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1
Murugesapandian, N. "Transgenders in Ancient Tamil Literature." Shanlax International Journal of Tamil Research 6, no. 4 (2022): 1–13. http://dx.doi.org/10.34293/tamil.v6i4.4818.
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There is no transgender voice or pro-transgender voice in the ancient Tamil literature. Transgender explanations need to be compiled from what is reported as information in grammatical commentary and literary works. Transgender people have been living in Tamil Nadu since ancient times can be found in Sangam literary works. Records about transgenders have appeared in Tolkappiyam and Nigandus. Tamil epics narrates that it is possible to know the status of transgender people living in harmony with palace life. Devotional literary works refer to gender’s past status as Lord being male, female, and transgender. In Tamil Nadu, transgender people are completely ignored as the emphasis of male chauvinism. In general values about transgender have been recorded in the ancient literary works.
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M, Chellamuthu. "Identities of Transgender People in Ancient Tamil Literature." International Research Journal of Tamil 5, no. 1 (2023): 74–85. http://dx.doi.org/10.34256/irjt23111.
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In human society, it is natural to see two genders, male and female. It is somewhat surprising that the work of transgender people, who can be called the third gender, is somewhat surprising. In the Mahabharatam, the story of the birth of a transsexual is extended. In nature's creation, we find these people incarnated as transsexuals in practical life. The records of transgenders can be found in abundance in Sangam literary grammar. Transgender people, who have been marginalized in society, are denied the right to participate in public. Transgenders living in small groups in the human community have been ridiculed as "identityless." This is the situation today. In the Sangam literary records, their identity has been recognized socially. It can be said that their contribution to the level of education is low. Transgenders, who are marginalized people, are more likely to be rejected at all levels. Since they lacked the right to education, there was no context in grammatical and literary fiction in which the pedis (hermaphrodites), the transgenders, could register their right to life. No one comes forward to help in public, fearing that if they raise their voice for them, they will be respected as untouchables in society. This denial is also a contemporary phenomenon. As a result, it is necessary to compile how third-gender identities are recorded in the literary field. Transgenders, also known as hermaphrodites, exist as records in literary life. The location of such people's lives is clearly visible in grammatical and literary fiction.
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Saqib, Alizeh, and Huzaifa Saqib. "Efficacy of gender-affirming therapy for transgender people in Pakistan." Journal of the Pakistan Medical Association 73, no. 12 (2023): 2523. http://dx.doi.org/10.47391/jpma.9706.
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Dear Editor, According to the 2017 census of Pakistan, the transgender population has been estimated to be around 10,000. In contrast transgender activists speculate that the number may be closer to 300,000.1 Regardless of the number, the controversy surrounding transgenders, and their healthcare, has risen to the forefront of our society in the past several years. This was further fueled by the Transgender Rights Act of 2018 in Pakistan, which promised access to gender-affirming healthcare. The importance of providing gender-affirming healthcare to transgender individuals is underscored by the potential positive impact on their mental health, as demonstrated by studies conducted in the US. These studies have shown improved mental health outcomes, such as decreased suicidality and psychological distress, for transgender people who are undergoing, or have experienced, certain procedures.2, 3 These procedures, in the US, involve psychological help, gender-affirming hormones, surgery, and puberty blockers.4 Despite the 2018 bill’s promise to deliver trans-centred healthcare, a thorough investigation of the current literature reveals that no studies regarding the efficacy of these treatments have been conducted on the transgender population of Pakistan. While the validity of US-centred studies isn’t denied, Pakistan’s social and religious climate may demonstrate differing effects on their mental health. The quality of healthcare is further questioned after the proposed changes to the Transgender Persons Rights Act of 2018. These amendments would replace the term “transgender” with “intersex”,5 excluding transgender people with unambiguous genitalia and drastically reducing their access to healthcare. As the social climate heats up, trans people risk further discrimination. Therefore, it’s essential that researches be conducted to observe and test the impact of the current healthcare on transgender people, as it would highlight any gaps in the medical understanding of gender dysphoria, offer constructive criticism to help improve the state of healthcare, reduce healthcare discrimination, and aid the passing of more inclusive laws. We hope that studies will be undertaken on this issue to eventually create a healthier, safer space for transgender population.
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Jones, Bethany Alice, Jon Arcelus, Walter Pierre Bouman, and Emma Haycraft. "Sport and Transgender People: A Systematic Review of the Literature Relating to Sport Participation and Competitive Sport Policies." Sports Medicine 47, no. 4 (2016): 701–16. http://dx.doi.org/10.1007/s40279-016-0621-y.
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Abstract Background Whether transgender people should be able to compete in sport in accordance with their gender identity is a widely contested question within the literature and among sport organisations, fellow competitors and spectators. Owing to concerns surrounding transgender people (especially transgender female individuals) having an athletic advantage, several sport organisations place restrictions on transgender competitors (e.g. must have undergone gender-confirming surgery). In addition, some transgender people who engage in sport, both competitively and for leisure, report discrimination and victimisation. Objective To the authors’ knowledge, there has been no systematic review of the literature pertaining to sport participation or competitive sport policies in transgender people. Therefore, this review aimed to address this gap in the literature. Method Eight research articles and 31 sport policies were reviewed. Results In relation to sport-related physical activity, this review found the lack of inclusive and comfortable environments to be the primary barrier to participation for transgender people. This review also found transgender people had a mostly negative experience in competitive sports because of the restrictions the sport’s policy placed on them. The majority of transgender competitive sport policies that were reviewed were not evidence based. Conclusion Currently, there is no direct or consistent research suggesting transgender female individuals (or male individuals) have an athletic advantage at any stage of their transition (e.g. cross-sex hormones, gender-confirming surgery) and, therefore, competitive sport policies that place restrictions on transgender people need to be considered and potentially revised.
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Göksel, Pelin. "Discrimination and Violence against Transgender People." Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry 16, no. 4 (2024): 731–39. http://dx.doi.org/10.18863/pgy.1417609.
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Violence against transgender individuals is pervasive across many sectors, yet discourse on the issue remains limited to a few platforms, with minimal action taken to address it. This inaction contributes significantly to public health problems. Transgender individuals often face myriad forms of violence, including familial ostracization, physical abuse, emotional neglect, school bullying, unemployment, and discrimination in public arenas. Such experiences hinder their social integration and infringe on their personal rights. Research indicates that violence against transgender people has detrimental effects on their mental health, and the rates of reporting such incidents are distressingly low. Factors like stigma, misunderstandings by authorities, fear of transphobic reactions, unequal legal protections, and the risk of unjust arrest discourage seeking help. These challenges increase the vulnerability of transgender people to violence. This review will analyze the existing literature on violence against transgender individuals and explore the societal underpinnings of such violent behaviors.
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Joseph, Jince, and N. Gayathri. "Tracing Hijra Ethnicity in Indian Transgender Autobiographies: Revisiting the Erased Hijra Legacy through Trans Self-memory." World Journal of English Language 14, no. 1 (2023): 440. http://dx.doi.org/10.5430/wjel.v14n1p440.
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Transgender people in India are categorized under various regional and culturally bound terms. Hijras is one such transgender category indigenous to the religious and cultural history of the land. They are considered ethnic clans because of their self-identification with Hijra legacy. This article critically explicates Indian transgender autobiographies as narrative accounts of the collective experiences of transgender communities, transgressing the borders of self-memory to collective memory and consciousness. Transgenders experiencing trauma from victimization are bereft of agency and autonomy to assert their epistemic value in the discursive process. Heteronormative narrative discourses subvert transgender subjectivity, perpetuating normative modalities that result in epistemic amnesia regarding transgender concerns. Individual transgender autobiographical narratives become the assertion of epistemic agency rooted in trans subjectivity, representing the collective legacy of the hijra clan. Hijra autobiographies are the panacea for the collective amnesia of normative society that obliterates the hijra cultural legacy. The authorial narrative diegesis evidences the replication of customs and rituals of the hijra heritage in modern milieu.
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Premalatha, V. "Transgenders Portraying in Tamil Epics." Shanlax International Journal of Tamil Research 7, no. 4 (2023): 53–58. http://dx.doi.org/10.34293/tamil.v7i4.6253.
