(Un)doing Transmisogynist Stigma in Health Care Settings: Experiences of Ten Transgender Women of Color

Hudson, Kimberly D.

doi:10.1080/10428232.2017.1412768

Cited by 29 publications

(24 citation statements)

References 26 publications

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“…All other studies were considered satisfactory. Most qualitative studies were appraised as satisfactory or good, with 5 of the 12 studies considered good overall (Hudson, 2018;Linander, Alm, Hammarström, & Harryson, 2017;Poteat, German, & Kerrigan, 2013;Roller, Sedlak, & Draucker, 2015;Ross & Bell, 2017). Studies rated as poor or satisfactory failed to discuss researchers' reflexivity to a satisfactory standard; however, this was the only criteria where studies rated as satisfactory did not meet the criteria for good quality (Bauer et al, 2009;Lindroth, 2016;Taylor, 2013;Vermeir, Jackson, & Marshall, 2018;von Vogelsang, Milton, Ericsson, & Strömberg, 2016;Westerbotn et al, 2017).…”

Section: Overview Of Studiesmentioning

confidence: 99%

“…Healthcare provider knowledge. Healthcare provider (HCP) knowledge and education was a strongly recurring theme in 18 of the 20 included studies (Bauer et al, 2009;Bauer et al, 2015;Costa et al, 2018;Dewey, 2008;Guss et al, 2017;Hinrichs et al, 2018;Hudson, 2018;Linander et al, 2017;Lindroth, 2016;Pitts et al, 2009;Poteat et al, 2013;Riggs et al, 2014;Roller et al, 2015;Shires & Jaffee, 2015;Taylor, 2013;Vermeir et al, 2018;von Vogelsang et al, 2016;Westerbotn et al, 2017). Participants described TRANS HEALTHCARE EXPERIENCES AND PERSPECTIVES 10 experiences that suggested a lack of HCP knowledge and education ranging from blatantly honest disclosure of limited knowledge, to subtler displays demonstrated through perceived attitudes of the HCP to the trans client.…”

Section: Main Themesmentioning

confidence: 99%

“…Trans patients recounted good experiences related to the apparent acceptance of, respect for, and/or affirmation of their identity as a trans person. This was demonstrated by the normalisation of transgenderism and being non-judgemental (Hinrichs et al, 2018;Hudson, 2018;Pitts et al, 2009;von Vogelsang et al, 2016). One participant in Hinrichs et al 2018 The HCP's use of the patient's preferred pronouns and name was a key expression of identity affirmation.…”

Section: Trans Healthcare Experiences and Perspectives 11mentioning

confidence: 99%

“…One participant in Hinrichs et al 2018 The HCP's use of the patient's preferred pronouns and name was a key expression of identity affirmation. Trans participants also greatly appreciated the change of medical documentation to reflect or indicate their gender (Bauer et al, 2009;Guss et al, 2017;Hudson, 2018;Pitts et al, 2009;Riggs et al, 2014;Westerbotn et al, 2017). This, and perceived HCP comfort with the patient's gender identity, fostered a sense of trust, safety and confidence in the HCP (Guss et al, 2017;Hudson, 2018;Riggs et al, 2014;von Vogelsang et al, 2016); a participant in von Vogelsang et al's 2016 study even described re-evaluating HCPs in light of their previous negative experiences.…”

Section: Trans Healthcare Experiences and Perspectives 11mentioning

confidence: 99%

“…Experiences where the patient's trans identity was perceived to be denied by the HCP were the most negative, however overvaluation or undervaluation of the trans aspect of the patient's identity were also recounted as negative by participants (Bauer et al, 2009;Dewey, TRANS HEALTHCARE EXPERIENCES AND PERSPECTIVES 12 2008;Hudson, 2018;Lindroth, 2016;Ross & Bell, 2017;Vermeir et al, 2018;Westerbotn et al, 2017). Denial of identity was felt by the use of insensitive language and terms when referring to trans people, and the use of incorrect pronouns or the patient's birth name (Bauer et al, 2015;Guss et al, 2017;Kosenko et al, 2013;Pitts et al, 2009;Ross & Bell, 2017;Taylor, 2013;von Vogelsang et al, 2016).…”

Section: Trans Healthcare Experiences and Perspectives 11mentioning

confidence: 99%

See 4 more Smart Citations

Transgender peoples’ experiences and perspectives about general healthcare: A systematic review

