{"id":"https://openalex.org/W4381987666","doi":"https://doi.org/10.1016/j.lana.2023.100544","title":"Gender-affirming care is preventative care","display_name":"Gender-affirming care is preventative care","publication_year":2023,"publication_date":"2023-06-25","ids":{"openalex":"https://openalex.org/W4381987666","doi":"https://doi.org/10.1016/j.lana.2023.100544","pmid":"https://pubmed.ncbi.nlm.nih.gov/37383047","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/10290445"},"language":"en","primary_location":{"id":"doi:10.1016/j.lana.2023.100544","doi":"https://doi.org/10.1016/j.lana.2023.100544","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.lana.2023.100544","pdf_url":null,"source":{"id":"https://openalex.org/S4210194528","display_name":"The Lancet Regional Health - Americas","issn_l":"2667-193X","issn":["2667-193X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","jufo-1","ki-jl-1","norway-1","oarl","poland-20","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Lancet Regional Health - Americas","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1016/j.lana.2023.100544","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5071134706","display_name":"Arjee Restar","orcid":"https://orcid.org/0000-0003-2992-8198","observed_orcids":["https://orcid.org/0000-0003-2992-8198"]},"institutions":[{"id":"https://openalex.org/I201448701","display_name":"University of Washington","ror":"https://ror.org/00cvxb145","country_code":"US","type":"education","lineage":["https://openalex.org/I201448701"]},{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Arjee Javellana Restar","raw_affiliation_strings":["Department of Epidemiology, University of Washington School of Public Health, Seattle, WA, USA","Department of Social and Behavioral Sciences, Yale University School of Public Health, New Haven, CT, USA"],"raw_orcid":"https://orcid.org/0000-0003-2992-8198","affiliations":[{"raw_affiliation_string":"Department of Epidemiology, University of Washington School of Public Health, Seattle, WA, USA","institution_ids":["https://openalex.org/I201448701"]},{"raw_affiliation_string":"Department of Social and Behavioral Sciences, Yale University School of Public Health, New Haven, CT, USA","institution_ids":["https://openalex.org/I32971472"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5071134706"],"corresponding_institution_ids":["https://openalex.org/I201448701","https://openalex.org/I32971472"],"apc_list":{"value":4000,"currency":"USD","value_usd":4000},"apc_paid":{"value":4000,"currency":"USD","value_usd":4000},"fwci":8.5583,"has_fulltext":true,"cited_by_count":29,"citation_normalized_percentile":{"value":0.98102464,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":97,"max":99},"biblio":{"volume":"24","issue":null,"first_page":"100544","last_page":"100544"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10156","display_name":"LGBTQ Health, Identity, and Policy","score":1.0,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10156","display_name":"LGBTQ Health, Identity, and Policy","score":1.0,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10082","display_name":"HIV/AIDS Research and Interventions","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12823","display_name":"Adolescent and Pediatric Healthcare","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3616","display_name":"Speech and Hearing"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/gender-affirming-care","display_name":"gender-affirming care","score":1.0},{"id":"https://openalex.org/keywords/transgender-mental-health","display_name":"transgender mental health","score":0.8600000143051147},{"id":"https://openalex.org/keywords/preventive-care","display_name":"preventive medicine","score":0.5600000023841858},{"id":"https://openalex.org/keywords/transgender-youth","display_name":"transgender youth","score":0.5329999923706055},{"id":"https://openalex.org/keywords/suicide-attempts","display_name":"suicide attempts","score":0.6399999856948853},{"id":"https://openalex.org/keywords/psychological-distress","display_name":"psychological distress","score":0.9300000071525574},{"id":"https://openalex.org/keywords/depression","display_name":"depression","score":0.7400000095367432},{"id":"https://openalex.org/keywords/parental-consent","display_name":"parental