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Ever since the beginning of mankind, there has been a race of transgenders like male and female. Even today, they are still struggling to establish themselves in human society, which is regarded as inferior in the eyes of mankind. In Tamil literature, there are many records of transsexuals. In particular, this review examines how records register transgender people.
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Das, Sai Chandan, Deep Shikha, Sudip Bhattacharya, and Richa Sinha. "A Narrative Review on Priorities of Mental Health Issues among Transgenders: “So Near, Yet so Far”." Indian Journal of Community Health 35, no. 1 (2023): 09–14. http://dx.doi.org/10.47203/ijch.2023.v35i01.003.
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In recent years there is a rapid rise in coming out of sexual and gender minority adults to their family members and society. Unfortunately, studies on unmet health needs of transgenders with a special focus to mental health is under-researched in India. The current paper aimed to explore about the mental health of transgenders and a literature search was done using PubMed, Google Scholar, and Scopus databases for the following medical subject headings (MeSH) key terms “transgender”, “mental Health”, “social stigma”, “LGBT”, “gender dysphoria”, “genderqueer”, “intersex”, “MSM”, “hijra”, “gay”, “lesbian”, “bisexual”, and “homosexual”. Transgender individuals were found to show high rates of mental health concerns. The most common mental health problems that we have shown in this review article are depression, obsessive-compulsive disorders, generalized anxiety disorders, suicidal attempts and bipolar disorders. Transgender people are at more risk for mental health problems than their heterogenous counterparts. The intervention program to eliminate or reduce these problems needs to be planned carefully, considering all the determinants.
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Rosa, Danilo Fagundes, Marcos Vinícius de Freitas Carvalho, Nayla Rodrigues Pereira, Natalia Tenore Rocha, Vanessa Ribeiro Neves, and Anderson da Silva Rosa. "Nursing Care for the transgender population: genders from the perspective of professional practice." Revista Brasileira de Enfermagem 72, suppl 1 (2019): 299–306. http://dx.doi.org/10.1590/0034-7167-2017-0644.
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ABSTRACT Objective: To describe and analyze the national and international scientific production on Nursing care for the transgender or gender-variance population. Method: Integrative review of the literature, conducted throughout the Virtual Health Library, Cumulative Index to Nursing and Allied Health Literature, Public Medline and Web of Science databases, without pre-established periods of time and using the descriptors "Transgender AND ‘Nursing Assistance'" and "Transgender AND ‘Nursing care'". Results: We included 11 articles, published between 2005 and 2016, broadly North American with only one Brazilian, so categorized: I- Fragility in the care of transgender people; II - Health of the transgender population: general and specific demands; III- Public health policies for transgender people. Transgender people have not found yet answers to their health demands; they are victims of prejudices and violence in services and seek care in extreme cases of sickness. Final considerations: Understanding their needs is primordial to build knowledge and practices that support nursing care.
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Ozamiz-Etxebarria, Naiara, Maitane Picaza, Eneritz Jiménez-Etxebarria, and Jeffrey H. D. Cornelius-White. "Measuring Discrimination Against Transgender People at the University of the Basque Country and in a Non-University Sample in Spain." International Journal of Environmental Research and Public Health 17, no. 7 (2020): 2374. http://dx.doi.org/10.3390/ijerph17072374.
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Transgender people suffer from others’ negative attitudes in many situations. The university context is one environment where further progress has to be made to ensure the inclusion of transgender people. In this study, a sample of 376 undergraduate students was collected and their attitudes towards transgender people were analyzed. A comparison was made between number of years in university, and a sample from the general public. In addition, comparisons were made by gender, since the literature shows more negative attitudes toward transgender people in men than in women. The results show relatively positive attitudes toward transgender people among higher education students, but they have little knowledge of transgender identity. In turn, researchers found significant differences between different years in the university and between genders. These results support the need to expand knowledge about transgender people in the university environment.
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S, Rahini. "Social Change in Transgender People as Shown in the Novel." International Research Journal of Tamil 4, S-3 (2022): 106–12. http://dx.doi.org/10.34256/irjt22s316.
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Literature is also a medium through which the diverse lifestyles of human society have been fully and partially recorded from the earliest times. In the early literatures the main characters were men from the upper class of the society. The early literatures recorded the marginalized people of lower strata but their lifestyle and social changes were not recorded, rather the literature showed such people in the light of being ridiculed and enslaved by the upper class. In the course of time, literature also had changes as many literary works evolved to shed light on the different sections of society and also the marginalized people. The novels titled Vaadamalli, Moondram Paalin Mugam, Punitham Thedum Puthinam figures transgenders as the protagonist who are also a marginalized section of the society. The essence of this dissertation is to illustrate the social changes in the lives of transgenders such as being accepted by parents and the community, continuing education without lagging, being employed, getting police assistance, and participating in multidisciplinary ways through the novels.
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Istigfari, Salsabila Nur, and Elis Hartati. "Hubungan antara Konsep Diri dengan Depresi pada Transgender: Kajian Literatur." Holistic Nursing and Health Science 4, no. 1 (2021): 44–55. http://dx.doi.org/10.14710/hnhs.4.1.2021.44-55.
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Introduction: Transgenders have a high risk of depression caused by self-concept. the complex aspect of self-concept has led to different results among researchers in examining the relationship between self-concept and depression experienced by transgender. The purpose of this study was to strengthen evidence on the relationship between self-concept and depression in transgender.Method: This study uses a literature review method. Articles searched through Google Scholar, Cambridge, Clinical Key, NCBI, MDPI, and Science Direct. Articles were selected based on several criteria including: research with a minimum sample of 15 transgender, publication year 2011-2020, written in Indonesian or English, and full text articles. Quality assessment as a method to assess the relevance of the journals. Results: Eleven articles were selected based on the sample criteria, but only 7 articles were relevant to be reviewed. The results of the synthesis show that there is a relationship between self-concept and depression in transgender people. The level of depression in transgender is influenced by several factors, including: lack of social support, low self-esteem, body image dissatisfaction, lack of coping skills, social and emotional loneliness, and low sexual satisfaction.Conclusion: There is a significant relationship between self-concept and depression in transgender people, but there is no strong evidence that proves the influence of organizational involvement on self-concept in transgender.
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Abeyratne, Dilini, Gowri Malka Ratnayake, Udai Akalanka Wijetunga, Umesha Wijenayake, and Uditha Sirimevan Bulugahapitiya. "Review on the Transgender Literature: Where Are We Now and a Step beyond the Current Practice?" Endocrines 3, no. 2 (2022): 317–28. http://dx.doi.org/10.3390/endocrines3020026.
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The transgender concept is described as a clinically significant distress due to the incongruity between the experienced gender and assigned gender. A transgender person carries a gender identity that is different from their assigned sex at birth. Transgender people may be binary: male to female (transgender women) or female to male (transgender men) or genderqueer (non-binary, fluid or variable gender expression). The binary concept has been described in transgender population, where the term transwomen is used to describe people assigned male at birth (AMAB) who are recognized as females during gender transition; with the term transmen where they are assigned female at birth (AFAB) and are then recognized as males in gender transition. According to the DSM-5 classification, gender dysphoria is described when a transgender person develops clinically relevant bio-psychosocial suffering. Currently, the transgender population has gained massive public awareness through social media and gained a considerable level of attention globally. Several studies on transgender populations from different parts of the world have shown real discrimination and stigma towards transgender people, which sometimes acts as a barrier to the provision of the required care for them. Lack of access to the required information, legal issues, lack of solutions to fertility problems, financial constraints, and psychological and emotional obstacles, together with risk of sexually transmitted infections, including human immunodeficiency virus (HIV), all make the life of a transgender person more complicated. Testosterone therapy is a hormone-based therapy for transgender men that provides a body image tallying with the favored gender identification, whereas estrogen and androgen-suppressing agents are used in transgender females to produce changes compatible with their required gender identity. Gender affirmation surgery is a broad term, under which the genital reconstruction is described as a major component. Psychological conditions such as depression, substance abuse, suicidal deaths, and sexually transmitted infections, particularly among males having sex with males, are reported at a significantly higher rate among transgender populations. Cardiovascular morbidity is higher among this population, and continuous medical surveillance is warranted. Medical care provision to transgender populations should be handled with great care, while attending to the unmet needs of this population, as this care should extend beyond routine hormonal therapy and gender reassignment surgery.
