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Global Public Health
An International Journal for Research, Policy and Practice
Volume 18, 2023 - Issue 1
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Research Article

‘The medical world is very good at cis people, but trans is a specialisation’. Experiences of transgender and non-binary people with accessing primary sexual and reproductive healthcare services in the Netherlands

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Article: 2246059 | Received 16 May 2023, Accepted 04 Aug 2023, Published online: 16 Aug 2023

References

  • Bauer, G., Devor, A., Heinz, M., Marshall, Z., Sansfaçon, A. P., & Pyne, J. (2019). CPATH ethical guidelines for research involving transgender people & communities. http://cpath.ca/en/resources/.
  • Bauer, G. R., & Hammond, R. (2015). Toward a broader conceptualization of trans women's sexual health. The Canadian Journal of Human Sexuality, 24(1), 1–11. https://doi.org/10.3138/cjhs.24.1-CO1
  • Bauer, G. R., Hammond, R., Travers, R., Kaay, M., Hohenadel, K. M., & Boyce, M. (2009). “I don't think this is theoretical; this is our lives”: How erasure impacts health care for transgender people. Journal of the Association of Nurses in AIDS Care, 20(5), 348–361. https://doi.org/10.1016/j.jana.2009.07.004
  • Bauer, G. R., & Scheim, A. I. (2013). Sampling bias in transgender studies. The Lancet Infectious Diseases, 13(10), 832. https://doi.org/10.1016/S1473-3099(13)70242-1
  • Berner, A. M., Connolly, D. J., Pinnell, I., Wolton, A., MacNaughton, A., Challen, C., Nambiar, K., Bayliss, J., Barrett, J., & Richards, C. (2021). Attitudes of transgender men and non-binary people to cervical screening: A cross-sectional mixed-methods study in the UK. British Journal of General Practice, 71(709), e614–e625. https://doi.org/10.3399/BJGP.2020.0905
  • Birt, L., Scott, S., Cavers, D., Campbell, C., & Walter, F. (2016). Member checking. Qualitative Health Research, 26(13), 1802–1811. https://doi.org/10.1177/1049732316654870
  • Braybrook, D., Bristowe, K., Timmins, L., Roach, A., Day, E., Clift, P., Rose, R., Marshall, S., Johnson, K., Sleeman, K., & Harding, R. (2022). ABC of LGBT+ inclusive communication: A guide for health and social care professionals. ACCESS Care.
  • Braybrook, D., Bristowe, K., Timmins, L., Roach, A., Day, E., Clift, P., Rose, R., Marshall, S., Johnson, K., Sleeman, K. E., & Harding, R. (2023). Communication about sexual orientation and gender between clinicians, LGBT+ people facing serious illness and their significant others: A qualitative interview study of experiences, preferences and recommendations. BMJ Quality & Safety, 32(2), 109–120. https://doi.org/10.1136/bmjqs-2022-014792
  • Burgwal, A., Gvianishvili, N., Hård, V., Kata, J., Nieto, I. G., Orre, C., Smiley, A., Vidić, J., & Motmans, J. (2021). The impact of training in transgender care on healthcare providers competence and confidence: A cross-sectional survey. Healthcare, 9(8), 967. https://doi.org/10.3390/healthcare9080967
  • Burgwal, A., & Motmans, J. (2021). Trans and gender diverse people’s experiences and evaluations with general and trans-specific healthcare services: A cross-sectional survey. International Journal of Impotence Research, 33(7), 679–686. https://doi.org/10.1038/s41443-021-00432-9
  • Calderón-Jaramillo, M., Mendoza, Á, Acevedo, N., Forero-Martínez, L. J., Sánchez, S. M., & Rivillas-García, J. C. (2020). How to adapt sexual and reproductive health services to the needs and circumstances of trans people—A qualitative study in Colombia. International Journal for Equity in Health, 19(1), 148. https://doi.org/10.1186/s12939-020-01250-z
