Using focus groups to inform a peer health navigator service for people who are transgender and gender diverse in Saskatchewan, Canada

Bibliographic Data

ID19506503
AuthorsGwen Rose (0000-0002-0438-2953, School of Rehabilitation Science, College of Medicine University of Saskatchewan Saskatoon Canada), Michelle McCarron (0000-0002-2725-281X, Saskatchewan Health Authority Regina Canada), Mel Reid (School of Rehabilitation Science, College of Medicine University of Saskatchewan Saskatoon Canada), T Fayant‐McLeod (Community Researcher Regina Canada), Emily Gulka (School of Rehabilitation Science, College of Medicine University of Saskatchewan Saskatoon Canada), James Young (0000-0002-7776-7600, Community Researcher Toronto Canada), Megan Clark (0000-0003-1725-6179, Academic Family Medicine, College of Medicine University of Saskatchewan Saskatoon Canada), Stéphanie J Madill (0000-0003-1346-5096, School of Rehabilitation Science, College of Medicine University of Saskatchewan Saskatoon Canada, corresponding author)
Year2024
Volume27
Issue2
Pagese14022-e14022
Publication date2024-04-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Expectations (JOURNAL)
Journal identifiersISSN: 1369-6513 • E-ISSN: 1369-7625
PublisherWiley (PUBLISHER • GB)
DOI10.1111/hex.14022
PMID38528661
OpenAlexW4393199491
LanguageEN
Citations received3
References cited26

BACKGROUND: This study investigated healthcare access and quality for people who are transgender and gender-diverse (PTGD) in Saskatchewan (SK), Canada, to inform a larger project that was piloting two peer health navigators for PTGD. METHODS: Two online focus groups were held. Nineteen participants were recruited to represent a broad range in age, gender and location in SK. Transcripts of the focus groups were analyzed using a thematic approach. RESULTS: The core theme that was identified was participants' desire for culturally safe healthcare. This core theme had two component themes: (1) systemic healthcare factors and (2) individual healthcare provider (HCP) factors. The healthcare system primarily acted as a barrier to culturally safe healthcare. HCPs could be either barriers or facilitators of culturally safe care; however, negative experiences outweighed positive ones. CONCLUSIONS: PTGD in SK face discrimination, with delays and barriers to care at all levels of the healthcare system. Peer health navigators can address some of these discrepancies; however, greater support is required for PTGD to be able to access culturally safe healthcare. PATIENT OR PUBLIC CONTRIBUTION: People with lived experience/PTGD were involved in all stages of this project. They were included on the team as community researchers and co-developed the research project, conducted the focus groups, participated in the analyses and are co-authors. As well, both navigators and all the participants in the focus groups were also PTGD

Business · Environmental health · Focus group · Gender identity · Health services · Population · Sociology · Transgender · Transgender people · Transgender Person · Cultural Competency in Health Care · Gender Studies · HIV/AIDS Research and Interventions · LGBTQ Health, Identity, and Policy · Medicine · Psychology · Social Psychology

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