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Mendes, Liliana, Elsa Gabriel Morgado, and Levi Leonido. "Social Inclusion of Transgender People in Intercollegiate Sports—A Scoping Review." Social Sciences 12, no. 6 (2023): 335. http://dx.doi.org/10.3390/socsci12060335.
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Transgender individuals face discrimination and exclusion in various areas of society, including sports. Notably, intercollegiate athletics suffer criticism for their lack of inclusivity towards transgender athletes. Despite the increasing visibility of transgender individuals and ongoing efforts towards greater inclusivity, there is a significant lack of research on their social integration within college sports. This scoping review aimed to explore the then-current state of research on the social integration of transgender individuals in intercollegiate athletics, identify gaps in the literature, and suggest areas for further investigation. The study examined articles published between 2013 and 2023, using databases such as PubMed, ERIC, and EBSCO Essentials, as well as relevant citations from selected articles. The inclusion criteria for articles were their focus on the social integration of transgender individuals in sports events, publication in English, and relevance to the research question. A standardized technique based on the PRISMA flow diagram 2020 was used to locate, assess, and extract information from eligible research. The results of the study are expected to inform policy and strategy in transgender participation in college sports and promote greater inclusivity for transgender individuals in sports institutions and groups.
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Miles-Johnson, Toby. "Police recruit perception of transgender officers: inclusion, diversity and transgender people." Journal of Criminological Research, Policy and Practice 6, no. 3 (2019): 189–201. http://dx.doi.org/10.1108/jcrpp-10-2019-0063.
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Purpose The reality of policing in the twenty-first century is that most officers identify as white, heterosexual and cisgender (or identifying with the sex assigned to them at birth) and outnumber officers from diverse groups. Whilst many diverse officers are employed by police organisations, there is a lack of evidence to suggest transgender people seek employment in policing or (following strategic recruitment drives) are actively recruited by police organisations. This raises questions regarding the factors which constrain or facilitate employment of transgender people into policing and whether strategic recruitment drives targeting transgender people work. The paper aims to discuss these issues. Design/methodology/approach Following a recruitment drive targeting diverse community members, an online survey was administered to police recruits in one of Australia’s smaller state based police organisations (n=742) to determine if recruits self-identity as transgender or cisgender, and whether or not self-identified cisgender or transgender recruits would be willing to work alongside one another. Findings The results indicated that all the recruits in this study identified as cisgender. Whilst transgender recruits may have participated in the research, none of the recruits identified openly as transgender in the survey. Consequently, there was a significant association between the recruit’s gender and sexuality, and their perceptions of working alongside transgender officers, with almost all recruits stating that they would prefer to work with cisgender officers. Practical implications The findings of this research contribute original knowledge to the extant body of policing literature regarding police recruit perceptions of working alongside transgender officers. Originality/value This type of research has not been conducted in an Australian context before.
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Kirey-Sitnikova, Y. "LINGUISTIC DETERMINANTS OF HEALTH OF TRANSGENDER PEOPLE." Social Aspects of Population Health 68, no. 3 (2022): 16. http://dx.doi.org/10.21045/2071-5021-2022-68-3-16.
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Significance. During the last few decades epidemiology has come a long way from taking into account only biological mechanisms influencing human health towards inclusion of socio-economic, legal and political factors. However, linguistic determinants of health have received little scholarly attention. The present article highlights some challenges in the design of epidemiological studies that would credibly demonstrate the impact of linguistic factors on health outcomes on the example of transgender issues. The purpose of the study is to analyze the impact of linguistic factors on health outcomes of transgender individuals. Identify methodological challenges in the design of epidemiological studies that would credibly prove causation between linguistic factors and health outcomes. Material and methods. Content analysis of literature on the impact of hate speech, misgendering and deadnaming on health outcomes of transgender individuals. Results. Qualitative and quantitative data shows a negative impact of such linguistic practices as hate speech, misgendering and deadnaming on mental and physical health of transgender individuals. Nevertheless, the lack of clear definitions of those concepts, reliance on self-reported scales and existence of confounders (physical appearance and legal gender/name) makes it impossible to generate evidence of high credibility.
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Cui, Jialiang, Sujith Kumar Prankumar, Horas TH Wong, Isaac Yeboah Addo, Christopher Tumwine, and Muhammad Naveed Noor. "Protocol for a scoping review of the use of information and communication technology platforms for the delivery and utilisation of transgender healthcare." BMJ Open 12, no. 6 (2022): e055914. http://dx.doi.org/10.1136/bmjopen-2021-055914.
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IntroductionIn recent years, there has been strong interest in making digital health and social tools more accessible, particularly among vulnerable and stigmatised groups such as transgender people. While transgender people experience unique physical, mental and sexual health needs, not much is currently known about the extent to which they use information and communication technologies such as short messaging service and videoconferencing to access health services. In this paper, we discuss our protocol for a scoping review of the literature about the delivery and utilisation of digitally mediated health services for transgender populations.Methods and analysisThis scoping review of the provision and experience of telemedicine among transgender people will follow the methodological framework developed by Arksey and O’Malley. The search will be conducted using three online databases, namely PubMed, CINAHL and Scopus, with additional literature explored using Google Scholar to identify grey literature. Relevant English-language studies will be shortlisted after completing a title and abstract review based on defined inclusion criteria. Following that, a final list of included studies will be compiled after a full-text review of the shortlisted articles has been completed. To enable the screening process, a team of researchers will be assigned refereed publications explicitly referring to the provision and experience of transgender healthcare through telemedicine. Screening performed independently will then collaboratively be reviewed to maintain consistency.Ethics and disseminationThe research is exempt from ethics approval since our analysis is based on extant research into the use of digital technologies in providing healthcare to transgender people. The results of this study will be disseminated through peer-reviewed academic publications and presentations. Our analysis will guide the design of further research and practice relating to the use of digital communication technologies to deliver healthcare services to transgender people.
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Connolly, Dean, and Gail Gilchrist. "Prevalence and correlates of substance use among transgender adults: a systematic narrative review." BJPsych Open 7, S1 (2021): S245. http://dx.doi.org/10.1192/bjo.2021.655.
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AimsTo understand the prevalence, patterns and correlates of substance use among transgender adults.BackgroundMinority stress theories suggest that the increasing rates of discrimination experienced by transgender people are precipitants of substance use. This is likely exacerbated by an inadequate provision of trans-inclusive substance misuse services. However, the exclusion of transgender people from the general substance misuse literature makes it difficult to determine the extent to which gender minority status influences substance use. A systematic review was undertaken to better understand the prevalence, patterns and correlates of substance use among this group.MethodIn accordance with the PRISMA guidance, a literature search was conducted to 29th May 2019 on PubMed, PsycINFO, EMBASE and Global Health databases. Primary quantitative studies, published in the English language, that reported the prevalence, patterns or correlates/risk factors of substance use by trans people were included, with no restriction on methodological design.Result651 unique records were identified by the search and 40 studies were included in the synthesis. While there was some suggestion of excess risk of substance use among trans people, there was insufficient evidence to estimate prevalence or quantify the risk of substance use among transgender people, relative to a cisgender population. However, this review identified several gender minority related correlates of substance use which are of relevance to clinicians working with transgender patients, including transphobic discrimination or violence, unemployment and sex work, gender dysphoria, high visual gender non-conformity and intersectional sexual minority status.ConclusionThere are currently significant gaps in the trans substance use literature, relating to the disproportionate investigation of transgender women with multiple intersectional disadvantages, who are not representative of the wider trans community. However, there is sufficient evidence to recommend screening for substance use when individuals report high levels of gender minority stress and to consider the use of integrated trauma-informed psychosocial interventions when managing problematic substance use in the transgender adult.
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Rotzinger, Kathryn. "Experiences of Transgender People in the Healthcare System: A Complex Analysis." University of Ottawa Journal of Medicine 8, no. 1 (2018): 56–61. http://dx.doi.org/10.18192/uojm.v8i1.2390.
