{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T06:08:19Z","timestamp":1779257299345,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2016,11,1]],"date-time":"2016-11-01T00:00:00Z","timestamp":1477958400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2016,11,1]],"date-time":"2016-11-01T00:00:00Z","timestamp":1477958400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Transgender Health"],"published-print":{"date-parts":[[2016,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>Transgender individuals experience barriers to healthcare, including discrimination in care provision and lack of knowledge about transgender health. We assessed New York City (NYC) transgender and gender nonconforming individuals' sexual and reproductive health (SRH) needs, access to services, and interest in receiving services from Planned Parenthood of NYC (PPNYC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We conducted an anonymous Internet-based survey of transgender individuals residing in NYC from September to December 2014 by using snowball sampling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Data were analyzed from 113 surveys. Although 74% (71\/96) of respondents avoided or delayed healthcare in the past year, most respondents adhered to medically indicated SRH screenings. In the past year, 64% (45\/70) and 67% (46\/69) of respondents were tested for HIV and other sexually transmitted infections, respectively. In the past 3 years, 80% (39\/49) of respondents received clinical breast\/chest examinations and 83% (35\/42) of eligible individuals received Pap tests. Respondents most often received care at LGBT specialty clinics (35% [37\/105]) or at private doctors' offices (31% [32\/105]). Eighteen percent (19\/107) had ever been to a Planned Parenthood health center. On a four-point scale, respondents rated the following factors as most influential on whether they would seek care at PPNYC: assurance that staff received transsensitivity training (mean 3.8), the existence of gender identity nondiscrimination policies (mean 3.7), and the availability of transgender-specific services, such as hormone therapy (mean 3.7).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Although the majority of transgender individuals in our sample received recommended SRH screenings, respondents reported barriers to accessing needed medical care. Healthcare organizations interested in better serving the transgender community should ensure a high level of training around transsensitivity and explore the provision of transgender-specific services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/trgh.2016.0032","type":"journal-article","created":{"date-parts":[[2016,11,9]],"date-time":"2016-11-09T11:19:02Z","timestamp":1478690342000},"page":"231-237","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":27,"title":["An Exploratory Study of Transgender New Yorkers' Use of Sexual Health Services and Interest in Receiving Services at Planned Parenthood of New York City"],"prefix":"10.1177","volume":"1","author":[{"given":"Lauren M.","family":"Porsch","sequence":"first","affiliation":[{"name":"Planned Parenthood of New York City"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ila","family":"Dayananda","sequence":"additional","affiliation":[{"name":"Planned Parenthood of New York City"},{"name":"Icahn School of Medicine at Mount Sinai"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gillian","family":"Dean","sequence":"additional","affiliation":[{"name":"Planned Parenthood of New York City"},{"name":"Icahn School of Medicine at Mount Sinai"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,11,1]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/hsw\/30.1.19"},{"key":"e_1_3_3_3_2","unstructured":"Clements K Katz M Marx R. The Transgender Community Health Project: Descriptive Results. San Francisco CA: San Francisco Department of Public Health 1999."},{"key":"e_1_3_3_4_2","unstructured":"National Gay and Lesbian Taskforce NC for TE. Injustice at Every Turn: A Report of the National Transgender Discrimination Survey. Published 2011. Available at www.thetaskforce.org\/static_html\/downloads\/reports\/reports\/ntds_full.pdf (accessed November23 2015)."},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2007.132035"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2012.300796"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1080\/09540129850124028"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000540"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/MED.0000000000000227"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2013.301789"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1089\/lgbt.2013.0042"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2014.07.031"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-013-2753-1"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-015-3462-8"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2015.302851"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2010.0059"},{"key":"e_1_3_3_17_2","unstructured":"New York City Department of Health and Mental Hygiene.. EpiQuery\u2014New York City Community Health Survey HIV Testing. 2014. Available at https:\/\/a816-healthpsi.nyc.gov\/epiquery\/sasresults.jsp (accessed July5 2016)."},{"key":"e_1_3_3_18_2","unstructured":"Kaiser Family Foundation.. Putting Women's Health Care Disparities on the Map: Examining Racial and Ethnic Disparities at the State Level. 2009. Available at http:\/\/kff.org\/disparities-policy\/report\/putting-womens-health-care-disparities-on-the (accessed July5 2016)."},{"key":"e_1_3_3_19_2","unstructured":"New York City Department of Health and Mental Hygiene.. Epiquery\u2014Community Health Survey Did Not Get Needed Medical Care. 2014. Available at https:\/\/a816-healthpsi.nyc.gov\/epiquery\/sasresults.jsp (accessed July5 2016)."},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-114-4-325"},{"key":"e_1_3_3_21_2","unstructured":"Planned Parenthood at a Glance. Available at www.plannedparenthood.org\/about-us\/who-we-are\/planned-parenthood-at-a-glance (accessed June2 2016)."},{"key":"e_1_3_3_22_2","unstructured":"Stone KM Steiner MJ Warner L. Male Condoms. UpToDate. Published May 2016. Available at www.uptodate.com\/contents\/male-condoms?source=machineLearning&search=condoms&selectedTitle=1%7E150&sectionRank=1&anchor=H6#H6 (accessed June8 2016)."},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2016.07.145"},{"key":"e_1_3_3_24_2","unstructured":"News Division.. HHS Finalizes Rule to Improve Health Equity Under the Affordable Care Act. HHS.gov. Published May 13 2016. Available at www.hhs.gov\/about\/news\/2016\/05\/13\/hhs-finalizes-rule-to-improve-health-equity-under-affordable-care-act.html (accessed June16 2016)."},{"key":"e_1_3_3_25_2","unstructured":"Transgender Law Center.. Affordable Care Act Fact Sheet. 2016. Available at http:\/\/transgenderlawcenter.org\/resources\/health\/aca-fact-sheet (accessed June16 2016)."},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1177\/004912418101000205"},{"key":"e_1_3_3_27_2","unstructured":"GenIUSS Group.. Gender-Related Measures Overview. The Williams Institute. 2013. 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