Differences Across Age Groups in Transgender and Gender Non-Conforming People’s Experiences of Health Care Discrimination, Harassment, and Victimization

Kattari, Shanna K.; Hasche, Leslie

doi:10.1177/0898264315590228

Cited by 104 publications

(89 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Similarly, education of providers in LGBT health disparities and transgender health was a commonly identified environmental‐level facilitator of SO/GI collection, which can be implemented nationally in concert with SO/GI collection recommendations . Next, our hypotheses that gender differences may exist were supported, and based on existing research substantiating gender differences in factors such as healthcare access, preventive screenings, and overall engagement in healthcare . However, these relationships are not well studied among transgender individuals, who are understudied in general.…”

Section: Discussionmentioning

confidence: 98%

“…Up to two codes were assigned per comment and then organized into larger themes and summarized by frequency. Finally, codes were explored by age and gender, to allow for patterns to emerge based on these demographic characteristics that are often associated with health behaviors . All initial coding was completed by one coder, and 15% of data were blindly coded by a second researcher, using Cohen's kappa for calculating inter‐rater reliability, which is standard among qualitative content analyses .…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Is It Okay To Ask: Transgender Patient Perspectives on Sexual Orientation and Gender Identity Collection in Healthcare

Maragh-Bass

Torain

Adler

et al. 2017

Academic Emergency Medicine

View full text Add to dashboard Cite

Objective: The National Academy of Medicine and Joint Commission recommend routine documentation of sexual orientation (SO) and gender identity (GI) in healthcare to address lesbian, gay, bisexual, or transgender (LGBT) health disparities. We explored transgender patient-reported views on the importance on SO/GI collection, their willingness to disclose, and their perceived facilitators of SO/GI collection in primary care and emergency department (ED) settings. Methods:We recruited a national sample of self-identified transgender patients. Participants completed demographic questions, survey questions, and free-response comments regarding their views on SO/GI collection. Data were analyzed using descriptive statistics; inductive content analysis was conducted with openended responses.Results: Patients mostly self-identified as male gender (54.5%), white (58.4%), and SO other than heterosexual or LGB (33.7%; N = 101). Patients felt that it was more important for primary care providers to know their GI than SO (89.1% vs. 57%; p < 0.001); there was no difference among reported importance for ED providers to know the patients' SO versus GI. Females were more likely than males to report medical relevance to chief complaint as a facilitator to SO disclosure (89.1% vs. 80%; p = 0.02) and less likely to identify routine collection from all patients as a facilitator to GI disclosure (67.4% vs. 78.2%; p = 0.09). Qualitatively, many patients reported that medical relevance to chief complaint and an LGBT-friendly environment would increase willingness to disclose their SO/GI. Patients also reported need for educating providers in LGBT health prior to implementing routine SO/ GI collection. Conclusions:Patients see the importance of providing GI more than SO to providers; nonetheless they are willing to disclose SO/GI in general.. Findings also suggest that gender differences may exist in facilitators of SO/ GI disclosure. Given the underrepresentation of transgender patients in healthcare, it is crucial for providers to address their concerns with SO/GI disclosure, which include LGBT education for medical staff and provision of a safe environment.

show abstract

Section: Discussionmentioning

confidence: 98%

Section: Methodsmentioning

confidence: 99%

Is It Okay To Ask: Transgender Patient Perspectives on Sexual Orientation and Gender Identity Collection in Healthcare

Maragh-Bass

Torain

Adler

et al. 2017

Academic Emergency Medicine

View full text Add to dashboard Cite

show abstract

“…Thus, there is a crucial need for training for PCPs with regard to providing transgender-inclusive care, as has been recommended by other scholars. 6,9,42 Providers interested in better serving transgender patients may need to actively seek out those patients (whether or not they are known to be transgender) who are irregularly receiving physical examinations and provide communication to all patients about staff persons' expertise and previous training in working with transgender patients and/or the availability of transgender-related care, such as hormone therapy.…”

