Affirmative and Responsible Health Care for People with Nonconforming Gender Identities and Expressions

Eckstrand, Kristen; Ng, Henry; Potter, Jennifer

doi:10.1001/journalofethics.2016.18.11.pfor1-1611

Cited by 22 publications

(11 citation statements)

References 18 publications

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“…The PRs’ recommendations support the literature calling for client-centered gender-affirming care that promotes the comprehensive health and wellbeing of patients [ 1 , 28 , 35 , 38 , 73 , 74 ], while providing strategies for achieving these goals. Medical professionals have been explicitly identified as needing training about affirming nonbinary and gender nonconforming patients [ 28 , 74 , 77 , 78 , 79 ], and for that training to be intersectional in recognizing the complexity and interrelatedness of the various components of clients’ identities [ 73 ]. Not only is there a need for gender-affirming training to exist, but physicians also need to be interested in pursuing such training [ 80 ].…”

Section: Discussionmentioning

confidence: 72%

Section: Discussionmentioning

confidence: 99%

“…This study built upon the existing call for trans-inclusive healthcare with nonbinary-specific care [ 73 , 74 , 75 , 76 ], providing community member experiences accessing healthcare and recommendations for improving gender-affirming care specific to those with expansive gender identities and expression. The PRs’ recommendations support the literature calling for client-centered gender-affirming care that promotes the comprehensive health and wellbeing of patients [ 1 , 28 , 35 , 38 , 73 , 74 ], while providing strategies for achieving these goals. Medical professionals have been explicitly identified as needing training about affirming nonbinary and gender nonconforming patients [ 28 , 74 , 77 , 78 , 79 ], and for that training to be intersectional in recognizing the complexity and interrelatedness of the various components of clients’ identities [ 73 ].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

“Truly Listen to Us”: Recommendations for Health Professionals to Bolster Wellbeing of Nonbinary Individuals

Kinney

Cosgrove

2022

IJERPH

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Trans-affirming providers play significant roles in the health and wellbeing of nonbinary individuals. Yet, healthcare mistreatment is well-documented among gender-diverse patients, leading to clients withholding information and avoiding care for fear of experiencing bias. Concurrently, healthcare providers report feeling ill-equipped to serve nonbinary patients, often perpetuating cisnormative binary attitudes. The literature has established the challenges to accessing healthcare and the need for gender-affirming care. However, little is known about nonbinary people’s perspectives on how best to deliver gender-affirming care that is inclusive of nonbinary patients. This participatory action PhotoVoice study identified community member recommendations for healthcare providers to bolster the wellbeing of nonbinary individuals through improved access to gender-affirming healthcare. Data were collected through group discussions, photography, and photo-elicitation interviews. Drawing upon research results, the authors identify recommendations for improving interpersonal care, increasing access to gender-affirming care, and advocating for related environmental and policy changes.

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Section: Discussionmentioning

confidence: 72%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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“Truly Listen to Us”: Recommendations for Health Professionals to Bolster Wellbeing of Nonbinary Individuals

Kinney

Cosgrove

2022

IJERPH

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“…10–13 Whereas, we use the term GNC to refer to people whose gender identity or expression (masculine, feminine, androgyny, among others) is portrayed in a manner different from what is socially and stereotypically expected for men or women at a certain point in our societies. 14,15…”

Section: Introductionmentioning

confidence: 99%

A Preliminary Assessment of Selected Social Determinants of Health in a Sample of Transgender and Gender Nonconforming Individuals in Puerto Rico

2019

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Purpose: Transgender and gender nonconforming (GNC) people continue to experience suboptimal health care, social exclusion, and lower quality of life. Globally, lack of access to services, institutional violence, and public harassment have been reported. However, there is limited data on transgender health in Puerto Rico and the Caribbean. The purpose of this study is to assess the social determinants of health and wellbeing of transgender and GNC people living in Puerto Rico.Methods: Utilizing a community-based participatory research approach, 52 self-identified transgender and GNC individuals living in Puerto Rico completed a survey, which included questions on access to health care services, social support, and violence, among others. Data were collected from March to Ma y of 2015 and descriptive statistical analysis was conducted.Results: Most of the participants reported experiences of discrimination across multiple social settings, most commonly at school (70.6%) and work (67.4%). Regarding experiences of violence, more than half (65.4%) had been verbally attacked in a public space. Many reported that access to gender-affirming health care services is difficult in Puerto Rico (88.5%) due to lack of knowledgeable providers (59.6%) and discomfort during the encounter (55.8%). The main perceived priority for their wellbeing was a transgender health care center.Conclusion: Although the LGBT equality movement has reached great milestones, access to gender-affirming health services and safe educational and work spaces are still needed. Findings from the study provide guidance for actions to reduce health disparities by addressing the needs for health and wellbeing among transgender and GNC individuals.

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“…Respiratory and cardiac explorations are performed according to age and sex. As in most medical legislation, these medical recommendations are based on a binary (i.e., male/female) gender framework [3]. Health standards are adapted according to sex.…”

mentioning

confidence: 99%

Can a transgender person be an occupational diver? Demonstration from a case report

Richard

Loddé

Henckes

et al. 2017

International Maritime Health

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This is the first case report about a transgender professional diver. The purpose of this article is to show the professional adaptations to help him to continue occupational dive and to raise the question of the impact on diving risks of hormonal treatment in this case. He was a 39-year-old man when he began his transition. He had worked as a diver for 9 years before his transition. When he changed to look like a woman, there were a few difficulties in continuing his professional activity. The main difficulty was that he looked like a woman while working with men. Modesty was a crucial issue in the enterprise. There were other problems such as the organisation of premises, the physical workload and the interaction between treatments and diving. There is a lack of a law to guide the employer. French legislation does not address the issue of transsexuals for this profession. The medical recommendations do not specify contraindications or adaptations for diving safely. Because of his transition, he lost muscle mass. The occupational physician helped to adjust his activity: decreasing the weight of his diving suit, creating a female-like locker room etc. Finally, the question of the risk of decompression illness arose. Legal hormonal medication seems not to significantly increase the risk of decompression illness, but this diver was taking illicit treatment to speed up the transition. The occupational physician recommended taking the legal hormonal medication.

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Affirmative and Responsible Health Care for People with Nonconforming Gender Identities and Expressions

Cited by 22 publications

References 18 publications

“Truly Listen to Us”: Recommendations for Health Professionals to Bolster Wellbeing of Nonbinary Individuals

“Truly Listen to Us”: Recommendations for Health Professionals to Bolster Wellbeing of Nonbinary Individuals

A Preliminary Assessment of Selected Social Determinants of Health in a Sample of Transgender and Gender Nonconforming Individuals in Puerto Rico

Can a transgender person be an occupational diver? Demonstration from a case report

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