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Impact of Depsychopathologization of Transgender and Gender Diverse Individuals in ICD-11 on Care Delivery: Looking at Trans Expertise through a Trans Lens

Author

Listed:
  • Anna Baleige

    (EA 75-05 Éducation Éthique Santé, Faculté de Médecine, Université François-Rabelais Tours, 2 Boulevard Tonnellé, 37044 Tours, France)

  • Mathilde Guernut

    (UMR 8163 Savoirs, Textes, Langage, Centre National de la Recherche Scientifique, Université de Lille, Rue du Barreau, BP 60149, 59653 Villeneuve d’Ascq, France)

  • Frédéric Denis

    (EA 75-05 Éducation Éthique Santé, Faculté de Médecine, Université François-Rabelais Tours, 2 Boulevard Tonnellé, 37044 Tours, France
    Service D’odontologie, Centre Hospitalier Universitaire de Tours, 2 Boulevard Tonnellé, 37044 Tours, France)

Abstract

Depsychopathologization of transgender and gender diverse (TGD) individuals in the eleventh revision of the International Classification of Diseases (ICD-11) called for a shift in care delivery models, based on free and informed consent. Public health policies face epistemic and discriminatory challenges and consensus built on evidence-based data is needed. TGD communities were consulted but did not actively participate in ICD-11 and the following public health debates. There is a need for TGD perspective—both in research and practice. This study draws on a peer-led participatory approach and explores TGD participants’ recommendations based on unexploited French data from ICD-11, in which 72 TGD gave feedback on public policies. Lexicometric analyses were conducted using the ALCESTE method and resulted in a two-step double Descending Hierarchical Classification. Sex, gender, and health consumption were analyzed as secondary variables. The first classification highlighted five main topics: care pathways, training of professionals, access, literacy, and civil status change, developed into 12 targets in the second classification. While sex and gender appeared to have little impact on discourses, recommendations varied according to received care. This study supports the growing scientific consensus of a public health approach to face TGD health challenges and emphasizes TGD individuals’ expertise.

Suggested Citation

  • Anna Baleige & Mathilde Guernut & Frédéric Denis, 2022. "Impact of Depsychopathologization of Transgender and Gender Diverse Individuals in ICD-11 on Care Delivery: Looking at Trans Expertise through a Trans Lens," IJERPH, MDPI, vol. 19(20), pages 1-13, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:20:p:13257-:d:942322
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    References listed on IDEAS

    as
    1. Cruz, Taylor M., 2014. "Assessing access to care for transgender and gender nonconforming people: A consideration of diversity in combating discrimination," Social Science & Medicine, Elsevier, vol. 110(C), pages 65-73.
    2. Anna Baleige & Mathilde Guernut & Frédéric Denis, 2022. "Trans Expertise and the Revision and Translation of ICD-11: An Analysis of Available French Data from a Trans Perspective," IJERPH, MDPI, vol. 19(19), pages 1-11, September.
    3. Maria Elisa Castro-Peraza & Jesús Manuel García-Acosta & Naira Delgado & Ana María Perdomo-Hernández & Maria Inmaculada Sosa-Alvarez & Rosa Llabrés-Solé & Nieves Doria Lorenzo-Rocha, 2019. "Gender Identity: The Human Right of Depathologization," IJERPH, MDPI, vol. 16(6), pages 1-11, March.
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