Heng

Heal

Banks

et al. 2018

International Journal of Transgenderism

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Background: Healthcare plays a vital role in the health and quality of life of transgender people, particularly those who wish to medically and/or surgically transition. In these cases, healthcare experiences can have a significant impact on the transgender person's perception of healthcare and future interactions with the healthcare system. Aim: To explore and systematically review the literature related to transgender peoples' experiences and perspectives of general healthcare. Methods: A systematic search of MEDLINE, CINAHL, Scopus, Web of Science, Informit and PsycINFO was performed according to established search strategies. Results were screened for eligibility in two parts. Titles and abstracts were screened for relevance, and then full-texts were retrieved and screened using eligibility criteria, resulting in 20 articles of primary research included in the review. Data was extracted from the studies and thematically analysed to synthesise findings. Results: Four main themes were identified relating to healthcare provider (HCP) knowledge, HCP communication, relationship dynamics, and healthcare systems. These reflected a subtheme of perceived underlying cisnormativity and transphobia which influenced transgender patients' interactions with the healthcare system. Participants also provided suggestions for improved care experiences. Discussion: Findings from prior studies and reviews about other transgender healthcare related topics describe similar themes and recommendations from participants. This reflects an impetus towards shared dialogue and compromise between HCPs, policy makers and transgender patients to listen to each other's experiences and work collaboratively to improve transgender healthcare. Further research is necessary to explore and target geographic, demographic, and specific healthcare aspects regarding potential implementation of these recommendations.

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Section: Overview Of Studiesmentioning

confidence: 99%

Section: Main Themesmentioning

confidence: 99%

Section: Trans Healthcare Experiences and Perspectives 11mentioning

confidence: 99%

Section: Trans Healthcare Experiences and Perspectives 11mentioning

confidence: 99%

Section: Trans Healthcare Experiences and Perspectives 11mentioning

confidence: 99%

See 3 more Smart Citations

Transgender peoples’ experiences and perspectives about general healthcare: A systematic review

Heng

Heal

Banks

et al. 2018

International Journal of Transgenderism

View full text Add to dashboard Cite

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The health and wellbeing of transgender and gender non‐conforming people of colour in the United States: A systematic literature search and review

Farvid

Vance

Klein

et al. 2021

Community & Applied Soc Psy

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Transgender and gender non‐conforming people (TGNC), individuals whose gender identity differs from the sex they were assigned at birth, experience unique stressors, discrimination, and barriers to health and wellbeing. TGNC People of Colour (POC) navigate the nexus of racism, cisgenderism (and often homophobia) in their daily lives, resulting in uniquely intersecting forms of discrimination, and pronounced disparities in their health and well‐being. In order to examine the current state of knowledge about the health and wellbeing of TGNC POC, we conducted a systematic search and review of peer‐reviewed journal articles published between 1 January 2010 and 1 May 2020 that focused on this population. A systematic search identified (3,575) papers, with 76 of those meeting full inclusion criteria. In our review, we were able to identify physical health and psychological wellbeing (which included resilience), as core clusters of research focused on TGNC POC. We identified specific factors that hindered physical and psychological health (what we call “push” factors) as well as those that promoted it (what we call “pull” factors). Leveraging these findings, we offer ways forward for best practice in clinical work and carrying out research with this population. Please refer to the Supplementary Material section to find this article's Community and Social Impact Statement.

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Considerations in genetic counseling of transgender patients: Cultural competencies and altered disease risk profiles

Vaupel-Klein

Walsh

2020

Journal of Genetic Counseling

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Transgender people are a growing population with specific healthcare needs, barriers to care, and disease risk factors. Cultural competencies for working with transgender people in healthcare settings are essential to reduce barriers to care and combat the associated health disparities. Genetic counselors support their patients to understand and manage medically and personally complex life events and decisions. A genetic counselor caring for a transgender patient or a patient with a transgender relative will therefore require specific cultural competencies and medical knowledge that may not have been covered in their training. Transgender health is also a relatively young field in which new insights may quickly become fundamental. The present paper therefore provides an overview of current best practices for culturally sensitive working with transgender patients, and an introduction to the additional considerations for assessment of disease risk in transgender people. Guidance on how to ensure communication with patients and other stakeholders is inclusive and affirming of transgender identities, is offered. Medical interventions used for gender transitions are described, and their (potential) effects on cancer and cardiovascular disease risk are discussed. Furthermore, the effects of sociocultural risk factors such as minority stress are outlined. In sum, we invite the reader to consider the specific biological, psychological, and social context of the consultation. Finally, we explore culturally competent approaches to pedigree charting and physical examinations with transgender people and provide recommendations for practice.

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(Un)doing Transmisogynist Stigma in Health Care Settings: Experiences of Ten Transgender Women of Color

Cited by 29 publications

References 26 publications

Transgender peoples’ experiences and perspectives about general healthcare: A systematic review

Transgender peoples’ experiences and perspectives about general healthcare: A systematic review

The health and wellbeing of transgender and gender non‐conforming people of colour in the United States: A systematic literature search and review

Considerations in genetic counseling of transgender patients: Cultural competencies and altered disease risk profiles

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