{"id":1472,"date":"2021-01-19T10:01:16","date_gmt":"2021-01-19T10:01:16","guid":{"rendered":"https:\/\/blogs.bmj.com\/sti\/?p=1472"},"modified":"2021-02-03T10:14:08","modified_gmt":"2021-02-03T10:14:08","slug":"trans-and-gender-diverse-people-and-health-care-services","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/sti\/2021\/01\/19\/trans-and-gender-diverse-people-and-health-care-services\/","title":{"rendered":"Trans and Gender Diverse People and Health Care Services"},"content":{"rendered":"<p>We begin the 2021 BMJ STI Podcast series with the first episode focusing on <a href=\"https:\/\/soundcloud.com\/bmjpodcasts\/trans-and-gender-diverse-people-and-health-care-services\/\">Trans and gender diverse people and health care services<\/a>.<\/p>\n<p>We consider the question: <em>Why do health care services need to adapt and promote provision of inclusive and non-discriminatory care independent of gender and sexual preference? <\/em><\/p>\n<p>In June 2020, the New Yorker published a <a href=\"https:\/\/www.newyorker.com\/news\/our-columnists\/the-trump-administrations-hateful-message-on-health-care-for-transgender-americans\">column<\/a> written by Masha Gessen, who is transgender and non-binary, describing their personal experience as a trans patient in an \u00a0emergency room in the USA. Clinicians required them to undertake a pregnancy test before having a CAT scan despite Masha informing them that they were on testosterone and had undergone a radical hysterectomy in the past. The details of their experience echo that of countless others and brings into focus the need to deliver trans and gender diverse inclusive health care. As it stands the current health care model fails to provide \u2018agency\u2019 to and only aids the \u2018erasure\u2019 of transgender and non-binary patients.<\/p>\n<p>We use this podcast to probe into transgender and gender diverse persons health care and identify how services could adapt in order to provide inclusive health care.<\/p>\n<p>Join Dr. Fabiola Martin, Dr. Jae Sevelius, and Dr. Graham Neilsen as we explore these questions and more!<\/p>\n<p><strong>Highlights:<\/strong><\/p>\n<ul>\n<li>Most health care systems need make practical changes to accommodate trans and gender diverse people: such as unisex toilets, preferred name on registration forms, organ inventory forms<\/li>\n<li>Training of staff on how to communicate in an inclusive way to all people<\/li>\n<li>Professional feedback to service providers who have not been able to provide gender inclusive care<\/li>\n<li>Small changes may be used to change the care environment:\n<ul>\n<li>&#8211;<strong>2-step questions<\/strong> to determine sex and gender e.g.\n<ul>\n<li>-\u2018What is your gender identity?\u2019<\/li>\n<li>-\u2018What sex and gender were you assigned at birth?\u2019<\/li>\n<\/ul>\n<\/li>\n<li>-Use an \u2018organ inventory\u2019 instead of making assumptions e.g.\n<ul>\n<li>-\u2018Could you tell me which operations you have had and if any organs\/parts of your body were removed? \u2018<\/li>\n<\/ul>\n<\/li>\n<li>-The telehealth care, catalysed by COVID-19, may remove some of the barriers, such as distance and access to specialists, but more research is needed.<\/li>\n<li>-Clinicians and researchers can seek guidance from patients as \u201cexperts of their own experience\u201d to implement health service improvements.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><strong>Remember to subscribe to STI podcasts on <\/strong><a href=\"https:\/\/podcasts.apple.com\/gb\/podcast\/sti-podcast\/id356342980\">Apple podcasts<\/a><strong>, <\/strong><a href=\"https:\/\/podcasts.google.com\/feed\/aHR0cDovL2ZlZWRzLmJtai5jb20vc3RpL3BvZGNhc3Rz\">Google podcasts<\/a><strong>, <\/strong><a href=\"https:\/\/www.stitcher.com\/show\/sexually-transmitted-infections-podcast\">Stitcher<\/a><strong>, and <\/strong><a href=\"https:\/\/open.spotify.com\/show\/09IMBVmCcQnT7CzvMhq9PM\">Spotify<\/a><strong>!