Transgender And Non-binary People Face Health Care Discrimination Every Day In The US


Published:

Many people may experience anxiety when seeking medical treatment. They might worry about wait times, insurance coverage or how far they must travel to access care.

Transgender and non-binary individuals have an added fear: gender-related discrimination. This can involve being outed due to a name or gender mismatch on an insurance card, being completely denied care or even being left to die.

Most recently, the White House has begun to seriously weigh removing transgender and intersex individuals from definitions of gender completely. If enacted, such a change would almost certainly lead to problems for transgender and non-binary people as they seek a variety of health services. Growing scientific evidence shows that this population faces significant hurdles in many domains, including when seeking medical and mental health care.

Rates Of Discrimination

Transgender and non-binary individuals are those whose gender does not align with the social expectations connected to the sex they were assigned at birth. Sex, usually assigned male or female at birth, is based on genitalia, while gender is a complete sense of who one knows themselves to be.

It’s difficult to estimate what percent of the population is transgender or non-binary. Gender identity is not included in the U.S. census or on most national or statewide data collection efforts. However, research shows that approximately 0.6 percent of U.S. adults identify with a gender expansive identity, such as transgender, non-binary, genderqueer or agender.

Younger people are more likely to have one of these identities compared to adults. Somewhere between 0.7 and 3.8 percent of high school-aged youth report that they identify as transgender, non-binary or another identity besides the sex they were assigned at birth.

This population has many challenging experiences when compared to individuals who are not transgender. Some problems include employment and housing discrimination, as well as higher rates of partner violence. Many of these experiences are connected to transphobia, or discrimination against transgender and non-binary individuals.

Health researchers such as myself have been working to better understand the discrimination that this group faces in medical settings. For example, approximately one-fifth of transgender and non-binary individuals have been denied equal treatment when trying to access doctors or hospitals.

Discrimination can come in many different forms. Medical providers might assume that all health issues are correlated with one’s gender identity – for example, assuming that pneumonia is somehow connected to hormone use, or that all anxiety must be due to being transgender. These and other such issues are often referred to as broken arm syndrome. Others might be refused care, or experience harmful language or harassment.

These experiences of discrimination are elevated for transgender and non-binary people of color and people with disabilities. This is true not only in medical settings, but in places like mental health centers, domestic violence centers, drug treatment programs and rape crisis centers. In fact, those with multiple types of disabilities – whether physical, socioemotional or learning-related – are over three times more likely to experience discrimination in all four settings as compared to non-disabled people.

Making Health Care More Inclusive

Societal stigma and bias can leave transgender and non-binary people feeling marginalized. But there are steps that medical providers can take to promote resiliency and well-being among this population.

Transgender and non-binary individuals have higher rates of depression and thoughts about suicide. They are also significantly more likely to attempt suicide. These increased rates are not due to being transgender, but from dealing with stigma, lack of acceptance and abuse.

One study showed that, when transgender and non-binary individuals had a primary care provider that they considered to be inclusive, they had lower rates of depression and suicidal thoughts. About 54 percent of those without an inclusive provider reported current depression, compared to only 38 percent of those with such a provider.

I believe that medical and nursing schools, social work, counseling and psychology training programs, and community organizations should make a tangible effort to better train all health providers and social service professionals. Staff should have more comfort treating members of this community, especially those who hold multiple marginalized identities, like transgender people of color.

This training could include information on different language used by this community; guidance on how to correctly use a variety of pronouns; or best health care practices for working with members of this community. It could even simply start by providing a basic understanding of the difference between gender and sex.

Training could help reduce these alarming rates of discrimination faced by this community – as well as bolster their overall health and well-being.The Conversation

Shanna K. Kattari, PhD, MEd, ACS is faculty at the University of Michigan School of Social Work. Her background is as a board certified sexologist, experienced sexuality educator, and social justice advocate. Her extant research focuses on understanding how power, privilege and oppression systematically marginalize, exclude, and discriminate against people regarding their identities/expressions through negative attitudes, policies reinforcing oppression, oppressive actions and isolation.

This article is republished from The Conversation under a Creative Commons license. Read the original article.

