This research quantitatively demonstrates disparities in healthcare quality experienced by transgender patients. Using objective clinical quality measures rather than personal testimony alone, it shows transgender patients receive recommended treatments less often. Encouragingly, providers with greater experience treating transgender patients deliver more equitable care, highlighting the importance of education and clinical exposure.

This study examines the relationship between sexual position discordance, sexualized substance use, and sexual satisfaction among nearly 2,000 sexual minority men in Canada. While discordance between preferences and behaviors was common and not linked to lower satisfaction, frequent use of substances such as crystal meth and poppers was associated with reduced sexual satisfaction.