Provision of gender affirming care among medical and allied health practitioners: The influence of transnormative beliefs in working with gender diverse patients

Speechley, Molly, Stuart, Jaimee, Scott, Riley A., Barber, Bonnie L. and Zimmer-Gembeck, Melanie J., (2024). Provision of gender affirming care among medical and allied health practitioners: The influence of transnormative beliefs in working with gender diverse patients. Social Science & Medicine, 348 n/a-n/a

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  • Sub-type Journal article
    Author Speechley, Molly
    Stuart, Jaimee
    Scott, Riley A.
    Barber, Bonnie L.
    Zimmer-Gembeck, Melanie J.
    Title Provision of gender affirming care among medical and allied health practitioners: The influence of transnormative beliefs in working with gender diverse patients
    Appearing in Social Science & Medicine
    Volume 348
    Publication Date 2024-05
    Place of Publication Online
    Publisher Elsevier B.V.
    Start page n/a
    End page n/a
    Language eng
    Abstract Gender diverse patients (including gender diverse, transgender, and non-binary people) deserve quality health care, which has been referred to as gender affirming care. Given that practitioners' attitudes and competence can influence their provision of gender affirming care, this study used a lens of transnormativity (Bradford & Syed, 2019; Johnson, 2016) to develop a measure of practitioners' transnormative beliefs. The aim of the study was to determine if these beliefs were related to practitioners' gender affirming attitudes and perceptions of competence in gender affirming practice. Survey data were collected from Australian medical and allied health practitioners (N = 95). Exploratory factor analysis was applied to items measuring transnormative beliefs, with the results supporting three higher order factors; conditional approval, narrative, and gender role beliefs. Conditional approval reflected belief in gender diverse identity as authentic and worthy of intervention. Narrative beliefs reflected understanding of common developmental experiences among gender diverse populations, specifically experiences of victimisation and nascence. Gender role beliefs reflected belief in the existence of gender roles. In models that regressed gender affirming attitudes and self-perceived competency on all transnormative beliefs, controlling for demographics and work history, practitioners higher in conditional approval were lower in gender affirming attitudes and practitioners higher in narrative beliefs were higher in gender affirming attitudes and competency. Conditional approval was not significantly associated with competency, and gender role beliefs were not significantly associated with attitudes or competency. Results indicate that practitioners' transnormative beliefs are related to their gender affirming attitudes and suggest that targeting these beliefs through training opportunities could bridge the gap between gender diverse people's healthcare needs and the ability of healthcare practitioners to provide high quality care.
    Keyword Gender affirming care
    Gender diversity
    Gender diversity attitudes
    Gender diversity beliefs
    Transgender
    Practitioner competency
    Copyright Holder Elsevier B.V
    Copyright Year 2024
    Copyright type All rights reserved
    DOI https://doi.org/10.1016/j.socscimed.2024.116876
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    Created: Tue, 17 Dec 2024, 11:47:35 JST by Qian Dai on behalf of UNU CS