“It's Being Compassionate, Not Making Assumptions”: Transmasculine and Nonbinary Young Adults' Experiences of “Women's” Health Care Settings

Gómez, Anu Manchikanti; Hooker, Noah; Olip-Booth, Robin; Woerner, Phoebe; Ratliff, G. Allen

doi:10.1016/j.whi.2021.02.008

Cited by 12 publications

(10 citation statements)

References 28 publications

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“…This includes affirming patients’ identities, using the correct name and pronouns, and utilizing visual cues of inclusivity/affirmation. Consideration of a patient’s gender identity is also essential when considering bathroom access and room assignments for inpatient care [ 87 ]. Gender identity is also an important consideration for any care model that includes delivery of treatment in a group format that is separated by gender; in this case, it is recommended to discuss the options for groups based upon gender with the TGD client and allow them to participate in the group that is most affirming and authentic.…”

Section: Discussionmentioning

confidence: 99%

Disordered eating and considerations for the transgender community: a review of the literature and clinical guidance for assessment and treatment

et al. 2023

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Background It has been well established that individuals who identify as lesbian, gay, bisexual, transgender, and queer are at increased risk for mental health pathology, including eating disorders/disordered eating behaviors (ED/DEB). However, less is understood about the unique experiences of transgender and gender diverse (TGD) people who struggle with ED/DEB. Aims The purpose of this literature review is to examine the literature regarding the unique risk factors for TGD individuals who experience ED/DEB through a lens informed by the minority stress model. Additionally, guidance around the assessment and clinical management of eating disorders for TGD individuals will be presented. Results TGD people are at increased risk for developing ED/DEB due to a number of factors including: gender dysphoria, minority stress, the desire to pass, and barriers to gender affirming care. Conclusion While guidance around assessment and treatment of ED/DEB for TGD individuals is still limited, adhering to a gender affirmative care model is essential.

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Section: Discussionmentioning

confidence: 99%

Disordered eating and considerations for the transgender community: a review of the literature and clinical guidance for assessment and treatment

et al. 2023

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“…I could not source any social work literature from Aotearoa related to the ethics of genderaffirming healthcare, despite social work being available at many primary and public health care providers that provide gender-affirming healthcare. Some articles from the United States were identified regarding reproductive healthcare for transgender women and experiences of "women's healthcare settings" which evidenced inconsistency in medical advice, constant misgendering and assumptions made about their sexuality and reproductive desires by medical professionals (Gomez et al, 2020;Gomez et al, 2021). These experiences mirror the aforementioned practices that do not align with medical ethical requirements to do no harm and research participants expressed anxiety in accessing these services or avoiding them altogether (Gomez et al, 2021).…”

Section: Ethical and Health Aspectsmentioning

confidence: 99%

“…Some articles from the United States were identified regarding reproductive healthcare for transgender women and experiences of "women's healthcare settings" which evidenced inconsistency in medical advice, constant misgendering and assumptions made about their sexuality and reproductive desires by medical professionals (Gomez et al, 2020;Gomez et al, 2021). These experiences mirror the aforementioned practices that do not align with medical ethical requirements to do no harm and research participants expressed anxiety in accessing these services or avoiding them altogether (Gomez et al, 2021). Supporting access to gender-affirming care is in line with the values of the Aotearoa New Zealand Association of Social Workers (ANZASW) code of ethics, such as rangatiratanga, valuing diversity and advocating for self-determination, or manaakitanga, supporting the mana of all people and treating one another with respect (ANZASW, 2019).…”

Section: Ethical and Health Aspectsmentioning

confidence: 99%

Is banning conversion therapy enough?

Little

2022

ANZSWJ

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The practice of conversion therapy and lack of access to gender-affirming healthcare is a significant health issue in Aotearoa New Zealand. Recently introduced legislation has sparked media coverage of the need for a ban of conversion therapy, with the current Labour government acknowledging that it causes harm and is linked to serious mental health issues. A literature search was conducted to understand what information is available in Aotearoa New Zealand, and internationally, regarding conversion therapy and access to gender-affirming healthcare. The findings reported here exemplify that, despite this practice presenting a significant health issue for transgender and non-binary people, the topic is significantly under- researched in Aotearoa New Zealand, particularly in the social work field. The following article considers the health, political, legal, and religious aspects of conversion therapy and access to gender affirming healthcare in existing literature, making recommendations for future social work research investment to better advocate for and support transgender and non-binary people.

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“…For example, a high proportion of TMNB report gender‐identity discrimination in healthcare, which can deter them from seeking healthcare in the future (Eiduson et al., 2021). TMNB who have had negative experiences with healthcare professionals (HCP), or heard of such stories from others, can anticipate further mistreatment, which can lead to delaying treatment (Gomez et al., 2021).…”

Section: Introductionmentioning

confidence: 99%

“…Gendered health settings can also cause discomfort among TMNB, for example the gendered language within health services may feel like a constant stressor, leading to heightened dysphoria (Gomez et al., 2021). Many healthcare settings and providers intentionally or unintentionally treat TMNB as abnormal or ‘other’ due to the extent of cisnormativity in healthcare.…”

Section: Introductionmentioning

confidence: 99%

Transgender and non‐binary peoples experiences of cervical cancer screening: A scoping review

Rivers,

Hinchliff,

Thompson

2024

Journal of Clinical Nursing

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Aim(s)To synthesise the literature about transgender and non‐binary people's experiences of cervical cancer screening and identify ways to improve screening.BackgroundTransgender people often face barriers to accessing health services including cervical screening, where transgender people have a lower uptake than cisgender women.DesignA scoping review was undertaken following the Arksey and O’Malley (2005) framework and the PRISMA‐ScR checklist. Following database searching of Medline via PubMed, Web of Science, Scopus and CINHAL, 23 papers published between 2008 and 2003 were included. Papers were included if they shared trans and non‐binary people's experiences of cervical screening and were written in English. There were no date or geographical data restrictions due to the paucity of research.ResultsTransgender people experience barriers to cervical screening including gender dysphoria, a history of sexual trauma, and mistrust in health professionals or health services, which can result in having negative experiences of screening or avoiding screening. Health professionals can help to create a positive experience by informing themselves about best practices for trans+ health.ConclusionChanges are required to improve transgender people's experiences and uptake of cervical screening. Improving medical education about trans health and updating health systems would help to combat issues discussed.Implications for the Profession and/or Patient CareHaving an understanding of the reasons why accessing health services can be more difficult for transgender people will help health professionals to provide appropriate care for transgender patients. This paper details this in the context of cervical cancer screening and can be applied to other areas of healthcare.Reporting MethodWe have adhered to relevant EQUATOR guidelines and used the PRISMA‐ScR reporting method. No Patient or Public Contribution.

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“It's Being Compassionate, Not Making Assumptions”: Transmasculine and Nonbinary Young Adults' Experiences of “Women's” Health Care Settings

Cited by 12 publications

References 28 publications

Disordered eating and considerations for the transgender community: a review of the literature and clinical guidance for assessment and treatment

Disordered eating and considerations for the transgender community: a review of the literature and clinical guidance for assessment and treatment

Is banning conversion therapy enough?

Transgender and non‐binary peoples experiences of cervical cancer screening: A scoping review

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