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A nursing perspective following McIntyre and McDonald’s framework was used to unpack the complex issue of challenges faced by transgender people in the Canadian healthcare system, considering historical, ethical, legal, social, cultural, political, and economic perspectives. Transgender people have unique healthcare needs which are often misunderstood or unaddressed by healthcare professionals, leading to poorer outcomes and inequities. Issues concerning transgender people are becoming a focus and a higher priority for society. This literature review reveals the complexity of this issue as the roots in historical, ethical, legal, social, cultural, political, and economic contexts are explored. A variety of barriers and facilitators exist to addressing and resolving this issue, including transgender people avoiding healthcare, intolerance, lack of knowledge and understanding, lack of healthcare provider training, media representation, and economic costs. The analysis of this issue can be used to inform resolution strategies to utilize facilitators and overcome barriers, including increasing awareness and knowledge, improving education and healthcare provider competency, and utilizing nurse leaders as advocates, role models, and agents of change. Improving care of transgender people is a nursing leadership priority. By implementing the suggested resolution strategies, the healthcare system can begin to move towards a more inclusive, understanding, and holistic model of care to improve healthcare access and outcomes for transgender people.
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Matsuno, Emmie, and Tania Israel. "Psychological Interventions Promoting Resilience Among Transgender Individuals: Transgender Resilience Intervention Model (TRIM)." Counseling Psychologist 46, no. 5 (2018): 632–55. http://dx.doi.org/10.1177/0011000018787261.
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Transgender people experience disproportionately high mental and physical health risks. Minority stress theory identifies distal and proximal stressors that contribute to negative mental health outcomes for transgender people, and suggests that resilience factors can buffer the negative influence of these stressors. In this article, we aim to synthesize the psychological literature on resilience strategies among transgender people and position it within the minority stress framework and introduce an adapted model called the transgender resilience intervention model (TRIM). The TRIM suggests that social support, community belonging, family acceptance, participating in activism, having positive role models, and being a positive role model are group-level resilience factors. Self-worth, self-acceptance and/or pride, self-definition, hope, and transition are individual-level factors that promote resilience. Community, group, and individual interventions and their potential influence on resilience are discussed. The model calls for the development of additional interventions aimed at increasing resilience for transgender people.
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Wong, Horas T. H., Sujith Kumar Prankumar, Jialiang Cui, et al. "Information and communication technology-based health interventions for transgender people: A scoping review." PLOS Global Public Health 2, no. 9 (2022): e0001054. http://dx.doi.org/10.1371/journal.pgph.0001054.
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In the recent past, there has been a strong interest in the use of information and communication technology (ICT) to deliver healthcare to ‘hard-to-reach’ populations. This scoping review aims to explore the types of ICT-based health interventions for transgender people, and the concerns on using these interventions and ways to address these concerns. Guided by the scoping review frameworks offered by Arksey & O’Malley and the PRISMA-ScR checklist, literature search was conducted in May 2021 and January 2022 in three databases (PubMed, CINAHL and Scopus). The two searches yielded a total of 889 non-duplicated articles, with 47 of them meeting the inclusion criteria. The 47 articles described 39 unique health projects/programs, covering 8 types of ICT-based interventions: videoconferencing, smartphone applications, messaging, e-coaching, self-learning platforms, telephone, social media, and e-consultation platforms. Over 80% of the health projects identified were conducted in North America, and 62% focused on HIV/sexual health. The findings of this review suggest that transgender people had often been regarded as a small subsample in ICT-based health projects that target other population groups (such as ‘men who have sex with men’ or ‘sexual minority’). Many projects did not indicate whether transgender people were included in the development or evaluation of the project. Relatively little is known about the implementation of ICT-based trans health interventions outside the context of HIV/sexual health, in resource limiting settings, and among transgender people of Asian, Indigenous or other non-White/Black/Hispanic backgrounds. While the range of interventions identified demonstrate the huge potentials of ICT to improve healthcare access for transgender people, the current body of literature is still far from adequate for making comprehensive recommendations on the best practice of ICT-based interventions for transgender people. Future ICT-based interventions need to be more inclusive and specified, in order to ensure the interventions are safe, accessible and effective for transgender people.
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Jatoi, Daleel Khan, Sumera Sindhu, and Samina Sindhu. "An Analysis of the Problems Faced by the Transgender Community in Sindh: An Approach towards their Religious, Social, Economic, and Educational Issues." Global Sociological Review VIII, no. I (2023): 110–17. http://dx.doi.org/10.31703/gsr.2023(viii-i).09.
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The purpose of this research is to investigate how people are aware of the genuineness of Transgender people. It will be helpful for researchers who are still confused about many myths associated with the transgender community. A qualitative method of research has been used for the study. This research article highlights how the initial stage of transgender is started. Moreover, the study also reveals that, when the physical appearance of individuals is indicated to be unsatisfactory to fit in the ideal image of a male or a female, then people entitle them as transgender or Hijra or Khusra. It has been found through the review of the literature and methodological approaches of this article that, harsh words are often associated with the transgender community, there are looked down upon because people think they are homosexual, gay, lesbian, and queer. Mostly, they are referred to by using dishonouring, ridiculing, and insulting language, especially in Pakistan.
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Petrėnaitė, Daiva. "TRANSGENDER’S ISSUES IN SPORT COMPETITIONS." SOCIETY. INTEGRATION. EDUCATION. Proceedings of the International Scientific Conference 2 (July 3, 2023): 615–23. http://dx.doi.org/10.17770/sie2023vol2.7135.
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The recognition and development of the rights of transgender people raises various problems, one of which is their possibility to participate in sports. The aim of the article is to identify and analyze the issues of transgenders’ participation in sports, reviewing possible ways of solving them. There used such research methods as analysis of new scientific literature and legal documents, qualitative content and comparative analysis, historical analysis. Study showed that international sports organizations and research bodies do not have a unanimous view how to ensure transgender rights to participate in sports with equality and fairness. New scientific researches may help to change this unclear and ambivalent position as well as established legal regulations and a unified policy of states in this area can help to solve such problems.
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Rosyid, Muhammad Aenur, and Syamsul Anam. "The Social Construction of Transgender in Jember Regency After the Jember Fashion Carnival Event: A Human Rights Perspective." Jurnal HAM 14, no. 1 (2023): 91. http://dx.doi.org/10.30641/ham.2023.14.91-104.
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The issue of discrimination and negative stigmatization of transgender people in the Jember Regency is considered an obstacle to the freedom of expression for every individual. This study aims to analyze the views of the people of the Jember Regency in regard to transgender women’s right to freedom of expression after the Jember Fashion Carnival event. This research utilizes an empirical juridical research method with sociological approach and legal approaches. The results of this study indicate that the community's social construction of the rights of transgender expression after the Jember Fashion Carnival event is demonstrated through the community's appreciation of the transgender people’s works at the event and the provision of space for their expression to develop creativity. Although the government of Jember Regency has not implemented specific policies to protect the rights of transgender people in expressing themselves and developing their potential, the government and residents of Jember have recognized the transgender community as citizens with equal rights and positions to express themselves and contribute to the progress of Jember Regency.
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Williams, A. "Risk factors for suicide in the transgender community." European Psychiatry 41, S1 (2017): s894. http://dx.doi.org/10.1016/j.eurpsy.2017.01.1820.
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IntroductionApproximately 41% of transgender people attempt suicide at least once in their lives compared to the rate of 5% in the general population Transgender patients who have attempted suicide once have a nearly 40% chance for making a third attempt in their lifetime. Addressing the high rate of suicidality among transgender people must be an important clinical concern during treatment. Screening for suicidal ideation is important when working with the transgender community. Knowing the risk factors that affect the transgender community and creating interventions to ameliorate these risk factors can decrease the negative outcomes.MethodA literature review of articles pertaining to the transgender community and suicide was performed. Of 20 articles reviewed, 14 were pertinent.ResultsThe literature review showed several unique risk factors contribute to the high rate of suicide in this population: lack of family and social supports, gender-based discrimination, transgender-based abuse and violence, gender dysphoria and body-related shame, difficulty while undergoing gender reassignment, and being a member of another or multiple minority groups.DiscussionAiding the transgender patient to develop coping mechanisms for dealing with negative societal pressures and skills in widening their social supports may help to reduce risk factors and increase well-being for transgender patients. Assessing suicidal ideation in transgender patients, connecting them with contacts in the transgender community and utilizing CBT based techniques to reduce dysphoria and to aid in coping may reduce risk of suicide attempts. More research is needed in specific interventions in the transgender community.Disclosure of interestThe author has not supplied his/her declaration of competing interest.
