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“That’s not at all what I needed” trans adults' perspectives on trans-affirming primary care and eating disorders

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  • Smith, Emil K.
  • Harrop, Erin N.

Abstract

Transgender and gender diverse adults, referred to collectively as trans, experience eating disorders (EDs) at high rates and struggle to find primary care providers (PCPs) knowledgeable in both gender-affirming care and EDs. Most research regarding healthcare experiences of trans people with EDs focuses on specialized treatment. This qualitative study explored the experiences of trans patients with ED symptoms in trans-affirming primary care, which offers clinical support for gender affirmation in the context of interpersonally gender-affirming primary care services. Twenty-two participants were recruited via social media to participate in focus groups (n = 5). Researchers utilized thematic analysis. Participants reported gender-affirming and non-affirming experiences, experienced unwelcome comments from providers regarding bodies and gender, encountered barriers to disclosing their ED symptoms, felt transition-related medical care supported recovery but did not always resolve their ED symptoms, felt they had to self-advocate, and wanted their providers to recognize them as whole people (beyond their ED and transness) who experience joy. Importantly, despite being trans-affirming, participants critiqued trans-affirming primary care as perpetuating weight stigma and binary gender norms. Participants recommended providers receive ED training, implement universal ED screening, and explore how sociocultural norms regarding weight and gender negatively impact trans health outcomes.

Suggested Citation

  • Smith, Emil K. & Harrop, Erin N., 2024. "“That’s not at all what I needed” trans adults' perspectives on trans-affirming primary care and eating disorders," Social Science & Medicine, Elsevier, vol. 348(C).
    • Handle: RePEc:eee:socmed:v:348:y:2024:i:c:s0277953624002806
    DOI: 10.1016/j.socscimed.2024.116836
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    References listed on IDEAS

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    1. Metzl, Jonathan M. & Hansen, Helena, 2014. "Structural competency: Theorizing a new medical engagement with stigma and inequality," Social Science & Medicine, Elsevier, vol. 103(C), pages 126-133.
    2. Carpenter, Christopher S. & Lee, Maxine J. & Nettuno, Laura, 2022. "Economic Outcomes for Transgender People and Other Gender Minorities in the United States: First Estimates from a Nationally Representative Sample," IZA Discussion Papers 15116, Institute of Labor Economics (IZA).
    3. Christopher S. Carpenter & Maxine J. Lee & Laura Nettuno, 2022. "Economic outcomes for transgender people and other gender minorities in the United States: First estimates from a nationally representative sample," Southern Economic Journal, John Wiley & Sons, vol. 89(2), pages 280-304, October.
    4. Nicole Gideon & Nick Hawkes & Jonathan Mond & Rob Saunders & Kate Tchanturia & Lucy Serpell, 2016. "Development and Psychometric Validation of the EDE-QS, a 12 Item Short Form of the Eating Disorder Examination Questionnaire (EDE-Q)," PLOS ONE, Public Library of Science, vol. 11(5), pages 1-19, May.
    5. Jann, J.T. & Edmiston, E.K. & Ehrenfeld, J.M., 2015. "Important considerations for addressing LGBT health care competency," American Journal of Public Health, American Public Health Association, vol. 105(11), pages 1-8.
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