  • Castro, V. A., King, W. M., Augustaitis, L., Saylor, K., & Gamarel, K. E. (2022). A scoping review of health outcomes among transgender migrants. Transgender Health, 7(5), 385–396. https://doi.org/10.1089/trgh.2021.0011
  • Cense, M., Haas, S., & Doorduin, T. (2017). Sexual victimisation of transgender people in The Netherlands: Prevalence, risk factors and health consequences. Journal of Gender-Based Violence, 1(2), 235–252. https://doi.org/10.1332/239868017X15009036473945
  • Coleman, E., Radix, A. E., Bouman, W. P., Brown, G. R., de Vries, A. L. C., Deutsch, M. B., Ettner, R., Fraser, L., Goodman, M., Green, H. A. B., Johnson, T. W., Karasic, D. H., Knudson, G. A., Leibowitz, S. F., Meyer-Bahlburg, H. F. L., Monstrey, S. J., Motmans, J., Nahata, L., & Arcelus, J. (2022). Standards of care for the health of transgender and gender diverse people, Version 8. International Journal of Transgender Health, 23(Suppl 1), S1–S259. https://doi.org/10.1080/26895269.2022.2100644
  • Connolly, D., Hughes, X., & Berner, A. (2020). Barriers and facilitators to cervical cancer screening among transgender men and non-binary people with a cervix: A systematic narrative review. Preventive Medicine, 135, 106071. https://doi.org/10.1016/j.ypmed.2020.106071
  • Diamond, L. M. (2003). New paradigms for research on heterosexual and sexual-minority development. Journal of Clinical Child & Adolescent Psychology, 32(4), 490–498. https://doi.org/10.1207/S15374424JCCP3204_1
  • Dickey, L. M., Budge, S. L., Katz-Wise, S. L., & Garza, M. V. (2016). Health disparities in the transgender community: Exploring differences in insurance coverage. Psychology of Sexual Orientation and Gender Diversity, 3(3), 275–282. https://doi.org/10.1037/sgd0000169
  • Drückler, S., Daans, C., Hoornenborg, E., De Vries, H., den Heijer, M., Prins, M., Kuizenga Wessel, S., & van Rooijen, M. (2022). HIV and STI positivity rates among transgender people attending two large STI clinics in The Netherlands. Sexually Transmitted Infections, 98(3), 188–196. https://doi.org/10.1136/sextrans-2020-054875
  • Fix, L., Durden, M., Obedin-Maliver, J., Moseson, H., Hastings, J., Stoeffler, A., & Baum, S. E. (2020). Stakeholder perceptions and experiences regarding access to contraception and abortion for transgender, non-binary, and gender-expansive individuals assigned female at birth in the U.S. Archives of Sexual Behavior, 49(7), 2683–2702. https://doi.org/10.1007/s10508-020-01707-w
  • Frambach, J. M., van der Vleuten, C. P. M., & Durning, S. J. (2013). AM last page: Quality criteria in qualitative and quantitative research. Academic Medicine, 88(4), https://journals.lww.com/academicmedicine/Fulltext/2013/04000/AM_Last_Page__Quality_Criteria_in_Qualitative_and.29.aspx.
  • Francis, A., Jasani, S., & Bachmann, G. (2018). Contraceptive challenges and the transgender individual. Women's Midlife Health, 4(1), 12. https://doi.org/10.1186/s40695-018-0042-1
  • Fraser, L., & Knudson, G. (2019). Education needs of providers of transgender population. Endocrinology and Metabolism Clinics of North America, 48(2), 465–477. https://doi.org/10.1016/j.ecl.2019.02.008
  • Galupo, M. P. (2017). Researching while cisgender: Identity considerations for transgender research. International Journal of Transgenderism, 18(3), 241–242. https://doi.org/10.1080/15532739.2017.1342503
  • Giblon, R., & Bauer, G. R. (2017). Health care availability, quality, and unmet need: A comparison of transgender and cisgender residents of Ontario, Canada. BMC Health Services Research, 17), https://doi.org/10.1186/s12913-017-2226-z
  • Gilbert, M. A. (2008). Defeating bigenderism: Changing gender assumptions in the twenty-first century. Hypatia, 24(3), 93–112. https://doi.org/10.1111/j.1527-2001.2009.01047.x
  • Green, J., & Thorogood, N. (2018). Qualitative methods for health research. SAGE Publications Ltd.
