Department of Psychology, Wilfrid Laurier University, Waterloo, ON, Canada.
Department of Health Sciences, Wilfrid Laurier University, Waterloo, ON, Canada.
Cult Health Sex. 2024 Jan;26(1):61-76. doi: 10.1080/13691058.2023.2185685. Epub 2023 May 12.
It is well-known that trans and non-binary individuals experience worse health outcomes due to experiences of violence and discrimination. For this reason, accessible healthcare for trans and non-binary people is crucial. There is a lack of Canadian literature on the experiences of non-binary people within the healthcare system. This study sought to understand barriers to healthcare among non-binary people living in a mid-sized urban/rural region of Canada. Interviews were conducted between November 2019 to March 2020 with 12 non-binary individuals assigned female at birth, living in Waterloo Region, Ontario, Canada, as a part of a larger qualitative study exploring experiences within the community, healthcare and employment. Three broad themes were developed: erasure, barriers to access to healthcare, and assessing whether (or not) to come out. Sub-themes included institutional erasure, informational erasure, general healthcare barriers, medical transition healthcare barriers, anticipated discrimination, and assessing safety. Policy and institutional changes are needed to increase the safety and accessibility of healthcare services to non-binary individuals.
众所周知，跨性别者和非二元性别者由于经历暴力和歧视，健康状况更差。因此，为跨性别者和非二元性别者提供可及的医疗保健至关重要。加拿大关于非二元性别者在医疗体系中的经历的文献很少。本研究旨在了解加拿大一个中等规模的城乡地区的非二元性别者在医疗保健方面面临的障碍。2019 年 11 月至 2020 年 3 月期间，在安大略省滑铁卢地区对 12 名出生时被指定为女性的跨性别非二元性别者进行了访谈，这是一项更大的定性研究的一部分，该研究探讨了社区、医疗保健和就业方面的经历。确定了三个广泛的主题：抹杀、获得医疗保健的障碍，以及是否（或不）出柜。子主题包括机构抹杀、信息抹杀、一般医疗保健障碍、医疗过渡医疗保健障碍、预期歧视和评估安全性。需要进行政策和制度变革，以提高非二元性别者获得医疗保健服务的安全性和可及性。