<\/strong><\/p>\n<p><strong>Additional Resources:<\/strong><\/p>\n<p><a href=\"https:\/\/www.newyorker.com\/news\/our-columnists\/the-trump-administrations-hateful-message-on-health-care-for-transgender-americans\">The Trump Administration\u2019s Hateful Message on Health Care for Transgender Americans<\/a><\/p>\n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4802845\/\">Barriers to Health Care for Transgender Individuals<\/a><\/p>\n<p><a href=\"https:\/\/sti.bmj.com\/content\/92\/Suppl_1\/A55.3\">A bespoke sexual health service for transgender people is highly acceptable and meets the broader health needs of this population<\/a><\/p>\n<p><a href=\"https:\/\/sti.bmj.com\/content\/89\/7\/536\">WHO guidelines for HIV\/STI prevention and care among MSM and transgender people: implications for policy and practice<\/a><\/p>\n<p><a href=\"https:\/\/sti.bmj.com\/content\/96\/5\/320\">Evaluating the clinical experience of sexual health trainees in the management of transgender, including non-binary, people within sexual health services<\/a><\/p>\n<p><a href=\"https:\/\/www.liebertpub.com\/doi\/pdf\/10.1089\/trgh.2016.0024\">Transgender Noninclusive Healthcare and Delaying Care Because of Fear: Connections to General Health and Mental Health Among Transgender Adults<\/a><\/p>\n<p><a href=\"https:\/\/www.wpath.org\/\">World Professional Association for Transgender Health<\/a><\/p>\n<p><a href=\"https:\/\/auspath.org\/\">Australian Professional Association for Trans Health<\/a><\/p>\n<p><a href=\"https:\/\/www.nhs.uk\/live-well\/healthy-body\/how-to-find-an-nhs-gender-identity-clinic\/\">How to find an NHS gender dysphoric clinic<\/a><\/p>\n<p><a href=\"https:\/\/metronorth.health.qld.gov.au\/specialist_service\/refer-your-patient\/gender-services\">Gender Services Brisbane<\/a><\/p>\n<p><a href=\"https:\/\/www.transactual.org.uk\/inclusive-healthcare\">Trans Actual UK<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>We begin the 2021 BMJ STI Podcast series with the first episode focusing on Trans and gender diverse people and health care services. We consider the question: Why do health care services need to adapt and promote provision of inclusive and non-discriminatory care independent of gender and sexual preference? In June 2020, the New Yorker [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/sti\/2021\/01\/19\/trans-and-gender-diverse-people-and-health-care-services\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":440,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1613],"tags":[1646],"class_list":["post-1472","post","type-post","status-publish","format-standard","hentry","category-sexual-health-services","tag-sexual-health"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Trans and Gender Diverse People and Health Care Services - Sexually Transmitted Infections<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/sti\/2021\/01\/19\/trans-and-gender-diverse-people-and-health-care-services\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Trans and Gender Diverse People and Health Care Services - Sexually Transmitted Infections\" \/>\n<meta property=\"og:description\" content=\"We begin the 2021 BMJ STI Podcast series with the first episode focusing on Trans and gender diverse people and health care services. We consider the question: Why do health care services need to adapt and promote provision of inclusive and non-discriminatory care independent of gender and sexual preference? In June 2020, the New Yorker [...]Read More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/sti\/2021\/01\/19\/trans-and-gender-diverse-people-and-health-care-services\/\" \/>\n<meta property=\"og:site_name\" content=\"Sexually Transmitted Infections\" \/>\n<meta property=\"article:published_time\" content=\"2021-01-19T10:01:16+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2021-02-03T10:14:08+00:00\" \/>\n<meta name=\"author\" content=\"stownsend\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"stownsend\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/2021\\\/01\\\/19\\\/trans-and-gender-diverse-people-and-health-care-services\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/2021\\\/01\\\/19\\\/trans-and-gender-diverse-people-and-health-care-services\\\/\"},\"author\":{\"name\":\"stownsend\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/#\\\/schema\\\/person\\\/a21e3db67732c904096ed5bcfa6638c4\"},\"headline\":\"Trans and Gender Diverse People and Health Care Services\",\"datePublished\":\"2021-01-19T10:01:16+00:00\",\"dateModified\":\"2021-02-03T10:14:08+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/2021\\\/01\\\/19\\\/trans-and-gender-diverse-people-and-health-care-services\\\/\"},\"wordCount\":517,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/#organization\"},\"keywords\":[\"sexual health\"],\"articleSection\":[\"Sexual health services\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/2021\\\/01\\\/19\\\/trans-and-gender-diverse-people-and-health-care-services\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/2021\\\/01\\\/19\\\/trans-and-gender-diverse-people-and-health-care-services\\\/\",\"name\":\"Trans and Gender Diverse People and Health Care Services - 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