See also:
Making Healthy Habits Accessible For Every Body
For The Parents Of Gender-Nonconforming Kids, A New Approach To Care

Edit Module
Edit ModuleShow Tags
Edit Module Edit ModuleShow Tags

Daily Astrology

October 18, 2019

Early birds may awaken feeling strangely unrested. The Gemini Moon is at odds with Neptune. A dream may linger, unresolved. Use your imagination to revisit the dreamscape and conjure up a happier, more satisfying ending. The day swings into high gear by…
Edit ModuleShow Tags

Alternative Health Directory

Browse all listings »

Edit ModuleShow Tags
Edit ModuleShow Tags

Calendar

October 2019

Come shine with us! Join us in harmony and in our goal to bring the light of Spiritualism forward to all those who are searching.

Where:
VFW Post 2597
775 Boston Rd, Rt 3A
Billerica, MA
View map »


Sponsor: The Spiritualist Fellowship Church Of New England
Website »

More information

Show More...
Show Less...

2nd and 4th Monday of every month This psychic message circle is for anyone wishing to raise their connection using their psychic centers known as the “clairs.” Learn how to use...

Cost: $20

Where:
Messages From Heaven Healing and Learning Center
646 Central Street
Suite 3
Leominster, MA
View map »


Website »

More information

Show More...
Show Less...

Free Evidence-Based Holistic Health Education Program at Wilbraham Senior Center The H.E.A.R.T. Program® (Health Empowerment and Real Transformation), created and instructed by Michelle...

Cost: Free

Where:
Wilbraham Senior Center
45 Post Office Park, #4502
Wilbraham, MA  01095
View map »


Sponsor: Harmony Way
Telephone: 413-636-2475
Contact Name: Michelle Caron
Website »

More information

Show More...
Show Less...

Grades 5-8 Instructor: Kari Pike Wednesdays, 10/16–11/20, 4pm-5pm (6 sessions) Do you ever feel overwhelmed before a test, or when you are working on a difficult homework...

Cost: $125

Where:
Creative Spirit
80 Washington Street
Marblehead, MA  01945
View map »


Telephone: 781-797-0389
Contact Name: Creative Spirit
Website »

More information

Join us at our free boot camp specifically for post-divorce issues! Make new connections while learning essential strategies for building your post-divorce life with confidence and peace of...

Cost: Free

Where:
Skylark Law & Mediation, PC
9 Main Street
Southborough, MA  01772
View map »


Sponsor: Vesta: Redefining Divorce
Telephone: 508-744-6014
Contact Name: Deanna Coyle
Website »

More information

Show More...
Show Less...

Sleep is one of the most under-appreciated ways to heal the body and improve your health. Getting 8 hours of sleep, more or less, is not enough if it is not good quality sleep. This class will...

Cost: $20

Where:
Open Circle Acupuncture & Healing
411 West Main Street, Suite 2R (rear of building)
Northborough, MA  01532
View map »


Sponsor: Open Circle Acupuncture & Healing
Telephone: 508-393-1212
Contact Name: Kim Flaherty
Website »

More information

Are you separated, divorced, considering divorce, or in the process of divorce? Vesta welcomes you to another of our Divorce Resource Nights! These free events are educational, social and...

Cost: Free

Where:
Leading Edge Real Estate
2 Mount Vernon Street
Winchester, MA  01890
View map »


Sponsor: Vesta: Redefining Divorce
Telephone: 508-744-6014
Contact Name: Deanna Coyle
Website »

More information

Show More...
Show Less...

Integrate the pelvic floor into your classes with confidence with Cristin Zaimes. Pelvic floor dysfunction is incredibly common, but not very well understood. People often feel embarrassed or...

Cost: $45

Where:
YogaLife Institute of NH
6 Chestnut Street
Lower Level
Exeter, NH  03833
View map »


Sponsor: YogaLife Institute of NH
Telephone: 603-867-3969
Contact Name: Alice Bentley
Website »

More information

Come and see what this is all about! You will be glad you did. Free to see the demo! Registration required, call 207-221-2363. Here is a podcast for you! What is KCR?...

Cost: Free

Where:
Leapin' Lizards
449 Forest Ave
Portland, ME  04101
View map »


Telephone: 207-221-2363
Website »

More information

The modern science of epigenetics is providing evidence that the patterns of self-sabotage, isolation, chronic illness, depression, addiction, challenges in relationship or an inability to prosper...

Cost: $27

Where:
Circles of Wisdom
386 Merrimack Street, #1A
Methuen, MA  01844
View map »


Sponsor: Circles of Wisdom
Telephone: 978-474-8010
Contact Name: Cathy Kneeland
Website »

More information

Facilitator: Peyton Pugmire Fridays, 9/20, 10/18, 11/15, 12/20, 9:30am–10:30am Everyone leaves with a powerful message to inspire their weekend!  Join Peyton Pugmire,...

