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Trans and gender diverse people’s experiences and evaluations with general and trans-specific healthcare services : a cross-sectional survey

Aisa Burgwal (UGent) and Joz Motmans (UGent)
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Abstract
Research into access to and experiences with healthcare services of gender-diverse and trans individuals remains scarce. In this paper, self-reported experiences with general and trans-specific healthcare services were analyzed for differences between gender-diverse people, trans men, and trans women, using data from a five-country survey. More than half of all respondents indicated they had delayed general healthcare services at least once because of their gender identity, mostly out of fear of being treated badly. Almost one in four participants felt personally discriminated against in general healthcare services within the previous year. Gender-diverse people had significantly less experiences with seeking trans-specific healthcare. Additional effects were found for different socio-demographic variables (age; sex assigned at birth; educational level; socioeconomic status; and belonging to an ethnic, sexual, and/or disability minority). Gender-diverse people gave significantly worse evaluations of trans-specific healthcare services (in general as well as for specific types of trans-specific healthcare). The findings highlight the need for healthcare providers in creating inclusive healthcare settings, with attention for gender-diverse clients and those belonging to precarious minority groups due to their level of education or sexual, disability, and/or ethnic background.
Keywords
Urology

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MLA
Burgwal, Aisa, and Joz Motmans. “Trans and Gender Diverse People’s Experiences and Evaluations with General and Trans-Specific Healthcare Services : A Cross-Sectional Survey.” INTERNATIONAL JOURNAL OF IMPOTENCE RESEARCH, vol. 33, no. 7, 2021, pp. 679–86, doi:10.1038/s41443-021-00432-9.
APA
Burgwal, A., & Motmans, J. (2021). Trans and gender diverse people’s experiences and evaluations with general and trans-specific healthcare services : a cross-sectional survey. INTERNATIONAL JOURNAL OF IMPOTENCE RESEARCH, 33(7), 679–686. https://doi.org/10.1038/s41443-021-00432-9
Chicago author-date
Burgwal, Aisa, and Joz Motmans. 2021. “Trans and Gender Diverse People’s Experiences and Evaluations with General and Trans-Specific Healthcare Services : A Cross-Sectional Survey.” INTERNATIONAL JOURNAL OF IMPOTENCE RESEARCH 33 (7): 679–86. https://doi.org/10.1038/s41443-021-00432-9.
Chicago author-date (all authors)
Burgwal, Aisa, and Joz Motmans. 2021. “Trans and Gender Diverse People’s Experiences and Evaluations with General and Trans-Specific Healthcare Services : A Cross-Sectional Survey.” INTERNATIONAL JOURNAL OF IMPOTENCE RESEARCH 33 (7): 679–686. doi:10.1038/s41443-021-00432-9.
Vancouver
1.
Burgwal A, Motmans J. Trans and gender diverse people’s experiences and evaluations with general and trans-specific healthcare services : a cross-sectional survey. INTERNATIONAL JOURNAL OF IMPOTENCE RESEARCH. 2021;33(7):679–86.
IEEE
[1]
A. Burgwal and J. Motmans, “Trans and gender diverse people’s experiences and evaluations with general and trans-specific healthcare services : a cross-sectional survey,” INTERNATIONAL JOURNAL OF IMPOTENCE RESEARCH, vol. 33, no. 7, pp. 679–686, 2021.
@article{8704468,
  abstract     = {{Research into access to and experiences with healthcare services of gender-diverse and trans individuals remains scarce. In this paper, self-reported experiences with general and trans-specific healthcare services were analyzed for differences between gender-diverse people, trans men, and trans women, using data from a five-country survey. More than half of all respondents indicated they had delayed general healthcare services at least once because of their gender identity, mostly out of fear of being treated badly. Almost one in four participants felt personally discriminated against in general healthcare services within the previous year. Gender-diverse people had significantly less experiences with seeking trans-specific healthcare. Additional effects were found for different socio-demographic variables (age; sex assigned at birth; educational level; socioeconomic status; and belonging to an ethnic, sexual, and/or disability minority). Gender-diverse people gave significantly worse evaluations of trans-specific healthcare services (in general as well as for specific types of trans-specific healthcare). The findings highlight the need for healthcare providers in creating inclusive healthcare settings, with attention for gender-diverse clients and those belonging to precarious minority groups due to their level of education or sexual, disability, and/or ethnic background.}},
  author       = {{Burgwal, Aisa and Motmans, Joz}},
  issn         = {{0955-9930}},
  journal      = {{INTERNATIONAL JOURNAL OF IMPOTENCE RESEARCH}},
  keywords     = {{Urology}},
  language     = {{eng}},
  number       = {{7}},
  pages        = {{679--686}},
  title        = {{Trans and gender diverse people’s experiences and evaluations with general and trans-specific healthcare services : a cross-sectional survey}},
  url          = {{http://dx.doi.org/10.1038/s41443-021-00432-9}},
  volume       = {{33}},
  year         = {{2021}},
}

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