Ordeals, women and gender justice

2020 ◽  
pp. 1-15
Author(s):  
Anca Gheaus
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Equality Of Opportunity ◽  
Gender Justice ◽  
Equal Opportunities ◽  
Women And Gender ◽  
Discretionary Time ◽  
Access To Health ◽  
And Gender

Abstract Rationing health care by ordeals is likely to have different effects on women and men, and on distinct groups of women. I show how such putative effects of ordeals are relevant to achieving gender justice. I explain why some ordeals may disproportionately set back women’s interest in discretionary time, health and access to health care, and may undermine equality of opportunity for positions of advantage. Some ordeals protect the interests of the worse-off women yet set back the interests of better-off women in equal opportunities. I suggest how we can use ordeal design to advance particular aims of gender justice.

scholarly journals Problematized Patients – Intersectional Perspectives on Gender, Ethnicity, Class and Biomedicine

2010 ◽  
Author(s):  
Mari Holen ◽  
Sine Lehn-Christiansen
Keyword(s):  
Health Care ◽  
Empirical Analysis ◽  
Access To Health Care ◽  
Hospital Setting ◽  
Institutional Practices ◽  
Access To Health ◽  
And Gender ◽  
Class Play ◽  
Danish Hospital ◽  
The Way

Problematized patients – Intersectional perspectives on gender, ethnicity, class and biomedicine. This article presents an empirical analysis of the constitutional processes of becoming a patient in a Danish hospital setting by focusing on the intersections between biomedicine, gender, ethnicity, and class. The article uses the concept of intersectionality to emphasize institutional practices and how they shape knowledge, how inequalities are intersectional and contextual, and how the positioning of patients and thereby access to health care is differentiated by race, class, and gender. Three ‘problematized’ patients are analysed, showing how patients are subjectified by the hegemonic knowledge regimes of the hospital. This illustrates that gender, ethnicity, age and class play a constitutive role in the way patients are constructed as problematic within the clinic, thus supporting existing research in biomedicine as not neutral but negotiable. In addition, the arti- cle shows how the categories of gender, ethnicity, and class are put into play, silenced, and/or merged and mixed differently in each case.

scholarly journals Gender minority stress and access to health care services among transgender women and transfeminine people: results from a cross-sectional study in China

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yongjie Sha ◽  
Willa Dong ◽  
Weiming Tang ◽  
Lingling Zheng ◽  
Xi Huang ◽  
...  
Keyword(s):  
Health Care ◽  
Minority Stress ◽  
Access To Health Care ◽  
Health Care Services ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Gender Minority ◽  
Care Services ◽  
Access To Health ◽  
And Gender

Abstract Background Transgender and gender diverse individuals often face structural barriers to health care because of their gender minority status. The aim of this study was to examine the association between gender minority stress and access to specific health care services among transgender women and transfeminine people in China. Methods This multicenter cross-sectional study recruited participants between January 1st and June 30th 2020. Eligible participants were 18 years or older, assigned male at birth, not currently identifying as male, and living in China. Gender minority stress was measured using 45 items adapted from validated subscales. We examined access to health care services and interventions relevant to transgender and gender diverse people, including gender affirming interventions (hormones, surgeries), human immunodeficiency virus (HIV) and sexually transmitted infections (STIs) testing, pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP). Multivariable regression was used to measure correlations between gender minority stress and access to health care service. Results Three hundred and twenty-four people completed a survey and data from 277 (85.5%) people were analyzed. The mean age was 29 years old (standard deviation [SD] = 8). Participants used hormones (118/277, 42.6%), gender affirming surgery (26/277, 9.4%), HIV testing (220/277, 79.4%), STI testing (132/277, 47.7%), PrEP (24/276, 8.7%), and PEP (29/267, 10.9%). Using gender affirming hormones was associated with higher levels of discrimination (adjusted odds ratio [aOR] 1.41, 95% confidence interval [CI] 1.17–1.70) and internalized transphobia (aOR 1.06, 95%CI 1.00–1.12). STI testing was associated with lower levels of internalized transphobia (aOR 0.91, 95%CI 0.84–0.98). Conclusions Our data suggest that gender minority stress is closely related to using health services. Stigma reduction interventions and gender-affirming medical support are needed to improve transgender health.