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Tanenbaum, Gabriel J., and LaTasha R. Holden. "A Review of Patient Experiences and Provider Education to Improve Transgender Health Inequities in the USA." International Journal of Environmental Research and Public Health 20, no. 20 (2023): 6949. http://dx.doi.org/10.3390/ijerph20206949.
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Transgender individuals are an underserved, vulnerable population. They face many inequities including barriers in both accessing and receiving adequate healthcare. These inequities are proposed here to be rooted in a lack of education about transgender people and their experiences. We begin by exploring the existing transgender healthcare research carried out in the USA, examining client experiences, provider education and attitudes, and the barriers transgender people face to obtaining proper healthcare. Secondly, we look at the previous research on educational interventions implemented with medical students and practitioners in the USA to enhance knowledge about transgender people, and increase sensitivity and awareness, while also increasing the level of comfort in working with these clients. The limitations in these fields of study are discussed in order to understand how to better serve transgender clients in the USA. We will do this through a narrative review to determine evidence-based best practices for educational intervention, uncovering gaps in the literature and highlighting where to focus in future work for researchers and practitioners.
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Costa, Davide. "Transgender Health between Barriers: A Scoping Review and Integrated Strategies." Societies 13, no. 5 (2023): 125. http://dx.doi.org/10.3390/soc13050125.
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Transgender people have garnered attention in recent years. They have different health problems; the fact, however, that they belong to a minority means that this is characterized by complex mechanisms of stigmatization. This paper aims to analyze the current literature on the barriers to health services encountered by transgender people. This scoping review is based on the following research questions: (1) What are the main barriers to health care encountered by transgender people? (2) Is it possible to organize these barriers according to a macro-, meso- and microanalysis approach? (3) What are the main characteristics of the barriers to health care encountered by transgender people? (4) Are there significant relations between the different types of barriers? The review was undertaken following the PRISMA extension for scoping reviews. In total, 32 studies were included from which three types of barriers with different subcategories were identified: health system barriers, social barriers, and individual barriers. In conclusion, due to the complexity of gender issues and barriers to health care, a multidisciplinary approach is necessary. In this regard, some integrated strategies to reduce barriers to health care for transgender people are proposed.
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Glintborg, Dorte, Guy T’Sjoen, Pernille Ravn, and Marianne Skovsager Andersen. "MANAGEMENT OF ENDOCRINE DISEASE: Optimal feminizing hormone treatment in transgender people." European Journal of Endocrinology 185, no. 2 (2021): R49—R63. http://dx.doi.org/10.1530/eje-21-0059.
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Transgender women are assigned male at birth but identified as women. The incidence of gender dysphoria is estimated to be around 1% of the population. Gender dysphoria may be associated with depression and low quality of life, which in most cases improves during gender-affirming hormonal treatment (GAHT). Feminizing hormonal treatment for transgender women or gender non-binary people typically includes natural estrogen (estradiol). Additional testosterone-blocking treatment is often needed to ensure the suppression of the pituitary-gonadal axis and may include cyproterone acetate, a gonadotropin-releasing hormone agonist (GnRH-a), or spironolactone. The health risks of cyproterone acetate as anti-androgen treatment are debated and randomized protocols with other anti-androgen treatments are requested. Orchiectomy is performed in some transgender women after various duration of GAHT. Currently, natural progesterone is not recommended as part of GAHT due to limited knowledge on the balance between risks and benefits. In the present article, we discuss evidence regarding established and upcoming feminizing treatment for adult transgender women or gender non-binary people seeking feminization. Data on study populations with transgender women are put into a wider context of literature regarding the effects of sex steroid hormones in cisgender study populations. Relevant follow-up and monitoring during feminizing treatment is debated. The review has a special focus on the pharmacotherapy of feminizing hormonal therapy.
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Savvina, Olga V. "Transgenderism: Bioethical Issues." Chelovek 34, no. 1 (2023): 68. http://dx.doi.org/10.31857/s023620070024828-7.
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The article analyses bioethical problems related to the concept of transgenderism and its understanding in the framework of biomedical discourse. The concept of “transgenderism” is linked with medicine, and gender dysphoria (International Classification of Diseases, 11th Edition) in particular. At the same time, the concept of transgenderism interacts with the social context. The article shows that the perception of transgenderism and transgenders by society has an impact both on the medical discourse and the notion of transgenderism in its context, and on the perception of “ordinary” people, or cisgender people, which is due to the gradual normalization of transgenderism. Thus, the concept of transgenderism requires an interdisciplinary approach and ethical, philosophical and bioethical consideration. Since the analyzed concept is directly related to medical problems, this study is based not only on bioethical studies, but also on sources in the field of medicine and sociological studies related to medicine. The article also analyzes the problem of applying the biomedical principles nonmaleficence" and principle of autonomy by Beauchamp and Childress, that have specifics applied to transgender children. This is due to the connection of transgenderism with another problem that lies in the interdisciplinary field —suicide. A number of studies on the quality of life of transgender people, as well as encyclopedic literature, mention suicidal thoughts and suicide attempts of transgenders. The article shows how the reinterpretation of transgenderism and its normalization change the boundaries of medical discourse, deducing transgenderism and suicide from medicine. The author concludes that the normalization of transgenderism and the change of its place in the medical discourse entails not only a transformation of medical discourse, but also affects other concepts like suicide, changes the approach to the treatment of transgender children, making the therapy of such children questionable from bioethical viewpoint.
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Martin-Castillo, David, Jose Joaquin Garcia Arenas, María del Mar Pastor-Bravo, María Sánchez-Muñoz, and José Antonio Jiménez-Barbero. "Attitudes towards transgender people in the university community." methaodos revista de ciencias sociales 11, no. 1 (2023): m231101a11. http://dx.doi.org/10.17502/mrcs.v11i1.674.
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Varios estudios han indicado la existencia de actitudes transfóbicas en el sistema educativo. Esto se extiende a la comunidad universitaria, lo que tiene consecuencias psicosociales negativas en las personas trans. Objetivos: El objetivo de este estudio es analizar la actitud de los estudiantes universitarios hacia las personas trans. Se utilizó un diseño correlacional transversal con una muestra de 1701 estudiantes universitarios con edades entre 18 y 68 años. Los resultados muestran la presencia de actitudes negativas hacia las personas trans en la comunidad universitaria. También muestra la existencia de una relación entre estas actitudes y otras variables, como la empatía, la autoestima y los estilos parentales. Nuestros resultados indican que las actitudes negativas de los estudiantes universitarios hacia las personas trans podrían estar relacionadas con variables psicológicas y sociales como la empatía, la autoestima y los estilos parentales, lo que apunta a una probable relación entre los estilos parentales y la empatía en los hijos. Dentro de las implicaciones para la práctica se sugiere la importancia de fomentar actitudes inclusivas y de aceptación de la diversidad en la formación escolar y universitaria, con programas centrados en el desarrollo de empatía y autoestima.
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Lockmiller, Catherine. "Decoding the Misinformation-Legislation Pipeline: an analysis of Florida Medicaid and the current state of transgender healthcare." Journal of the Medical Library Association 111, no. 4 (2023): 750–61. http://dx.doi.org/10.5195/jmla.2023.1724.
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Background: The state of evidence-based transgender healthcare in the United States has been put at risk by the spread of misinformation harmful to transgender people. Health science librarians can alleviate the spread of misinformation by identifying and analyzing its flow through systems that affect access to healthcare. Discussion: The author developed the theory of the Misinformation - Legislation Pipeline by studying the flow of anti-transgender misinformation from online echo chambers through a peer-reviewed article and into policy enacted to ban medical treatments for transgender people in the state of Florida. The analysis is precluded with a literature review of currently accepted best practices in transgender healthcare, after which, the author analyzes the key report leveraged by Florida’s Department of Health in its ban. A critical analysis of the report is followed by a secondary analysis of the key peer-reviewed article upon which the Florida Medicaid authors relied to make the decision. The paper culminates with a summation of the trajectory of anti-transgender misinformation. Conclusion: Misinformation plays a key role in producing legislation harmful to transgender people. Health science librarians have a role to play in identifying misinformation as it flows through the Misinformation - Legislation Pipeline and enacting key practices to identify, analyze, and oppose the spread of harmful misinformation.
