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Visualizing patterns and gaps in transgender sexual and reproductive health: A bibliometric and content analysis of literature (1990 – 2020)

Arnull, Liam G and Kapilashrami, Anuj and Sampson, Margaret (2021) 'Visualizing patterns and gaps in transgender sexual and reproductive health: A bibliometric and content analysis of literature (1990 – 2020).' International Journal of Transgender Health. ISSN 2689-5269

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Background: Transgender people face numerous obstacles to accessing adequate, affordable, and appropriate sexual and reproductive health (SRH) services as outlined by the UN’s Sustainable Development Goal 3.7 target of achieving universal access to SRH services by 2030. However, transgender SRH sits as a poorly researched area within public health that makes it difficult to understand the current dilemmas facing transgender SRH. This article reports the findings of a study aimed at taking stock of global research in transgender SRH. Methods: A bibliometric analysis, used to gain insights from the retrieved literature’s metadata, alongside a content analysis were utilized to examine the growth, impact, and content of retrieved articles. Results: Nine hundred fourteen journal articles were retrieved, predominately in English (884; 96.7%). These involved 3653 authors from 46 affiliated countries. Most frequent keywords included HIV, PrEP, and gender identity; corresponding to the SRH issues studied, namely HIV/AIDs and gender reassignment. Top cited and overall articles originated heavily from US affiliated authors. Content analysis outlined the articles’ inclusion of the transgender community to largely have a mixed focus with cisgender people in research, these articles largely disease-focused and conducted within cities in the United States. Conclusions: Growth in transgender SRH research was minimal until the early-2010s, after which a steep rise can be observed. Research retrieved has a disproportionate clinical and biomedical focus around HIV and related STI issues suggesting a failure to engage with reproductive justice and more comprehensive rights-based understanding of SRH. The sustained use of derogative language suggests a need for greater inclusion and awareness of trans identities within research and publishing. The dominance of the United States in authorship and as a site of research establishes the need for more geographically diverse research, trans, and LMIC-led research enquiry and creating greater opportunities for cross-cultural, comparative, and collaborative scholarly work.

Item Type: Article
Uncontrolled Keywords: Bibliometric analysis; content analysis; health; human rights; reproductive justice; sexual and reproductive health; transgender
Divisions: Faculty of Science and Health
Faculty of Science and Health > Health and Social Care, School of
SWORD Depositor: Elements
Depositing User: Elements
Date Deposited: 31 Jan 2022 16:05
Last Modified: 31 Jan 2022 16:05

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