Fifteen-minute consultation in the normal child: Challenges relating to sexuality and gender identity in children and young people

O’Neill, Thomas; Wakefield, Justin

doi:10.1136/archdischild-2016-311449

Cited by 7 publications

(3 citation statements)

References 16 publications

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“…One of the most commonly reported element of heteronormativity was a heterosexual assumption about SGM youth in healthcare (East and El Rayess, 1998;Scherzer, 2000;Ginsburg et al, 2002;Kitts, 2010;Arbeit et al, 2016;Fuzzell et al, 2016). This issue has been recognised in previous literature (O'Neill and Wakefield, 2017;Brooks et al, 2018), and its influences for SGM youth were identified in this review. One example of the influence of the heterosexual assumption in healthcare is lack of information that is relevant to SGM youth.…”

Section: Discussionmentioning

confidence: 84%

Encountering sexual and gender minority youth in healthcare: an integrative review

Laiti

Pakarinen

Parisod

et al. 2019

Prim Health Care Res Dev

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AimTo describe the encounters with sexual and gender minority (SGM) youth in healthcare based on the existing research.BackgroundThe development of sexual orientation and gender identity can create challenges in an SGM youth’s life, and they may need support from health professionals. Heteronormativity has been recognised as a barrier to the identification of diversity in sexuality and gender, and no previous literature review has studied heteronormativity thoroughly.MethodsAn integrative review following Whittemore and Knafl was conducted. A literature search was systematically undertaken in six databases (PubMed/MEDLINE, CINAHL, Cochrane Library, PsycINFO, Eric, and Academic Search Premier). Finally, 18 research articles were included. Data were analysed deductively with the theoretical framework from Stevi Jackson’s (2006) article to understand the role of heteronormativity in the healthcare of SGM youth.FindingsThe encounters with SGM youth consisted of two simultaneous themes. Heteronormative care included three elements: (1) the effect of heteronormativity on health professionals’ competence to work with SGM youth, (2) false assumptions about SGM youth, and (3) the influence of heteronormativity on encounters with SGM youth. Diversity-affirming care included two elements: (4) the considerateness of health professionals towards SGM youth and (5) inclusive care of SGM youth.ConclusionThis review summarised how SGM youth were encountered in healthcare and how heteronormativity was affecting their healthcare. Furthermore, this review identified elements that supported diversity-affirming care. With diversity-affirming care, SGM youth may access the information and support they need from healthcare. Further research is needed about how diversity-affirming care can be applied to the healthcare of SGM youth and how elements of heteronormative care are occurring globally in the healthcare of SGM youth. The perceptions of transgender and other gender minority youth were under-represented in the studies and research needs to focus more on how they are encountered in healthcare.

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Section: Discussionmentioning

confidence: 84%

Encountering sexual and gender minority youth in healthcare: an integrative review

Laiti

Pakarinen

Parisod

et al. 2019

Prim Health Care Res Dev

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“…Next, ask how the individual would like to be addressed in terms of name, title and pronoun. O’Neill and Wakefield’s 2016 article6 provides an excellent glossary for understanding gender and sexuality nomenclature but is summarised in box 2.…”

Section: Information Gatheringmentioning

confidence: 99%

Empowering healthcare professionals with health promotion information for transgender adolescents

Talbot

Finlay

2022

Arch Dis Child Educ Pract Ed

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While the majority of lesbian, gay, bisexual and transgender (LGBT) adolescents, much like their cis-gendered heterosexual peers, will be confident and healthy young individuals, there are well-known health disparities, particularly within the transgendered community, which may lead to inferior health outcomes. To improve these outcomes, we must empower professionals to feel confident in their interactions with transgender adolescents so they can recognise, discuss and address these disparities. For many healthcare professionals, this may be a novel experience, but following the announcement in 2022 that the Gender Identity Development Service (GIDS) will move towards a regional model, these discussions increasingly frequently be encountered in a general paediatric setting. In this article, we discuss some of the topics which may be relevant to transgender young people during a general paediatric consultation.

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“…"Transgender" continues to appear on patients' problem lists 4 . [48][49][50] Prejudice and discrimination against transgender people in biomedical research and medical practice are well established [1,[51][52][53][54][55][56][57][58][59][60][61][62][63][64][65][66]. The misunderstanding and erasure of gender diversity has led to poor study design, additional barriers accessing care, unethical disclosure of 1 It is especially concerning that terms like "sodomy," "surgically transgendered transsexual," and "transvestic fetishism" persist in some terminologies.…”

Section: Introductionmentioning

confidence: 99%

Transgender Data Collection in the Electronic Health Record (EHR): Current Concepts and Issues

Kronk¹,

Everhart²,

Ashley³

et al. 2021

Preprint

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There are over one million transgender people living in the United States and 33% report negative experiences with a healthcare provider, many of which are connected to data representation in electronic health records (EHRs). We present recommendations and common pitfalls involving sex- and gender-related data collection in EHRs. Our recommendations leverage the needs of patients, medical providers, and researchers to optimize both individual patient experiences and the efficacy and reproducibility of EHR population-based studies. We also briefly discuss adequate additions to the EHR considering name and pronoun usage. We add the disclaimer that these questions are more complex than commonly assumed. We conclude that collaborations between local transgender and gender-diverse persons and medical providers as well as open inclusion of transgender and gender-diverse individuals on terminology and standards boards is crucial to shifting the paradigm in transgender and gender-diverse health.

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Fifteen-minute consultation in the normal child: Challenges relating to sexuality and gender identity in children and young people

Cited by 7 publications

References 16 publications

Encountering sexual and gender minority youth in healthcare: an integrative review

Encountering sexual and gender minority youth in healthcare: an integrative review

Empowering healthcare professionals with health promotion information for transgender adolescents

Transgender Data Collection in the Electronic Health Record (EHR): Current Concepts and Issues

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