• Corpus ID: 79748314

"Trans broken arm": Health care stories from transgender people in rural areas

  title={"Trans broken arm": Health care stories from transgender people in rural areas},
  author={Doug Knutson and Julie M. Koch and Tori Omega Arthur and Travis Mitchell and Meredith A. Martyr},
According to scholars, transgender and gender diverse individuals suffer disproportionately from health related concerns such as depression, anxiety, psychological distress, and HIV infection. Scholars have also found that transgender people experience high rates of homelessness, harassment, violence, and unemployment. These challenges may ultimately affect the physical and emotional health of transgender individuals. Recently, calls for health related research among LGBT individuals have… 

Tables from this paper

Recommendations from Transgender Healthcare Consumers in Rural Areas
Significant findings for healthcare provision in rural areas are discussed, recommendations for future research are provided, and future research is provided.
Differential Experiences of Mental Health among Trans/Gender Diverse Adults in Michigan
There is a need for social workers, counselors, therapists, and other human services professionals to act more intentionally and with an intersectional lens when it comes to exploring the mental health of transgender and gender diverse persons.
Do transgender men have equal access to health care and engagement in preventive health behaviors compared to cisgender adults?
Rural transgender men were less likely to have a personal doctor or receive a blood cholesterol screening than their urban peers; transgender men with less education were more likely toHave a cholesterol screening.
Cisgenderism and transphobia in sexual health care and associations with testing for HIV and other sexually transmitted infections: Findings from the Australian Trans & Gender Diverse Sexual Health Survey
Given the high rates of HIV and other STIs among trans and gender diverse people in Australia and overseas, eliminating cisgenderism and transphobia in sexual health care may help improve access to diagnostic testing to reduce infection rates and support the overall sexual health and well-being of these populations.
A pilot test of a text message-based transgender and nonbinary affirmative cognitive-behavioral intervention for anxiety and depression.
Transgender and nonbinary (TNB) people report experiencing elevated rates of discrimination and psychological distress (James et al , 2016) Transgender-affirming interventions are recommended to
Distance Traveled to Access Knowledgeable Trans-Related Healthcare Providers
Findings from the chi-square tests of independence and logistic regressions indicate there is a relationship between highly knowledgeable care and distance traveled, such that certain groups of TGD individuals are taking on the burden of having to travel further in order to access the most knowledgeable healthcare providers.
Listening to Transgender Patients and Their Providers in Non-Metropolitan Spaces: Needs, Gaps, and Patient-Provider Discrepancies
The ongoing needs of TGNC patients and their providers following a one-day TGNC health conference in a small town in the American Midwest are explored.
Utilization of the Veterans Affairs’ Transgender E-consultation Program by Health Care Providers: Mixed-Methods Study
The VA transgender e-consult program is useful for providers, but there are several barriers to implementing recommendations, some of which are especially challenging for rural providers, and addressing the identified barriers and enhancing the facilitators may improve program use and quality care for transgender veterans.
Having pride in our care: Striving for equitable care in the emergency department for LGBTQIA patients
Members of the LGBTQIA (Lesbian, Gay, Bisexual, Transgender, Queer, Intersex, Asexual) community are overrepresented in poor health statistics and may find it difficult to access gender-affirming healthcare, due to cost, gatekeeping and availability of appropriately trained clinicians.
A Cotherapy Supervision Approach using Person-Centered Theory with a Gender Fluid Client
The authors discuss their work with a young adult client who identified as gender fluid. The client was a college student in a rural, mid-south town. The authors are two faculty members who worked


Pragmatic help seeking: How sexual and gender minority groups access mental health care in a rural state.
Examination of how lesbian, gay, bisexual, and transgender people in rural areas of the poor and multiethnic state of New Mexico access secular and sacred mental health care resources found some LGBT people remain vulnerable to anti-LGBT sentiments that persist within secular and Sacred sectors of rural health care systems.
A Comparison of Mental Health, Substance Use, and Sexual Risk Behaviors Between Rural and Non-Rural Transgender Persons
Primary findings include significant differences in mental health between rural and non-rural transmen; relatively low levels of binge drinking across groups, although high levels of marijuana use; and high levelsof unprotected sex among transwomen.
“Completely out-at-sea” with “two-gender medicine”: A qualitative analysis of physician-side barriers to providing healthcare for transgender patients
The findings of this study suggest potential solutions to trans healthcare barriers at the informational level—with increased awareness of clinical guidelines and by including trans health issues in medical education—and at the institutional level, with support for both trans-focused and trans-friendly primary care models.
Attempted Suicide Among Transgender Persons
Doctors, mental health, and social service providers should address depression, substance abuse, and forced sex in an attempt to reduce suicidal behaviors among transgender persons.
HIV prevalence, risk behaviors, health care use, and mental health status of transgender persons: implications for public health intervention.
High HIV prevalence suggests an urgent need for risk reduction interventions for male-to-female transgender persons and recent contact with medical providers was observed, suggesting that medical providers could provide an important link to needed prevention, health, and social services.
Research funded by the National Institutes of Health on the health of lesbian, gay, bisexual, and transgender populations.
The proportion of studies funded by the National Institutes of Health that focused on lesbian, gay, bisexual, and transgender (LGBT) populations, along with investigated health topics, was examined, finding the lack of NIH-funded research about LGBT health contributes to the perpetuation of health inequities.
Enhancing transgender health care.
  • E. Lombardi
  • Medicine, Political Science
    American journal of public health
  • 2001
A need exists for activities designed to enhance understanding of transgender health issues and to spur innovation to create more inclusive settings.
Treatment Counselor's Attitudes About Lesbian, Gay, Bisexual, and Transgendered Clients: Urban vs. Rural Settings
Overall, both Chicago and Iowa counselors had very little formal education regarding the needs of LGBT clients, and nearly half reported negative or ambivalent attitudes.
Barriers to Optimal Care between Physicians and Lesbian, Gay, Bisexual, Transgender, and Questioning Adolescent Patients
  • R. Kitts
  • Medicine, Psychology
    Journal of homosexuality
  • 2010
It is concluded that barriers in providing optimal care for LGBTQ adolescents can be found with regard to practice, knowledge, and attitude regardless of medical field and other demographics collected.
American Counseling Association Competencies for Counseling with Transgender Clients
This document contains suggested competencies for use in counseling with transgender clients. These competencies are geared toward professionally trained counselors who work with transgender