Introduction: Transgender and gender diverse people (TGD) represent a large and growing portion of the general population who face individual and systemic barriers in accessing care. The socio-cultural context and lack of organization of care place them in a vulnerable situation and there is a need to develop sustainable health promotion strategies.
Purpose Of Research: The aim of this participatory study is to establish an overview of the barriers and opportunities for promoting the health of TGD people.
Depsychopathologization of transgender and gender diverse (TGD) individuals in the eleventh revision of the International Classification of Diseases (ICD-11) called for a shift in care delivery models, based on free and informed consent. Public health policies face epistemic and discriminatory challenges and consensus built on evidence-based data is needed. TGD communities were consulted but did not actively participate in ICD-11 and the following public health debates.
View Article and Find Full Text PDFInt J Environ Res Public Health
September 2022
Transgender and gender diverse (TGD) individuals' depsychopathologization in the eleventh revision of the International Classification of Diseases (ICD-11) faces systemic discriminations built-in epistemic pipelines. Based on an analysis of unexploited data from ICD-11 and the French translation process, this article addresses power issues in participatory research and systemic discrimination within a socio-cultural context. We used a peer-driven participatory approach to conduct qualitative analyses of the French version of the ICD based on contributions from 72 TGD participants in the French study for ICD-11.
View Article and Find Full Text PDFSoc Psychiatry Psychiatr Epidemiol
September 2020
Background: For ICD-11, the WHO emphasized the clinical utility of communication and the need to involve service users and carers in the revision process.
Aims: The objective was to assess whether medical vocabulary was accessible, which kinds of feelings it activated, whether and how users and carers would like to rephrase terms, and whether they used diagnosis to talk about mental health experiences.
Method: An innovative protocol focused on two diagnoses (depressive episode and schizophrenia) was implemented in 15 different countries.