Transgender Flashcards
Why is this important?
- WE MUST CARE FOR EVERYONE
- The join commission: Nondiscrimination standard
- Healthy people 2020
Gender Identity
-an individuals sense of being male, female, both, or neither
Sexual orientation
-describes intimate human relationships, including sexual, romantic, or both types of connections
Medical transition
-includes cross-sex hormones, gender -affirming surgeries and other body modifications
Transgender
-an adjective used when an individuals sex assigned at birth does not correspond to their gender identity
Gender expression
-is associated with one’s physical presentation, communication patterns, and behavior used to express aspects of gender identity
Male to female
Trans woman: individuals assigned male and identify as female (MTF)
Female to male
FTM - assigned female and identify as male
Gender nonconforming
-Trans persons have a gender presentation or expression that is at odds with cultural expectations
LGBTQ
-lesbian, gay, bisexual, transgender, queer, questioning
Queer
political, orientation, encompasses a lot
Gender binary
there should a spectrum, not just male and female
Gender Identity
in the brain
How many adults identify as transgender?
-1.5 million
Discrimination in healthcare
-50% reported having to teach their medical providers
19% were refused medical care
28% were subjected to harassment in medical settings
28% postponed medical care due to discrimination by providers
33% delayed or did not try to get preventative health care
due to discrimination by health care providers
-if health care providers knew the patient was transgender, the likelihood of discrimination increased
Suicide
41% lifetime suicide attempts for trans-identified adults
Mortality
Increase in overall mortality due to suicide, AIDS, cardiovascular disease, and drug abuse
Cross sex hormone use
safe w clinician
mental health
-suicide rate - veterans - 20x higher
adults - over 10x higher
Higher levels of depression anxiety, etc
Trans of color
49x higher rate of being infected with HIV infection worldwide
HIV in trans
over 4 x the national average of HIV infection
Gender identity and development
-Enviro influences, gender schemas, and societal enforcement
Early gender dev awareness of gender identity
- Between ages 1 and 2: conscious of physical differences between genders
- At 3 years old, label themselves as boy or girl
- by age 4: gender Identity????
Why are so many kids coming out as trans?
- various ages across the course of normal child and adolescent dev
- community driven terms
Insist
-will insist that they are the opposite sex (cross sex gender identity
Consisten
- express their gender in ways traditionally associated with the opposite sex
Persists
- children may inquire about when they will receive genitalia aligned with their cross sex gender identity
Children and adolescents
- cross gender expression, role playing
- wanting other gender body parts
- not liking one’s gender and body
Gender affirming care
- assess for gender dysphoria
- treatment for occurs through gender affirming interventions
- steps taken to align social and physical gender presentations and characteristics with one’s authentic gender identity
- four main categories: social transition, puberty suppression, cross sex hormones, gender affirming surgeries
Cross sex hormone therapy
- pubertal development aligned with gender identity
- administration of exogenous cross sex hormones
- feminizing: estrogen; pills, patch, injection; androgen blocker: usually spironolactone pills
- masculinizing: testosterone: subcutaneous or intramuscular injection
