Providing Care to Transgender Persons: A Clinical Approach to Primary Care, Hormones, and HIV Management

Williamson, Catherine

doi:10.1016/j.jana.2010.02.004

Cited by 45 publications

(44 citation statements)

References 29 publications

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“…It is up to healthcare providers to establish trust with transgender patients and to act in a sensitive and appropriate manner. 16 To address these challenges, we developed and assessed a 2-hour panel discussion on transgender health care at the Wegmans School of Pharmacy at St. John Fisher College. We chose a panel discussion format to allow students to listen to real-life experiences from multiple speakers in an environment that welcomed questions.…”

Section: Introductionmentioning

confidence: 99%

A Transgender Health Care Panel Discussion in a Required Diversity Course

Parkhill

Mathews

Fearing³

et al. 2014

American Journal of Pharmaceutical Education

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Objectives. To examine the impact of a panel discussion on transgender health care on first-year (P1) pharmacy students' knowledge and understanding of transgender experiences in an Introduction to Diversity course. Design. The panel consisted of both transgender males and females. After panelists shared their healthcare experiences, students asked them questions in a moderated setting. Students completed evaluations on the presentation and learning outcomes. They also wrote a self-reflection paper on the experience. Assessment. Ninety-one percent of students agreed that they could describe methods for showing respect to a transgender patient and 91.0% evaluated the usefulness of the presentation to be very good or excellent. Qualitative analysis (phenomenological study) was conducted on the self-reflection papers and revealed 7 major themes. Conclusion. First-year students reported that they found the panel discussion to be eye opening and relevant to their pharmacy career. Our panel may serve as model for other pharmacy schools to implement.Keywords: health disparities, transgender, pharmacy education, panel discussion, reflection, qualitative analysis INTRODUCTIONThe topic of lesbian, gay, bisexual, and transgender (LGBT) health was added to the Healthy People 2020 initiative, indicating that the US Department of Health and Human Services considered it to be an emerging issue. 1 The document states that LGBT individuals encounter several health disparities linked to societal stigma, discrimination, and denial of human and civil rights. It also specifically mentions the need to provide medical students access to and training about LGBT patients to increase culturally competent care. As pharmacists are also an integral part of the healthcare system, this statement can be extrapolated to pharmacy students as well.Although it is undeniable that the lesbian, gay, and bisexual (LGB) populations have significant challenges within the healthcare system, the struggles that transgender individuals face are even more pronounced. A transgender individual can include anyone whose self-identity, behavior, or anatomy falls outside of societal gender norms and expectations (Appendix 1). Transgender individuals have a high prevalence of human immunodeficiency virus/sexually transmitted diseases, mental health issues, and suicide.1 A significant number (28%) of transgender patients have experienced verbal harassment in a medical setting.2 Additionally, transgender individuals are less likely to have health insurance than heterosexual or LGB individuals. Lesbian, gay, and bisexual individuals, if necessary, can choose not to disclose their sexual orientation to their healthcare providers and still receive adequate primary health care. However, transgender patients must disclose their transgender status to receive thorough and appropriate health care. Yet, fear of discrimination by healthcare providers once they do disclose their status may prevent individuals from seeking both urgent and preventative medical treatment.2, 3 Know...

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Section: Introductionmentioning

confidence: 99%

A Transgender Health Care Panel Discussion in a Required Diversity Course

Parkhill

Mathews

Fearing³

et al. 2014

American Journal of Pharmaceutical Education

View full text Add to dashboard Cite

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“…College students in the U.S. constitute a rapidly growing HIV incidence group and in general are at high risk for HIV, owing to increased frequency of risky sexual behavior and substance use which is enabled by the college environment and norms (Hirsch & Wardlow, 2006;Bockting, Rosser, & Scheltema, 1999;Williamson, 2010;Wilson et al, 2009;CDC, 2013). College students may also consider themselves "invincible" and immune to any detrimental health effects of their behaviors, and this perception in turn increases their vulnerability to HIV and other sexually transmitted diseases (CDC, 2013).…”

Section: Literature Reviewmentioning

confidence: 99%

Regional and Cultural Norms Shaping Substance Abuse, HIV and Hepatitis C Virus Risk and Prevention Needs among Minority Young Adults in A U.S.-Mexico Border Community

Mangadu¹,

Pinto²,

Guevara³

2017

IJHS

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Minority young adults in U.S.-Mexico border communities are at high risk for Substance Abuse(SA), and infection with the Human Immunodeficiency Virus (HIV) and Hepatitis C Virus (HCV). With funding from the Substance Abuse and Mental Health Services Administration (SAMHSA), a Hispanic Serving institution on the U.S.-Mexico border in partnership with two community-based organizations implemented integrated SA, HIV and HCV prevention among minority young adults on collegecampus and surrounding communities. Six focus groups (3 on campus and 3 in surrounding communities; N=48) were conducted with individuals 18 -24 years of age to inform priority population needs and project strategic plan. Five themes emerged from campus and community feedback: (i) types of substances used and local norms shaping such substance abuse; (ii) risky sexual behaviors shaped by stigma, cultural and gender norms, (iii) gaps in HIV and HCV knowledge, (iv) barriers to access and utilization of prevention services, and (v) suggestions for effective SA, HIV and HCV prevention. The implications for addressing U.S.-Mexico border regional norms shaping SA, HIV and HCV risk behaviors among minority young adultsfor interventions that engage minority young adults' on and off campus networks are discussed.

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“…Transgender individuals are often subjected to limitations in housing; victimization from hate crimes; and discrimination by religious, military, educational, and health care institutions (Sevelius, Carrico, & Johnson, 2010;Stryker, 2008;Williamson, 2010). They frequently receive less social support from their families than do their nontransgender siblings and often are estranged from their birth families and childhood friends (Factor & Rothblum, 2008;Gagne & Tewksbury, 1998;Xavier, 2000).…”

Section: Transgender Identity (Ti)mentioning

confidence: 99%

The Influences of Optimal Matching and Social Capital on Communicating Support

Green-Hamann

Sherblom

2014

Journal of Health Communication

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The optimal matching and social capital perspectives frame present research expectations and interpretations of the network, esteem, informational, and emotional support communication of 3 computer-mediated communication social support groups, each having a different health-promoting purpose. Past research has shown differences in the support communication provided by different groups but has offered little explanation for these differences. The present study uses a comparative analysis of optimal matching and social capital influences to compare and analyze differences in the support communication provided by Alcoholics Anonymous, cancer caregivers, and transgender identity support groups. Results show different patterns of support communication enacted in each. These results provide support for optimal matching and social capital predictions, indicating that the life stressor and group structure affect the social support provided. However, results also demonstrate a need for greater refinement in interpreting the effects of these influences. Each group communicates network, esteem, informational, and emotional support somewhat differently in response to the life stressor and in enacting bridging and bonding social capital. The present comparisons provide a fuller analysis of the optimal matching and social capital influences upon the support communicated in groups than afforded by past research studies and suggests research opportunities for future research.

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Providing Care to Transgender Persons: A Clinical Approach to Primary Care, Hormones, and HIV Management

Cited by 45 publications

References 29 publications

A Transgender Health Care Panel Discussion in a Required Diversity Course

A Transgender Health Care Panel Discussion in a Required Diversity Course

Regional and Cultural Norms Shaping Substance Abuse, HIV and Hepatitis C Virus Risk and Prevention Needs among Minority Young Adults in A U.S.-Mexico Border Community

The Influences of Optimal Matching and Social Capital on Communicating Support

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