How Can Pharmacy Students Help Provide Culturally Appropriate Care for Transgender, Non-Binary, and Gender Diverse Patients?

Authors

  • Annika Dalley

DOI:

https://doi.org/10.55136/apsj225

Keywords:

culturally appropriate, LGBTQI , Transgender, non-binary, gender diverse, healthcare, pharmacy, student led

Abstract

Providing healthcare for members of the queer community, particularly those who are transgender, non-binary, or gender diverse (TNG), is a topic for which I have developed a passion, both from my own experience and in learning from the experiences of others. As both a fourth-year pharmacy student and a gender diverse person, I hope that I can strive to improve health outcomes in the future for a group who sorely need it. I am aware that many articles around this topic have rather a negative tone, and this is not my intention with this piece — I hope to bolster the confidence of other TNG healthcare students or workers, and to educate and empower cisgender allies to work together with us to achieve this goal. Throughout the process of writing this piece I have consulted with five of my TNG peers so that this article can encapsulate a wider spectrum of experiences. However, I will not be using their names in this article in order to preserve their anonymity.

References

Hughto JMW, Varma H, Babbs G, Yee K, Alpert A, Hughes L. Disparities in health condition diagnoses among aging transgender and cisgender medicare beneficiaries, 2008-2017. Front. Endocrinol. 2023;14.

Lillemoe J, Holmstrom SE, & Sojar SH. Emergency care considerations for transgender and gender diverse youth: a review to improve health trajectories. Curr Opin Pediatr. 2023;35(3):331- 336.

Anderson KG, Garrison E, Clifton RL, Harper L, Zapolski TCB, Khazvand S, et al. Measures of self-reported identity associated with sex and gender: Relations with collegiate drinking. Alcohol (Hanover). 2023;47(3):501-511.

Wang Y, Han M, Zhang Y, Wang Y, Li G, Huang Z, et al. A national transgender health survey from China assessing gender identity conversion practice, mental health, substance use and suicidality. Nature Mental Health. 2023;1:254-265.

Strang JF, Powers MD, Knauss M, Sibarium E, Leibowitz SF, Kenworthy L, et al. “They Thought It Was an Obsession”: Trajectories and Perspectives of Autistic Transgender and Gender- Diverse Adolescents. J Autism Dev Disord. 2018;48(12):4039–4055. 6. Beischel WJ, Gauvin SEM & van Anders SM. “A little shiny gender breakthrough”: Community understandings of gender euphoria. Int J Transgend Health. 2021;23(3):274-294.

Warrier V, Greenberg DM, Weir E, Buckingham C, Smith P, Lai M. Elevated rates of autism, other neurodevelopmental and psychiatric diagnoses, and autistic traits in transgender and gender- diverse individuals. Nat Commun. 2020;11(1):3959.

Milton DEM. On the ontological status of autism: The ‘double empathy problem’ Disabil. Soc. 2012;27(6):883–887.

Boyle P. What is gender-affirming care? Your questions answered. Association of American Medical Colleges [Internet]. 2022 [updated 2022 Apr 12; cited 2023 May 19]. Available from: https://www.aamc.org/news/what-gender-affirming-care-your-questions-answered

Bustos VP, Bustos SS, Mascaro A, Del Corral G, Forte AJ, Ciudad P. Regret after gender-affirmation surgery: a systematic review and meta-analysis of prevalence. Plast Reconstr Surg Glob Open. 2021;9(3).

Siira M, Getahun D, Silverberg MJ, Tangpricha V, Goodman M, Yeung H. Satisfaction with current hormone therapy and goals of additional gender-affirming care in transgender adults. J Sex Med. 2023;20(4):568-572.

Chaudhary S. Tips to providing culturally appropriate care to people who are transgender. Australian Pharmacist. 2022 [updated 2022 Mar 30; cited 2023 May 20]. Available from: https://www.australianpharmacist.com.au/providing-culturally-appropriate-care-transgender-patients/

Hava C. Everything you need to know about transgender healthcare. Australian Pharmacist. 2023 [updated 2023 Feb 27; cited 2023 May 20]. Available from: https://www. australianpharmacist.com.au/everything-you-need-to-know-about-transgender-healthcare/

Horisk K, Underwood E, Petch M, Johnson A. Considerations in the management of trans patients. Br Dent J. 2021;230(5):283-284.

Valente PK, Paine EA, Mellman W, Rael CT, MacCrate C, Bockting WO. Positive patient-provider relationships among transgender and nonbinary individuals in New York City. Int J Transgend Health. 2023;24(2):247-262.

Telfer MM, Tollit MA, Pace CC, Pang CK. Australian standards of care and treatment guidelines for trans and gender diverse children and adults. Melbourne (VIC): the Royal Children’s Hospital. 2020.

Binding [Internet]. 2021 [cited 2023 July 15]. Available from: https://www.transhub.org.au/binding

Cisgender [Internet]. 2023 [cited 2023 July 15]. Available from: https://www.merriam-webster.com/dictionary/cisgender

Deadname [Internet]. 2023 [cited 2023 July 15]. Available from: https://www.merriam-webster.com/dictionary/deadname

Trans and gender diverse people [Internet]. 2023 [updated 2023 April 18; cited 2023 July 16]. Available from: https://www.betterhealth.vic.gov.au/health/healthyliving/Transgender-and-transsexuality

LGBTQIA+ glossary of common terms. Australian Institute of Family Studies. 2022 [cited 2023 July 16]. Available from:https://aifs.gov.au/sites/default/files/publication-documents/22-02_rs_lgbtiqa_glossary_of_common_terms_0.pdf

Mx. Cambridge Dictionary [Internet]. 2023 [cited July 16 2023]. Available from: https://dictionary.cambridge.org/dictionary/english/mx

Queer. Cambridge Dictionary [Internet]. 2023 [cited July 26 2023]. Available from: https://dictionary.cambridge.org/dictionary/english/queer

Tucking [Internet]. 2021 [cited 2023 July 15]. Available from: https://www.transhub.org.au/tucking

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Published

27.08.2023

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