J Med Libr Assoc. 2023 Oct 2;111(4):750-761. doi: 10.5195/jmla.2023.1724.
The state of evidence-based transgender healthcare in the United States has been put at risk by the spread of misinformation harmful to transgender people. Health science librarians can alleviate the spread of misinformation by identifying and analyzing its flow through systems that affect access to healthcare.
The author developed the theory of the Misinformation - Legislation Pipeline by studying the flow of anti-transgender misinformation from online echo chambers through a peer-reviewed article and into policy enacted to ban medical treatments for transgender people in the state of Florida. The analysis is precluded with a literature review of currently accepted best practices in transgender healthcare, after which, the author analyzes the key report leveraged by Florida's Department of Health in its ban. A critical analysis of the report is followed by a secondary analysis of the key peer-reviewed article upon which the Florida Medicaid authors relied to make the decision. The paper culminates with a summation of the trajectory of anti-transgender misinformation.
Misinformation plays a key role in producing legislation harmful to transgender people. Health science librarians have a role to play in identifying misinformation as it flows through the Misinformation - Legislation Pipeline and enacting key practices to identify, analyze, and oppose the spread of harmful misinformation.
美国循证跨性别医疗保健的现状因有害于跨性别者的错误信息传播而受到威胁。健康科学图书馆员可以通过识别和分析影响医疗保健获取的系统中的错误信息流动来减轻错误信息的传播。
作者通过研究反跨性别错误信息从在线回音室通过同行评议文章传播到佛罗里达州颁布的禁止为跨性别者提供医疗的政策，发展了错误信息-立法管道理论。在分析了目前接受的跨性别医疗保健最佳实践的文献综述后，作者分析了佛罗里达州卫生署在其禁令中利用的关键报告。对报告进行了批判性分析，然后对佛罗里达州医疗补助计划作者赖以做出决定的关键同行评议文章进行了二次分析。本文最后总结了反跨性别错误信息的轨迹。
错误信息在产生有害于跨性别者的立法方面起着关键作用。健康科学图书馆员在错误信息通过错误信息-立法管道流动时识别错误信息，并采取关键实践来识别、分析和反对有害错误信息的传播，这方面发挥着作用。
