Background: Although the transgender population in the United States is greater than 1.4 million, health care experiences in this group are underaddressed.
Purpose: To explore the health care experiences of transgender people in Texas.
Methods: This was an exploratory, sequential multimethod study. In Phase 1, to identify key health-related topics, a self-selected sample of 14 participants completed an online survey. In Phase 2, the focus was understanding care experiences for 12 participants using audio-recorded interviews and theme identification. NVivo software was used for data management.
Findings: In Phase 1, findings included needing to: educate providers (89%), correct care staff on pronoun use (75%), tolerate staff's refusal to use one's preferred pronoun (50%). In Phase 2, four themes emerged: discrimination, provider practices, challenges to navigating the health care system, and gender identity.
Discussion: Valuing transgender experiences is a first step in addressing care gaps. Change will require provider introspection and application of care guidelines.
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http://dx.doi.org/10.1016/j.outlook.2020.02.002 | DOI Listing |
Glob Ment Health (Camb)
January 2025
Social, Genetic & Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Given the rate of advancement in predictive psychiatry, there is a threat that it outpaces public and professional willingness for use in clinical care and public health. Prediction tools in psychiatry estimate the risk of future development of mental health conditions. Prediction tools used with young populations have the potential to reduce the worldwide burden of depression.
View Article and Find Full Text PDFGlob Ment Health (Camb)
December 2024
Centre for Community Health Studies (ReaCH), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Despite significant advancements in the development of psychotropic medications, increasing adherence rates remain a challenge in the treatment and management of psychiatric disorders. The purpose of this study is to qualitatively explore the challenges underlying medication adherence and strategies to improve it among adolescents with psychiatric disorders in Malaysia. This qualitative research design presents results from 17 semi-structured interviews with adolescent psychiatric patients, aged 11 to 19 years old, from public hospitals across Peninsular Malaysia.
View Article and Find Full Text PDFGlob Ment Health (Camb)
November 2024
Global Health Section, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
Evidence on the effectiveness and implementation of mental health and psychosocial support (MHPSS) interventions for men in humanitarian settings is limited. Moreover, engagement and retention of men in such interventions has been challenging. Adaptations may therefore be required to improve the appropriateness and acceptability of these interventions for men.
View Article and Find Full Text PDFGlob Ment Health (Camb)
January 2025
Department of Psychiatry Mbarara University of Science and Technology, Mbarara, Uganda.
Background: Low- and middle-income countries (LMICs) bear a disproportionate burden of mental illness, with limited access to biomedical care. This study examined pathways to care for psychosis in rural Uganda, exploring factors influencing treatment choices.
Methods: We conducted a mixed-methods study in Buyende District, Uganda, involving 67 in-depth interviews and 4 focus group discussions (data collection continued until thematic saturation was reached) with individuals with psychotic disorders, family members, and local leaders.
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