Transgender Adults Face Barriers to Health Care Interview with:

Kellan E. Baker, MPH, MACentennial Scholar PhD CandidateHealth Policy Research ScholarDepartment of Health Policy and ManagementJohns Hopkins Bloomberg School of Public Health

Kellan Baker

Kellan E. Baker, MPH, MA
Centennial Scholar PhD Candidate
Health Policy Research Scholar
Department of Health Policy and Management
Johns Hopkins Bloomberg School of Public Health What is the background for this study? What are the main findings?

Response: This study shows that transgender adults in the U.S. today have significantly worse health-related quality of life than cisgender (non-transgender) adults, as measured by self-reported health status and number of recent days of poor physical or mental health.

The study is important because it quantifies the gap in health-related quality of life between transgender and cisgender people, and it relies on a survey that allows us to believe that these findings are likely true not just for the people who answered the survey but for the U.S. as a whole.

Health-related quality of life is a very broad term that describes a person’s whole sense of well-being—we might think of it as the answer to the question, “how are you doing these days?” The answer has to do not just with your physical health but also your mental health, your outlook on your life and your community, your feelings of wholeness and happiness. Sources such as the National Academy of Medicine and the U.S. Transgender Survey have documented that transgender people face discrimination in areas of everyday life such as housing, health care, and public spaces. Encounters with discrimination don’t just keep transgender people from getting services they need: they hurt trans people both physically and mentally.  Continue reading

Military Physicians Say They Need More Education on Transgender Health Care Interview with:
David A. Klein, MD, MPH

Uniformed Services University of the Health Sciences (USUHS)
Bethesda, Maryland
Fort Belvoir Community Hospital (FBCH), Fort Belvoir, Virginia What is the background for this study? What are the main findings?

Response: In June 2016, the ban was lifted on transgender personnel serving openly in the military. Research suggests approximately 200 active-duty service members may request a gender transition annually.

The purpose of this study is to determine military family physician readiness to care for such patients. The majority (74 percent) of physicians have not received any formal education on the treatment of patients with gender dysphoria. Almost half of surveyed physicians are willing to prescribe cross-hormone therapy; of these, 99 percent report the need for additional training and/or assistance to do so. 53 report an unwillingness to prescribe even with additional education and assistance.

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Clinicians Found To Have Inadequate Training in Transgender Health Interview with:
Caroline J. Davidge-Pitts, M.B., Ch.B

Mayo Clinic
Rochester, Minn. What is the background for this study?

: The awareness of transgender healthcare issues has increased, leading to improved coverage of both hormonal and non-hormonal therapies. In endocrinology practices, there is an increased demand for providers who are competent in these areas. We wanted to assess the current status of knowledge and practice in transgender health amongst our current and future endocrinologists.

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