Perspectives of trans and gender diverse young people accessing primary care and gender-affirming medical services: Findings from Trans Pathways

2021 ◽  
pp. 1-13
Author(s):  
Penelope Strauss ◽  
Sam Winter ◽  
Zoe Waters ◽  
Dani Wright Toussaint ◽  
Vanessa Watson ◽  
...  
Keyword(s):  
Primary Care ◽  
Young People ◽  
Medical Services ◽  
Gender Diverse ◽  
And Gender

Primary Care Considerations for Transgender and Gender-Diverse Youth

2021 ◽  
pp. 19-34
Author(s):  
Jason R. Rafferty ◽  
Abigail A. Donaldson ◽  
Michelle Forcier
Keyword(s):  
Primary Care ◽  
Gender Diverse ◽  
And Gender ◽  
Diverse Youth

scholarly journals The Role of the Avatar in Gaming for Trans and Gender Diverse Young People

2020 ◽  
Vol 17 (22) ◽  
pp. 8617
Author(s):  
Helen Morgan ◽  
Amanda O'Donovan ◽  
Renita Almeida ◽  
Ashleigh Lin ◽  
Yael Perry
Keyword(s):  
Mental Health ◽  
Young People ◽  
Coming Out ◽  
Game Design ◽  
Gender Diversity ◽  
Significant Proportion ◽  
Therapeutic Benefits ◽  
Gender Diverse ◽  
And Gender

A significant proportion of trans and gender diverse (TGD) young people report membership of the gaming community and resultant benefits to wellbeing. To date their experiences and needs regarding a key feature of games, the avatar, are largely unexplored, despite increasing interest in the therapeutic role of avatars in the general population. The aim of this study was to better understand the role of the avatar in gaming, its impact on TGD young people’s mental health, and their unique needs regarding avatar design. N = 17 TGD young people aged 11–22 years (M = 16.3 years) participated in four focus groups. A general inductive approach was used to thematically analyze the transcribed data. TGD young people report considerable therapeutic benefits of using avatars with positive mental health implications. Importantly, TGD young people use avatars to explore, develop and rehearse their experienced gender identities, often as a precursor to coming out in the offline world. They also report negative experiences of feeling excluded due to the constraints of conventional notions of gender that are widely reflected in game design. Participants described simple design features to better reflect gender diversity, such as increased customization. Such changes would facilitate the positive gains reported by participants and better reflect the diversity of young people who use games. The findings have important implications for both recreational and serious or therapeutic game design.

Associations between negative life experiences and the mental health of trans and gender diverse young people in Australia: findings from Trans Pathways

2019 ◽  
Vol 50 (5) ◽  
pp. 808-817 ◽  
Author(s):  
Penelope Strauss ◽  
Angus Cook ◽  
Sam Winter ◽  
Vanessa Watson ◽  
Dani Wright Toussaint ◽  
...  
Keyword(s):  
Mental Health ◽  
Young People ◽  
Health Outcomes ◽  
Life Experiences ◽  
Poor Mental Health ◽  
Mental Health Outcomes ◽  
Negative Experiences ◽  
Gender Diverse ◽  
And Gender ◽  
Negative Life Experiences

AbstractBackgroundTrans and gender diverse (TGD) young people worldwide experience high rates of poor mental health; however, these rates were unknown in Australia. In addition, how negative life events affect the mental health of TGD young people has been largely unexplored.MethodsThis paper reports on novel mental health findings of Trans Pathways, the largest study ever conducted in Australia with trans (transgender) and gender diverse young people (N = 859; aged 14–25 years). The study was an anonymous online cross-sectional survey undertaken in 2016. Logistic and linear regression models were used to test associations between mental health outcomes and negative life experiences.ResultsTGD young people in Australia experience high levels of mental distress, including self-harming (79.7%), suicidal thoughts (82.4%), and attempting suicide (48.1%). Three in four participants had been diagnosed with depression and/or anxiety (74.6% and 72.2%, respectively). Many TGD young people had been exposed to negative experiences such as peer rejection (89.0%), precarious accommodation (22.0%), bullying (74.0%), and discrimination (68.9%). Most poor mental health outcomes were associated with negative experiences. The strongest associations were found for precarious accommodation and issues within educational settings. For example, participants with a prior suicide attempt were almost six times more likely to have experienced issues with accommodation, including homelessness.ConclusionsThe current results highlight the urgent need for better mental health care and provide insight into areas for targeted mental health interventions. These findings are pertinent for clinicians working with trans young people and wider society.

