{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T12:22:17Z","timestamp":1788524537107,"version":"build-2803163510"},"reference-count":27,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,10,26]],"date-time":"2016-10-26T00:00:00Z","timestamp":1477440000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Midwife Womens Health"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Transgender individuals have unique health care needs and experience health disparities. There is an increased need for transgender health care services and primary care for this underserved population. However, provision of appropriate health care services for transgender persons requires cultural competency and skill on the part of the health care provider, and providers need specific skills to address the needs of this population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A review of the literature was performed by accessing CINAHL, PsycINFO, and PubMed databases. Pertinent research was extracted and reviewed for relevance. References in these publications were reviewed to identify additional publications that address primary prevention, secondary prevention, and tertiary care of transgender individuals. Articles that include prevention, screening, and treatment of health problems of transgender persons were identified.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Research on the health needs of the transgender population is limited. Whenever available, research findings that address this unique population should be incorporated into clinical practice. When research evidence is not available to address the unique needs of transgender individuals, research and clinical care guidelines from the general population may be applied for health screening and maintenance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>This article provides information about primary care services for transgender individuals and seeks to improve awareness of the health disparities this underserved population experiences. Simple solutions to modify clinical settings to enhance care are provided.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jmwh.12518","type":"journal-article","created":{"date-parts":[[2016,10,26]],"date-time":"2016-10-26T20:52:49Z","timestamp":1477515169000},"page":"744-751","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Provision of Patient\u2010Centered Transgender Care"],"prefix":"10.1111","volume":"61","author":[{"given":"Nancy W.","family":"Selix","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Rowniak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,10,26]]},"reference":[{"issue":"2","key":"e_1_2_11_2_1","first-page":"92","article-title":"Updated recommendations from the World Professional Association for Transgender Health Standards of Care","volume":"87","author":"Deutsch M","year":"2013","journal-title":"Am Fam Physician"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10508-009-9489-3"},{"key":"e_1_2_11_4_1","volume-title":"Injustice at every turn: a report of the National Transgender Discrimination Survey","author":"Grant J","year":"2011"},{"key":"e_1_2_11_5_1","volume-title":"The Health of Lesbian, Gay, Bisexual, and Transgender People: Building a Foundation for Better Understanding","author":"Institute of Medicine","year":"2011"},{"key":"e_1_2_11_6_1","unstructured":"BermanR.How bathroom fears conquered transgender rights in Houston. The Atlantic.http:\/\/www.theatlantic.com\/politics\/archive\/2015\/11\/how\u2010bathroom\u2010fears\u2010conquered\u2010transgender\u2010rights\u2010in\u2010houston\/414016\/. Updated2015. Accessed November 3 2015."},{"issue":"1","key":"e_1_2_11_7_1","first-page":"65","article-title":"Gendered restrooms and minority stress: the public regulation of gender and its impact on transgender people's lives","volume":"19","author":"Herman J.","year":"2013","journal-title":"J Public Manag Soc Policy"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.129.5.674"},{"key":"e_1_2_11_9_1","unstructured":"Lambda Legal.When health care isn't caring: Lambda Legal's survey of discrimination against LGBT people and people with HIV.Lambda Legal;2010.http:\/\/www.lambdalegal.org\/publications\/when\u2010health\u2010care\u2010isnt\u2010caring. Accessed January 17 2016."},{"key":"e_1_2_11_10_1","unstructured":"Health care refusals harm patients: the threat to LGBT people and individuals living with HIV\/AIDS.National Women's Law Center;2014.http:\/\/nwlc.org\/resources\/health-care-refusals-harm-patients-threat\u2010lgbt-people-and-individuals-living-hivaids\/Accessed March 1 2016."},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-007-9299-3"},{"key":"e_1_2_11_12_1","unstructured":"The Patient Protection and Affordable Care Act of 2010; Section 2952.US Department of Health and Human Services.http:\/\/www.hhs.gov\/healthcare\/rights\/law\/. 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