consent","score":0.6690000295639038},{"id":"https://openalex.org/keywords/social-epidemiology","display_name":"social epidemiology","score":0.5230000019073486}],"concepts":[{"id":"https://openalex.org/C2984730517","wikidata":"https://www.wikidata.org/wiki/Q1773974","display_name":"Preventive care","level":3,"score":0.48579955101013184},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.4457305073738098},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.34206485748291016},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.33800244331359863},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.24897295236587524},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.1871744692325592},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1016/j.lana.2023.100544","doi":"https://doi.org/10.1016/j.lana.2023.100544","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.lana.2023.100544","pdf_url":null,"source":{"id":"https://openalex.org/S4210194528","display_name":"The Lancet Regional Health - Americas","issn_l":"2667-193X","issn":["2667-193X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","jufo-1","ki-jl-1","norway-1","oarl","poland-20","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Lancet Regional Health - Americas","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:10290445","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10290445","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10290445/pdf/main.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Lancet Reg Health Am","raw_type":"Text"},{"id":"pmid:37383047","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/37383047","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Lancet regional health. Americas","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:e3f73bdb3c0b46f496fea16d9100566e","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/e3f73bdb3c0b46f496fea16d9100566e","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"The Lancet Regional Health. Americas, Vol 24, Iss , Pp 100544- (2023)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1016/j.lana.2023.100544","doi":"https://doi.org/10.1016/j.lana.2023.100544","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.lana.2023.100544","pdf_url":null,"source":{"id":"https://openalex.org/S4210194528","display_name":"The Lancet Regional Health - Americas","issn_l":"2667-193X","issn":["2667-193X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","jufo-1","ki-jl-1","norway-1","oarl","poland-20","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Lancet Regional Health - Americas","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"},{"id":"https://metadata.un.org/sdg/10","score":0.7578999996185303,"display_name":"Reduced inequalities"}],"sustainable_development_goals_aurora":[{"id":"https://metadata.un.org/sdg/5","score":0.8199999928474426,"display_name":"Gender equality"}],"study_designs":[],"awards":[{"id":"https://openalex.org/G9000882155","display_name":"Research Education Institute for Dynamic Scholars (REIDS)","funder_award_id":"R25MH087217","funder_id":"https://openalex.org/F4320337346","funder_display_name":"National Institute of Mental Health"}],"funders":[{"id":"https://openalex.org/F4320306342","display_name":"amfAR, The Foundation for AIDS Research","ror":"https://ror.org/02jesmk44"},{"id":"https://openalex.org/F4320308380","display_name":"Yale University","ror":"https://ror.org/03v76x132"},{"id":"https://openalex.org/F4320308812","display_name":"ASCRS Research Foundation","ror":null},{"id":"https://openalex.org/F4320334519","display_name":"Yale School of Public Health, Yale University","ror":null},{"id":"https://openalex.org/F4320337346","display_name":"National Institute of Mental