Transcript WELCOME [www.empirestatephtc.org]

Transgender
Issues in
Public Health
Presentation objectives:
 Participants will be able to define
transgender and transexual
 Participants will be able to identify
preferred terminology for the
transgender community
 Participants will be able to describe
reasons for health disparities within the
transgender population
Gender
 Where do we learn about gender?
 Boys are...
 Girls are...
 Who does this binary system exclude?
 What are consequences of this
exclusion?
LGBT- an umbrella term
 Understanding
the LGBT acronym
 Sexual orientation vs gender identity
Sexual orientation
 Lesbian
 Gay
 Bisexual
 Heterosexual
 Asexual
 Pansexual
Gender identity
 Gender, or Gender Role: traditional
behavioral differences between men and
women, as defined by the culture in which
they live.
 Sex: biology and anatomy that determines if
a person is male, female or intersex.
 Gender Identity: A person’s sense of their
own gender, one’s innermost concept of self
as “male” or “female”.
Transgender
 Transgender is considered an umbrella
term encompassing many experiences of
people who are gender variant:
 Transexual
Crossdresser
Intersex
 Drag king/ queen
Androgyne
 Genderqueer
Demographics
 How many trans people do you think
there are in the US?
 Why might this be hard to discern?
Transgender healthcare
 Hormones
 Body modification
 Sex specific health concerns
Transgender specific issues
 Stigma
 Experiences to consider
 Bathrooms
Transgender specific issues
 Violence
 Access to appropriate services
 Mental health
 STDs/HIV
Transgender specific issues
 Alcohol/ substance abuse
 Unemployment/ homelessness
 Incarceration
 Media Depiction
Barriers to healthcare
 Invisibility
 Historic experiences of bias,
discrimination and stigmatization
 Healthcare needs may not match their
external presentation
 Limited insurance coverage
Strategies for transgender
inclusion
 Hire a trans person
 Learn about the population and
subcultures
 Familiarize yourself with the venues
and practices
Acknowledgements
This presentation was designed in Spring 2011
by Curran Saile, Program Director of the Pride
Center of the Capital Region done in partial
completion of Masters in Public Health
requirements at the University at Albany
School of Public Health. The project would not
have been possible without the support of
Mary Applegate, Jennifer Manganello, Cheryl
Reeves and the Pride Center of the Capital
Region.
References
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM
IV-TR). Washington, DC, 2000.
American Public Health Association, "The Need for Acknowledging Transgendered Individuals
Within Research and Clinical Practice," APHA Public Policy 9933, November, 1999.
Bockting WO, Robinson BE, Rosser BRS. Transgender HIV prevention: a qualitative
needs assessment. AIDS Care. 1998;10(4):505-526.
Conway, Lynn. "A comparative analysis of reports on the prevalence of transsexualism”
LynnConway.com, September 4, 2007.
For more information about Gender Identity Disorder and the World Professional Association for
Transgender Health (WPATH) visit their website: www.wpath.org. If you wish to review the
WPATH standards of care, please see http://www.wpath.org/publications_standards.cfm.
Healthy People 2010 Companion Document for Lesbian, Gay, Bisexual and Transgender
(LGBT) Health published by the Gay and Lesbian Medical Association and the National Coalition
for LGBT Health in 2001: Fergusson, Hoorwood and Beautrais, 1999.
References
Lombardi, E. Enhancing Transgender Healthcare. American Journal of Public Health, Vol 91, Issue
6 869-872, 2001.
Male-to-Female Transgender Individuals Building Social Support and Capital from Within a
Gender-Focused Network. Journal of Gay& Lesbian Social Services. 2008, Vol. 20 Issue 3,
203-220.
Newfield Hart, Et al. Female-to-Male Transgender Quality of Life. Quality of Life Research: 2006.
Shildrick, Margrit. Corporeal Cuts: Surgery and the Psycho-Social. Body and Society. Volume
14(1): 31-46, 2008.
Vancouver Coastal Health. Trans Care Gender transition, A Hormone Guide. Transcend
Transgender Support & Education Society and Canadian Rainbow Health Coalition. February
2006.
W. Meyer III et.al., "Standards of Care for Gender Identity Disorders, 6th Version, “World
Professional Association for Transgender Health, Feb. 2001.