Collectives for Care
Perspectives of Providers and Community Members in Transgender Health Care in a Southern U.S. City
Bibliographic Data
| ID | 7315525 |
|---|---|
| Authors | Meagan Zarwell (0000-0002-3562-7415, University of North Carolina at Charlotte), Jessamyn Bowling (0000-0001-7410-4433, University of North Carolina at Charlotte), Laura H Gunn (0000-0003-3962-4526, University of North Carolina at Charlotte), Neha Kissler (University of North Carolina at Charlotte), Megan Mccomas (0000-0002-2990-1043, University of North Carolina at Charlotte), Alexandra Patton (0009-0001-0533-9455, University of North Carolina at Charlotte), Roshna Ragunathan (University of North Carolina at Charlotte), Rhett Brown (Novant Health, Charlotte, North Carolina, USA) |
| Year | 2022 |
| Volume | 71 |
| Issue | 1 |
| Pages | 96-119 |
| Publication date | 2022-08-15 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Journal of Homosexuality (JOURNAL) |
| Journal identifiers | ISSN: 0091-8369 • E-ISSN: 1540-3602 |
| Publisher | Taylor & Francis (PUBLISHER • GB) |
| DOI | 10.1080/00918369.2022.2105674 |
| PMID | 35969714 |
| OpenAlex | W4291802840 |
| Language | EN |
| Citations received | 1 |
| References cited | 49 |
Affirming and accessible health care may improve health outcomes for trans individuals in the U.S. We explored strategies to improve affirming care for trans individuals from the perspectives of providers and transgender and non-binary community members. Forty members of a collective group of gender-affirming providers (GAP) in the southern U.S. were recruited to participate in a brief online survey. A graphical LASSO undirected network analysis approach visualized associations across outcomes and explanatory variables. Multinomial ordered (or logistic, for binary outcomes) models explored associations between a common set of explanatory variables and outcomes. Strong partial correlations (network) and statistically significant explanatory variables (ordinal and logistic models) were identified. Additionally, we conducted three focus groups (FGs) audio-recorded over Zoom with 11 community members. Four study team members analyzed the transcripts using content analyses. Survey results indicated that higher frequency of attendance at monthly provider meetings, additional training, and provision of training and consultation were associated with greater perceived competence among GAP members. To improve services, FG participants suggested treating patients as experts, increasing diversity and representation among providers, and expanding the GAP group. These results highlight the critical need to design and implement community-identified interventions to improve gender-affirming services and enhance provider training
Attendance · Competence (human resources · Explanatory power · Family medicine · Focus group · Health care · Multinomial logistic regression · Nominal group technique · Ordered logit · Political science · Psychological intervention · Sociology · Transgender · Computer Science · Health disparities and outcomes · LGBTQ Health, Identity, and Policy · Medicine · Nursing · Psychology · Social Psychology
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| Unique citing works | 1 |
|---|---|
| Citations per year | 0,33 |
| Citation span | 2023 - 2023 (1) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 1 |