Health","ror":"https://ror.org/04xeg9z08"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":10,"referenced_works":["https://openalex.org/W1983440011","https://openalex.org/W2259187738","https://openalex.org/W2792562842","https://openalex.org/W2953500363","https://openalex.org/W2978600861","https://openalex.org/W3128499532","https://openalex.org/W3139368358","https://openalex.org/W4200066140","https://openalex.org/W4294732694","https://openalex.org/W4317355000"],"related_works":["https://openalex.org/W7045332571","https://openalex.org/W4417243584","https://openalex.org/W4414991072","https://openalex.org/W4296677754","https://openalex.org/W4311673284","https://openalex.org/W4400524096","https://openalex.org/W4393927595","https://openalex.org/W7164495899","https://openalex.org/W4387395051","https://openalex.org/W4385543421"],"abstract_inverted_index":{"Mental":[0],"health":[1,6,49,94,119,256,259],"is":[2,261,281],"a":[3,11,134,257],"major":[4],"public":[5],"crisis":[7],"and":[8,20,37,42,57,76,92,98,137,149,165,169,194,203,212,225,240,243,284,291,297,312],"has":[9],"become":[10],"top":[12],"priority":[13],"in":[14,32,38],"the":[15,33,62,80,106,111,125,217,303,306],"United":[16],"States,":[17],"as":[18,133,198,200],"anxiety":[19],"depression":[21,196],"symptoms":[22],"remain":[23],"elevated":[24],"compared":[25],"to":[26,104,161,208,300],"pre-coronavirus":[27],"(COVID)":[28],"pandemic":[29],"rates":[30,230],"both":[31,74],"general":[34,218],"population,":[35],"1":[36],"communities":[39,247],"of":[40,65,73,82,88,108,172,187,265,305],"transgender":[41],"nonbinary":[43],"(trans)":[44],"people.":[45],"2":[46],"Addressing":[47],"mental":[48,93,118,146,183,255],"problems":[50,120],"among":[51],"trans":[52,109,116,141,154,246,266,272,278],"people":[53,273],"necessitates":[54],"explicit":[55],"programmatic":[56],"investment":[58],"goals":[59],"that":[60,96,205,293],"allow":[61],"equitable":[63],"provision":[64],"not":[66,270],"just":[67],"treatment,":[68,307],"but":[69],"instead,":[70],"an":[71,138,262,282],"array":[72],"preventative":[75],"treatment":[77],"tools,":[78],"including":[79,308],"integration":[81],"gender-affirming":[83],"care":[84],"(GAC)":[85],"services":[86,95],"consisting":[87],"high-quality":[89],"medical,":[90],"surgical,":[91],"affirm":[97],"align":[99],"gender":[100],"goals-and":[101],"are":[102,121,197,206,231],"tailored":[103],"meet":[105],"needs":[107],"people.For":[110],"growing":[112],"1.6":[113],"million":[114],"U.S.":[115,219],"people,":[117],"particularly":[122,175,235],"pressing":[123],"given":[124],"disproportionally":[126],"high":[127,199],"levels":[128],"we":[129],"experience.My":[130],"reflexive":[131],"observation":[132],"social":[135],"epidemiologist":[136],"Asian":[139,241],"American/Filipina":[140],"woman":[142],"who":[143,248],"experienced":[144],"fragmented":[145,251],"healthcare":[147],"systems,":[148],"have":[150],"seen":[151],"fellow":[152],"marginalized":[153],"individuals":[155],"also":[156],"navigate":[157],"similarly,":[158],"led":[159],"me":[160],"embrace":[162],"envisioning":[163],"solutions":[164],"possibilities":[166],"for":[167],"current":[168],"future":[170],"generations":[171],"our":[173],"communities,":[174],"when":[176],"faced":[177],"with":[178,236],"existing":[179],"epidemiological":[180],"data":[181],"on":[182],"health.Specifically,":[184],"prevalence":[185],"estimates":[186],"lifetime":[188],"suicide":[189],"attempts,":[190],"severe":[191],"psychological":[192],"distress,":[193],"clinical":[195],"40%,":[201],"39%,":[202],"52%-rates":[204],"estimated":[207],"be":[209],"nine,":[210],"eight,":[211],"six":[213],"times":[214],"more":[215,233],"than":[216],"population":[220],"at":[221],"4":[222],".6%,":[223],"5%,":[224],"8":[226],".4%,":[227],"respectively.3":[228],"These":[229],"even":[232],"pronounced,":[234],"younger,":[237],"Black,":[238],"Indigenous,":[239],"American":[242],"Pacific":[244],"Islander":[245],"substantially":[249],"face":[250],"GAC":[252,280],"3":[253],"-making":[254],"significant":[258],"priority.GAC":[260],"integral":[263],"determinant":[264],"people's":[267],"well-being.4":[268],"While":[269],"all":[271],"seek":[274],"GAC,":[275],"most":[276],"do.For":[277],"youth,":[279],"unimpulsive":[283],"wellinformed":[285],"decision":[286],"between":[287],"themselves,":[288],"their":[289],"parents,":[290],"providers-one":[292],"prioritizes":[294],"parental":[295],"consent":[296],"youth's":[298],"assent":[299],"fully":[301],"understand":[302],"scope":[304],"its":[309],"timeline,":[310],"risks":[311],"benefits,":[313]},"counts_by_year":[{"year":2026,"cited_by_count":7},{"year":2025,"cited_by_count":9},{"year":2024,"cited_by_count":9},{"year":2023,"cited_by_count":4}],"updated_date":"2026-10-30T12:39:25.321706","created_date":"2023-06-26T00:00:00"}
