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American Public Health Association
133rd Annual Meeting & Exposition
December 10-14, 2005
Philadelphia, PA
APHA 2005
3201.0: Monday, December 12, 2005 - 1:15 PM

Abstract #104987

Female-to-male (FTM) transgender health care needs

J. Sevelius, PhD1, Tooru Nemoto, PhD1, JoAnne Keatley, MSW2, Angel Ventura2, and Saumitra SenGupta, PhD3. (1) Center for AIDS Prevention Studies, University of Califonia, San Francisco, 74 New Montgomery St., Suite 250, San Francisco, CA 94105, 415-597-9183, jsevelius@psg.ucsf.edu, (2) Center for AIDS Prevention Studies, University of California, San Francisco, 1145 Bush Street, Second Floor, San Francisco, CA 94109, (3) Behavioral Health Research Center of the Southwest, 612 Encino Place NE, Suite #250, Albuquerque, NM 87102

Health issues among transgender people are just beginning to be explored by researchers and service providers, primarily focused on male-to-female (MTF) transgender people. Less is known about female-to-male (FTM) transgender people's needs and experiences in the health care system.

This study investigated the current health care needs of this often underserved community and identified barriers to services as well as strategies for improving access. Important information about the lives, identities, and experiences of FTMs receiving health care was also obtained.

Qualitative interviews were conducted with 7 FTM individuals to explore health care needs, with a particular focus on mental health care. Fifty FTM individuals completed quantitative surveys and provided information about a variety of health issues, including depression, suicidality, substance use, hormone use, gender confirmation surgery, and HIV risk behaviors.

This study revealed that the need for sensitive and competent health care for FTM individuals is still relatively unmet. Service providers must be trained to work sensitively and competently with FTMs. FTMs experience high levels of depression, suicidality, and substance use, and services that are tailored to their needs are virtually non-existent. The needs of FTMs differ from those of MTFs, and these differences need to be considered when designing or expanding programs geared toward the transgender community.

Future research must provide accurate and up-to-date information about the health needs of FTMs as well as investigate effective intervention strategies for reducing depression, substance use, and HIV risk behaviors targeting this unique community.

Learning Objectives:

Keywords: Underserved Populations, Access to Health Care

Related Web page: www.caps.ucsf.edu/TRANS/

Presenting author's disclosure statement:

I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.

[ Recorded presentation ] Recorded presentation

Transgender Health

The 133rd Annual Meeting & Exposition (December 10-14, 2005) of APHA