Section: Discussionmentioning

confidence: 99%

Transgender Noninclusive Healthcare and Delaying Care Because of Fear: Connections to General Health and Mental Health Among Transgender Adults

et al. 2017

View full text Add to dashboard Cite

Purpose: There are many barriers to reliable healthcare for transgender people that often contribute to delaying or avoiding needed medical care. Yet, few studies have examined whether noninclusive healthcare and delaying needed medical care because of fear of discrimination are associated with poorer health among transgender adults. This study aims to address these gaps in the knowledge base.Methods: This study analyzed secondary data from a statewide survey of 417 transgender adults in the Rocky Mountain region of the United States. Independent variables included noninclusive healthcare from a primary care provider (PCP) and delay of needed medical care because of fear of discrimination. Dependent variables assessed general health and mental health.Results: Transgender individuals who delayed healthcare because of fear of discrimination had worse general health in the past month than those who did not delay or delayed care for other reasons (B=−0.26, p<0.05); they also had 3.08 greater odds of having current depression, 3.81 greater odds of a past year suicide attempt, and 2.93 greater odds of past year suicidal ideation (p<0.001). After controlling for delayed care because of fear of discrimination, having a noninclusive PCP was not significantly associated with either general health or mental health.Conclusion: This study suggests a significant association between delaying healthcare because of fear of discrimination and worse general and mental health among transgender adults. These relationships remain significant even when controlling for provider noninclusivity, suggesting that fear of discrimination and consequent delay of care are at the forefront of health challenges for transgender adults. The lack of statistical significance for noninclusive healthcare may be related to the measurement approach used; future research is needed to develop an improved tool for measuring transgender noninclusive healthcare.

show abstract

“…To meet this end, social work, as is true for other professions, must continue to advance its educational requirements and include competencies for work with trans/NB populations. 30,37,39,40 The inclusion of explicit content in social work curricula on trans/NB populations and human gender diversity are essential. 36,40 A guiding value of the social work profession is the "dignity and worth of the person," 34 which in the case of trans/NB populations is yet to be adequately achieved.…”

Section: Cary Klemmermentioning

confidence: 99%

“In transition: ensuring the sexual and reproductive health and rights of transgender populations.” A roundtable discussion

Gruskin

Everhart

Olivia³

et al. 2018

Reproductive Health Matters

View full text Add to dashboard Cite

This roundtable discussion is the result of a research symposium entitled In Transition: Gender [Identity], Law & Global Health where participants took up the challenge to engage with the question: What will it take to ensure the sexual and reproductive health and rights (SRHR) of transgender populations across the globe? The barriers to overcome are fierce, and include not only lack of access to health services and insurance but also stigma and discrimination, harassment, violence, and violations of rights at every turn. Transgender people must of course lead any sort of initiatives to improve their lives, even as partnerships are needed to build capacity, translate lived experience into usable data, and to make strategic decisions. The SRHR of transgender people can only be addressed with attention to the social, cultural, legal, historical, and political contexts in which people are situated, with social, psychological, medical, and legal gender affirmation as a key priority shaping any intervention. Bringing together nine diverse yet complementary perspectives, our intent is to jumpstart a global and multigenerational conversation among transgender activists, lawyers, policy-makers, programmers, epidemiologists, economists, social workers, clinicians and all other stakeholders to help think through priority areas of focus that will support the needs, rights, and health of transgender populations. Making the changes envisioned here is possible but it will require not only the advocacy, policy, programmatic and research directions presented here but also struggle and action locally, nationally, and globally.

show abstract

Differences Across Age Groups in Transgender and Gender Non-Conforming People’s Experiences of Health Care Discrimination, Harassment, and Victimization

Abstract: Medicare policy changes and this study's findings prompt further consideration for revising other health insurance policies. In addition, expanded cultural competency trainings that are specific to transgender and GNC individuals are crucial.

Cited by 104 publications

References 25 publications

Is It Okay To Ask: Transgender Patient Perspectives on Sexual Orientation and Gender Identity Collection in Healthcare

Is It Okay To Ask: Transgender Patient Perspectives on Sexual Orientation and Gender Identity Collection in Healthcare

Transgender Noninclusive Healthcare and Delaying Care Because of Fear: Connections to General Health and Mental Health Among Transgender Adults

“In transition: ensuring the sexual and reproductive health and rights of transgender populations.” A roundtable discussion

Contact Info

Product

Resources

About