Exploring Healthcare Experiences of Transgender Individuals

Ross, Katie; Law, Madelyn P.; Bell, Amanda

doi:10.1089/trgh.2016.0021

Cited by 50 publications

(57 citation statements)

References 39 publications

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“…Researchers have highlighted that connections to transgender communities may foster resilience. 16 Our study further illustrated ways this positive impact may be fostered by offering insight into the ways that transgender people in rural areas may encourage each other to embrace their identities, to see their own value, and to use their self-awareness as a source of motivation to seek care despite the inherent challenges. Connecting individuals to therapy groups and online networks not only equips them with sources of information but also carries the added benefit of fostering pride, resilience, and identity formation.…”

Section: Discussionmentioning

confidence: 69%

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Recommendations from Transgender Healthcare Consumers in Rural Areas

et al. 2018

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Purpose: Scholars indicate that rates of mental and physical health issues (e.g., substance use, anxiety, depression) may be much higher among transgender individuals relative to the general population. This disparity may be even greater for transgender individuals in rural areas. Clinical researchers suggest using affirmative therapeutic approaches and interventions to address the health concerns of transgender individuals, specifically to connect individuals with the transgender community. However, little is known about the content of information that is shared in transgender communities in rural areas.Method: For this qualitative study, researchers asked transgender individuals in rural areas (n=10) what recommendations they would offer to other transgender individuals in rural areas regarding healthcare access.Results: Results were organized into four domains: Access care, Quality control, Difficulties, and Mentorship. Within these domains, we identified 11 sub-domains: Get physical healthcare, Get mental healthcare, Provider search, Provider vetting, Treatment verification, It will be difficult, Know who you are, Believe in yourself, Move, Connect to community, and Other.Conclusions: We discuss implications of our findings for healthcare provision in rural areas, and we provide recommendations for future research.

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Section: Discussionmentioning

confidence: 69%

“… 15–17 In fact, social networking within communities of transgender individuals is linked to resilience and to positive healthcare experiences. 16 , 17 Aside from the general benefits of social support, 18 interpersonal connections allow for the transmission of vital information and resources. 19…”

Section: Introductionmentioning

confidence: 99%

Recommendations from Transgender Healthcare Consumers in Rural Areas

et al. 2018

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“…Systemic, institutional and interpersonal discrimination against trans women can lead to negative psychosocial and behavioral outcomes. 28 The sites of such discrimination are multifarious and can include inter alia the family, 33 the workplace, 28 health care providers, 35 and the criminal justice system, 28 with trans women often facing multiple and intersecting forces of discrimination and exclusion.…”

Section: Syndemic Factors and Hiv Riskmentioning

confidence: 99%

“…They are at elevated risk of homelessness, 26 of living in poverty, 47 and of experiencing difficulties in obtaining and maintaining employment. 35…”

Section: Syndemic Factors and Hiv Riskmentioning

confidence: 99%

Human Immunodeficiency Virus and Trans Women: A Literature Review

2018

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Trans women are a key, yet under-researched, population in the HIV epidemic. However, there remains a paucity of data on the health and wellbeing of trans women at risk of, or living with, HIV in the United Kingdom. This article provides a narrative review of key empirical research into HIV among trans women. In an effort to explore individual and social factors in relation to HIV in this population, we outline key tenets of identity process theory from social psychology and the concept of structural violence from medical anthropology. We focus on published studies around the following themes: (1) epidemiological data, (2) syndemic factors (3) barriers to social support, (4) HIV and gender transitioning, and (5) access to and engagement with health care. We identify lacunae and thus call for United Kingdom-based research in the following areas: (1) the prevalence and incidence of HIV in trans women, (2) the impact of syndemic factors on HIV risk and acquisition in trans women, (3) the nature of social support for coping with syndemic factors, (4) the interface of gender transitioning and HIV, and (5) barriers to accessing HIV prevention and care services. There is great scope (and urgency) for research into HIV among trans women, especially in the United Kingdom, to reduce incidence in this group, to enhance engagement in HIV care across the care continuum, and to improve the health and wellbeing of those living with HIV. A tentative model for HIV prevention and care is presented in this article.

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“…They also experience many barriers to patientcentered care when accessing information, treatment, and care at health facilities [14]. These include a lack of gender-affirming policies, the non-execution of genderaffirming practices, health services being conducted according to heteronormative and cis-normative health care frameworks, and the medical curricula excluding the needs of transgender people [15][16][17]. Additional barriers are few or non-existent gender-affirming medical practitioners and facilities, gender and culturally incompetent health workers having inadequate knowledge to provide gender-affirming service delivery and a lack of or inadequate access to care and medical insurance [18][19][20].…”

Section: Introductionmentioning

confidence: 99%

School-going transgender youths’ experiences at health care facilities: a systematic scoping review protocol

2020

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Background: Globally, miniscule improvements have been implemented regarding equality, inclusion, access, and protection of people with diverse gender identities whilst accessing health care facilities of which transgender youth form part. Literature has highlighted that the care transgender youth receive at health care facilities can result in positive or negative outcomes. School-going transgender youth constitute a unique group whose experiences at health care facilities warrant ongoing research. Hence, the objective of this scoping review is to systematically map evidence of school-going transgender youths' experiences at health care facilities regarding service delivery, support, and policies and to identify literature gaps that could inform future research. Methods: We will conduct a scoping review, using peer-reviewed journal articles that present literature on schoolgoing transgender youths' experiences at health care facilities. Searches for relevant articles will be conducted on the following databases: PubMed, Cochrane Library, Campbell collaboration, Scopus, Embase, and MEDLINE. Additional searches will be conducted on institutional websites or web-based search portals. Two reviewers will independently extract data from all relevant search engines incorporating the study objective, research questions, and eligibility criteria. The inclusion criteria include published full-text qualitative, quantitative, and mixed-method studies that address the topic with no language and publication year limitations to reflect a comprehensive range of literature that includes the implementation of the SDGs. All literature that does not meet the inclusion criteria will be excluded. The quality of included studies will be appraised using the mixed methods appraisal tool (MMAT)version 2018. Discussion: We anticipate mapping the experiences of school-going transgender youth at health care facilities. Once summarized, the data could be useful to clinical educators, health workers, policy makers, and guide future research to ensure that the human and patients' rights of transgender youth, are globally acknowledged, protected, and respected within health care facilities.

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Exploring Healthcare Experiences of Transgender Individuals

Cited by 50 publications

References 39 publications

Recommendations from Transgender Healthcare Consumers in Rural Areas

Recommendations from Transgender Healthcare Consumers in Rural Areas

Human Immunodeficiency Virus and Trans Women: A Literature Review

School-going transgender youths’ experiences at health care facilities: a systematic scoping review protocol

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