Toccalino Danielle, Jonsa Sav, Yakubovich Alexa R, Davies Adam, Kosa Sarah Daisy, Kelly C Emma, Macdonald Sheila, Du Mont Janice
Research & Innovation Institute, Women's College Hospital, Toronto, Ontario, Canada
Ontario Network of Sexual Assault/Domestic Violence Treatment Centres, Toronto, Ontario, Canada.
BMJ Open. 2025 Jan 15;15(1):e090388. doi: 10.1136/bmjopen-2024-090388.
Intimate partner violence (IPV) and sexual assault are pervasive public health and human rights concerns that disproportionately impact trans and gender-diverse (TGD) individuals. Experiences of cisgenderism and transphobia, compounded by racism and other forms of discrimination and structural violence, can hinder access to appropriate supports in a safe and non-stigmatising environment across a variety of sectors, including but not limited to healthcare, social services, criminal justice, and legal. TGD individuals may also have unique health and social needs requiring support that is not yet in place. Recent research has identified the need to better understand barriers to accessing support for TGD survivors of IPV and sexual assault as a top priority. This study aims to address this need for evidence to facilitate improved access to inclusive and equitable services for TGD survivors.
This qualitative study will involve semi-structured interviews with approximately 60 adult TGD survivors of IPV and/or sexual assault who wanted to access, attempted to access, or used services. A diverse array of participants from across Canada will be recruited via purposeful and snowball sampling through partner organisations, Peer Leader Advisors and their networks, as well as promotion in physical and virtual spaces (eg, flyers and social media). An interview guide was developed based on Levesque's access to care model. Virtual interviews will be thematically analysed using Braun and Clarke's iterative phases of reflexive thematic analysis. An intersectionality lens will be applied throughout the research process.
Research Ethics Board approval was obtained from Women's College Hospital (WCH REB #: 2023-0033-E). Findings will be shared in peer-reviewed publications, at academic conferences, and through the burgeoning trans-LINK Canada Network WebPortal (https://www.translinknetwork.com/) using a variety of media, including newsletters, infographics, and webinars.
亲密伴侣暴力（IPV）和性侵犯是普遍存在的公共卫生和人权问题，对跨性别及性别多样化（TGD）个体的影响尤为严重。顺性别主义和恐跨症的经历，再加上种族主义和其他形式的歧视及结构性暴力，可能会阻碍TGD个体在包括但不限于医疗保健、社会服务、刑事司法和法律等各个领域的安全且无耻辱感的环境中获得适当的支持。TGD个体也可能有独特的健康和社会需求，需要尚未到位的支持。最近的研究已确定，将更好地理解IPV和性侵犯的TGD幸存者获得支持的障碍作为首要任务。本研究旨在满足这一对证据的需求，以促进为TGD幸存者提供更具包容性和公平性的服务。
这项定性研究将对约60名成年IPV和/或性侵犯的TGD幸存者进行半结构化访谈，这些幸存者想要获取、曾尝试获取或已使用过相关服务。将通过合作伙伴组织、同行领袖顾问及其网络进行有目的的抽样和滚雪球抽样，以及在实体和虚拟空间（如传单和社交媒体）进行宣传，从加拿大各地招募各种各样的参与者。基于勒维克的就医模式制定了访谈指南。将使用布劳恩和克拉克的反思性主题分析的迭代阶段对虚拟访谈进行主题分析。在整个研究过程中将应用交叉性视角。
已获得女子学院医院研究伦理委员会的批准（WCH REB编号：2023 - 0033 - E）。研究结果将在同行评审的出版物、学术会议上分享，并通过新兴的加拿大跨性别联系网络门户网站（https://www.translinknetwork.com/），利用包括时事通讯、信息图表和网络研讨会在内的各种媒体进行传播。
