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不仅仅是清单和彩虹:探索加拿大营养师对跨性别者营养护理的信念、价值观和知识。

Not Just Checklists and Rainbows: Exploring Canadian Dietitians' Beliefs, Values, and Knowledge of Transgender Nutritional Care.

作者信息

Gunaydin Duygu, Burchell Drew, Hickens Nicholas, Joy Phillip

机构信息

Department of Applied Human Nutrition, Mount Saint Vincent University, Halifax, Nova Scotia, Canada.

Department of Biology, Mount Saint Vincent University, Halifax, Nova Scotia, Canada.

出版信息

Transgend Health. 2023 Jul 28;8(4):381-388. doi: 10.1089/trgh.2021.0107. eCollection 2023 Aug.

Abstract

PURPOSE

Many transgender (short form: trans) people are experiencing disparities within Canadian health care systems, including nutritional and dietetic health care systems. This research explores the views, beliefs, and experiences of Canadian dietitians about trans nutritional care and seeks to understand how dietitians can better address the nutritional needs of trans individuals.

METHODS

Semistructured online interviews were conducted with 16 Canadian dietitians. Interviews were transcribed and the data were analyzed thematically.

RESULTS

Three main themes were created; (1) There's an Unjust System, (2) We've Come a Long Way, and (3) Not Just Checklists and Rainbows. The participants explored the historic nature of the Canadian dietetic profession and noted the connection between cis-normativity and the erasure of trans identities. They also explored how dietitians could better address the health needs of trans people, including moving beyond the acknowledgement of trans identities to changing the way gender is viewed in the profession.

CONCLUSION

The dietetic profession must move beyond surface-level activities and rethink gender. Recommendations include adding trans-focused care training into the profession, creating safer spaces for trans individuals, advocacy and allyship, and recruiting trans people to the profession.

摘要

目的

许多跨性别者在加拿大的医疗保健系统中面临差异,包括营养与饮食保健系统。本研究探讨加拿大营养师对跨性别者营养护理的看法、信念和经历,并试图了解营养师如何能更好地满足跨性别者的营养需求。

方法

对16名加拿大营养师进行了半结构化在线访谈。访谈内容被转录,并对数据进行了主题分析。

结果

形成了三个主要主题;(1)存在不公正的体系,(2)我们已经取得了很大进展,(3)不仅仅是清单和彩虹。参与者探讨了加拿大饮食行业的历史性质,并指出顺性别规范与跨性别身份被抹杀之间的联系。他们还探讨了营养师如何能更好地满足跨性别者的健康需求,包括从承认跨性别身份转向改变该行业对性别的看法。

结论

饮食行业必须超越表面活动并重新思考性别问题。建议包括在该行业中增加针对跨性别者护理的培训,为跨性别者创造更安全的空间,倡导和支持,以及招募跨性别者加入该行业。

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