  • Guss, C. E., Woolverton, G. A., Borus, J., Austin, S. B., Reisner, S. L., & Katz-Wise, S. L. (2019). Transgender adolescents’ experiences in primary care: A qualitative study. Journal of Adolescent Health, 65(3), 344–349. https://doi.org/10.1016/j.jadohealth.2019.03.009
  • Heng, A., Heal, C., Banks, J., & Preston, R. (2018). Transgender peoples’ experiences and perspectives about general healthcare: A systematic review. International Journal of Transgenderism, 19(4), 359–378. https://doi.org/10.1080/15532739.2018.1502711
  • Herdt, G. (2020). Third sex, third gender: Beyond sexual dimorphism in culture and history. Princeton University Press.
  • Jacobson, R., & Joel, D. (2019). Self-reported gender identity and sexuality in an online sample of cisgender, transgender, and gender-diverse individuals: An exploratory study. The Journal of Sex Research, 56(2), 249–263. https://doi.org/10.1080/00224499.2018.1523998
  • Joel, D., Tarrasch, R., Berman, Z., Mukamel, M., & Ziv, E. (2014). Queering gender: Studying gender identity in ‘normative’ individuals. Psychology & Sexuality, 5(4), 291–321. https://doi.org/10.1080/19419899.2013.830640
  • Kcomt, L., Gorey, K. M., Barrett, B. J., & McCabe, S. E. (2020). Healthcare avoidance due to anticipated discrimination among transgender people: A call to create trans-affirmative environments. SSM – Population Health, 11, 100608. https://doi.org/10.1016/j.ssmph.2020.100608
  • Lerner, J. E., Martin, J. I., & Gorsky, G. S. (2021). More than an apple a day: Factors associated with avoidance of doctor visits among transgender, gender nonconforming, and nonbinary people in the USA. Sexuality Research and Social Policy, 18(2), 409–426. https://doi.org/10.1007/s13178-020-00469-3
  • Lerner, J. E., Martin, J. I., & Gorsky, G. S. (2022). To go or not to go: Factors that influence health care use among trans adults in a non-representative U.S. sample. Archives of Sexual Behavior, 51(4), 1913–1925. https://doi.org/10.1007/s10508-022-02302-x
  • Lerner, J. E., & Robles, G. (2017). Perceived barriers and facilitators to health care utilization in the United States for transgender people: A review of recent literature. Journal of Health Care for the Poor and Underserved, 28(1), 127–152. https://doi.org/10.1353/hpu.2017.0014
  • Light, A. D., Obedin-Maliver, J., Sevelius, J. M., & Kerns, J. L. (2014). Transgender men who experienced pregnancy after female-to-male gender transitioning. Obstetrics & Gynecology, 124(6), 1120–1127. https://doi.org/10.1097/AOG.0000000000000540
  • Lindroth, M. (2016). ‘Competent persons who can treat you with competence, as simple as that’ – An interview study with transgender people on their experiences of meeting health care professionals. Journal of Clinical Nursing, 25(23-24), 3511–3521. https://doi.org/10.1111/jocn.13384
  • Lo, S., & Horton, R. (2016). Transgender health: An opportunity for global health equity. The Lancet, 388(10042), 316–318. https://doi.org/10.1016/S0140-6736(16)30675-4
  • Lovejoy, C., Fitzgerald, L., & Mutch, A. (2023). Understanding access to healthcare for gender diverse young people: A critical review of the literature. Culture, Health & Sexuality, 25(1), 18–32. https://doi.org/10.1080/13691058.2021.2017486
  • Lunde, C. E., Spigel, R., Gordon, C. M., & Sieberg, C. B. (2021). Beyond the binary: Sexual and reproductive health considerations for transgender and gender expansive adolescents. Frontiers in Reproductive Health, 3, https://doi.org/10.3389/frph.2021.670919
  • Luvuno, Z. P., Ncama, B., & Mchunu, G. (2019). Transgender population's experiences with regard to accessing reproductive health care in Kwazulu-Natal, South Africa: A qualitative study. African Journal of Primary Health Care & Family Medicine, 11(1), 1–9.
