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
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