much this concern bothers participants, as rated on a Likert scale, ranging from\n              <jats:italic>no problem<\/jats:italic>\n              to\n              <jats:italic>a very big problem<\/jats:italic>\n              (\n              <jats:italic>p<\/jats:italic>\n              &lt; .0001). Barriers to Help-Seeking Scale scores indicated that the masculine group perceived greater barriers to seeking help as compared to the feminine group.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Discussion<\/jats:title>\n            <jats:p>We present foundational evidence for the prevalence of voice\u2013gender incongruence within the TNG community and barriers encountered when individuals attempt to access care. Future work should investigate the specific needs of subgroups within the TNG community and whether those who desire feminine-, masculine-, and\/or androgynous-sounding voices experience voice\u2013gender incongruence and access to services differently.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Supplemental Material<\/jats:title>\n            <jats:p>\n              <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/doi.org\/10.23641\/asha.12462422\">https:\/\/doi.org\/10.23641\/asha.12462422<\/jats:ext-link>\n            <\/jats:p>\n          <\/jats:sec>","DOI":"10.1044\/2020_ajslp-19-00188","type":"journal-article","created":{"date-parts":[[2020,6,15]],"date-time":"2020-06-15T19:17:15Z","timestamp":1592248635000},"page":"1563-1573","source":"Crossref","is-referenced-by-count":57,"title":["Voice\u2013Gender Incongruence and Voice Health Information\u2013Seeking Behaviors in the Transgender Community"],"prefix":"10.1044","volume":"29","author":[{"given":"Evan","family":"Kennedy","sequence":"first","affiliation":[{"name":"University of Wisconsin\u2013Madison"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9046-4356","authenticated-orcid":false,"given":"Susan L.","family":"Thibeault","sequence":"additional","affiliation":[{"name":"University of Wisconsin\u2013Madison"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1310","reference":[{"key":"e_1_3_2_2_1","volume-title":"Voice and communication therapy for the transgender\/gender diverse client: A comprehensive clinical guide","author":"Adler R. 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