  • Martin, P. Y. (2004). Gender as social institution. Social Forces, 82(4), 1249–1273. https://doi.org/10.1353/sof.2004.0081
  • Mehta, P. K., Easter, S. R., Potter, J., Castleberry, N., Schulkin, J., & Robinson, J. N. (2018). Lesbian, gay, bisexual, and transgender health: Obstetrician–Gynecologists’ training, attitudes, knowledge, and practice. Journal of Women's Health, 27(12), 1459–1465. https://doi.org/10.1089/jwh.2017.6912
  • Müller, A. (2018). Beyond ‘invisibility': Queer intelligibility and symbolic annihilation in healthcare. Culture, Health & Sexuality, 20(1), 14–27. https://doi.org/10.1080/13691058.2017.1322715
  • Müller, A., Spencer, S., Meer, T., & Daskilewicz, K. (2018). The no-go zone: A qualitative study of access to sexual and reproductive health services for sexual and gender minority adolescents in Southern Africa. Reproductive Health, 15(1), 12. https://doi.org/10.1186/s12978-018-0462-2
  • Muntinga, M., Beuken, J., Gijs, L., & Verdonk, P. (2020). Are all LGBTQI+ patients white and male? Good practices and curriculum gaps in sexual and gender minority health issues in a Dutch medical curriculum. GMS Journal for Medical Education, 372(2), https://doi.org/10.3205/zma001315
  • Namaste, V. (2000). Invisible lives: The erasure of transsexual and transgendered people. University of Chicago Press.
  • Nederlands Huisartsen Genootschap. NHG-Standaarden https://richtlijnen.nhg.org/.
  • Peitzmeier, S. M., Malik, M., Kattari, S. K., Marrow, E., Stephenson, R., Agénor, M., & Reisner, S. L. (2020). Intimate partner violence in transgender populations: Systematic review and meta-analysis of prevalence and correlates. American Journal of Public Health, 110(9), e1–e14. https://doi.org/10.2105/AJPH.2020.305774
  • Poteat, T., & Simmons, A. (2022). Intersectional structural stigma, community priorities, and opportunities for transgender health equity: Findings from TRANSforming the Carolinas. Journal of Law, Medicine & Ethics, 50(3), 443–455. https://doi.org/10.1017/jme.2022.86
  • Potter, J., Peitzmeier, S. M., Bernstein, I., Reisner, S. L., Alizaga, N. M., Agénor, M., & Pardee, D. J. (2015). Cervical cancer screening for patients on the female-to-male spectrum: A narrative review and guide for clinicians. Journal of General Internal Medicine, 30(12), 1857–1864. https://doi.org/10.1007/s11606-015-3462-8
  • Puckett, J., Giffel, R., Brown, F., Gallik, C., Kimball, D., Chu, H., Mustanski, B. S., & Newcomb, M. E. (2022). Suggestions for improving healthcare for transgender and gender diverse people in the United States. International Journal of Transgender Health, 1–18. https://doi.org/10.1080/26895269.2022.2150736
  • Reisner, S. L., Poteat, T., Keatley, J., Cabral, M., Mothopeng, T., Dunham, E., Holland, C. E., Max, R., & Baral, S. D. (2016). Global health burden and needs of transgender populations: A review. The Lancet, 388(10042), 412–436. https://doi.org/10.1016/S0140-6736(16)00684-X
  • Riggs, D. W., Ussher, J. M., Robinson, K. H., & Rosenberg, S. (2022). Trans reproductive and sexual health: Justice, embodiment and agency. Taylor & Francis.
  • Roze in, O. (2022). LHBTI+ in het Nederlands medisch onderwijs. Roze in Wit.
