Transgender people: health at the margins of society
Summary In this paper we examine the social and legal conditions in which many transgender people (often called trans people) live, and the medical perspectives that frame the provision of health care for transgender people across much of the world. Modern research shows much higher numbers of trans...
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Veröffentlicht in: | The Lancet (British edition) 2016-07, Vol.388 (10042), p.390-400 |
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creator | Winter, Sam, Dr Diamond, Milton, PhD Green, Jamison, PhD Karasic, Dan, MD Reed, Terry, Grad Dip Phys Whittle, Stephen, PhD Wylie, Kevan, MD |
description | Summary In this paper we examine the social and legal conditions in which many transgender people (often called trans people) live, and the medical perspectives that frame the provision of health care for transgender people across much of the world. Modern research shows much higher numbers of transgender people than were apparent in earlier clinic-based studies, as well as biological factors associated with gender incongruence. We examine research showing that many transgender people live on the margins of society, facing stigma, discrimination, exclusion, violence, and poor health. They often experience difficulties accessing appropriate health care, whether specific to their gender needs or more general in nature. Some governments are taking steps to address human rights issues and provide better legal protection for transgender people, but this action is by no means universal. The mental illness perspective that currently frames health-care provision for transgender people across much of the world is under scrutiny. The WHO diagnostic manual may soon abandon its current classification of transgender people as mentally disordered. Debate exists as to whether there should be a diagnosis of any sort for transgender children below the age of puberty. |
doi_str_mv | 10.1016/S0140-6736(16)00683-8 |
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Modern research shows much higher numbers of transgender people than were apparent in earlier clinic-based studies, as well as biological factors associated with gender incongruence. We examine research showing that many transgender people live on the margins of society, facing stigma, discrimination, exclusion, violence, and poor health. They often experience difficulties accessing appropriate health care, whether specific to their gender needs or more general in nature. Some governments are taking steps to address human rights issues and provide better legal protection for transgender people, but this action is by no means universal. The mental illness perspective that currently frames health-care provision for transgender people across much of the world is under scrutiny. The WHO diagnostic manual may soon abandon its current classification of transgender people as mentally disordered. Debate exists as to whether there should be a diagnosis of any sort for transgender children below the age of puberty.</description><identifier>ISSN: 0140-6736</identifier><identifier>EISSN: 1474-547X</identifier><identifier>DOI: 10.1016/S0140-6736(16)00683-8</identifier><identifier>PMID: 27323925</identifier><identifier>CODEN: LANCAO</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Gender Dysphoria - diagnosis ; Gender Dysphoria - etiology ; Gender Identity ; Global health ; Health care ; Health disparities ; Health Services Accessibility ; Health Status ; Human Rights ; Humans ; Internal Medicine ; Mental disorders ; Minority Health - statistics & numerical data ; Social Stigma ; Society ; Transgender persons ; Transgender Persons - psychology ; Transgender Persons - statistics & numerical data</subject><ispartof>The Lancet (British edition), 2016-07, Vol.388 (10042), p.390-400</ispartof><rights>Elsevier Ltd</rights><rights>2016 Elsevier Ltd</rights><rights>Copyright © 2016 Elsevier Ltd. All rights reserved.</rights><rights>Copyright Elsevier Limited Jul 23, 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c617t-134e418075da066eeb1fbd12309d3149d97593fcb7d13680854f3530988374753</citedby><cites>FETCH-LOGICAL-c617t-134e418075da066eeb1fbd12309d3149d97593fcb7d13680854f3530988374753</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1807931741?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27323925$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Winter, Sam, Dr</creatorcontrib><creatorcontrib>Diamond, Milton, PhD</creatorcontrib><creatorcontrib>Green, Jamison, PhD</creatorcontrib><creatorcontrib>Karasic, Dan, MD</creatorcontrib><creatorcontrib>Reed, Terry, Grad Dip Phys</creatorcontrib><creatorcontrib>Whittle, Stephen, PhD</creatorcontrib><creatorcontrib>Wylie, Kevan, MD</creatorcontrib><title>Transgender people: health at the margins of society</title><title>The Lancet (British edition)</title><addtitle>Lancet</addtitle><description>Summary In this paper we examine the social and legal conditions in which many transgender people (often called trans people) live, and the medical perspectives that frame the provision of health care for transgender people across much of the world. Modern research shows much higher numbers of transgender people than were apparent in earlier clinic-based studies, as well as biological factors associated with gender incongruence. We examine research showing that many transgender people live on the margins of society, facing stigma, discrimination, exclusion, violence, and poor health. They often experience difficulties accessing appropriate health care, whether specific to their gender needs or more general in nature. Some governments are taking steps to address human rights issues and provide better legal protection for transgender people, but this action is by no means universal. The mental illness perspective that currently frames health-care provision for transgender people across much of the world is under scrutiny. The WHO diagnostic manual may soon abandon its current classification of transgender people as mentally disordered. Debate exists as to whether there should be a diagnosis of any sort for transgender children below the age of puberty.</description><subject>Gender Dysphoria - diagnosis</subject><subject>Gender Dysphoria - etiology</subject><subject>Gender Identity</subject><subject>Global health</subject><subject>Health care</subject><subject>Health disparities</subject><subject>Health Services Accessibility</subject><subject>Health Status</subject><subject>Human Rights</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Mental disorders</subject><subject>Minority Health - statistics & numerical data</subject><subject>Social Stigma</subject><subject>Society</subject><subject>Transgender persons</subject><subject>Transgender Persons - psychology</subject><subject>Transgender Persons - statistics & numerical 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Debate exists as to whether there should be a diagnosis of any sort for transgender children below the age of puberty.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>27323925</pmid><doi>10.1016/S0140-6736(16)00683-8</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Gender Dysphoria - diagnosis Gender Dysphoria - etiology Gender Identity Global health Health care Health disparities Health Services Accessibility Health Status Human Rights Humans Internal Medicine Mental disorders Minority Health - statistics & numerical data Social Stigma Society Transgender persons Transgender Persons - psychology Transgender Persons - statistics & numerical data |
title | Transgender people: health at the margins of society |
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