The Imperative for Transgender and Gender Nonbinary Inclusion: Beyond Women's Health.

Heidi Moseson, Noah Zazanis, Eli Goldberg, Laura Fix, Mary Durden, Ari Stoeffler, Jen Hastings, Lyndon Cudlitz, Bori Lesser-Lee, Laz Letcher, Aneidys Reyes, Juno Obedin-Maliver
Author Information
  1. Heidi Moseson: Ibis Reproductive Health, Oakland, California; the Guttmacher Institute, New York, New York; the Robert Larner, M.D. College of Medicine, University of Vermont, Burlington, Vermont; the Planned Parenthood League of Massachusetts, Boston, Massachusetts; the Department of Family and Community Medicine, University of California, San Francisco, San Francisco, California; Lyndon Cudlitz Consulting, Education & Training, Albany, New York; the Community Advisory Team, Malden, Massachusetts; the University of New Mexico, Albuquerque, New Mexico; Edgewood College, Madison, Wisconsin; and the Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, California.

Abstract

We aim to make evident that solely referencing cisgender women in the context of sexual and reproductive health-particularly pregnancy planning and care-excludes a diverse group of transgender and gender nonbinary people who have sexual and reproductive health needs and experiences that can be similar to but also unique from those of cisgender women. We call on clinicians and researchers to ensure that all points of sexual and reproductive health access, research, sources of information, and care delivery comprehensively include and are accessible to people of all genders. We describe barriers to sexual and reproductive health care and research participation unique to people of marginalized gender identities, provide examples of harm resulting from these barriers, and offer concrete suggestions for creating inclusive, accurate, and respectful care and research environments-which will lead to higher quality health care and science for people of all genders.

References

  1. Glob Public Health. 2016 Aug-Sep;11(7-8):1060-75 [PMID: 26963756]
  2. Cult Health Sex. 2017 Feb;19(2):256-266 [PMID: 27552941]
  3. BMC Pregnancy Childbirth. 2017 Nov 8;17(Suppl 2):332 [PMID: 29143629]
  4. Adv Med Educ Pract. 2018 May 21;9:377-391 [PMID: 29849472]
  5. Arch Sex Behav. 2018 May;47(4):973-985 [PMID: 28785919]
  6. J Womens Health (Larchmt). 2015 Feb;24(2):114-8 [PMID: 25525682]
  7. Contraception. 2018 May;97(5):378-391 [PMID: 29309754]
  8. LGBT Health. 2015 Dec;2(4):287-91 [PMID: 26788768]
  9. J Assoc Nurses AIDS Care. 2009 Sep-Oct;20(5):398-410 [PMID: 19732698]
  10. Am J Public Health. 2017 Feb;107(2):e1-e8 [PMID: 28075632]
  11. Am J Obstet Gynecol. 2018 Dec;219(6):585.e1-585.e5 [PMID: 30267652]
  12. BJOG. 2019 Jan;126(2):152-156 [PMID: 30125449]
  13. Am J Obstet Gynecol. 2020 Feb;222(2):134-143 [PMID: 31394072]
  14. J Homosex. 2017;64(10):1368-1389 [PMID: 28481724]
  15. AIDS Patient Care STDS. 2010 Aug;24(8):501-13 [PMID: 20666586]
  16. JAMA. 2011 Sep 7;306(9):971-7 [PMID: 21900137]
  17. J Sex Med. 2016 Jul;13(7):1125-32 [PMID: 27318023]
  18. Reprod Biomed Online. 2017 Jun;34(6):557-566 [PMID: 28372892]
  19. J Med Imaging Radiat Sci. 2018 Dec;49(4):371-375 [PMID: 30514553]
  20. Epidemiology. 2019 Sep;30(5):669-678 [PMID: 31162292]
  21. Reprod Biomed Online. 2010 Apr;20(4):553-8 [PMID: 20122869]
  22. Obstet Gynecol. 2014 Dec;124(6):1120-1127 [PMID: 25415163]
  23. J Bone Miner Res. 2019 Mar;34(3):447-454 [PMID: 30537188]
  24. Am J Public Health. 2015 Jun;105(6):1114-9 [PMID: 25880937]
  25. Endocr Pract. 2018 Jun;24(6):565-572 [PMID: 29624102]
  26. J Womens Health (Larchmt). 2015 Feb;24(2):109-11 [PMID: 25682814]
  27. Obstet Gynecol. 2019 Nov;134(5):959-963 [PMID: 31599839]

Grants

  1. K12 DK111028/NIDDK NIH HHS

MeSH Term

Delivery of Health Care
Female
Health Services Accessibility
Health Services for Transgender Persons
Humans
Male
Pregnancy
Reproductive Health
Reproductive Health Services
Transgender Persons
Women's Health

Word Cloud

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