Transgender and nonbinary youths who received gender-affirming medical care, such as puberty blockers and hormones, were largely satisfied with the treatments they received, according to a study published in JAMA Pediatrics. “There are huge disparities in who accesses that care,” said CHW affiliate Kristina Olson, lead author on the study and professor in the department of psychology at Princeton University. She explained that inequities in the American health care system result in some trans youths being able to access gender-affirming care more readily than others.

The study is the latest research from the TransYouth Project, which Olson started in 2013.