“Truly Listen to Us”: Recommendations for Health Professionals to Bolster Wellbeing of Nonbinary Individuals

Kinney, M. Killian; Cosgrove, Darren

doi:10.3390/ijerph19159032

Cited by 5 publications

(5 citation statements)

References 62 publications

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“…7 Trans and nonbinary individuals are each unique though they often share similar experiences of discrimination and stigma. 8 Understanding the nuances of gendered experiences by trans and nonbinary people are best assisted by people within these communities. Building from the growing number of racial equity and healthy equity impact assessment tools for assessing policy, we propose a transgender equity impact assessment tool designed for use by policymakers, advocates, and community members to assess proposed and existing legislation for gender inclusivity and discrimination.…”

Section: Introductionmentioning

confidence: 99%

Improving “Life Chances”: Surveying the Anti-Transgender Backlash, and Offering a Transgender Equity Impact Assessment Tool for Policy Analysis

Kinney

Pearson²,

Aoki

2022

J. Law. Med. Ethics

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Section: Introductionmentioning

confidence: 99%

Improving “Life Chances”: Surveying the Anti-Transgender Backlash, and Offering a Transgender Equity Impact Assessment Tool for Policy Analysis

Kinney

Pearson²,

Aoki

2022

J. Law. Med. Ethics

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“…When gender nonconforming individuals were described in the medical literature, it was largely through a lens of pathology. 1 More recently, greater attention has been placed on the range of gender identities and the prevalence of gender diversity in society. 2 Over the past 20 years, literature related to gender identity diversity has increased several-fold, yet it more commonly addresses clinical care rather than aspects related to medical education.…”

mentioning

confidence: 99%

“…Before 2000, scientific literature related to gender largely recognized only 2 forms of gender expression—male and female. When gender nonconforming individuals were described in the medical literature, it was largely through a lens of pathology 1 . More recently, greater attention has been placed on the range of gender identities and the prevalence of gender diversity in society 2 .…”

mentioning

confidence: 99%

Strategies to Create a More Gender Identity Inclusive Learning Environment in Preclinical and Clinical Medical Education

et al. 2023

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Recognition of the spectrum of gender identities has been a recent phenomenon in the medical profession. Over the past 20 years, medical literature related to gender identity diversity has increased several-fold, yet it more commonly addresses clinical care rather than aspects related to medical education. Medical educators continue to struggle with appropriate language and inclusive approaches when discussing gender-based aspects of medical education. Reproductive health education, including obstetrics and gynecology clerkships, is particularly vulnerable to missteps and anachronisms regarding gender identity. This article aims to provide preclinical and clinical medical educators with strategies to identify and predict situations where missteps related to gender identity inclusivity may occur in their curriculum or learning environment, and to develop approaches to improve gender identity inclusivity within medical education. The authors explore 3 areas that commonly pose challenges for medical educators: inclusive language and terminology, anatomy education, and reproductive genetics and genetic counseling. They hope the tools and strategies provided here will be useful to reproductive health medical educators across specialties to enable the realization of a more inclusive learning environment in reproductive health.

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“…Furthermore, avoidance of healthcare is also employed by nonbinary and trans individuals who fear discrimination based on their gender identity. This is further exacerbated by fatphobia for fat trans and non-binary people (Kinney & Cosgrove, 2022;Whitehead et al, 2016).…”

Section: Intersectionality and Fatnessmentioning

confidence: 99%

“…Fatphobia in healthcare can also be seen to intersect with homophobic and transphobic attitudes, compounding inequities for the LGBTQ+ and fat community (Kinney & Cosgrove, 2022;Leonard et al, 2023;McPhail & Bombak, 2015;Pausé, 2019). Within healthcare settings, healthcare avoidance is compounded by fears of experiencing discrimination due to fatphobia as well as homo/trans-phobia.…”

Section: Intersectionality and Fatnessmentioning

confidence: 99%

Self-Identified Fat Peoples Experiences of COVID-19 Vaccination Centre's in Aotearoa NZ

Stolte

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<p><strong>This study investigates self-identified fat people’s experiences of COVID-19 vaccination centres in Aotearoa NZ. This includes attention to multiple facets of the experience of COVID-19 vaccination centres including the physical environment, interaction with service providers, and knowledge of and access to a long needle in accordance with Ministry of Health vaccination guidelines. The thesis employs a critical realist/contextualist approach, underpinned by the theory of body privilege. Qualitative content analysis is used to analyse open-ended survey responses collected as part of a broader international study. Three main themes are identified from the data set. The first theme, ‘“Crammed in Like Sardines”: Navigating COVID-19 vaccination centre environments’ found mixed experiences and a number of challenges in fat people’s access to and movement through vaccination centres. The second theme, “Thank fuck for fat activists”: The need for COVID-19 vaccination advocacy’ captured the importance that fat people’s advocacy played, both at the individual and community level in ensuring access to COVID-19 vaccinations and in raising awareness about long needle guidelines. The third theme, ‘“I worry about the effectiveness of my vaccine now”: Trust and authority in the vaccination encounter’ identifies the power imbalance within vaccination centres that placed authority with the vaccinator and undermined fat people’s self-advocacy and self-determination for long needle use. I demonstrate the corrosive impact this had on fat people’s confidence that they were protected from COVID-19 and subsequently their trust in the governments COVID-19 responsiveness for fat people. Findings highlight the healthcare inequities experienced by fat people when accessing COVID-19 vaccination that can also be seen reflected in everyday healthcare systems and settings. Vaccination centers were found to privilege thinness at both a structural and interactional level which excluded fat people and disregarded the needs of the fat community as well as other marginalized communities. These inequities ultimately served to undermine public health policies that were meant to protect and provide equitable care to the entire population. The neglect of fat people’s needs led to the requirement of advocacy by fat people to seek accessible and equitable healthcare. Whilst effective in helping promote protection for fat people, public health programmes that rely on community and self-advocacy to ensure responsiveness to marginalized communities is neither a fair solution nor is it sustainable in the long term. Research findings point to important lessons to be learned to ensure the inclusion of and responsiveness to fat people in future pandemic responses and in healthcare systems more generally.</strong></p>

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“Truly Listen to Us”: Recommendations for Health Professionals to Bolster Wellbeing of Nonbinary Individuals

Cited by 5 publications

References 62 publications

Improving “Life Chances”: Surveying the Anti-Transgender Backlash, and Offering a Transgender Equity Impact Assessment Tool for Policy Analysis

Improving “Life Chances”: Surveying the Anti-Transgender Backlash, and Offering a Transgender Equity Impact Assessment Tool for Policy Analysis

Strategies to Create a More Gender Identity Inclusive Learning Environment in Preclinical and Clinical Medical Education

Self-Identified Fat Peoples Experiences of COVID-19 Vaccination Centre's in Aotearoa NZ

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