Addressing transgender patients' barriers to access care

Rowe, Denise; Ng, Yeow Chye; O’Keefe, Louise C.

doi:10.1097/01.npr.0000558155.38478.8f

Cited by 23 publications

(13 citation statements)

References 52 publications

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“…The inadequate amount of education on LGBTQ + issues in allied health professions often results in negative patient experiences when patients interact with healthcare providers. Some healthcare providers refuse outright to provide services to LGBTQ + identified patients, reducing the healthcare utilization by this population [7,40,46]. Once a patient has found a provider that is willing to work with them, lack of education on LGBTQ + identity causes difficulty in providing affirming healthcare services to LGBTQ + people.…”

Section: Current State Of Allied Health Professions Educationmentioning

confidence: 99%

Contemporary LGBTQ + content that should be included in allied health professions education

et al. 2023

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Though many individuals in the United States of America and worldwide identify as LGBTQ + (lesbian, gay, bisexual, transgender, queer, intersex, asexual, and other identities), educational programs for allied health professions often do not adequately cover LGBTQ + issues. The literature clearly identifies a dearth of LGBTQ + information in undergraduate, graduate, and continuing education for allied health professionals. This lack of education and training causes real and perceived prejudice and discrimination by healthcare professionals against people who identify as LGBTQ +. Pertinent issues for people who identify as LGBTQ + and the language used to refer to these individuals changes over time so the LGBTQ + content that allied health education programs cover should be periodically reevaluated. This article summarizes the current state of education on LGBTQ + issues in allied health professions education and suggests contemporary LGBTQ + content that should be included in allied health professions education.

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Section: Current State Of Allied Health Professions Educationmentioning

confidence: 99%

Contemporary LGBTQ + content that should be included in allied health professions education

et al. 2023

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“…Additionally, protection of LGBTQI+ people against discrimination in healthcare and other services is limited in many European Union (EU) countries [ 4 ]. Although existing law implementing the principle of equal treatment between women and men is, to a certain extent, relevant to discrimination on grounds of gender identity, in many cases, there is no legal framework when it comes to discrimination on the basis of sexual orientation in any area outside employment [ 4 , 5 , 6 , 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Βarriers and Gaps to Medical Care for Transgender Individuals: A TRANSCARE Scoping Review with a Focus on Greece

Anastasaki,

Angelaki,

Paganis

et al. 2024

Healthcare

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Trans people face substantial barriers to care worldwide. In Greece, limited evidence regarding trans health and actions to improve accessibility in healthcare services is available. This study aims to identify barriers to care for transgender populations in order to discuss the potential gaps in healthcare providers’ training in this direction. A scoping review was conducted in PubMed. Study eligibility criteria included: (a) reporting on at least one barrier to care for trans individuals or at least one educational need for healthcare providers; (b) free full text availability; and (c) publishing from 2015 and afterwards. Discrepancies in study inclusion were discussed between the research team until consensus was reached. Out of 560 identified references, 69 were included in this study, with only three reporting empirical research from Greece. Several individual-, interpersonal-, and institutional-level barriers to healthcare for trans individuals were identified. These included discriminatory treatment by healthcare providers, a lack of knowledgeable providers trained on trans-specific healthcare issues, lack of trusted and safe healthcare environments, health coverage-related issues, and healthcare systems that do not take into account particular transgender health issues during care provision. Improving access to care for transgender people is a multidimensional issue that should be addressed at the societal, healthcare, and research levels. Actions for future professional education initiatives should focus on respecting transgender identity, protecting confidentiality, creating trusted provider–patient relationships, and providing sufficient competency on trans-specific healthcare issues.

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“…Transgender women (TW) in the United States (US) experience critical barriers to healthcare and significant health inequities due to their minoritized status. These inequities include lower rates of insurance coverage, and a disproportionate prevalence of HIV, depression, anxiety, lifetime suicide attempts, and illicit drug use compared to the general population [ 1 ]. They are also more likely to experience violence [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Access to healthcare among transgender women living with and without HIV in the United States: associations with gender minority stress and resilience factors

Loeb,

Murray,

Cooney

et al. 2024

BMC Public Health

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Background Transgender women (TW) experience significant inequities in healthcare access and health disparities compared to cisgender populations. Access to non-transition related healthcare is understudied among TW. We aimed to assess the association between access to care and gender minority stress and resilience factors among TW living with and without HIV in eastern and southern United States. Methods This study was a cross-sectional analysis of baseline data drawn from a cohort of 1613 adult TW from the LITE Study. The cohort permitted participation through two modes: a site-based, technology-enhanced mode and an exclusively online (remote) mode. Exploratory and confirmatory factor analyses determined measurement models for gender minority stress, resilience, and healthcare access. Structural equation modeling was used to assess the relationships between these constructs. Models were evaluated within the overall sample and separately by mode and HIV status. Results Higher levels of gender minority stress, as measured by anticipated discrimination and non-affirmation were associated with decreased access to healthcare. Among TW living with HIV, higher levels of anticipated discrimination, non-affirmation, and social support were associated with decreased healthcare access. Among TW living without HIV in the site-based mode, resilience was positively associated with positive healthcare experiences and inversely associated with barriers to healthcare access. Among TW living without HIV in the online mode, anticipated discrimination was associated with barriers to healthcare access; resilience was positively associated with positive healthcare experiences and inversely associated with barriers to healthcare access. Conclusions Gender minority stress was associated with increased barriers to healthcare access among TW in the US, regardless of HIV status. Resilience factors did not mediate this effect. Interventions aiming to increase healthcare access among TW can be aided by efforts to mitigate drivers of gender minority stress and improve patient experiences in healthcare facilities.

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Addressing transgender patients' barriers to access care

Cited by 23 publications

References 52 publications

Contemporary LGBTQ + content that should be included in allied health professions education

Contemporary LGBTQ + content that should be included in allied health professions education

Βarriers and Gaps to Medical Care for Transgender Individuals: A TRANSCARE Scoping Review with a Focus on Greece

Access to healthcare among transgender women living with and without HIV in the United States: associations with gender minority stress and resilience factors

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