“The doctors have more questions for us”
Geographic differences in healthcare access and health literacy among transgender and nonbinary communities
Bibliographic Data
| ID | 21724511 |
|---|---|
| Authors | Brendon T Holloway (0000-0001-5126-9606, University of Denver, corresponding author), Donald R Gerke (0000-0002-5062-276X, University of Denver), Jarrod Call (0000-0003-3139-2695, University of Washington Tacoma), C Riley Hostetter (0000-0002-0981-7194, University of Denver), Jennifer C Greenfield (0000-0002-5498-6333, University of Denver), Brittanie Atteberry-Ash (The University of Texas at Arlington), Brittanie Atteberry‐ash (0000-0003-0903-287X, The University of Texas at Arlington), N Eugene Walls (0000-0003-2832-5723, University of Denver) |
| Year | 2023 |
| Volume | 22 |
| Issue | 6 |
| Pages | 1073-1091 |
| Publication date | 2023-11-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Qualitative Social Work (JOURNAL) |
| Journal identifiers | ISSN: 1473-3250 • E-ISSN: 1741-3117 |
| Publisher | SAGE Publications (PUBLISHER • US) |
| DOI | 10.1177/14733250221128000 |
| OpenAlex | W4296348728 |
| Language | EN |
| References cited | 32 |
Transgender and nonbinary (TNB) individuals experience a variety of systemic barriers that impact their ability to access healthcare, often leading to negative health outcomes. Previous research has suggested that improving health literacy among marginalized communities may help reduce existing health disparities. Yet few studies have examined health literacy among TNB people and how health literacy and healthcare access may differ by urbanicity. Using the capabilities theoretical approach, the current study uses data from six focus groups ( N=40) from metropolitan, urban, and rural areas in Colorado to examine geographic differences in health literacy and healthcare access. Findings show that geographic differences in accessing healthcare include transportation issues, having to travel far distances to access care, finding a TNB-affirming and competent provider, and needing to educate providers and staff. These differences were more prevalent among TNB people living in non-metropolitan areas. Additionally, our findings suggest that TNB individuals have high levels of health literacy due to having to self-educate and exist within a healthcare system that was designed for cisgender people
Business · Environmental health · Focus group · Health care · Health equity · Health literacy · Literacy · Metropolitan area · Pedagogy · Political science · Public health · Transgender · HIV/AIDS Research and Interventions · LGBTQ Health, Identity, and Policy · Medicine · Nursing · Psychology · Sexuality, Behavior, and Technology
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| Citation velocity | historical |
|---|---|
| Highly cited | No |