AI Article Synopsis
- The study aims to explore how discrimination and violence impact the health of transgender and nonbinary BIPOC youth compared to their white peers.
- A national survey collected data from 1,519 participants aged 14-25, finding that BIPOC youth reported higher rates of suicide attempts and violence victimization than white youth.
- The findings indicate the need for healthcare providers, especially nurses, to address violence and discrimination in this demographic, and to advocate for policies promoting health equity.
Article Abstract
Aims: Identify the relationship between experiences of discrimination or violence and health outcomes for transgender and nonbinary Black, Indigenous and People of Colour (BIPOC) compared to their white trans and nonbinary peers.
Design: A national online survey, the 2019 Canadian Trans and Nonbinary Youth Health Survey, was conducted among youth ages 14-25, in English and French.
Methods: Participants were recruited from November 2018 to May 2019 (N = 1519). BIPOC youth comprised 25.7% of the sample (n = 390). Questions about six types of discrimination (e.g. racism and sexism) and violence (physically threatened or injured), plus foregone health care, self-harm and suicidality were drawn from existing validated measures. Analyses involved cross-tabulations with chi-square tests and logistic regressions.
Results: Trans and non-binary BIPOC reported significantly higher prevalence of suicide attempts (24.9% vs. 19.5%) and violence victimization compared to white youth. They had significantly higher odds of self-harm and foregone health care when experiencing discrimination by ethnicity or culture. All types of violence were significantly associated with higher odds of foregone physical health care, self-harm, suicide ideation and suicide attempt.
Conclusion: In Canada, trans and nonbinary youth who are BIPOC face disparities in health outcomes and experiences of violence and discrimination compared to white trans and nonbinary youth.
Impact: Nurses should assess for violence exposure and discrimination among trans and/or nonbinary youth of colour, and promote health equity by advocating for policies to reduce violence and discrimination, including racism, for trans and nonbinary young people.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1111/jan.15534 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
A transgender medicine curriculum for Internal Medicine residents at a single academic institution.
BMC Med Educ
January 2025
Division of Endocrinology, Department of Medicine, Queen's University, Kingston, Canada.
Background: Transgender or gender diverse patients present with health care needs as it relates to gender-affirming care, psychosocial support, and medication access. Considering this, medical education strategies should be implemented to train the next generation of Internal Medicine physicians in this area.
Methods: We adopted Kern's six step approach to curriculum design to create and implement an educational curriculum for teaching Internal Medicine residents about transgender patients at a single academic institution in Canada (Kern et al, Curriculum Development for Medical Education, 2009).
Long COVID in transgender and gender nonbinary people in the United States.
Sci Rep
January 2025
Division of Healthcare in Adult Populations, Duke University School of Nursing, Durham, NC, USA.
Despite recommendations in the US National Research Action Plan on Long COVID, gender identity is rarely reported in research and surveillance used to guide public health programming and clinical care. We analyzed data from a cross-sectional study of COVID-19 in a nationwide sample of transgender and nonbinary (TNB) people (N = 2,134). Participants were surveyed between June 14, 2021 and May 1, 2022.
View Article and Find Full Text PDFThey was Patient.
Health Promot Pract
January 2025
Senior Instructor I, Portland State University, Portland, OR, USA.
Gender-affirming care is a highly politicized topic in the United States. Trans+ individuals do not control the narratives about their access to care, quality of life, and decision-making. Trans+ people are othered, marginalized, and abused by medical systems.
View Article and Find Full Text PDFPromoting trans patient autonomy in surgical preparation for phalloplasty and metoidioplasty: results from a community-based cross-sectional survey and implications for preoperative assessments.
BMC Med Ethics
December 2024
School of Public Health and Social Policy, Faculty of Human and Social Development, University of Victoria, Victoria, BC, Canada.
Background: Some transgender and nonbinary people undergo phalloplasty and/or metoidioplasty as part of their medical transition process. Across surgical disciplines, a variety of resources are used to assist patients who are preparing for surgeries, including educational materials, workshops, peer support, and lifestyle changes. For gender-affirming surgeries, patients undergoing assessments to discern whether they are ready to undergo the surgery, and to assist them in achieving preparedness when needed.
View Article and Find Full Text PDFHealthcare avoidance and delay among trans adults: Associations with mental and behavioral health outcomes.
Am J Prev Med
December 2024
Departments of Epidemiology and Health Systems and Population Health, University of Washington, Seattle, WA; Department of Social and Behavioral Sciences, Yale University, New Haven, CT.
Introduction: Healthcare avoidance and delay (HAD) is prevalent among transgender (trans) populations. This study sought to identify patterns of HAD and examine associations between HAD and 5 behavioral health outcomes among trans adults: depression, anxiety, tobacco and alcohol use, and intimate partner violence (IPV).
Methods: This study used survey data collected in 2023 from 789 trans adults in Washington state.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!