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Mabel Gomes Fonseca, Kevla. "Fisioterapia pelvica nas disfuncoes pos transgenizacao em mulheres trans: revisao." Revista Brasileira de Fisioterapia Pelvica 2, no. 3 (2022): 58–67. http://dx.doi.org/10.62115/rbfp.2022.2(3)58-67.
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Background: Transgender people are those whose gender identities differ from those intended for the sex they were assigned at birth. A transgender woman is every person who claims recognition as a woman. Among transgender people, some choose to undergo gender reassignment surgery. Aims: To gather and analyze works focused on the performance of physiotherapy in the postoperative period of reassignment surgery. Method: Integrative review on the main dysfunctions presented in the postoperative period of reassignment surgery; search in the Scielo, PubMed, PEDro databases for the descriptors: “trans women”, “pelvic floor”, “physiotherapy”, “pelvic floor”, “transgender people”, “physical therapy modalities”. Results: Found 20 articles, 6 included. Discussion: Surgeries can cause urinary, anorectal and sexual dysfunctions. Despite the strong performance of Pelvic Physiotherapy for these dysfunctions in cis women, the performance and scientific production for trans women is scarce. Conclusion: Pelvic Physiotherapy resources that already exist should benefit the trans population, but there is still a shortage in the literature aimed at this population.
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So’langi’, Katrina, Fibry Jati Nugoho, Yusup Rogo Yuono, Chlaodhius Budhianto, and Daryanto Daryanto. "Pelayanan Pastoral bagi Kaum Lesbian, Gay, Bisexual, dan Transgender di Gereja Jemaat Kristen Indonesia Oikos Pelangi Kasih, Semarang." DIEGESIS: Jurnal Teologi Kharismatika 4, no. 1 (2021): 40–51. http://dx.doi.org/10.53547/diegesis.v4i1.54.
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This research discusses Lesbian Gay Bisexual Transgender and pastoral services carried out by the church in helping people to know God's Love. In this study, the author examines pastoral care to deal with lesbian gay bisexual transgender in the Jemaat Kristen Indonesia Oikos Pelangi Kasih church. With descriptive qualitative research method using literature review and field data. Perform well the function guiding, supporting function, healing function, restoring function and maintenance function will really help the lesbian gay bisexual transgender people to experience recovery and know the truth of God’s word. AbstrakPenelitian ini membahas seputar Lesbian, Gay, Bisex, Transgender dan pelayanan pastoral yang dilakukan oleh gereja dalam menolong orang-orang untuk mengalami kasih Tuhan. Pada pene-litian ini, penulis meneliti tentang pelayanan pastoral untuk menangani kaum lesbian, gay, bisex, transgender di Gereja Jemaat Kristen Indonesia Oikos Pelangi Kasih. Dengan metode penelitian kualitatif deskriptif menggunakan kajian pustaka dan data lapangan. Melakukan dengan baik fungsi membimbing, fungsi menopang, fungsi menyembuhkan, fungsi memulikan dan fungsi memelihara akan sangat membantu kaum lesbian gay bisex dan transgender untuk mengalami pemulihan dan mengenalkan kebenaran firman Tuhan
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Agustin, Roviana Nurda. "Sexual Violence against Lesbian, Gay, Bisexual and Transgender." JHeS (Journal of Health Studies) 6, no. 1 (2022): 47–58. http://dx.doi.org/10.31101/jhes.862.
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Sexual violence against lesbian, gay, bisexual, and transgender (LGBT) people is a public health problem that needs attention. It relates to the impact of physical, psychological, and social health including the risk of increasing cases of HIV/AIDS. The objective of this literature review is to identify the description of sexual violence against LGBT people. Search results on PubMed, ScienceDirect, and ProQuest found 527 articles associated with sexual violence against LGBT people. Seven articles met the inclusion criteria and were employed for this literature review. There were 5 themes which were discovered related to sexual violence against LGBT, encompassing the type and number of cases of sexual violence against LGBT; risk factors for sexual violence against LGBT people; perpetrators of sexual violence against LGBT; and the impact of sexual violence on LGBT people. In conclusion, cases of sexual violence against LGBT people tend to be higher than heterosexual groups. Sexual violence against LGBT is a complex problem and has an impact on the physical and mental health of victims. Thus, the implementation, utilization and success of programs related to the prevention and handling of sexual violence against LGBT groups need to be evaluated so that the program runs optimally.
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MacCarthy, Sarah, Tonia Poteat, Zhiyu Xia, et al. "Current research gaps: a global systematic review of HIV and sexually transmissible infections among transgender populations." Sexual Health 14, no. 5 (2017): 456. http://dx.doi.org/10.1071/sh17096.
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Transgender populations are heavily burdened by HIV and other sexually transmissible infections (STIs). However, data on co-infection with HIV and STIs among transgender people are limited. A systematic review was conducted of peer-reviewed articles and conference abstracts between January 2010 and November 2015 that focussed on HIV and STI infections among transgender populations globally. The literature was synthesised and opportunities for improving health research were commented on. Few studies reported HIV–STI co-infection (n = 4), while the majority of studies reported HIV and STI infections separately (n = 23). Most studies were conducted outside of the USA (n = 19), and all but one of these studies reported data on transgender women only. Among USA-based studies (n = 8), several reported data on both transgender men and transgender women (n = 3), whereas other studies reported exclusively on transgender men (n = 1) or transgender women (n = 4). Understanding HIV and STIs among transgender people requires research that simultaneously considers multilevel drivers of vulnerabilities. More data are needed on how the interaction of individual determinants, including biological risks of transmission, programmatic determinants such as service-delivery models and policy-level determinants including institutionalised stigma in healthcare settings, influence the HIV- and STI-related outcomes of transgender populations. Leveraging the knowledge of transgender-specific determinants of HIV and STIs should guide the content and approaches to future HIV and STI prevention and treatment efforts.
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Milionis, Charalampos, and Eftychia Koukkou. "Barriers and Challenges in Caring for Transgender People: Implications for Clinical Practice and the Experience From a Specialized Center." Journal of Doctoral Nursing Practice 16, no. 1 (2023): 44–53. http://dx.doi.org/10.1891/jdnp-2021-0022.
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Background: Transgender people often experience social exclusion and transphobic attitudes, which have an adverse impact on their socioeconomic life and health status. Within health services, discriminatory practices and mistreatment derive from the lack of cultural competence by healthcare providers.Objective: This article features existing barriers in the provision of healthcare to transgender populations and suggests approaches to manage the relevant challenges.Methods: A thorough review of the literature was performed, and the operation of a specialized unit wass presented.Results: Health professionals are often unskilled or unwilling to offer transgender care, while most healthcare service institutions do not offer specialized treatments. Incomplete health insurance coverage and shortages of personal income impede trans individuals’ access to healthcare. Certain practices and policies are needed for scientifically and culturally competent services.Conclusions: The social vulnerability and the unique health needs of transgender persons urgently call for accessible and effective care for gender minority individuals. The integration of gender identity issues into continuous medical and nursing education is a key component of transgender-friendly care.Implications for Nursing: The integration of diversity as a core value in health services, the ability of health personnel to deliver transgender care, and the provision of insurance coverage solely based on medical needs are necessary steps to achieve social justice in healthcare.
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Gentleman, Rye. "“I am not just a me but I'm also a we”: Algorithmic Culture and Netflix's Sense8." TDR/The Drama Review 63, no. 4 (2019): 139–51. http://dx.doi.org/10.1162/dram_a_00880.
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Transgender representation has proliferated in the era of algorithmically driven digital media, marking an increase in trans visibility alongside a sharp decrease in the material well-being of transgender people. By positioning its sole transgender character as an avatar of the algorithmic era, Netflix's Sense8 reveals the ways in which algorithmic culture contributes to the paradox of trans media visibility.
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Indriasari, Evy, Muhammad Dwi Adriansyah, and Erwin Aditya Pratama. "Kedudukan Hukum Bagi Pelaku Transgender di Indonesia Dalam Perspektif Perlindungan Hak Asasi Manusia." Diktum: Jurnal Ilmu Hukum 9, no. 1 (2021): 29–40. http://dx.doi.org/10.24905/diktum.v9i1.111.
