"We Deserve Care and we Deserve Competent Care": Qualitative Perspectives on Health Care from Transgender Youth in the Southeast United States.
Sanjana Pampati, Jack Andrzejewski, Riley J Steiner and 6 others
PMID 33186863WHAT IT FOUND
Transgender youth described health care visits as unsafe when nurses asked sexual history in front of parents or used their birth name.
They valued quiet recording and use of chosen names and private time with providers.
Key findings
01Transgender youth said confidentiality was compromised when a nurse asked about sexual history in front of a parent, and they did not feel comfortable sharing sexual behavior or gender identity.
02Participants reported distress when providers or staff used their name given at birth or incorrect pronouns, even when records contained their chosen name.
03Participants valued intake that quietly recorded chosen names and private clinic methods such as text-message call-backs, because these protected their gender identity.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Participants were recruited through community organizations and events, so youth without ties to these groups may be missing. The study took place in an urban area in the southeast United States, so findings may not apply to other regions. The researchers could not compare provider specialties, practice settings, or interview versus focus group findings. The focus group sub-sample was all white, so experiences of transgender adolescents of color may be underrepresented. The study reports experiences and themes, not tested effects of changing care practices.
Declared interests
The authors declared no conflict of interest.
The easy way to misread this
Do not read these themes as evidence that privacy changes or chosen-name practices improve health outcomes. This study reports participants' experiences and does not test an intervention.