Transgender Patient Perceptions of Stigma in Health Care Contexts

Kosenko, Kami A.; Rintamaki, Lance S.; Raney, Stephanie; Maness, Kathleen

doi:10.1097/mlr.0b013e31829fa90d

Cited by 233 publications

(158 citation statements)

References 6 publications

Supporting

Mentioning

140

Contrasting

Unclassified

Order By: Relevance

“…Transgender individuals consistently report high rates of depression, anxiety, posttraumatic stress disorder, and substance abuse (Bockting et al, 2013;Kosenko et al, 2013) compared to the general population. Multiple studies of transgender people have found high rates of suicidal ideation and attempts (Edelman et al, 2015;Grant et al, 2011;Reisner, White, Bradford, & Mimiaga, 2014).…”

Section: Psychosocial Risks and Related Health Concerns Among Transgementioning

confidence: 99%

“…Transgender individuals face a variety of risks for discrimination, harassment, and violence that impact their psychosocial well-being and physical health (Bockting, Miner, Swinburne Romine, Hamilton, & Coleman, 2013;Edelman et al, 2015;Grant et al, 2011;Kosenko, Rintamaki, Raney, & Maness, 2013;White Hughto, Reisner, & Pachankis, 2015). However, few studies have thoroughly examined the general physical and mental health of transgender adults (Coulter, Kenst, Bowen, & Scout, 2014;Grant et al 2011; Institute of Medicine [IOM], 2011; MacCarthy, Reisner, Nunn, Perez-Brumer, & Operario, 2014).…”

Section: Colorado (Usa) By Race and Incomementioning

confidence: 99%

“…Fear of mistreatment and general distrust of medical providers can prevent transgender people from pursuing the health care that they need (Grant et al, 2011;Kosenko et al, 2013). Transgender patients also face barriers such as a lack of access to specialists and transgender-competent providers (Grant et al, 2011;Sanchez et al, 2009;Xavier, 2000).…”

Section: Psychosocial Risks and Related Health Concerns Among Transgementioning

confidence: 99%

“…Transgender patients frequently experience discrimination when seeking medical care (Grant et al, 2011;Kosenko et al, 2013;Sanchez et al, 2009;Sperber et al, 2005).…”

Section: Psychosocial Risks and Related Health Concerns Among Transgementioning

confidence: 99%

See 3 more Smart Citations

A comparison of health disparities among transgender adults in Colorado (USA) by race and income

Seelman

Young

Tesene

et al. 2016

International Journal of Transgenderism

View full text Add to dashboard Cite

Section: Psychosocial Risks and Related Health Concerns Among Transgementioning

confidence: 99%

Section: Colorado (Usa) By Race and Incomementioning

confidence: 99%

Section: Psychosocial Risks and Related Health Concerns Among Transgementioning

confidence: 99%

“…Transgender patients frequently experience discrimination when seeking medical care (Grant et al, 2011;Kosenko et al, 2013;Sanchez et al, 2009;Sperber et al, 2005).…”

Section: Psychosocial Risks and Related Health Concerns Among Transgementioning

confidence: 99%

See 2 more Smart Citations

A comparison of health disparities among transgender adults in Colorado (USA) by race and income

Seelman

Young

Tesene

et al. 2016

International Journal of Transgenderism

View full text Add to dashboard Cite

“…Transgender patients must also deal with the use of noninclusive language, errors in pronoun use, and the difficulties associated with filling out medical forms based on traditional gender identities. 6,7 Given these barriers experienced by transgender patients, there is a significant need to educate future healthcare providers about their specific needs. Medical and nursing schools have begun to realize the need to reevaluate their curricula 8,9 and to assess their students' attitudes.…”

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

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...

show abstract

How Cisgender Clinicians Can Help Prevent Harm During Encounters With Transgender Patients

Garcia

López

2022

AMA Journal of Ethics

View full text Add to dashboard Cite

Transgender people commonly experience discrimination from clinicians, which directly contributes to worse mental and physical health outcomes among this population. This article describes mechanisms by which stigma perpetuates health inequity among transgender patients and highlights its unique effects on transgender patients of color. The article concludes with recommendations to cisgender clinicians on how to help prevent stigmatizing interactions with transgender patients.

show abstract

Transgender Patient Perceptions of Stigma in Health Care Contexts

Abstract: These findings provide insight into transgender patients' perceptions of and sensitivity to mistreatment in health care contexts. This information might be used to increase providers' cultural competency and inform their interactions with transgender patients.

Cited by 233 publications

References 6 publications

A comparison of health disparities among transgender adults in Colorado (USA) by race and income

A comparison of health disparities among transgender adults in Colorado (USA) by race and income

A Transgender Health Care Panel Discussion in a Required Diversity Course

How Cisgender Clinicians Can Help Prevent Harm During Encounters With Transgender Patients

Contact Info

Product

Resources

About