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The existence of Transgender Groups in Indonesia is still considered one-sided. This is due to the prevailing norms in the Indonesian people's lives. This research on legal standing for Transgender people in Indonesia in the Perspective of Human Rights Protection Law aims to examine whether transgender groups in Indonesia have obtained legal certainty or not. This is because the author feels that the Transgender group still feels the discrimination that occurs to this day. The research method in this research uses a research method with a qualitative approach. Then the type of data that the author uses is qualitative data. Data collection techniques in this study using the literature study. The data analysis method that the author uses is a descriptive method of analysis. The legal protection that can be enforced in protecting Transgender people is in Article 4 of the Law of the Republic of Indonesia Number 39 of 1999 concerning Human Rights and legal standing for Transgender groups can be seen in Article 28D of the Constitution of the Republic of Indonesia Year 1945 and Article 3 paragraph (3) of the Law of the Republic of Indonesia Number 39 of 1999.
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Radix, Asa, Linda Wesp, and Madeline Deutsch. "Breast Cancer Screening, Management, and a Review of Case Study Literature in Transgender Populations." Seminars in Reproductive Medicine 35, no. 05 (2017): 434–41. http://dx.doi.org/10.1055/s-0037-1606103.
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AbstractBecause of a lack of uniform collection of gender identity data, population-level breast cancer statistics in the transgender community are unknown. With recent estimates that at least 0.6% (1 in every 167 people) of the U.S. population is transgender, guidance on breast cancer risk, screening, and management in this population is needed. Such guidance should examine modifications, if any, to recommendations in cisgender populations, taking into consideration any history of hormone therapy exposure or breast surgery. This article describes existing evidence on breast cancer incidence in transgender women and men, and attempts to make rational recommendations regarding the screening for and approach to managing breast cancer in transgender populations. Current data are mostly limited to case reports which are reviewed here. More prospective, population-level research is needed to better understand the risks and predictors of breast cancer in this population, as well as to better inform the most appropriate screening modality, age of starting screening, and interval. Ultimately, a risk score calculator similar to existing risk models such as the Gail score, as well as an approach to shared decision making that involves patient-centered perspectives, is needed to best guide practices in this area.
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Abdul Aziz, Sa’dan, and Hazhari Ismail. "A Preliminary Study on School Experience and Its Practicality on Islamic Sexual Education for Transgender Children in Malaysia." EDUCATUM Journal of Social Sciences 6, no. 2 (2020): 50–60. http://dx.doi.org/10.37134/ejoss.vol6.2.6.2020.
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In a Malaysian school, transgender children and their sexual orientation pose a variety of challenges for them to fit in the school community. Nevertheless, school children who are transgender will still have to seek proper and fair schooling in their future. The purpose of this study is to identify and prepare transgender children for proper education on the basis of their gender identity and expression for those who is potentially becoming a transgender. The method adopted in the study was a qualitative approach by using a narrative literature review. As for the study, it was noticed that Malaysia is not yet in favour of promoting transgender children, notably in educational settings. During their school times, the majority of transgender people in Malaysia including children are found to suffer a greater challenge, persecution and bullied. Hence, there are four aspects to be highlighted: development of the policy, educational system, school counsellors and Islamic Sexual Education in order to prepare transgender children in school.
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Defreyne, Justine, Laurens D. L. Van de Bruaene, Ernst Rietzschel, Judith Van Schuylenbergh, and Guy G. R. T'Sjoen. "Effects of Gender-Affirming Hormones on Lipid, Metabolic, and Cardiac Surrogate Blood Markers in Transgender Persons." Clinical Chemistry 65, no. 1 (2019): 119–34. http://dx.doi.org/10.1373/clinchem.2018.288241.
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Abstract BACKGROUND Gender-affirming hormonal therapy consists of testosterone in transgender men and estrogens and antiandrogens in transgender women. Research has concluded that gender-affirming therapy generally leads to high satisfaction rates, increased quality of life, and higher psychological well-being. However, given the higher incidence of cardiometabolic morbidity and mortality in cisgender men compared with cisgender women, concerns about the cardiometabolic risk of androgen therapy have been raised. CONTENT A literature research was conducted on PubMed, Embase, and Scopus, searching for relevant articles on the effects of gender-affirming hormone therapy on cardiometabolic risk and thrombosis. After screening 734 abstracts, 77 full text articles were retained, of which 11 were review articles. SUMMARY Studies describing a higher risk for cardiometabolic and thromboembolic morbidity and/or mortality in transgender women (but not transgender men) mainly covered data on transgender women using the now obsolete ethinyl estradiol and, therefore, are no longer valid. Currently, most of the available literature on transgender people adhering to standard treatment regimens consists of retrospective cohort studies of insufficient follow-up duration. When assessing markers of cardiometabolic disease, the available literature is inconclusive, which may be ascribed to relatively short follow-up duration and small sample size. The importance of ongoing large-scale prospective studies/registries and of optimal management of conventional risk factors cannot be overemphasized.
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Bansal, Govind K., and Shibu John. "Making Trans-Gender Healthcare a Priority in India- Journey towards Social Inclusion." Indian Journal of Community Health 32, no. 2 (2020): 324–29. http://dx.doi.org/10.47203/ijch.2020.v32i02.004.
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Introduction: Transgender includes trans-men and trans-women, persons with intersex variations, gender-queers, and persons with socio-cultural identities. Any normal parent expects a binary outcome out of the nine months long pregnancy, however, for some, life changes when the expected outcome is different. Objective: The article tends to understand the life of transgender/Hijra in India with respect to specific healthcare needs along with constitutional mechanism to extend them their legal rights. Method: The researcher reviewed available literature to analyse the issues and challenges in accessing healthcare services by the transgender community. Grey literature and qualitative methods like consultation/ interviews with communities and subject experts were also done to supplement the study outcomes. Results: The study shows that after a long movement, transgender were formally given recognition in 21st century in India. Currently, we have a number to begin with. WHO’s ICD-11 included “gender identity disorders” as “gender incongruence” in its new chapter on sexual health. Interactions with key experts and community reveals different specific needs of transgender population. Conclusion: Five points as way forward to improve health care accessibility of transgender in India: Creating an enabling environment before the next Census in India; addressing stigma and other issues that make transgender people vulnerable to health risks; extending equal human and legal rights to transgender; revising the medical curriculum so as to include a chapter on transgender health; and No Me Without Me.
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Brown, Suzanne, Jo Kucharska, and Magdalena Marczak. "Mental health practitioners' attitudes towards transgender people: A systematic review of the literature." International Journal of Transgenderism 19, no. 1 (2017): 4–24. http://dx.doi.org/10.1080/15532739.2017.1374227.
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Hasbiyulloh, Irvan, and Abdur Rahim. "Peranan Negara Mengantisipasi Transgender Dalam Perspektif Hukum Islam." Mizan: Journal of Islamic Law 5, no. 2 (2021): 291. http://dx.doi.org/10.32507/mizan.v5i2.1027.
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Transgender is an issue that is being discussed a lot in Indonesian society, coupled with the rampant promotion or advertisement of Transgender people on social media. This is the diversity of people's perspectives on transgender issues. They look at their religious, socio-cultural and group backgrounds. In the view of the transgender community, it is considered a violation of the norms of life, therefore the role of the government is needed in anticipating this. This study uses a literature study method whose research materials use books, journals, laws and related previous research sources. This research approach uses a doctrinal approach and descriptive analysis. The results of this study conclude that transgender in Indonesia in the perspective of Islamic law is forbidden to do. The role of the state in anticipating transgender people in the perspective of Islamic law is carried out by raising awareness of transgender individuals, as well as applying strict regulations accompanied by sanctions for perpetrators so that they can return to normal behavior.Keywords: Transgender, Islamic Law, Role of the State AbstrakTransgender merupakan isu yang tengah banyak diperbincangkan di tengah masyarakat Indonesia, ditambah lagi dengan maraknya promosi atau iklan kaum Transgender di media sosial. Hal inilah yang menjadi keberagaman sudut pandang masyarakat mengenai isu transgender. Mereka melihat dari latar belakang agama, sosial budaya dan kelompok mereka. Dalam pandangan masyarakat transgender dianggap sebagai penyelewangan norma kehidupan, karenanya Peranan pemerintah sangat dibutuhkan dalam mengantasipasi hal ini. Penelitian ini menggunakan metode studi kepustakaan yang bahan penelitiannya mengunakan sumber buku, jurnal, undang-undang dan penelitian sebelumnya yang terkait. Pendekatan penelitian ini menggunakan pendekatan doktrinal dan analisa deskriptif. Hasil penelitian ini menyimpulkan bahwa Transgender di Indonesia dalam Perspektif hukum Islam adalah haram dilakukan. Peranan negara dalam mengantisipasi transgender dalam perspektif hukum Islam dilakukan dengan menumbuhkan kesadaran individual transgender, serta menerapakan peraturan yang tegas disertai dengan sanksi bagi pelakunya agar dapat kembali berperilaku normal.Kata kunci: Transgender, Hukum Islam, Peranan Negara
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de Castro-Peraza, Maria-Elisa, Jesús Manuel García-Acosta, Naira Delgado-Rodriguez, et al. "Biological, Psychological, Social, and Legal Aspects of Trans Parenthood Based on a Real Case—A Literature Review." International Journal of Environmental Research and Public Health 16, no. 6 (2019): 925. http://dx.doi.org/10.3390/ijerph16060925.
