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Access to and utilization of contraceptive and abortion services among transmasculine individuals

Madina Agénor, Harvard T.H. Chan School of Public Health

Project abstract

Transmasculine individuals—i.e., people assigned a female sex at birth who self-identify as transgender men, female-to-male (FTM), or a non-binary gender identity along the masculine continuum—are at risk of unintended pregnancy. However, transmasculine people face substantial barriers to health care that may undermine their access to and utilization of contraceptive and abortion services, including stigma and discrimination and a lack of competent health care providers trained in transgender health.

Research pertaining to the sexual and reproductive health of transmasculine individuals is scarce, and the majority of studies have focused on HIV and cervical cancer screening. Only two small quantitative studies have ascertained contraceptive use among transmasculine individuals, and no study has examined the barriers to, perceptions of, or experiences with contraception or abortion in this marginalized population. Thus, we will conduct a qualitative pilot study that aims to: 1) explore transmasculine individuals’ perceptions of and attitudes toward contraception and abortion, including their contraceptive preferences; 2) identify the barriers to and facilitators of contraception and abortion among transmasculine individuals; and 3) understand the experiences of transmasculine individuals who have utilized contraceptive and abortion services.

Using purposive and snowball sampling and in collaboration with local health care i and community-based organizations, we will recruit 20 transmasculine individuals aged 18-29 years who reside in the greater Boston area to participate in semi-structured interviews. Research findings will be disseminated to academic, healthcare, and community audiences through manuscripts, presentations, and factsheets and will help inform future qualitative and quantitative data collection and evidence-based interventions.


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