It is important to note that transgender people have a significantly shorter life expectancy due to systemic issues such as lack of healthcare access, unemployment, homelessness, and susceptibility to violence (Cicero et al. This number is expected to grow with increasing social acceptance and awareness of TGD identities. It is estimated that there are around 1.4 million transgender people in the USA (Flores et al. Because gender is socially constructed, gender varies between societies and can change over time. Transgender and gender-diverse (TGD) people have a gender identity that differs from the sex they were assigned at birth, whereas cisgender people have a gender identity that aligns with their sex assigned at birth (see Table Table1 1 for glossary of terms used in this paper). Moreover, due to the serious ethical issues outlined in this study, TAGR should be reconsidered altogether. Research about the TGD community needs to include TGD individuals as core members of the research team. It is important for genetic researchers to prioritize the perspectives and concerns of TGD people highlighted in this study. Those who identified potential advantages of TAGR gave warning that TAGR would be unlikely to solely have positive effects. Participants highlighted concerns about TAGR being used as a tool for discrimination. Through inductive content analysis, five major themes were emergent: (1) TAGR could affect self-perception of identity (2) TAGR could affect external views of TGD people (3) TAGR could affect access to gender-affirming services (4) TAGR could contribute to the pathologization and elimination of TGD identities and (5) researchers should consult TGD community members and consider ethical concerns before conducting research. Eighteen semi-structured interviews were conducted with members of the TGD community to explore how TGD individuals view TAGR. The aim of this study was to understand the perspectives of TGD individuals about trans-associated genetic research (TAGR). Therefore, investigators should incorporate the TGD community’s opinions into this research to mitigate potential ethical issues, given the history of pathologization of TGD identities and utilization of genetics for eugenics. When investigating communities that have been marginalized, it is important for researchers to incorporate perspectives of the communities the research is targeting. Recent genetic research has explored how genetic variants may contribute to gender dysphoria and transgender and gender-diverse (TGD) identities.
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