Purpose. Transgender/gender nonconforming (TGNC) adults’ worries and coping actions related to discrimination by healthcare professionals were evaluated. Methods. A community-led participatory approach was used to develop, implement, and analyze the survey. Respondents were recruited using a snowball recruitment method. The questionnaire measured population demographics, health status, worry about discrimination, perceptions of health professional competency in gender-affirming care, and actions tak- en to cope with discrimination. Analysis used mainly descriptive methods and chi-square analysis, where appropriate. Results. There were 316 usable responses from a total of 325 responses. The typical respondent was young, white, lived within the Midwest and in urban/suburban areas. About half had college degrees and 41.7% had annual household incomes of less than $25,000. High degrees of depres- sion risk and anxiety were reported along with low self-reported health status. Most used pharmacist services with 41.6% reporting worry about discrimination associated with such services. About half (52.5%) reported pharmacists as having very little or no competency in providing gender-af- firming care. Common coping actions included delayed seeking of health- care and non-disclosure of authentic gender identity. Thirteen percent of respondents avoided healthcare because of perceived purposeful embar- rassment experienced at a pharmacy. Conclusion. Worry about discrimination from pharmacists was common among TGNC adults and was associated with high levels of anxiety. The majority perceived pharmacists to lack competency in transgender care.
By Nancy J.W. Lewis et al., 2019