Abstract
Despite significant strides made for the rights of lesbian, gay, bisexual, and transgender (LGBT) individuals over the past decades, discrimination and misinformation still exist in many areas of society, including health care. While the LGBT community is often thought of as a monolithic group, the transgender population faces a unique set of concerns. Transgender patients, whose gender identity differs from their birth gender, face a multitude of medical, legal, and societal disparities. A need for greater provider education and awareness contributes to a lack of access for a patient population that is already at higher risk for violence, suicide, substance abuse, and discrimination. This chapter presents a basic framework of concepts relative to the transgender community and provides strategies for effective and appropriate care.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
World Professional Association for Transgender Health. Standards of care for the health of transsexual, transgender, and gender-nonconforming people. Minneapolis, MN: World Professional Association for Transgender Health; 2012.
Grant JM, Mottet LA, Tanis J, Harrison J, Herman JL, Keisling M. Injustice at every turn: a report of the National Transgender Discrimination Survey. Washington: National Center for Transgender Equality and National Gay and Lesbian Task Force; 2011.
Wallien MSC, Cohen-Kettenis PT. Psychosexual outcome of gender-dysphoric children. J Am Acad Child Adolesc Psychiatry. 2008;47(12):1413–23.
Hembree WC, Cohen-Kettenis P, Delemarre-van de Waal HA, Gooren LJ, Meyer WJ, Spack NP, et al. Endocrine treatment of transsexual persons: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2009;94(9):3132–54.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington, VA: American Psychiatric Association; 2013.
Gates G. How many people are lesbian, gay, bisexual and transgender? The Williams Institute at UCLA School of Law; 2011.
Institute of Medicine (US), editor. The health of lesbian, gay, bisexual, and transgender people: building a foundation for better understanding. Washington, DC: National Academies Press; 2011. 347 p.
Improving data collection for the LGBT community [Internet]. Washington, DC: US Department of Health and Human Services, Office of Minority Health; c 2013. Available from: http://minorityhealth.hhs.gov/assets/pdf/checked/1/Fact_Sheet_LGBT.pdf.
Sanchez NF, Rabatin J, Sanchez JP, Hubbard S, Kalet A. Medical students’ ability to care for lesbian, gay, bisexual, and transgendered patients. Fam Med. 2006;38(1):21–7.
Marwick C. Survey says patients expect little physician help on sex. JAMA [Internet]. 1999;281(23) [cited 2015 Mar 29]. Available from: http://jama.jamanetwork.com/article.aspx?doi=10.1001/jama.281.23.2171c
Budge SL, Adelson JL, Howard KAS. Anxiety and depression in transgender individuals: the roles of transition status, loss, social support, and coping. J Consult Clin Psychol. 2013;81(3):545–57.
Hoffman B. An overview of depression among transgender women. Depress Res Treat. 2014;2014:394283. doi:10.1155/2014/394283.
Meyer IH. Minority stress and mental health in gay men. J Health Soc Behav. 1995;36(1):38–56.
Bockting WO, Miner MH, Swinburne Romine RE, Hamilton A, Coleman E. Stigma, mental health, and resilience in an online sample of the US transgender population. Am J Public Health. 2013;103(5):943–51.
Wilson E, Rapues J, Jin H, Raymond HF. The use and correlates of illicit silicone or “fillers” in a population-based sample of transwomen, San Francisco, 2013: TEACH2 Fillers. J Sex Med. 2014;11(7):1717–24.
Styperek A, Bayers S, Beer M, Beer K. Nonmedical-grade injections of permanent fillers: medical and medicolegal considerations. J Clin Aesthetic Dermatol. 2013;6(4):22–9.
Cray A, Baker K. The Affordable Care Act: Progress towards eliminating insurance discrimination against LGBT people [Internet]. 2013 May 2.Washington, DC: Center for American Progress; c 2015. Available from: https://www.americanprogress.org/wp-content/uploads/2013/05/CrayNonDiscrimIns-facts.pdf
Lambda Legal. FAQ about identity documents [Internet]. New York, NY: Lambda Legal. Available from: http://www.lambdalegal.org/know-your-rights/transgender/identity-document-faq
Lambda Legal. FAQ about restrooms & what to do if you’re hassled [Internet]. New York, NY: Lambda Legal. [cited 2015 Mar 29]. Available from: http://www.lambdalegal.org/know-your-rights/transgender/restroom-faq
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Panunti, B. (2016). Culturally Competent Care of the Transgender Patient. In: Martin, M., Heron, S., Moreno-Walton, L., Jones, A. (eds) Diversity and Inclusion in Quality Patient Care. Springer, Cham. https://doi.org/10.1007/978-3-319-22840-2_10
Download citation
DOI: https://doi.org/10.1007/978-3-319-22840-2_10
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-22839-6
Online ISBN: 978-3-319-22840-2
eBook Packages: MedicineMedicine (R0)