Claire Argow Social Work Program, Pacific University, Forest Grove, OR 97116, USA.
Department of Family Science & Social Work, Miami University, Oxford, OH 45056, USA.
Int J Environ Res Public Health. 2022 Jul 25;19(15):9032. doi: 10.3390/ijerph19159032.
Trans-affirming providers play significant roles in the health and wellbeing of nonbinary individuals. Yet, healthcare mistreatment is well-documented among gender-diverse patients, leading to clients withholding information and avoiding care for fear of experiencing bias. Concurrently, healthcare providers report feeling ill-equipped to serve nonbinary patients, often perpetuating cisnormative binary attitudes. The literature has established the challenges to accessing healthcare and the need for gender-affirming care. However, little is known about nonbinary people's perspectives on how best to deliver gender-affirming care that is inclusive of nonbinary patients. This participatory action PhotoVoice study identified community member recommendations for healthcare providers to bolster the wellbeing of nonbinary individuals through improved access to gender-affirming healthcare. Data were collected through group discussions, photography, and photo-elicitation interviews. Drawing upon research results, the authors identify recommendations for improving interpersonal care, increasing access to gender-affirming care, and advocating for related environmental and policy changes.
跨性别肯定的提供者在非二元个体的健康和幸福中扮演着重要的角色。然而，医疗保健中的虐待行为在性别多样化的患者中得到了充分的记录，导致患者为了避免偏见而隐瞒信息和避免护理。同时，医疗保健提供者报告说他们没有能力为非二元患者提供服务，这常常使他们延续了传统的二元态度。文献已经确定了获得医疗保健的挑战和对性别肯定护理的需求。然而，对于非二元人群如何最好地提供包容非二元患者的性别肯定护理，人们知之甚少。这项参与式行动摄影研究确定了社区成员对医疗保健提供者的建议，以通过改善获得性别肯定的医疗保健来增强非二元个体的幸福感。数据是通过小组讨论、摄影和照片启发式访谈收集的。作者根据研究结果确定了改善人际护理、增加获得性别肯定护理的机会以及倡导相关环境和政策变革的建议。
