Suchergebnisse

Transgender and nonbinary (TNB) people often have difficulty accessing healthcare services because of the systemic forces of transphobia and cisgenderism. Despite this, there is little theory specifically designed to examine healthcare access among TNB people. We conducted a literature review to identify studies examining TNB healthcare access. We screened a total of 2,050 unique articles for inclusion, resulting in a final sample of 46 articles that met the review criteria. Theories used and key findings were coded to inform the development of the Intersectional Model of Service Use (IMSU) for TNB people. The IMSU builds upon current theoretical frameworks including the Behavioral Model for Vulnerable Populations (BMVP), which proposes that predisposing, enabling, and need factors drive healthcare utilization among vulnerable populations. The IMSU combines the predisposing, enabling, and need factors of the BMVP with TNB-specific healthcare access factors identified through this integrative review. The findings from this review suggest its effectiveness in informing research and interventions aimed at improving healthcare access among TNB people.

Transgender and nonbinary (TNB) individuals experience significant marginalization, including in the workplace and higher education. Although the number of TNB scholars and educators is growing, little attention has been given to the supervision of TNB individuals in research contexts. This lack of attention is particularly pronounced for TNB people working on trans-related research projects. Using intersectionality and queer theory, the present study examines the lived experiences of TNB individuals working on cisgender-led research projects, with the goal of enhancing awareness among cisgender researchers on strategies to support the growth of emerging TNB scholars. The importance of these findings is relevant for cisgender educators, researchers, and practitioners who work with TNB individuals and/or lead trans-related projects.

In March 2020, the World Health Organization declared a global pandemic due to the rapid spread of COVID-19. Two years into the pandemic, there have been over one million COVID-19 deaths in the United States alone. While the pandemic has impacted everyone, the most extreme impacts have been experienced by marginalized communities, including those who identify as LGBTQIA+. Although LGBTQIA+ people have faced the negative impacts of the pandemic, the LGBTQIA+ community may be well equipped to navigate the COVID-19 pandemic due to the historic and current societal oppression this community has endured. Using both a resilience and resistance framework, the present study explores the resilience and resistance strategies employed by LGBTQIA+ adults in the Southeast U.S. during the COVID-19 pandemic through the collection and analysis of monthly diary entries and video interviews. Findings show that resilience and resistance build on the knowledge base and histories of LGBTQIA+ people, and resilience and resistance have been re-imagined for this community during the COVID-19 pandemic. As a result of the pandemic, many LGBTQIA+ people are dreaming of and re-imagining a better future, a future that social work educators and practitioners can help co-create.

Transgender and gender diverse individuals face a variety of barriers when attempting to access healthcare, from discrimination to lack of access to lack of knowledgeable providers. Using data from the 2015 United States Trans Survey (N = 27,715), this study looks at the differences within the TGD population regarding having seen a doctor in the past year, having a primary care provider, and having a primary care provider who is knowledgeable about trans health. Logistic regressions indicate that even within an all transgender and gender diverse sample, a variety of identities and experiences are related to increased or decreased likelihood of each of these outcomes, with significant differences across gender, race/ethnicity, age, sexual orientation, disability status, educational attainment, annual income, disability status, religiosity, military status, overall health, housing status, and insurance coverage. Not only should there be an effort to support transgender and gender diverse individuals in accessing care, but there is a clearly indicated need for additional education for healthcare providers, especially those doing primary care, on how to offer knowledgeable, affirming, and intersectional care to their patients.

Transgender and gender diverse individuals face a variety of barriers when attempting to access healthcare, from discrimination to lack of access to lack of knowledgeable providers. Using data from the 2015 United States Trans Survey (N = 27,715), this study looks at the differences within the TGD population regarding having seen a doctor in the past year, having a primary care provider, and having a primary care provider who is knowledgeable about trans health. Logistic regressions indicate that even within an all transgender and gender diverse sample, a variety of identities and experiences are related to increased or decreased likelihood of each of these outcomes, with significant differences across gender, race/ethnicity, age, sexual orientation, disability status, educational attainment, annual income, disability status, religiosity, military status, overall health, housing status, and insurance coverage. Not only should there be an effort to support transgender and gender diverse individuals in accessing care, but there is a clearly indicated need for additional education for healthcare providers, especially those doing primary care, on how to offer knowledgeable, affirming, and intersectional care to their patients.