Common barriers to healthcare for transgender people in the U.S. Southeast

Johnson, Austin H.; Hill, Ivy; Beach-Ferrara, Jasmine; Rogers, Baker A.; Bradford, Andrew P.

doi:10.1080/15532739.2019.1700203

Cited by 75 publications

(64 citation statements)

References 38 publications

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“…4,5 This may be particularly important for transgender persons living in rural areas or those with limited transgender care provider options. 6,7 Little is known about the potential health benefits of initiating or continuing gender-affirming care through telehealth during the COVID-19 pandemic.…”

Section: Introductionmentioning

confidence: 99%

Transgender Care and the COVID-19 Pandemic: Exploring the Initiation and Continuation of Transgender Care In-Person and Through Telehealth

Lock

2022

Transgender Health

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Gender-affirming care is essential to the health and wellbeing of transgender and nonbinary people. The COVID-19 pandemic has the potential to disrupt transgender care. This study explores transgender care before and during the onset of the pandemic using patient data from 10 family planning clinics in Arkansas, Kansas, Missouri, and Oklahoma. No significant differences were observed in the proportion of transgender care visits pre- or during the pandemic. However, we did find a significantly larger proportion of new transgender patient visits and significantly smaller proportion of established patient visits during the pandemic, with nearly half delivered through telehealth care.

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Section: Introductionmentioning

confidence: 99%

Transgender Care and the COVID-19 Pandemic: Exploring the Initiation and Continuation of Transgender Care In-Person and Through Telehealth

Lock

2022

Transgender Health

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“…Trans people frequently face discrimination and stigma in healthcare settings which impacts their access to and their use of healthcare (Davy, 2010;Johnson, Hill, Beach-Ferrara, Rogers, & Bradford, 2019;Pearce, 2018;Poteat, German, & Kerrigan, 2013, p. 23). A report by the UK Women and Equalities Committee found that: 'Trans people encounter significant problems in using general NHS services, due to the attitude of some clinicians and other staff who lack knowledge and understanding -and in some cases are prejudiced ' (2016, p. 3; emphasis added).…”

Section: Systemic and Cis-ignorancementioning

confidence: 99%

For whom is ignorance bliss? Ignorance, its functions and transformative potential in trans health

Mikulak

2021

Journal of Gender Studies

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Trans people face biases and barriers in healthcare including health professionals' lack of training and knowledge of trans health, bodies, and identities. Interactions between health professionals and trans people have been analysed as a site fraught with historical power imbalances, epistemological struggles that position trans people at a disadvantage and one where negotiations of access to adequate services and treatment continue. In this paper, I highlight the need to pay attention to not only how knowledge about trans bodies and possibilities is produced, negotiated and contested, but also to moments of claimed and/or actual ignorance that take place in healthcare. Applying a feminist epistemological lens, I ask what is at stake and what is the function of ignorance in the trans patient/health professional relationship. Such exploration is crucial if we recognize that practices of ignorance are often entangled with practices of exclusion and oppression. Methodologically, I draw on qualitative in-depth interviews with 18 health professionals in the UK conducted as part of a larger research project on trans health. In analysing the multi-faceted manifestations of ignorance within the data and linking them to feminist taxonomies of ignorance, I explore how ignorance can be critiqued and transformed.

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“…Unfortunately, TGNC individuals often lack access to affirmative healthcare, and experience added stress simply by finding and visiting a doctor [5,6]. This is especially true in non-metropolitan areas of the United States [7].…”

Section: Provider and Transgender Patientmentioning

confidence: 99%

Listening to Transgender Patients and Their Providers in Non-Metropolitan Spaces: Needs, Gaps, and Patient-Provider Discrepancies

Teti

Bauerband

Myroniuk

et al. 2021

IJERPH

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Trans and gender non-conforming (TGNC) patients need better care; providers need TGNC focused medical trainings. TGNC health conferences can help, yet these events occur mostly in urban centers. Meanwhile, patients in non-metropolitan areas often face significant discrimination and notably poor access to TGNC care. This study explores the ongoing needs of TGNC patients and their providers following a one-day TGNC health conference in a small town in the American Midwest. Exploratory semi-structured interviews were used to gather in-depth information from TGNC conference attendees (N = 25). Theme analysis methods were used to identify areas of need for future trainings. Providers reported that they needed more exposure to TGNC patients, judgement-free opportunities to learn the basics about TGNC care, and ongoing trainings integrated into their medical school and ongoing education credits. Patients needed better access to care, more informed providers, and safer clinics. They cited lack of specialty care (e.g., mental health, surgery) as particularly problematic in a non-metropolitan setting. TGNC patients, and their providers in non-metropolitan areas, urgently need support. Patients lack specialized care and often possess greater knowledge than their health care teams; providers, in these areas, lack opportunities to work with patients and stay up to date on treatments.

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Common barriers to healthcare for transgender people in the U.S. Southeast

Cited by 75 publications

References 38 publications

Transgender Care and the COVID-19 Pandemic: Exploring the Initiation and Continuation of Transgender Care In-Person and Through Telehealth

Transgender Care and the COVID-19 Pandemic: Exploring the Initiation and Continuation of Transgender Care In-Person and Through Telehealth

For whom is ignorance bliss? Ignorance, its functions and transformative potential in trans health

Listening to Transgender Patients and Their Providers in Non-Metropolitan Spaces: Needs, Gaps, and Patient-Provider Discrepancies

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