In the face of adversity
Healthcare Navigation and Strategies of Resilience Among Transgender and Nonbinary Care-Seekers
Bibliographic Data
| ID | 3255093 |
|---|---|
| Authors | David Kyle Sutherland (0000-0003-4112-4440, School of Anthropology, Political Science, and Sociology, Southern Illinois University , 1000 Faner Drive, Faner Hall, Carbondale, IL 62901, corresponding author) |
| Year | 2025 |
| Volume | 73 |
| Issue | 3 |
| Pages | 998-1013 |
| Publication date | 2025-09-23 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Social Problems (JOURNAL) |
| Journal identifiers | ISSN: 0037-7791 • E-ISSN: 1533-8533 |
| Publisher | Oxford University Press (PUBLISHER • GB) |
| DOI | 10.1093/socpro/spaf036 |
| OpenAlex | W4414425639 |
| Language | EN |
| Citations received | 1 |
| References cited | 51 |
Transgender (trans) and nonbinary people face unique challenges and stigma-related barriers when accessing healthcare services. Yet, how trans and nonbinary care-seekers work to challenge and overcome healthcare adversity remains underexplored. I address this by bridging a strengths-based interview approach with the minority stress and resiliency framework to detail how trans men, trans women, and nonbinary individuals (n = 41) are developing strategies of resilience against entrenched healthcare barriers within Canada. Three main strategies of resilience emerged at the individual- and community levels: at the individual level, the educated self via knowledge acquisition empowered care-seekers to evaluate treatment options and edify providers on gender diversity; at the community level, within community supports worked to alleviate stressors that contributed to healthcare avoidance through the promotion of positive peer relationships, adversity-avoidance, and self-efficacy; additionally, positive healthcare experiences helped rectify feelings of uncertainty, instilling a sense of validation and agency within the healthcare process. Findings showcase how gender-diverse communities are actively working to provide solutions to improve their health outcomes. Broadly, I reveal how resilience can be co-created through a relational process of complex interactions with one's social network and external resources, offering new insights into resiliency mechanisms among gender-diverse populations
Agency (philosophy) · Face (sociological concept) · Feeling · Health care · Psychological resilience · Resilience (materials science) · Stressor · Transgender · African Sexualities and LGBTQ+ Issues · LGBTQ Health, Identity, and Policy · Migration, Refugees, and Integration
The Trans Generation
Resilience and Big Five personality traits
Psychosocial Resources and the Stress Process
Strength in the Face of Adversity
How Experience Gets Under the Skin to Create Gradients in Developmental Health
Qualitative Contributions to Resilience Research
Profound health-care discrimination experienced by transgender people
Healthcare avoidance due to anticipated discrimination among transgender people
We Are Doing the Absolute Most That We Can, and No One Is Listening”
A global cautionary tale
The utility of resilience as a conceptual framework for understanding and measuring LGBTQ health
Social support, trans community connectedness, and mental health symptoms among transgender and gender nonconforming adults
Resilience in the study of minority stress and health of sexual and gender minorities
Beyond resilience
More than an Apple a Day
Performative Progressiveness
Influences of health care access on resilience building among transgender and gender non-binary individuals
Exploring factors contributing to care-seekers’ level of discomfort discussing a transgender identity in a health care setting
Expanding Qualitative Research Interviewing Strategies
We're All We Have
Sexual and Gender Minority Health
Identity concealment in transgender adults
An Empirical Validation Study of Popular Survey Methodologies for Sensitive Questions
Stressful life events, personality, and health
Suspending Damage
Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations
Overcoming the barriers in transgender healthcare in rural Ontario
Potency
Minority Stress and Mental Health in Gay Men
The Structure of Coping
Messages of Exclusion
The Development of Transgender Studies in Sociology
Multiplicity, Race, and Resilience
Moving from Damage-Centered Research through Unsettling Reflexivity
Reducing the Joy Deficit in Sociology
Trans Enough
| Unique citing works | 1 |
|---|---|
| Citations per year | 1 |
| Citation span | 2026 - 2026 (1) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 1 |