Challenges of Gender-Affirming Care in Incarcerated Transgender People

Rana Malek; Mauro Sarmiento; Elizabeth Lamos

doi:10.1016/j.ecl.2023.05.007

Challenges of Gender-Affirming Care in Incarcerated Transgender People

Endocrinol Metab Clin North Am. 2023 Dec;52(4):677-687. doi: 10.1016/j.ecl.2023.05.007. Epub 2023 Jun 7.

Authors

Rana Malek¹, Mauro Sarmiento², Elizabeth Lamos³

Affiliations

¹ University of Maryland School of Medicine, 800 Linden Avenue, 8th Floor UMCDE, Baltimore, MD 21201, USA. Electronic address: rmalek@som.umaryland.edu.
² YesCare Corporation, 7240 Parkway Drive, Suite 350, Hanover, MD 21076, USA.
³ University of Maryland School of Medicine, 800 Linden Avenue, 8th Floor UMCDE, Baltimore, MD 21201, USA.

PMID: 37865481
DOI: 10.1016/j.ecl.2023.05.007

Abstract

Social and health disparities among transgender people may result in increased rates of incarceration, particularly among Black transgender women. The World Professional Association for Transgender Health states that all recommendations for gender-affirming care made in the Standards of Care-8 be applied equally to people living in institutions. Understanding the structural challenges to gender-affirming care in the corrections environment will allow the endocrinologist to navigate the complex correctional health care system. The barriers to gender-affirming care and surgery will be highlighted in this article.

Keywords: Health disparities; Health vulnerabilities; Incarceration; Transgender.

Publication types

Review
Research Support, Non-U.S. Gov't

MeSH terms

Delivery of Health Care
Female
Gender Identity
Humans
Prisoners*
Transgender Persons*