scholarly journals CLINICIAN KNOWLEDGE, COMFORT, AND PERCEIVED BARRIERS IN TREATING TRANS PATIENTS WITHIN A TERTIARY CARE PEDIATRIC CENTRE

2018 ◽  
Vol 23 (suppl_1) ◽  
pp. e2-e2
Author(s):  
Kat Butler ◽  
Natasha Johnson
Keyword(s):  
Health Care ◽  
Access To Care ◽  
Access To Health Care ◽  
Tertiary Care ◽  
Perceived Barriers ◽  
Trans People ◽  
Access To Health ◽  
In Trans ◽  
And Gender ◽  
Specific Care

Abstract BACKGROUND Historically, there have been numerous barriers to trans people - including youth - in terms of their access to health care in a variety of settings. Trans-specific care for youth is sparse across the country with long wait lists to access care. Further, there is a known period of vulnerability for trans people who have decided to access transition support and have not yet received it. OBJECTIVES This needs assessment survey was a first step to assess what training clinicians have received regarding working with trans patients, how comfortable they are working with trans patients, and what might be barriers to providing good care to trans patients. Addressing clinician perceived barriers may improve access to care. DESIGN/METHODS A 36-question survey was distributed electronically to faculty within the departments of paediatrics and psychiatry and to paediatric residents. The anonymous survey was designed to take approximately 10 minutes. The questions covered the topics of training, comfort, and practice. Data was analysed descriptively, and will be used to inform future educational sessions. Results are reported in the following areas: Training, Comfort, Practice, Barriers and Facilitators. RESULTS 38 clinicians completed the survey (29 faculty, 7 residents). 16% reported having received training in trans-specific care. 86% indicated interest in training in trans-related care, with the majority favouring grand rounds (74%) and online modules (71%) as learning formats. 22 respondents (58%) felt ‘comfortable’ or ‘very comfortable’ in assessing overall health of trans patients. More than 40% of respondents responded ‘not applicable’ to questions about prescription of puberty blockers/exogenous sex hormones, indicating that they consider this outside of their scope of practice. 82% of respondents agreed that they were aware of colleagues to whom they could refer trans patients. Two respondents (5%) indicated that they regularly provide trans-specific care. One respondent (3%) indicated having a religious and/or cultural objection to providing trans-specific health care. Most respondents reported using patients’ preferred names and gender in verbal communication (89%) and when documenting (78%). 68% of respondents indicated that they would mirror language used by patients or try to use gender-neutral language when discussing anatomy. Ten participants with experience in caring for trans patients identified a variety of facilitating factors. It was noted that this is “rewarding work” and “very much needed”. 76% cited a ‘lack of training in trans-specific care’ as the primary barrier. CONCLUSION Information collected from the survey will assist us in creating appropriate educational sessions for the relevant departments. It is hoped that addressing clinician perceived barriers will facilitate better access to care amongst a group of patients that has historically been marginalized within health care.

Using Technology to Improve Access to Health Care for Culturally and Linguistically Diverse Populations

2012 ◽  
Vol 19 (3) ◽  
pp. 71-76 ◽  
Author(s):  
Pauline A. Mashima
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Access To Health Care ◽  
Underserved Populations ◽  
Linguistically Diverse ◽  
Care Providers ◽  
Department Of Health ◽  
Use Of Technology ◽  
Access To Health ◽  
Improve Access

Important initiatives in health care include (a) improving access to services for disadvantaged populations, (b) providing equal access for individuals with limited or non-English proficiency, and (c) ensuring cultural competence of health-care providers to facilitate effective services for individuals from diverse racial and ethnic backgrounds (U.S. Department of Health and Human Services, Office of Minority Health, 2001). This article provides a brief overview of the use of technology by speech-language pathologists and audiologists to extend their services to underserved populations who live in remote geographic areas, or when cultural and linguistic differences impact service delivery.

Race and gender as factors in access to health insurance and utilization of health care services

2014 ◽  
Author(s):  
Susana J. Ferradas ◽  
G. Nicole Rider ◽  
Johanna D. Williams ◽  
Brittany J. Dancy ◽  
Lauren R. Mcghee
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Care Services ◽  
Race And Gender ◽  
Care Services ◽  
Access To Health ◽  
And Gender
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