Background Gender diverse people with a chronic illness and/or disability (CI/D) encounter stigma and disempowerment at all social-ecological levels, reducing access to individual health promoting behaviors resulting in population disparities. Living the intersection of two populations experiencing social marginalization, this group is also higher risk stress—a factor that leads suboptimal outcomes over life span.

Microaggressions are subtle derogatory behaviors that unintentionally communicate hostility toward marginalized social groups. This article describes the preliminarily validation of a framework for observing LGBTQ+ microaggressions in health care, which can lead to distrust and disengagement from healthcare system. Coders used observe video-recorded clinical-skills assessments with medical students who elicited histories standardized patients. Microaggression classifications were reviewed...

Issue: Inadequate training around gender-affirming care is a critical gap in health and medical education that causes disparities leads to injury for transgender, nonbinary, other gender-diverse patients. In contrast this widespread provider knowledge gap, patients bring from their own experiences care. Embracing varied epistemologies, or sources of knowledge, within has the potential enhance by intentionally placing value on lived emphasizing credibility Evidence: article, authors endorse...

Sexual violence (SV) is a public health crisis that disproportionately impacts minoritized communities. SV prominently associated with post-traumatic stress disorder (PTSD) and related outcomes. Access to early psychosocial intervention may be effective for reducing the long-term consequences. Community-based organizations (CBOs) are uniquely positioned address immediate support needs of survivors SV. However, significant barriers exist CBO service engagement. Engaging individuals lived...

This paper explores the health care experiences of individuals who are transgender and/or nonbinary (TGNB) and live with a chronic illness disability (CI/D). Using an interpretivist epistemological worldview intersectional lens, research team explored compounded barriers faced by this patient population propose solutions for improving their care. The study conducted in-depth interviews TGNB self-identified as having CI/D to understand experiences. interdisciplinary team, which includes...

Abstract This article explores the ways in which gendered processes play out through professionalization of chaplains healthcare settings. It describes how gender manifests within organizations, literature addresses role professionalization, and considerations for professional chaplaincy. Fifty interviews with U.S. were analyzed to explore relationship between chaplaincy male female positionality. Although theory moves beyond binary conceptualizations gender, all participants this study...

Many professional chaplaincy organizations in the United States have board certified healthcare chaplains since 1920s and documented how they adapted their process as profession has grown. In 2019, Association of Professional Chaplains National Catholic sought perspectives key stakeholders about certification. This study reports results from 50 semi-structured interviews with certification candidates, committee members, managers States. Participants discussed preparation application,...

Abstract African American caregivers face unique challenges and strengths in addressing the needs of dementia care recipients. The purpose current study was to explore roles familism faith service preferences for caregivers. Through collaborative partnerships among research team, Alzheimer’s’ Association, Area Agency on Aging, local churches, we obtained focus group survey data (N=30) from Most were female (90%) older than 51 years had provided more 3 years. CGs showed strong cultural...

We change paradigms by building a model of the system, which takes us outside system and forces to see it whole. Donella Meadows, 2008, p. 164 SYSTEMS SCIENCE was identified as novel approach in field public health 15+ years ago.1 Since then, has slowly been accepted an alternative scientific paradigm.2 This shift occurred researchers practitioners started focus on outcomes they emerge from interconnections diverse, multilevel factors that are dynamic evolving, opposed discreet behaviors.3,4...

Gender minorities experience extensive health inequities. Discrimination and bias in healthcare are contributing factors. Increasingly, medical educators utilizing patient simulation to teach gender-affirming clinical skills. However, institutional practices vary widely case authoring, casting training. To date, no guidance for ethical practice has been established. minority providers offer an important perspective on this due their embodied knowledge. Transgender non-binary trainees (...

Purpose: Health disparities experienced by gender minority (GM; i.e., transgender or nonbinary) patients have become a recent focus in health professions education. 1 However, trainee competencies, guidelines, and best practices not been established widely discussed. A 2021 study of patient simulation professionals from across the United States Canada found lack consensus about who should portray GM patients. 2 Also, 2020 standardized (SPs) presented important insight into casting...