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 |
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ERA Journal ID | 36208 |
Article Category | Article |
Authors | Fowler, James A., Warzywoda, Sarah, Reyment, Mera, Crilly, Tyson, Franks, Nia, Bisshop, Fiona, Wood, Penny and Dean, Judith A. |
Journal Title | Culture, Health and Sexuality |
Number of Pages | 17 |
Year | 2024 |
Publisher | Taylor & Francis |
Place of Publication | United Kingdom |
ISSN | 1369-1058 |
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 |
Abstract | Gender-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. |
Keywords | changes; Transgender; gender-affirming ; hormone therapy; journeys; qualitative |
Contains Sensitive Content | Does not contain sensitive content |
ANZSRC Field of Research 2020 | 4299. Other health sciences |
Byline Affiliations | University 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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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
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