Health Care Experiences of Transgender Binary and Nonbinary University Students
An increasing number of young adults identify with nonbinary gender identities. Yet health providers and therapists often lack understanding of such identities. In this mixed-methods study of 506 transgender undergraduate and graduate students, most of whom (75%) had nonbinary gender identities, we...
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Veröffentlicht in: | The Counseling psychologist 2019-01, Vol.47 (1), p.59-97 |
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container_title | The Counseling psychologist |
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creator | Goldberg, Abbie E. Kuvalanka, Katherine A. Budge, Stephanie L. Benz, Madeline B. Smith, JuliAnna Z. |
description | An increasing number of young adults identify with nonbinary gender identities. Yet health providers and therapists often lack understanding of such identities. In this mixed-methods study of 506 transgender undergraduate and graduate students, most of whom (75%) had nonbinary gender identities, we aimed to understand participants’ mental health and health care experiences, and factors related to misgendering and less affirming treatment by providers. Eighty-five percent of participants reported mental health challenges, and named fear of violence and nonsupport as distal stressors. Experiences with therapists and health providers were mixed. Salient features of negative interactions were invalidation, avoidance, or overemphasis in regard to participants’ nonbinary identities. Participants viewed counseling services as more affirming than health services. Nonbinary students reported more misgendering by therapists and health providers, and less trans-affirming care by health service providers, compared to binary students. Undergraduate students reported more misgendering by therapists and health providers than graduate students. |
doi_str_mv | 10.1177/0011000019827568 |
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Yet health providers and therapists often lack understanding of such identities. In this mixed-methods study of 506 transgender undergraduate and graduate students, most of whom (75%) had nonbinary gender identities, we aimed to understand participants’ mental health and health care experiences, and factors related to misgendering and less affirming treatment by providers. Eighty-five percent of participants reported mental health challenges, and named fear of violence and nonsupport as distal stressors. Experiences with therapists and health providers were mixed. Salient features of negative interactions were invalidation, avoidance, or overemphasis in regard to participants’ nonbinary identities. Participants viewed counseling services as more affirming than health services. Nonbinary students reported more misgendering by therapists and health providers, and less trans-affirming care by health service providers, compared to binary students. Undergraduate students reported more misgendering by therapists and health providers than graduate students.</description><subject>Avoidance behavior</subject><subject>College students</subject><subject>Counseling</subject><subject>Counseling services</subject><subject>Fear & phobias</subject><subject>Gender</subject><subject>Graduate students</subject><subject>Mental health</subject><subject>Mental health care</subject><subject>Mental health services</subject><subject>Negative interactions</subject><subject>Non-binary gender</subject><subject>Stress</subject><subject>Therapists</subject><subject>Transgender persons</subject><subject>Undergraduate students</subject><subject>University students</subject><subject>Young adults</subject><issn>0011-0000</issn><issn>1552-3861</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNp1UE1Lw0AQXUTBWL17XPAc3dntZjdHLbUVij3YnsMkmdSUuqm7qdh_b2IEQXAuw_A-5vEYuwZxC2DMnRAAohtIrTQ6sScsAq1lrGwCpyzq4bjHz9lFCNueKBMdseWccNe-8gl64tPPPfmaXEGBNxVfeXRhQ64kzx9qh_7I0ZX8uXH5cK1d_UE-1O2Rv7SHklwbLtlZhbtAVz97xNaP09VkHi-Ws6fJ_SIulIY2Rl3qXBYIWuV5F42kLZIy1QKFtFJYo5XEJDGVHGNeCoViTFphpcamymUKasRuBt-9b94PFNps2xy8615mUoJQxupvlhhYhW9C8FRle1-_ddEzEFlfW_a3tk4SD5KAG_o1_Zf_BVD-ay4</recordid><startdate>201901</startdate><enddate>201901</enddate><creator>Goldberg, Abbie E.</creator><creator>Kuvalanka, Katherine A.</creator><creator>Budge, Stephanie L.</creator><creator>Benz, Madeline B.</creator><creator>Smith, JuliAnna Z.</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7U3</scope><scope>BHHNA</scope></search><sort><creationdate>201901</creationdate><title>Health Care Experiences of Transgender Binary and Nonbinary University Students</title><author>Goldberg, Abbie E. ; Kuvalanka, Katherine A. ; Budge, Stephanie L. ; Benz, Madeline B. ; Smith, JuliAnna Z.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c351t-a5d5b2ca153bb011e28c6d950a0282087532a667f24abd03a04e53af347fb2913</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Avoidance behavior</topic><topic>College students</topic><topic>Counseling</topic><topic>Counseling services</topic><topic>Fear & phobias</topic><topic>Gender</topic><topic>Graduate students</topic><topic>Mental health</topic><topic>Mental health care</topic><topic>Mental health services</topic><topic>Negative interactions</topic><topic>Non-binary gender</topic><topic>Stress</topic><topic>Therapists</topic><topic>Transgender persons</topic><topic>Undergraduate students</topic><topic>University students</topic><topic>Young adults</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Goldberg, Abbie E.</creatorcontrib><creatorcontrib>Kuvalanka, Katherine A.</creatorcontrib><creatorcontrib>Budge, Stephanie L.</creatorcontrib><creatorcontrib>Benz, Madeline B.</creatorcontrib><creatorcontrib>Smith, JuliAnna Z.</creatorcontrib><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts</collection><jtitle>The Counseling psychologist</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Goldberg, Abbie E.</au><au>Kuvalanka, Katherine A.</au><au>Budge, Stephanie L.</au><au>Benz, Madeline B.</au><au>Smith, JuliAnna Z.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Health Care Experiences of Transgender Binary and Nonbinary University Students</atitle><jtitle>The Counseling psychologist</jtitle><date>2019-01</date><risdate>2019</risdate><volume>47</volume><issue>1</issue><spage>59</spage><epage>97</epage><pages>59-97</pages><issn>0011-0000</issn><eissn>1552-3861</eissn><abstract>An increasing number of young adults identify with nonbinary gender identities. Yet health providers and therapists often lack understanding of such identities. In this mixed-methods study of 506 transgender undergraduate and graduate students, most of whom (75%) had nonbinary gender identities, we aimed to understand participants’ mental health and health care experiences, and factors related to misgendering and less affirming treatment by providers. Eighty-five percent of participants reported mental health challenges, and named fear of violence and nonsupport as distal stressors. Experiences with therapists and health providers were mixed. Salient features of negative interactions were invalidation, avoidance, or overemphasis in regard to participants’ nonbinary identities. Participants viewed counseling services as more affirming than health services. Nonbinary students reported more misgendering by therapists and health providers, and less trans-affirming care by health service providers, compared to binary students. 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source | Applied Social Sciences Index & Abstracts (ASSIA); SAGE Complete; Sociological Abstracts |
subjects | Avoidance behavior College students Counseling Counseling services Fear & phobias Gender Graduate students Mental health Mental health care Mental health services Negative interactions Non-binary gender Stress Therapists Transgender persons Undergraduate students University students Young adults |
title | Health Care Experiences of Transgender Binary and Nonbinary University Students |
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