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Comprehensive recommendations for improving the healthcare experience of transgender and gender-expansive individuals

Borowicz, Charlie (2018) Comprehensive recommendations for improving the healthcare experience of transgender and gender-expansive individuals. Master's Thesis, University of Pittsburgh. (Unpublished)

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This paper presents a comprehensive summary of the literature surrounding transgender primary and preventive healthcare and recommendations for professional medical staff and researchers. The public health significance of this issue is that there are an estimated 1.2 million transgender adults living in the United States at the time of this research. Formal epidemiological measurements of the population as well as the incidence and prevalence of gender dysphoria throughout the life course are missing from the literature. Transgender patients face a unique combination of healthcare access barriers and therefore are less likely than the general population to seek treatment. Access barriers include personal attitudes and beliefs, interpersonal interactions resulting in discrimination, and structural barriers such as lack of insurance coverage. Delays in primary and preventive medical care are associated with poorer health outcomes across all populations. Because of their unique vulnerabilities, transgender patients require medical care that is comprehensive and sensitive to the needs of individuals who are transgender. Rigorous research and improved medical practices can offset the minority stress and associated medical concerns faced by this community in the long-term.


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Item Type: University of Pittsburgh ETD
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Borowicz, CharlieCAB275@pitt.eduCAB275
ETD Committee:
TitleMemberEmail AddressPitt UsernameORCID
Thesis AdvisorHawk,
Committee MemberPetracchi,
Committee MemberMair,
Date: 28 June 2018
Date Type: Publication
Defense Date: 16 April 2018
Approval Date: 28 June 2018
Submission Date: 25 April 2018
Access Restriction: 2 year -- Restrict access to University of Pittsburgh for a period of 2 years.
Number of Pages: 59
Institution: University of Pittsburgh
Schools and Programs: School of Public Health > Behavioral and Community Health Sciences
Degree: MPH - Master of Public Health
Thesis Type: Master's Thesis
Refereed: Yes
Uncontrolled Keywords: transgender; healthcare; primary healthcare; preventive healthcare; gender expansive; LGBT; LGBTQ; healthcare recommendations
Date Deposited: 28 Jun 2018 19:36
Last Modified: 01 May 2020 05:15


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