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ABSTRACT
Transgender and non-binary people assigned female at birth (TNB/AFAB) have unintended pregnancies, but there is a dearth of information about effective pregnancy prevention care for this population. This needs assessment study aimed at discerning pregnancy prevention care best practices involved interviews of 20 healthcare providers solicited for experience providing pregnancy counseling with this group. Findings were organized via the ecological model, revealing four layers of themes. 1) Social structural level themes related to the gender binary system and other forms of oppression (racism, sexism, heterosexism); 2) the systems level theme related to access to and barriers to care; 3) provider level themes included lack of formal education, need to provide trauma-informed care, and provider discomfort or assumptions; and 4) patient-level themes included the fact that patients do not usually raise issues related to contraception and that TNB/AFAB patients have unique contraception needs. Implications of the findings are discussed.
Acknowledgments
The project was funded in part by the John Blake West Scholarship at San Francisco State University, which provides funding to an MPH student who is committed to studying some aspect of the LGBTQ+ experience in public health. Ms. Forsberg received this scholarship in the 2018/19 school year.
Disclosure statement
No potential conflict of interest was reported by the authors.