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Developing Trans-Affirming Health Services in an Underserved Area: An Intersectional Approach
Oralia Loza1, Paulina Hernandez2, Jessica Calderon-Mora3
1Department of Public Health Sciences, College of Health Sciences, The University of Texas at El Paso, El Paso, Texas.
Transgender Health
|July 20, 2018
Summary
Healthcare access for transgender individuals is limited in underserved areas, especially along the U.S.-Mexico border. This study identifies cultural and resource barriers and proposes multidisciplinary solutions for transgender healthcare.
Area of Science:
- Health disparities
- Medical sociology
- Public health
Background:
- Transgender individuals face significant health risks requiring timely medical and mental health care.
- Existing literature details healthcare barriers for transgender people, but less is known about these challenges in low-resource settings.
Purpose of the Study:
- To identify barriers to healthcare for transgender children, adolescents, and adults in a medically underserved, predominantly Hispanic region of the U.S.-Mexico border.
- To inform strategies for improving healthcare access and competency for transgender populations in similar settings.
Main Methods:
- Qualitative assessment of healthcare access challenges in a medically underserved area.
- Analysis of barriers including a shortage of medical expertise and culturally-based challenges within a predominantly Hispanic population.
Main Results:
- A significant shortage of both primary and specialty care providers with transgender expertise exists.
- Cultural factors within the Hispanic community present an additional barrier to transgender individuals seeking medical care.
Conclusions:
- Academic institutions must collaborate to address these barriers through multidisciplinary approaches.
- Educational initiatives for medical students and physicians are crucial for developing transgender-competent care.
- Identifying willing and capable providers is essential for culturally adapted transgender healthcare.
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