One person, many changes: a socioecological qualitative analysis of the experiences of transfeminine individuals undergoing feminising gender-affirming hormone therapy

Article

Fowler, James A., Warzywoda, Sarah, Reyment, Mera, Crilly, Tyson, Franks, Nia, Bisshop, Fiona, Wood, Penny and Dean, Judith A.. 2024. "One person, many changes: a socioecological qualitative analysis of the experiences of transfeminine individuals undergoing feminising gender-affirming hormone therapy." Culture, Health and Sexuality. https://doi.org/10.1080/13691058.2024.2358099
Article Title

One person, many changes: a socioecological qualitative analysis of the experiences of transfeminine individuals undergoing feminising gender-affirming hormone therapy

ERA Journal ID36208
Article CategoryArticle
AuthorsFowler, James A., Warzywoda, Sarah, Reyment, Mera, Crilly, Tyson, Franks, Nia, Bisshop, Fiona, Wood, Penny and Dean, Judith A.
Journal TitleCulture, Health and Sexuality
Number of Pages17
Year2024
PublisherTaylor & Francis
Place of PublicationUnited Kingdom
ISSN1369-1058
1464-5351
Digital Object Identifier (DOI)https://doi.org/10.1080/13691058.2024.2358099
Web Address (URL)https://www.tandfonline.com/doi/full/10.1080/13691058.2024.2358099
AbstractGender-affirming hormone therapy (GAHT) comes with many physical, psychological, and social changes that are often considered in isolation. This research uses a socioecological lens with a sample of 15 Australian transfeminine individuals to investigate the changes experienced during GAHT. Semi-structured interviews were conducted in 2022, with verbatim transcripts analysed using deductive thematic analysis with Bronfenbrenner’s Socioecological Model (SEM) as a framework. Analyses revealed two themes intersecting multiple levels of the SEM. Theme 1 contained two sub-themes and broadly encapsulated how interactions with others influenced GAHT experiences. Sub-theme 1 spoke to how stigma creates positive or negative experiences (through the macrosystem, the exosystem, and proximal processes), while sub-theme 2 described how GAHT causes internal changes that promoted stronger interpersonal relationships (person and proximal processes). Theme 2 described how changes occurred over time, with some changes being temporary, and others being delayed (person and time). These themes highlight the interconnected nature of the physical, psychological, and social changes and experiences that can occur during GAHT. Best-practice care for trans people undergoing GAHT needs to be multi-faceted and holistic in order to embed support across different SEM components.
Keywordschanges; Transgender; gender-affirming ; hormone therapy; journeys; qualitative
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 20204299. Other health sciences
Byline AffiliationsUniversity of Queensland
School of Psychology and Wellbeing
Centre for Health Research
Institute for Resilient Regions
Holdsworth House Medical Practice, Australia
Alexander Heights Family Practice, Australia
Permalink -

https://research.usq.edu.au/item/z84w1/one-person-many-changes-a-socioecological-qualitative-analysis-of-the-experiences-of-transfeminine-individuals-undergoing-feminising-gender-affirming-hormone-therapy

Log in to edit

Download files

Published Version
One person many changes a socioecological qualitative analysis of the experiences of transfeminine individuals undergoing feminising gender-affirmin.pdf
License: CC BY-NC-ND 4.0
File access level: Anyone

  • 19
    total views
  • 8
    total downloads
  • 2
    views this month
  • 1
    downloads this month