  • Safer, J. D., Coleman, E., Feldman, J., Garofalo, R., Hembree, W., Radix, A., & Sevelius, J. (2016). Barriers to healthcare for transgender individuals. Current Opinion in Endocrinology & Diabetes and Obesity, 23(2), 168. https://doi.org/10.1097/MED.0000000000000227
  • Skuban, T., Orzechowski, M., & Steger, F. (2022). Restriction of access to healthcare and discrimination of individuals of sexual and gender minority: An analysis of judgments of the European court of human rights from an ethical perspective. International Journal of Environmental Research and Public Health, 19(5), 2650. https://doi.org/10.3390/ijerph19052650
  • Snelgrove, J. W., Jasudavisius, A. M., Rowe, B. W., Head, E. M., & Bauer, G. R. (2012). “Completely out-at-sea” with “two-gender medicine”: A qualitative analysis of physician-side barriers to providing healthcare for transgender patients. BMC Health Services Research, 12(1), 110. https://doi.org/10.1186/1472-6963-12-110
  • Snow, A., Cerel, J., Loeffler, D. N., & Flaherty, C. (2019). Barriers to mental health care for transgender and gender-nonconforming adults: A systematic literature review. Health & Social Work, 44(3), 149–155. https://doi.org/10.1093/hsw/hlz016
  • Stephenson, R., Riley, E., Rogers, E., Suarez, N., Metheny, N., Senda, J., Saylor, K. M., & Bauermeister, J. A. (2017). The sexual health of transgender men: A scoping review. The Journal of Sex Research, 54(4-5), 424–445. https://doi.org/10.1080/00224499.2016.1271863
  • Stewart, M., Ryu, H., Blaque, E., Hassan, A., Anand, P., Gómez-Ramirez, O., MacKinnon, K. R., Worthington, C., Gilbert, M., & Grace, D. (2022). Cisnormativity as a structural barrier to STI testing for trans masculine, two-spirit, and non-binary people who are gay, bisexual, or have sex with men. PLOS ONE, 17(11), e0277315. https://doi.org/10.1371/journal.pone.0277315
  • Stroumsa, D., Shires, D. A., Richardson, C. R., Jaffee, K. D., & Woodford, M. R. (2019). Transphobia rather than education predicts provider knowledge of transgender health care. Medical Education, 53(4), 398–407. https://doi.org/10.1111/medu.13796
  • Stutterheim, S. E., van Dijk, M., Wang, H., & Jonas, K. J. (2021). The worldwide burden of HIV in transgender individuals: An updated systematic review and meta-analysis. PLOS ONE, 16(12), e0260063. https://doi.org/10.1371/journal.pone.0260063
  • Tenney, C., Surkan, K. J., Hammond Gerido, L., & Betts-Green, D. (2021). Crisis of erasure. The International Journal of Information, Diversity, & Inclusion (IJIDI), 5(4), 132–149. https://doi.org/10.33137/ijidi.v5i4.37406
  • Thorne, N., Yip, A. K., Bouman, W. P., Marshall, E., & Arcelus, J. (2019). The terminology of identities between, outside and beyond the gender binary - A systematic review. International Journal of Transgenderism, 20(2-3), 138–154. https://doi.org/10.1080/15532739.2019.1640654
  • Tordoff, D. M., Minalga, B., Gross, B. B., Martin, A., Caracciolo, B., Barbee, L. A., Balkus, J. E., & Khosropour, C. M. (2022). Erasure and health equity implications of using binary male/female categories in sexual health research and human immunodeficiency virus/sexually transmitted infection surveillance: Recommendations for transgender-inclusive data collection and reporting. Sexually Transmitted Diseases, 49(2), e45–e49. https://doi.org/10.1097/OLQ.0000000000001533
  • Townsend, M., & Clark, B. A. (2022). Universal gender screening: a simple strategy to enhance primary care for transgender and gender diverse people. Family Practice, 39(5), 985–987. https://doi.org/10.1093/fampra/cmab176
  • Transgender Europe. (2017). Overdiagnosed but underserved: Trans healthcare in Georgia, Poland, Serbia, Spain, and Sweden: Trans health survey.