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Trans men are people who, based on their genitals, were assigned the status of female at birth. However, their identity and their way of living gender do not correspond to the socially established norms. In this paper, we discuss the different perspectives in relation to transgender people and their desire for parenthood. This review, and the basis of this paper, is inspired by the case of a trans man who desired gestation with his own genetic material. He began the cycle of assisted reproduction when he was a legally recognized woman, but that attempt ended with a miscarriage. From that assisted reproduction cycle, four embryos remained frozen. After the failed experience of gestation, the person completed his transition. Now legally a man, he attempted to gestate using his reproductive organs. This literature review aimed to identify relevant studies describing the relationship between transgender person and biological parenthood. This study comprehensively addresses important aspects one should know when considering a transgender pregnancy. These factors include biological, psychological, social, and legal issues. After reviewing the state-of-the-art information on trans parenthood, the main conclusion is that ‘the desire to have a child is not a male or female desire but a human desire’.
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K, Iyyappan. "Thoughts on the Origin of Transgenderism in Thirumanthiram." International Research Journal of Tamil 4, S-8 (2022): 228–32. http://dx.doi.org/10.34256/irjt22s833.
Full textAbstract:
We are referring to transgender people born as a man and living as a woman (pedi), transsexuals born as a woman and living as a man (peden), and transsexuals (pedu, Ali) in one word. In the second Tantra of Thirumanthiram, three hymns, 471, 472, and 476, have recorded transsexuals as Ali. These songs contain the news about the birth of Thirunar. It says that this body has been created by the Supreme Being in the form of light to have the characteristics of a mother and father of life, and if the sperm that appears in the male during sexual intercourse is more, the child born will be male (male), and if a woman's heart rate is high, the child born will be a girl. If this sukhilam and suronitham both appear equally mixed, then the person born will be born transgender. And it also says that if both the male and female have equal left and right breaths during sexual intercourse, the child will be born transgender. In devotional literature, the rhetoric of Ali is used next to men and women in places where God is worshipped. However, only in the 1872 song of Thirumanthiram, the word "Pedu" is used while worshipping the Lord. This article examines the stories about the birth of transgender people as told by the Thirumanthiram along with the basic descriptions of transgender people.
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Szpilka, J. "Feminizm jako źródło cierpień. Doświadczenie niemożliwości trans/feministycznej solidarności w literaturze trans." Czas Kultury XXXIX, no. 4 (2023): 33–46. http://dx.doi.org/10.61269/xuwo1625.
Full textAbstract:
If one is to trust the declarations made by numerous leading thinkers in intersectional feminism, such as Sara Ahmed, solidarity between feminism and trans people should be a given. Transfeminism, as a slogan assuming that a new form of feminist thought can be built on the basis of this solidarity, is a slogan that enjoys enduring popularity, even in the face of the apparent rise of transphobic forms of feminism. At the same time, despite the activist success of such perspectives, a careful reading of contemporary trans literature – literature that seeks to serve as a form of recording and expressing the lived experiences of trans people – indicates that the relationship of “trans” to “feminism” is much more complicated. In the work of authors such as Torrey Peters and Alison Rumfitt, feminism, rather than a movement that can support trans people, appears just as often as a source of their suffering. This article attempts to consider these literary representations of the relationship between feminism and transgender (and especially trans femininity). It leads to the question of what barriers stand in the way of the – so seemingly obvious – trans/feminist solidarity, and whether such solidarity is even possible in a situation that recognizes the irreducibility of the differences and tensions that divide the spaces of transgender and feminism. Keywords: trans femininity, transgender, transphobia, feminism, <i>Detransition, Baby. A Novel</i>, <i>Tell Me I’m Worthless</i>
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Budzyńska, Julia, Rafał Patryn, Ilona Kozioł, Magdalena Leśniewska, Agnieszka Kopystecka, and Tomasz Skubel. "Self-Testing as a Hope to Reduce HIV in Transgender Women—Literature Review." International Journal of Environmental Research and Public Health 19, no. 15 (2022): 9331. http://dx.doi.org/10.3390/ijerph19159331.
Full textAbstract:
So far, the rate of HIV-positive people who do not know their sero-status is about 14% and the percentage is higher among transgender women (TGW). They represent one of the most vulnerable groups to infection. HIV self-testing (HIVST) may be a way to reduce transmission of the virus. The aim of this analysis and in-depth review was to collect available data on factors that may influence the use and dissemination of HIVST among TGW. This review was conducted in accordance with PRISMA guidelines for systematic reviews and meta-analyses. All data from 48 papers were used. From the available literature, HIVST is a convenient and preferred method of testing due to its high confidentiality and possibility of being performed at home. However, there are barriers that limit its use, including marginalization of transgender people, stigma by medical personnel, lack of acceptance of sexual partners, and even cultural standards. Therefore, there is a need for activities that promote and inform on the possibility of using HIVST as well as enable easier access to it.
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Bhusal, Tilak. "Voice of the Margin in Literature: Reading Arundhati Roy's The Ministry of Utmost Happiness." Lumbini Journal of Language and Literature 3, no. 1 (2022): 55–59. http://dx.doi.org/10.3126/ljll.v3i1.50497.
Full textAbstract:
This research article is an attempt to explore the humiliated condition of transgender in Roy's The Ministry of Utmost Happiness. The humiliation made on different people in the society by the upper class people has been depicted in the novel. Roy has presented the discrimination faced by the different people in a subtle way. The injustice over the Hindu people in India and the marginalized Muslim and the conflict among them has been portrayed artistically. The novel presents the dark side of an Indian society in the modern history. She upholds the rights of voiceless people and attempts to raise their voice which could be heard around the globe.
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Ali Khan, Waqas, Qaisar Abbas, and Usman Ali. "The Cost of Exclusion: How Poverty Leads Transgender Individuals to Begging, Dancing and Sex Work." Journal of Asian Development Studies 13, no. 2 (2024): 208–15. http://dx.doi.org/10.62345/jads.2024.13.2.18.
Full textAbstract:
In Pakistan, transgender persons face severe socioeconomic burdens, including widespread poverty and violence that drive their informality in begging, dancing, and sex work. Constitutional protection has been of less support to this population in overcoming visibility and job challenges, making them economically deprived populations. This paper explores the interaction between poverty and deprivation and sheds light on the informal position of transgender people. The researcher collected the data from 344 respondents from the 36 districts of Punjab using a stratified random sampling technique to determine the main reasons for transgender persons' involvement in the shadow economy. The findings present a grim picture: Due to high rates of poverty, many people are compelled to engage in these endeavors and are deprived of decent employment opportunities. The researcher analyzed the data with chi-square and linear regression. It has been shown by statistical analysis that there exists a significant positive relationship between poverty levels and participation in begging dance and sex work (p < 0.01). Furthermore, it was found from the study that discrimination against transgender people within places of work greatly contributes to this problem, where those who faced intense forms of discrimination were 65% more likely than others to adopt such survival strategies (p < 0.05). The findings suggest that such inclusive and non-discriminatory moves would be in line with the rights and dignity of transgender persons. This study contributes to the gender, poverty, and human rights literature and outlines the need for more inclusive and fair policies for all people, regardless of gender.