Experiences of trans persons in physical activity and sport: A qualitative meta-synthesis

Pérez-Samaniego, Víctor; Fuentes-Miguel, Jorge; Pereira-García, Sofía; López-Cañada, Elena; Devís‐Devís, José

doi:10.1016/j.smr.2018.08.002

Cited by 63 publications

(33 citation statements)

References 46 publications

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“…This quotation illustrates the difficulties and extra challenges of PAS participation for trans people, as others have previously indicated (Pérez-Samaniego et al, 2019; Travers, 2008). Many sports contribute to (re)construct and (re-)inscribe gender inequalities.…”

Section: Resultssupporting

confidence: 68%

“…Some typical examples of passing strategies for exercising are the use of certain procedures and devices, like chest binding or false packages (trans men) or bras with stuffing (trans women), to conceal or denote certain body features (Pérez-Samaniego et al, 2019). However, the ultimate strategy is to mould the actual body appearance according to culturally accepted presentations of gender.…”

Section: Resultsmentioning

confidence: 99%

“…PAS can also foster wellbeing, as well as being beneficial for mental health problems – such as control of eating disorders, depression or anxiety – and addictions, of which they are at a higher risk (Fredriksen-Goldsen et al, 2013; Hellman et al, 2002; Millet et al, 2017). Participating in PAS in educational and recreational environments can also favour recognition and social justice in this vulnerable social group (Devís-Devís et al, 2018b; Pérez-Samaniego et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

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Socio-ecological analysis of trans people’s participation in physical activity and sport

López-Cañada

Devís‐Devís

Pereira-García

et al. 2019

International Review for the Sociology of Sport

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The purpose of this study is to explore and provide understanding of trans people’s participation in physical activity and sport through the socio-ecological perspective. A total of 43 Spanish trans people (21 trans women, 17 trans men and 5 with ‘other self-identifications’), between 15 and 62 years old, participated in semi-structured interviews. Thematic analysis identified six main themes, which highlight the multidimensional relations between individual, social and environmental factors in trans people’s participation in physical activity and sport. Results reveal that the importance of body appearance for ‘passing’ and the fear of being unmasked affect their participation. Trans people also rely on physical activity and sport to accelerate or avoid the side effects of hormone treatment. Social support from family and close friends and health professionals are essential for engaging in physical activity and sport. Experiences in physical education also influence trans people’s attitudes towards physical activity and sport. Finally, spaces (e.g. swimming pools and changing rooms), legal requirements and lesbian, gay, bisexual and transsexual teams and leagues are also identified as key socio-ecologic themes. These findings are relevant for health and physical activity professionals, educators, sports organizations and policymakers in facilitating trans people’s participation in physical activity and sport and improving promotion strategies.

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Section: Resultssupporting

confidence: 68%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Socio-ecological analysis of trans people’s participation in physical activity and sport

López-Cañada

Devís‐Devís

Pereira-García

et al. 2019

International Review for the Sociology of Sport

Self Cite

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“…Recent research-based literature demonstrates, through systematic review (Jones et al, 2017a ) and meta-synthesis (Pérez-Samaniego et al, 2019 ), that there exists evidence of transgender people's negative experiences of physical activity, sport and competitive sport. For example, Jones et al ( 2017a ) found evidence of structural barriers to participation and a lack of inclusion through their critical scrutiny of sport policies ( n = 31), and their review of existing academic research findings ( n = 8).…”

Section: Inequality: Conceptual Framingmentioning

confidence: 99%

“…For example, Jones et al ( 2017a ) found evidence of structural barriers to participation and a lack of inclusion through their critical scrutiny of sport policies ( n = 31), and their review of existing academic research findings ( n = 8). Pérez-Samaniego et al ( 2019 ) provide valuable focus on existing qualitative studies ( n = 12), highlighting shared findings of exclusionary processes such as abjection (Travers and Deri, 2011 ; Lucas-Carr and Krane, 2012 ), use of language (Semerjian and Cohen, 2006 ; Sykes, 2009 ), design of space and facilities (Lewis and Johnson, 2011 ; Van Ingen, 2011 ; Oakleaf and Richmond, 2017 ).…”

Section: Inequality: Conceptual Framingmentioning

confidence: 99%

Transgender and Non-binary Swimming in the UK: Indoor Public Pool Spaces and Un/Safety

Caudwell

2020

Front. Sociol.

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This paper draws from the findings of research that was initiated as a consequence of previous research activities related to University-LGBT community physical activity projects (2012–2018). Specifically, the research underpinning this paper centers transgender and non-binary experiences of recreational swimming and aquatic activity (2017–2020). To date, the research has received small amounts of funding from four sources and resulted in two public engagement activities (two art exhibitions). The findings that inform the discussion are taken from nine semi-structured interviews, three focus groups including a professionally drawn illustration of two of these focus groups, and sixty-three research participant's “drawings” as well as informal conversations with eight stakeholders. The findings concern transgender and non-binary people's feelings of un/safety in the public spaces of an indoor swimming pool and the accompanying display of their embodied self. These two elements of un/safety—spatiality and embodiment—are critically discussed in relation to physical activity and in/equality. In this way, the work contributes to sustained University-LGBT community links and provides possibility for evidenced-based intervention to address inequality.

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Patient-Centered Approaches to Using BMI to Evaluate Gender-Affirming Surgery Eligibility

2023

AMA Journal of Ethics

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Body mass index (BMI) cutoffs are routinely used to assess eligibility for gender-affirming surgeries (GAS), yet they are not empirically based. The transgender population is disproportionately affected by overweight and obesity due to clinical and psychosocial influences on body size. Strict BMI requirements for GAS are likely to cause harm by delaying care or denying patients the benefits of GAS. A patient-centered approach to assessing GAS eligibility with respect to BMI would utilize reliable predictors of surgical outcomes specific to each gender-affirming surgery, include measures of body composition and body fat distribution rather than BMI alone, center on the patient's desired body size, and emphasize collaboration and support if the patient genuinely desires weight loss.The American Medical Association designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credit™ available through the AMA Ed Hub TM . Physicians should claim only the credit commensurate with the extent of their participation in the activity. Assessing EligibilityThe number of transgender patients seeking gender-affirming surgery (GAS) has dramatically increased in recent years. 1 Body mass index (BMI) cutoffs are routinely used to assess eligibility for GAS due to concerns about adverse surgical outcomes. 2,3,4 Results from the National Surgical Quality Improvement Program revealed that the effect of BMI on surgical outcomes presents the greatest risk to patients with morbid obesity (BMI ≥ 40). Commonly cited concerns include increased risk of surgical site infection; cardiovascular risks, such as cardiac arrest and myocardial infarction; and pulmonary complications, such as pneumonia, reintubation, and prolonged ventilator support. 5,6 Risks associated with delaying or denying access to GAS are also salient. Genderaffirming medical interventions, including hormone therapy (HT) and GAS, are associated with improved quality of life and decreased levels of anxiety, depression, gender dysphoria, and suicidal ideation. 7,8,9 The eighth version of the World Professional Association of Transgender Health guidelines characterize GAS as "medically necessary" for some patients to alleviate gender dysphoria. 10 Thus, surgeons must consider not only

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Experiences of trans persons in physical activity and sport: A qualitative meta-synthesis

Cited by 63 publications

References 46 publications

Socio-ecological analysis of trans people’s participation in physical activity and sport

Socio-ecological analysis of trans people’s participation in physical activity and sport

Transgender and Non-binary Swimming in the UK: Indoor Public Pool Spaces and Un/Safety

Patient-Centered Approaches to Using BMI to Evaluate Gender-Affirming Surgery Eligibility

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