  • Treharne, G. J., Carroll, R., Tan, K. K. H., & Veale, J. F. (2022). Supportive interactions with primary care doctors are associated with better mental health among transgender people: Results of a nationwide survey in Aotearoa/New Zealand. Family Practice, 39(5), 834–842. https://doi.org/10.1093/fampra/cmac005
  • T'Sjoen, G., & Motmans, J. (2022). Integrating transgender care into mainstream medicine—an essay by Guy T’Sjoen and Joz Motmans. BMJ, 379, o1949. https://doi.org/10.1136/bmj.o1949
  • Van Gerwen, O. T., Jani, A., Long, D. M., Austin, E. L., Musgrove, K., & Muzny, C. A. (2020). Prevalence of sexually transmitted infections and human immunodeficiency virus in transgender persons: A systematic review. Transgender Health, 5(2), 90–103. https://doi.org/10.1089/trgh.2019.0053
  • van Heesewijk, J., Kent, A., van de Grift, T. C., Harleman, A., & Muntinga, M. (2022). Transgender health content in medical education: A theory-guided systematic review of current training practices and implementation barriers & facilitators. Advances in Health Sciences Education, 27(3), 817–846. https://doi.org/10.1007/s10459-022-10112-y
  • Van Schuylenbergh, J., Motmans, J., & Coene, G. (2018). Transgender and non-binary persons and sexual risk: A critical review of 10 years of research from a feminist intersectional perspective. Critical Social Policy, 38(1), 121–142. https://doi.org/10.1177/0261018317732478
  • VERBI Software. (2021). MAXQDA 2022 [computer software]. www.maxqda.com.
  • Vincent, B. W. (2018). Studying trans: Recommendations for ethical recruitment and collaboration with transgender participants in academic research. Psychology & Sexuality, 9(2), 102–116. https://doi.org/10.1080/19419899.2018.1434558
  • Wesp, L. M., Malcoe, L. H., Elliott, A., & Poteat, T. (2019). Intersectionality research for transgender health justice: A theory-driven conceptual framework for structural analysis of transgender health inequities. Transgender Health, 4(1), 287–296. https://doi.org/10.1089/trgh.2019.0039
  • West, C., & Zimmerman, D. H. (1987). Doing gender. Gender & Society, 1(2), 125–151. https://doi.org/10.1177/0891243287001002002
  • Weyers, S., Garland, S. M., Cruickshank, M., Kyrgiou, M., & Arbyn, M. (2021). Cervical cancer prevention in transgender men: A review. BJOG: An International Journal of Obstetrics & Gynaecology, 128(5), 822–826. https://doi.org/10.1111/1471-0528.16503
  • Whitlock, B. L., Duda, E. S., Elson, M. J., Schwab, P. P., Uner, O. E., Wen, S., & Schneider, J. S. (2019). Primary care in transgender persons. Endocrinology and Metabolism Clinics of North America, 48(2), 377–390. https://doi.org/10.1016/j.ecl.2019.02.004
  • Wiepjes, C. M., Nota, N. M., de Blok, C. J. M., Klaver, M., de Vries, A. L. C., Wensing-Kruger, S. A., de Jongh, R. T., Bouman, M. B., Steensma, T. D., Cohen-Kettenis, P., Gooren, L. J. G., Kreukels, B. P. C., & den Heijer, M. (2018). The Amsterdam cohort of gender dysphoria study (1972–2015): Trends in prevalence, treatment, and regrets. The Journal of Sexual Medicine, 15(4), 582–590. https://doi.org/10.1016/j.jsxm.2018.01.016
  • Wylie, K., Knudson, G., Khan, S. I., Bonierbale, M., Watanyusakul, S., & Baral, S. (2016). Serving transgender people: Clinical care considerations and service delivery models in transgender health. The Lancet, 388(10042), 401–411. https://doi.org/10.1016/S0140-6736(16)00682-6
  • Zhang, Q., Goodman, M., Adams, N., Corneil, T., Hashemi, L., Kreukels, B., Motmans, J., Snyder, R., & Coleman, E. (2020). Epidemiological considerations in transgender health: A systematic review with focus on higher quality data. International Journal of Transgender Health, 21(2), 125–137. https://doi.org/10.1080/26895269.2020.1753136