Cost: Pay What You Wish

Where:
Creative Spirit
80 Washington Street
Marblehead, MA  01945
View map »


Telephone: 781-797-0389
Contact Name: Creative Spirit
Website »

More information

Show More...
Show Less...

In just one day you will come away with valuable knowledge about the issues associated with separation and divorce, increasingly aware of your next steps in the process, bolstered by the new...

Where:
Burns & Levinson
1 Citizens Plaza
Suite 1100
Providence, RI  02903
View map »


Sponsor: Vesta: Redefining Divorce
Telephone: (508) 333-3191
Website »

More information

Explore your psychic awareness in this fun and informative workshop Designed specifically for people who are awakening to their own psychic senses, this class will provide you with personalized,...

Cost: $125

Where:
The Mills at Salmon Falls
3 Front Street
Lower Mill
Rollinsford, NH  03869
View map »


Sponsor: Raylene Sousa Medium LLC
Telephone: 207-956-0220
Contact Name: Raylene Sousa
Website »

More information

Join us at Vesta’s One-Day Divorce Retreat in Providence, RI! In just one day you will come away with valuable knowledge about the issues associated with separation and divorce,...

Cost: $149

Where:
Burns & Levinson
1 Citizens Plaza
Suite 1100
Providence, RI  02903
View map »


Sponsor: Vesta: Redefining Divorce
Telephone: 508-744-6014
Contact Name: Deanna Coyle
Website »

More information

Facilitator: Jamie Berg Adult Level Do you have too much stuff? Would you like to manage all of your stuff with ease? In this workshop you will learn how to KonMari and you will...

Cost: $50

Where:
Creative Spirit
80 Washington Street
Marblehead, MA  01945
View map »


Telephone: 781-797-0389
Contact Name: Creative Spirit
Website »

More information

Every time we see a giggling baby or an innocent child full of laughter, we're reminded that we are all born with this natural and innate sense of happiness, that it is actually our birthright....

Cost: $108 early-bird price ($120 after October 12)

Where:
Unity Farm Sanctuary
30 Lyman Street, Suite 108B
Westborough shopping center
Sherborn, MA  01581
View map »


Sponsor: www.SOHUM.org
Telephone: 508-329-3338
Contact Name: Ritu Kapur
Website »

More information

Led by Chuck Raffoni ( E-RYT200) named a “person making postiive change in the world for the LGBTQ Community” by Pride Connections and featured on NBC's TODAY SHOW for teaching...

Cost: $50

Where:
KJ Fitness
Tewksbury , MA


Sponsor: YogaWithChuck.Com
Contact Name: Chuck
Website »

More information

Steven Farmer, PhD Here’s a great opportunity to not only clear out the psychic debris that has attached to your soul body as you journeyed through life but also retrieve and reintegrate...

Cost: $77

Where:
Circles of Wisdom
386 Merrimack Street, #1A
Methuen, MA  01844
View map »


Sponsor: Circles of Wisdom
Telephone: 978-474-8010
Contact Name: Cathy Kneeland
Website »

More information

October 19–25 Join Seth Monk and Candita Carracci Mamet for a week of yoga, meditation, personal growth and relaxation.

Where:
Sivananda Ashram Yoga Center
Paradise Island, Bahamas, MA


Website »

More information

Reiki Master Teacher Libby Barnett, M.S.W., integrates her healing skills with past experience as a medical social worker at Massachusetts General Hospital. 38 years experience. Reiki...

Where:
Concord, MA


Telephone: 603-654-2787
Website »

More information

Here’s a great opportunity to not only clear out the psychic debris that has attached to your soul body as you journeyed through life but also retrieve and reintegrate those soul fragments...

Where:
Methuen, MA


Telephone: (978) 474-8010
Website »

More information

Learn to overcome spinal tensions through therapeutic postures, designed to decompress your spine and relieve pain. Taught by a certified yoga therapist, classes bring you through poses...

Cost: 5/$50

Where:
Bliss Through Yoga
484 Bedford St
East Bridgewater, MA  02333
View map »


Telephone: 508-331-3564
Contact Name: Janice O'Brien
Website »

More information

Show More...
Show Less...
Edit ModuleShow Tags
Edit Module Edit ModuleShow Tags