‘That’s not necessarily for them’: LGBTIQ+ young people, social media platform affordances and identity curation

2019 ◽  
Vol 41 (8) ◽  
pp. 1261-1278 ◽  
Author(s):  
Benjamin Hanckel ◽  
Son Vivienne ◽  
Paul Byron ◽  
Brady Robards ◽  
Brendan Churchill
Keyword(s):  
Social Media ◽  
Young People ◽  
Digital Media ◽  
Well Being ◽  
Family Work ◽  
Gender Diverse ◽  
Social Media Platforms ◽  
Media Platform ◽  
And Gender ◽  
And Control

Lesbian, gay, bisexual, transgender, queer, intersex, and other non-heterosexual and gender diverse (LGBTIQ+) young people utilise a range of digital media platforms to explore identity, find support and manage boundaries. Less well understood, however, is how they navigate risk and rewards across the different social media platforms that are part of their everyday lives. In this study, we draw on the concept of affordances, as well as recent work on curation, to examine 23 in-depth interviews with LGBTIQ+ young people about their uses of social media. Our findings show how the affordances of platforms used by LGBTIQ+ young people, and the contexts of their engagement, situate and inform a typology of uses. These practices – focused on finding, building and fostering support – draw on young people’s social media literacies, where their affective experiences range from feelings of safety, security and control, to fear, disappointment and anger. These practices also work to manage boundaries between what is ‘for them’ (family, work colleagues, friends) and ‘not for them’. This work allowed our participants to mitigate risk, and circumnavigate normative platform policies and norms, contributing to queer-world building beyond the self. In doing so, we argue that young people’s social media curation strategies contribute to their health and well-being.

scholarly journals Exploring the Experiences of Transgender and Gender Diverse Adults in Accessing a Trans Knowledgeable Primary Care Physician

2021 ◽  
Vol 18 (24) ◽  
pp. 13057
Author(s):  
Shanna K. Kattari ◽  
Jarrod Call ◽  
Brendon T. Holloway ◽  
Leonardo Kattari ◽  
Kristie L. Seelman
Keyword(s):  
Primary Care ◽  
Care Provider ◽  
Primary Care Provider ◽  
Insurance Coverage ◽  
Healthcare Providers ◽  
Care Physician ◽  
Housing Status ◽  
Gender Diverse ◽  
Disability Status ◽  
And Gender

Transgender and gender diverse individuals face a variety of barriers when attempting to access healthcare, from discrimination to lack of access to lack of knowledgeable providers. Using data from the 2015 United States Trans Survey (N = 27,715), this study looks at the differences within the TGD population regarding having seen a doctor in the past year, having a primary care provider, and having a primary care provider who is knowledgeable about trans health. Logistic regressions indicate that even within an all transgender and gender diverse sample, a variety of identities and experiences are related to increased or decreased likelihood of each of these outcomes, with significant differences across gender, race/ethnicity, age, sexual orientation, disability status, educational attainment, annual income, disability status, religiosity, military status, overall health, housing status, and insurance coverage. Not only should there be an effort to support transgender and gender diverse individuals in accessing care, but there is a clearly indicated need for additional education for healthcare providers, especially those doing primary care, on how to offer knowledgeable, affirming, and intersectional care to their patients.

scholarly journals Mental Health Issues and Complex Experiences of Abuse Among Trans and Gender Diverse Young People: Findings from Trans Pathways

LGBT Health ◽  
2020 ◽  
Vol 7 (3) ◽  
pp. 128-136 ◽  
Author(s):  
Penelope Strauss ◽  
Angus Cook ◽  
Sam Winter ◽  
Vanessa Watson ◽  
Dani Wright Toussaint ◽  
...  
Keyword(s):  
Mental Health ◽  
Young People ◽  
Health Issues ◽  
Mental Health Issues ◽  
Gender Diverse ◽  
And Gender

Reflections on ‘Thinking an Ethics of Gender Exploration: Against Delaying Transition for Transgender and Gender Variant Youth’

2019 ◽  
Vol 24 (2) ◽  
pp. 237-240
Author(s):  
Bernadette Wren
Keyword(s):  
Young People ◽  
Identity Development ◽  
Ethical Issues ◽  
Short Article ◽  
Medical Interventions ◽  
Gender Variant ◽  
Gender Diverse ◽  
Diverse Children ◽  
And Gender ◽  
The Uk

In this short article are offered some brief reflections on the commissioned response to my article on ethical issues arising in the provision of medical interventions for gender diverse children. Ashley argues for the importance of ‘an ethics of exploration’ which prioritises making opportunities for fluid, open-ended reflection by gender diverse children and young people, operating through and alongside, rather than prior to, social and medical transition. While noting significant areas of shared outlook between Ashley and myself, I correct some assumptions that Ashley may be making about the range of young people seen at the UK Gender Identity Development Service (GIDS) and the way we work clinically within a developmental framework. I highlight my reasons for thinking that there are particular concerns arising in the care of the very young. Finally, I reiterate my view that professionals cannot so easily abandon altogether an ‘ethic of prediction’ and surrender their responsibilities and accountabilities in this area of clinical practice.

Sign in / Sign up

Export Citation Format

Share Document