Transgender and Genderqueer Individuals’ Experiences with Health Care Providers: What’s Working, What’s Not, and Where Do We Go from Here?

dc.contributor.authorBaldwin, Aleta
dc.contributor.authorDodge, Brian
dc.contributor.authorSchick, Vanessa R.
dc.contributor.authorLight, Brenda
dc.contributor.authorSchnarrs, Phillip W.
dc.contributor.authorHerbenick, Debby
dc.contributor.authorFortenberry, J. Dennis
dc.contributor.departmentPediatrics, School of Medicine
dc.date.accessioned2024-02-12T09:19:59Z
dc.date.available2024-02-12T09:19:59Z
dc.date.issued2018
dc.description.abstractResearch demonstrates health disparities between gender-minority individuals and cisgender individuals. These disparities arise from multiple sources, including negative health care experiences. This study examines interactions between transgender and gender non-binary (TGGNB) individuals and their health care providers. We analyzed 119 participants’ descriptions of positive and negative health care experiences, and what they wish providers knew about caring for TGGNB patients. Health care experiences went well when providers and staff used inclusive language, demonstrated their experience and education, and treated identity disclosure as routine. Negative interactions were characterized by misgendering, unfamiliarity with TGGNB people and health issues, and transphobic practices. Participants wished providers understood their health concerns, did not expect their patients to educate them, and created a welcoming clinical environment. Medical educators, administrators, and providers share responsibility for improving TGGNB patient experiences. Through a framework of cultural safety, we recommend several changes to ensure more equitable treatment in health care.
dc.eprint.versionAuthor's manuscript
dc.identifier.citationBaldwin A, Dodge B, Schick VR, et al. Transgender and Genderqueer Individuals' Experiences with Health Care Providers: What's Working, What's Not, and Where Do We Go from Here?. J Health Care Poor Underserved. 2018;29(4):1300-1318. doi:10.1353/hpu.2018.0097
dc.identifier.urihttps://hdl.handle.net/1805/38394
dc.language.isoen_US
dc.publisherJohns Hopkins University Press
dc.relation.isversionof10.1353/hpu.2018.0097
dc.relation.journalJournal of Health Care for the Poor and Underserved
dc.rightsPublisher Policy
dc.sourcePMC
dc.subjectPatient-provider communication
dc.subjectTransgender
dc.subjectGender non-binary
dc.subjectLGBTQ health disparities
dc.subjectHealth care experiences
dc.subjectCultural safety
dc.titleTransgender and Genderqueer Individuals’ Experiences with Health Care Providers: What’s Working, What’s Not, and Where Do We Go from Here?
dc.typeArticle
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