What does this research mean for the field?

Administrative burdens and gender minority stress interact to create significant barriers, delays, and interruptions in accessing and continuing gender-affirming care for transgender and nonbinary migrants in Italy. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To examine the structural, institutional, and psychosocial factors shaping access to and continuity of gender-affirming hormone therapy among transgender and nonbinary migrants.

August 30, 2026International Journal of Transgender HealthOpen Access

“I went for a year without hormone treatment” experiences of access and continuity of gender-affirming care among transgender and nonbinary migrants in Italy

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Authors

MBMarco Barracchia SNSamira Shirzaei Nichols MCMirco Costacurta

Discussion

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Overview

Qualitative study uncovers systemic barriers to hormone therapy continuity in transgender and nonbinary migrants, highlighting the compounding impacts of administrative burden and stigma.

Key Points

To examine the structural, institutional, and psychosocial factors shaping access to and continuity of gender-affirming hormone therapy among transgender and nonbinary migrants.
Conducted semi-structured interviews and one focus group with transgender and nonbinary migrants (N=16) across northern, central, and southern Italy.
Analyzed qualitative narrative data using reflexive thematic analysis framed by the gender minority stress framework and administrative burden theory.
Administrative fragmentation, documentation requirements, insurance costs, and prolonged waiting times directly caused treatment delays and interruptions in hormone therapy.
Healthcare-related discrimination, misgendering, and anticipated stigma prompted avoidance of clinical services, while community organizations served as essential navigators for treatment continuity.

Cite This Study

Barracchia et al. (2026) studied this question.

synapsesocial.com/papers/6a93f0b06c1a8fb52e79d155 https://doi.org/10.1080/26895269.2026.2720228

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August 30, 2026International Journal of Transgender HealthOpen Access

“I went for a year without hormone treatment” experiences of access and continuity of gender-affirming care among transgender and nonbinary migrants in Italy

View Full Paper

Ask AI

Bookmark

Authors

MBMarco Barracchia SNSamira Shirzaei Nichols MCMirco Costacurta

Discussion

Member takes

Overview

Qualitative study uncovers systemic barriers to hormone therapy continuity in transgender and nonbinary migrants, highlighting the compounding impacts of administrative burden and stigma.

Key Points

To examine the structural, institutional, and psychosocial factors shaping access to and continuity of gender-affirming hormone therapy among transgender and nonbinary migrants.
Conducted semi-structured interviews and one focus group with transgender and nonbinary migrants (N=16) across northern, central, and southern Italy.
Analyzed qualitative narrative data using reflexive thematic analysis framed by the gender minority stress framework and administrative burden theory.
Administrative fragmentation, documentation requirements, insurance costs, and prolonged waiting times directly caused treatment delays and interruptions in hormone therapy.
Healthcare-related discrimination, misgendering, and anticipated stigma prompted avoidance of clinical services, while community organizations served as essential navigators for treatment continuity.

Cite This Study

Barracchia et al. (2026) studied this question.

synapsesocial.com/papers/6a93f0b06c1a8fb52e79d155 https://doi.org/10.1080/26895269.2026.2720228

Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

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