Export as

Related outputs

Lightweight federated learning for STIs/HIV prediction
Nguyen, Thi Phuoc Van, Yang, Wencheng, Tang, Zhaohui, Xia, Xiaoyu, Mullens, Amy B., Dean, Judith A. and Li, Yan. 2024. "Lightweight federated learning for STIs/HIV prediction." Scientific Reports. 14 (1). https://doi.org/10.1038/s41598-024-56115-0
A cross-sectional investigation of the factors associated with awareness of PEP and PrEP among Queensland university students
Warzywoda, Sarah, Dyda, Amalie, Fitzgerald, Lisa, Mullens, Amy, Debattista, Joseph, Durham, Jo, Gu, Zhihong, Wenham, Kathryn, Ariana, Armin, Gilks, Charles F., Bell, Sara F.E. and Dean, Judith A.. 2024. "A cross-sectional investigation of the factors associated with awareness of PEP and PrEP among Queensland university students." Australian and New Zealand Journal of Public Health. 48 (2). https://doi.org/10.1016/j.anzjph.2024.100136
Sexual and reproductive health literacy of culturally and linguistically diverse young people in Australia: a systematic review
Lirios, Alison, Mullens, Amy B., Daken, Kirstie, Moran, Claire, Gu, Zhihong, Assefa, Yibeltal and Dean, Judith A.. 2024. "Sexual and reproductive health literacy of culturally and linguistically diverse young people in Australia: a systematic review." Culture, Health and Sexuality. 26 (6), pp. 790-807. https://doi.org/10.1080/13691058.2023.2256376
The provision of sexual and reproductive health information and services to travellers: an exploratory survey of Australian travel medicine clinicians
Warzywoda, Sarah, Fowler, James A., Debattista, Jeo, Mills, Deborah J., Furuya-Kanamori, Luis, Durham, Jo, Lau, Colleen L., Mullens, Amy B., Istiko, Satrio Nindyo, Santaolaya, Carlos, Malhotra, Juhi and Dean, Judith A. D. 2024. "The provision of sexual and reproductive health information and services to travellers: an exploratory survey of Australian travel medicine clinicians." Sexual Health. 21 (1). https://doi.org/10.1071/SH23098
Integrating sexual and reproductive health into pre-travel consultations
Santoalaya, Carlos, Malhotra, Juhi, Fowler, James A., Warzywoda, Sarah, Debattista, Joe, Mills, Deborah J., lau, Colleen, Furuya-Kanamori, Luis, Durham, Jo, Mullens, Amy B., Istiko, Satrio Nindyo and Dean, Judith A.. 2024. "Integrating sexual and reproductive health into pre-travel consultations." Journal of Travel Medicine. 31 (4). https://doi.org/10.1093/jtm/taae024
Highs, Lows, and Hormones: A Qualitative Metasynthesis of Transgender Individuals’ Experiences Undergoing Gender-Affirming Hormone Therapy
Fowler, James A., Warzywoda, Sarah, Franks, Nia, Mendis, Marini, Lazarou, Mattea, Bisshop, Fiona, Wood, Penny and Dean, Judith A.. 2024. "Highs, Lows, and Hormones: A Qualitative Metasynthesis of Transgender Individuals’ Experiences Undergoing Gender-Affirming Hormone Therapy." Journal of Homosexuality. 71 (7), pp. 1652-1683. https://doi.org/10.1080/00918369.2023.2186759
Vending machines can increase access to HIV testing for diverse groups at risk of HIV and STI: facilitators for use and additional opportunities
Bell, SFE, Coffey, L, Mullens, AB, Redmond, A, Debattista, J, Phillips, TM, Warner, M, Finch, A, White, J, Gilks, CF and Dean, JA. 2023. "Vending machines can increase access to HIV testing for diverse groups at risk of HIV and STI: facilitators for use and additional opportunities." Australasian Sexual and Reproductive Health Conference 2023. Manly, Sydney 18 - 20 Sep 2023 Australia. CSIRO Publishing. https://doi.org/10.1071/SHv20n5abs
STI and HIV testing: examining factors that influence uptake among domestic Australian-born, domestic overseas-born and international tertiary students studying in Australia
Engstrom, Teyl, Waller, Michael, Mullens, Amy B, Debattista, Joseph, Durham, Jo, Gu, Zhihong, Wenham, Kathryn, Daken, Kirstie, Ariana, Armin, Gilks, Charles F, Bell, Sara F, Williams, Owain, Dingle, Kaeleen and Dean, Judith A. 2023. "STI and HIV testing: examining factors that influence uptake among domestic Australian-born, domestic overseas-born and international tertiary students studying in Australia." BMC Public Health. 23 (1). https://doi.org/10.1186/s12889-023-15418-z
Sexual and reproductive health knowledge, attitudes and behaviours of Chinese international students studying abroad (in Australia, the UK and the US): a scoping review
Mundie, Arabella, Lazarou, Mattea, Mullens, Amy B., Gu, Zhihong and Dean, Judith A.. 2021. "Sexual and reproductive health knowledge, attitudes and behaviours of Chinese international students studying abroad (in Australia, the UK and the US): a scoping review." Sexual Health. 18 (4), pp. 294-302. https://doi.org/10.1071/SH21044
STI and HIV knowledge and testing: a comparison of domestic Australian-born, domestic overseas-born and international university students in Australia
Engstrom, Teyl, Waller, Michael, Mullens, Amy B., Durham, Jo, Debattista, Joseph, Wenham, Kathryn, Bell, Sara F., Ariana, Armin, Gu, Zhihong, Daken, Kirstie, Dingle, Kaeleen, Gilks, Charles F., Williams, Owain D. and Dean, Judith A.. 2021. "STI and HIV knowledge and testing: a comparison of domestic Australian-born, domestic overseas-born and international university students in Australia." Sexual Health. 18 (4), pp. 346-348. https://doi.org/10.1071/SH21055
Economic evaluation of alternative testing regimes and settings to detect undiagnosed HIV in Australia
Williams, Owain D., Dean, Judith A., Crothers, Anna, Gilks, Charles F. and Gow, Jeff. 2021. "Economic evaluation of alternative testing regimes and settings to detect undiagnosed HIV in Australia." BMC Health Services Research. 21, pp. 1-12. https://doi.org/10.1186/s12913-020-06040-5