Chaudhary Swapna, Ray Robin, Glass Beverley D
College of Medicine and Dentistry, James Cook University, 1, James Cook Drive, Douglas, QLD 4811, Australia.
Explor Res Clin Soc Pharm. 2022 Oct 22;8:100198. doi: 10.1016/j.rcsop.2022.100198. eCollection 2022 Dec.
Despite the increased visibility of transgender and gender diverse (TGD) people, little is known about their interactions with pharmacists and pharmacy staff while accessing care from the pharmacies.
The objective of this study was to explore the experiences and expectations of the TGD people regarding their interactions with pharmacists and pharmacy staff in Queensland, Australia.
This study is situated in a transformative paradigm and utilized narrative inquiry to conduct semi-structured interviews with TGD participants. An interview guide based on the relevant literature and the constructs of the Theoretical Framework of Accessibility was developed. Purposive and snowball sampling was used to recruit people who identified as TGD and had previously visited pharmacies to access care. Depending on participants' preferences, interviews were conducted face-to-face or via phone or Zoom application. Interviews were recorded, transcribed, and organized in chronological stories. Data were analyzed to derive themes from the participant stories.
A total of 22 participants (transwomen = 11, transmen = 8, non-binary trans masculine = 3) were interviewed. Two major themes were identified, (1) Challenges of accessing care from the pharmacy and (2) Making the most of the interactions between TGD people and pharmacists. Major challenges of accessing care from pharmacies included anticipated anxiety of accessing care, healthcare system constraints, compromised privacy and confidentiality at the pharmacy, and being challenged about their gender. Many avoided interacting with pharmacists and staff or kept their interactions minimal. Participants recognized that pharmacists play a meaningful role in TGD health and provided insights about how pharmacists can improve care provision to TGD people.
Cultural and pharmacotherapeutic education in transgender health are crucial for Australian pharmacists and staff to provide inclusive, respectful, and person-centered care to TGD people.
尽管跨性别者和性别多样化者（TGD）的可见度有所提高，但对于他们在药房获取护理时与药剂师及药房工作人员的互动情况，人们了解甚少。
本研究的目的是探讨澳大利亚昆士兰州TGD人群在与药剂师及药房工作人员互动方面的经历和期望。
本研究采用变革性范式，运用叙事探究法对TGD参与者进行半结构化访谈。基于相关文献和可及性理论框架的构建，制定了访谈指南。采用目的抽样和滚雪球抽样的方法，招募自认为是TGD且此前曾到药房获取护理的人员。根据参与者的偏好，访谈通过面对面、电话或Zoom应用程序进行。访谈进行录音、转录，并按时间顺序整理成故事。对数据进行分析，以从参与者的故事中提炼出主题。
共访谈了22名参与者（跨性别女性 = 11人，跨性别男性 = 8人，非二元跨性别男性 = 3人）。确定了两个主要主题：（1）从药房获取护理的挑战；（2）充分利用TGD人群与药剂师之间的互动。从药房获取护理的主要挑战包括获取护理时预期的焦虑、医疗系统的限制、药房隐私和保密性受损以及其性别受到质疑。许多人避免与药剂师和工作人员互动，或尽量减少互动。参与者认识到药剂师在TGD健康方面发挥着重要作用，并就药剂师如何改善对TGD人群的护理提供了见解。
跨性别健康方面的文化和药物治疗教育对于澳大利亚药剂师和工作人员为TGD人群提供包容、尊重和以人为本的护理至关重要。
