You have to do mental gymnastics to get any form of care
How Two Spirit, lesbian, bisexual, trans, and queer women and gender-diverse people navigate racism and cisheterosexism in Canadian healthcare
Bibliographic Data
| ID | 4601764 |
|---|---|
| Authors | Celeste Pang (0000-0002-6762-5641, Mount Royal University), Brittany A E Jakubiec (0000-0002-5202-5133), Kimberly Seida (0000-0002-3510-4753), J Garrett-Walker (0000-0003-3740-9283, University of San Francisco) |
| Year | 2025 |
| Volume | 381 |
| Pages | 118298 |
| Publication date | 2025-09-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Social Science & Medicine (JOURNAL) |
| Journal identifiers | ISSN: 0277-9536 • E-ISSN: 1873-5347 |
| Publisher | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.socscimed.2025.118298 |
| PMID | 40483987 |
| OpenAlex | W4411010816 |
| Language | EN |
| Citations received | 3 |
| References cited | 47 |
Access to healthcare is impacted by a range of factors, including assumptions about gender, sexuality, and race that are reproduced on individual and systemic levels. In this paper we show how cisheterosexism and racism shape healthcare access for Two Spirit and racialized lesbian, bisexual, trans, and queer women and gender diverse people in Canada. Drawing on findings from a broader community-engaged qualitative study focused on health and healthcare access experiences and priorities, we elaborate on how participants experienced barriers to equitable healthcare access in the form of queer erasure and assumptions; medical gaslighting; and denial and delay of care; while engaging in multiple forms of labour as resistance to access health care. Analyzing these experiences through lenses of biopolitics, structural racism, and cisheterosexism, we argue that the labour Two Spirit and racialized lesbian, bisexual, trans, and queer women and gender diverse people engage in to access care is best characterized as survival practices, in the face of oppressive systems
Biopower · Health care · Human sexuality · Lesbian · Political science · Politics · Queer · Racism · Sociology · Transgender · Feminist Theory and Gender Studies · Gender Studies · Law · LGBTQ Health, Identity, and Policy · Racial and Ethnic Identity Research
“We don't exist”
Structural racism and health inequities in the USA
The Birth of the Clinic
Social Work and Foster Care
Long covid and medical gaslighting
Thematic Analysis
Black Women Talk About Workplace Stress and How They Cope
Primary Care for Transgender Individuals
Structural Racism as an Ecosystem
Confronting Racism within the Canadian Healthcare System
Anti-Black racism in Canadian health care
Sexual Minority Women and Discriminatory Health Care Experiences
Barriers to primary and emergency healthcare for trans adults
Bioethics and the Later Foucault
Interactions Between Health Professionals and Lesbian, Gay and Bisexual Patients in Healthcare Settings
Sexual health among young bisexual women
Monogamous order and the avoidance of chaotic excess
Two-Spirit and Bisexual People
Disparities in access to family physicians among transgender people in Ontario, Canada
Automatic assumption of your gender, sexuality and sexual practices is also discrimination”
Trapped between justified anger and being the strong Black woman
Doing Intersectional Analysis
Diversity and safety on campus @ Western
Stereotype Deduction About Bisexual Women
Structural Racism and Health Disparities
Systemic Activism
They treated me like crap and I know it was because I was Native
Towards a sociological understanding of medical gaslighting in western health care
Broken Promises
| Unique citing works | 3 |
|---|---|
| Citations per year | 3 |
| Citation span | 2026 - 2026 (1) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 1 |