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'The medical world is very good at cis people, but trans is a specialisation'. Experiences of transgender and non-binary people with accessing primary sexual and reproductive healthcare services in the Netherlands.
- Source :
- Global Public Health; Jan2023, Vol. 18 Issue 1, p1-20, 20p
- Publication Year :
- 2023
-
Abstract
- Transgender and non-binary (TNB) people are at increased risk of adverse sexual and reproductive health (SRH) outcomes compared to cisgender people. With this qualitative study, we investigated the experiences of TNB people with access to primary SRH care in the Netherlands. We conducted semi-structured, explorative interviews with fourteen TNB individuals. Data were analysed using thematic analysis. We identified three themes: 'navigating cisgender assumptions', 'depending on your healthcare provider' and 'access requires labour'. In primary SRH care, respondents felt that healthcare providers made incorrect assumptions about their care needs which required respondents to actively disclose their gender identity or medical history. However, some respondents felt disclosure also exposed them to clinical bias, or reduced them to a medical category 'transgender' that their healthcare providers perceived to require specialised knowledge. In this context, respondents felt the onus was on them to ensure their SRH care needs were met. Using the concept of trans erasure, we highlight how TNB people are put at risk of adverse SRH outcomes. Creating equitable care access requires not only that providers are educated on TNB health needs and their own cisnormativity, but also an ongoing, critical reflection on the use of gender- and sex-based categories in medicine. [ABSTRACT FROM AUTHOR]
- Subjects :
- HEALTH services accessibility
PROFESSIONS
TRANSPHOBIA
RESEARCH methodology
HUMAN sexuality
NONBINARY people
INTERVIEWING
CLINICS
PATIENTS' attitudes
QUALITATIVE research
SELF-disclosure
RISK assessment
TREATMENT effectiveness
CONCEPTUAL structures
GENDER identity
RESPONSIBILITY
PSYCHOSOCIAL factors
QUESTIONNAIRES
SEX customs
THEMATIC analysis
JUDGMENT sampling
DATA analysis software
MEDICAL appointments
EMOTIONS
TRANSGENDER people
SEXUAL health
REPRODUCTIVE health
CISGENDER people
MEDICAL needs assessment
Subjects
Details
- Language :
- English
- ISSN :
- 17441692
- Volume :
- 18
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Global Public Health
- Publication Type :
- Academic Journal
- Accession number :
- 174160589
- Full Text :
- https://doi.org/10.1080/17441692.2023.2246059