29 September 2014 ~ 0 Comments

TransParent Podcasts (Transgender and Gender Independent Youth)

Author: admin

MOHEC partnered with TransParent to provide the parents’ perspective of how families living with gender non-confirming youth adapt over time. TransParent is a St. Louis based organization dedicated to providing compassionate support and resources to parents and caregivers raising a gender independent child.

Listen to the love, hopes, and fears of these parents of transgender youth.

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The audio files are also available on YouTube.

Resources

Glossary of Common Terms (PDF)

Resources and Organizations in Missouri and the US

 

What Are Health Disparities?

“Health disparities are gaps in the quality of health and health care that mirror differences in socioeconomic status, racial and ethnic background, and education level. These disparities may stem from many factors, including accessibility of health care, increased risk of disease from occupational exposure, and increased risk of disease from underlying genetic, ethnic, or familial factors”. [i]

“A health disparity should be viewed as a chain of events signified by a difference in: (1) environment, (2) access to, utilization of, and quality of care, (3) health status, or (4) a particular health outcome that deserves scrutiny. Such a difference should be evaluated in terms of both inequality and inequity, since what is unequal is not necessarily inequitable” [ii]

Transgender, Gender-Variant or Gender Nonconforming

What does transgender mean?

“Transgender is an umbrella term used to describe people whose gender identity (sense of themselves as male or female) or gender expression differs from that usually associated with their birth sex. Many transgender people live part-time or full-time as members of the other gender. Broadly speaking, anyone whose identity, appearance, or behavior falls outside of conventional gender norms can be described as transgender. However, not everyone whose appearance or behavior is gender-atypical will identify as a transgender person”. [iii]

Health Disparities for Transgender Children and Youth

  • Transgender children and youth report through K-12 high rates of harassment, physical assault, and violence[iv], and many of them experience a hostile school environment[v].
  • They often face psychological and emotional difficulties[vi].
  • Children and youth who are not allowed to express their gender-identity or are forced to conform to their birth-gender by family and in social situations[vii] often experience poor mental and emotional health iv,[viii], which can lead to physical health issues as they mature.
  • As gender non-conforming children enter adolescence, it is often difficult to find medical providers that are trained and knowledgeable about the necessary hormonal treatments to block puberty of their natal sex. [iv]

Health risks for gender non-conforming children and adolescents

  • Depression [iv,ix]
  • Despondency [vi]
  • Anxiety, internal conflict [iv]
  • Fear of bullying, harassment, discrimination [vi]
  • Low self-esteem vi
  • Suicidal ideation and tendencies [iv, vi]
  • Substance abuse [iv]
  • Homelessness [iv]
  • Access to comprehensive medical treatment [iv]

Barriers to Care

  • Limited access to health insurance [x]
  • Limited legislation protecting against bullying in schools [xi]
  • Shortage of culturally competent health care providers that are trained in transgender children and youth [iv]
  • Lack of culturally competent and trained educational system professionals [vi]
  • Lack of social programs targeted to and/or appropriate for LGBT youth [XI]
  • Lack of legal rightsxii and societal acceptance [vi]

Footnotes

[i] USDHHS, National Institute of Health. Minority Health. What are health disparities? (2013). Available at: http://www.niaid.nih.gov/topics/minorityHealth/http://www.niaid.nih.gov/topics/minorityHealth/Pages/disparities.aspxPages/disparities.aspx

[ii] Carter-Pokras, O. & Baquet, C. (2002). What is a “Health Disparity”? Public Health Reports 2002; 17:426-434.  Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1497467/pdf/12500958.pdf

[iii] American Psychological Association. Answers to your questions about transgender people, gender identity, and gender expression. Available at: http://www.apa.org/topics/lgbt/transgender.pdf

[iv] Grant, Jaime, Lisa Mottet, and Justin Tanis. (2011). Injustice at Every Turn: A Report of the National. National Center for Transgender Equality and National Gay and Lesbian Task Force. Available at: https://calculators.io/national-transgender-discrimination-survey/

[v] Greytak, E. A., Kosciw, J.G., and Diaz, E. M. (2009). Harsh Realities: The Experiences of Transgender Youth in Our Nation’s Schools. New York: GLSEN.

[vi] Olson, J., Forbes, C. & Belzer, M. (2011). Management of the transgender adolescent. Archives of Pediatrics & Adolescent Medicine, 165(2). Available at: http://www.imatyfa.org/wp-content/uploads/2013/06/ManagementTGAdol_Olson.pdf

[vii] Edgardo Menvielle MD (2012) A Comprehensive Program for Children with Gender Variant Behaviors and Gender Identity Disorders, Journal of Homosexuality, 59:3, 357-368, DOI:10.1080/00918369.2012.653305. Available at: http://dx.doi.org/10.1080/00918369.2012.653305

[viii] Substance Abuse and Mental Health Services Administration (SAMHS), A Practitioner’s Resource Guide: Helping Families to Support Their LGBT Children. HHS Publication No. PEP14-LGBTKIDS. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2014. Available at: http://familyproject.sfsu.edu/files/FamilySupportForLGBTChildrenGuidance.pdf

[ix] Kim A. Case & S. Colton Meier (2014) Developing Allies to Transgender and

Gender-Nonconforming Youth: Training for Counselors and Educators, Journal of LGBT Youth, 11:1, 62-82, DOI: 10.1080/19361653.2014.840764. Available at: http://dx.doi.org/10.1080/19361653.2014.840764

[x] Missouri Foundation for Health, 2012. Health Disparities Series: Responding to LGBT Health Disparities, Available at https://www.mffh.org/mm/files/LGBTHealthEquityReport.pdf

[xi] Healthy People 2020, Lesbian, Gay, Bisexual, and Transgender Health. http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=25

[xii] American Civil Liberties Union (ACLU), Lesbian Gay Bisexual Transgender Project. (2012). Know your rights: A guide for Trans and gender non-conforming students. Available at: https://www.aclu.org/files/assets/transstudent_kyr_20120508.pdf

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