Seeking gender-affirming medical care: A phenomenological inquiry on skillful coping with transgender and non-binary adults in the United States Midwest

This study sought to understand how transgender and gender non-binary (TGNB) individuals skillfully cope with healthcare services and to explore how childhood experiences impact expectations, habits, and meaning-making when utilizing healthcare services. Using an interpretive phenomenological appro...

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Main Authors: Katie Heiden-Rootes, Dixie Meyer, Renata Sledge, Bryce K. Davis, Theresa Drallmeier, Whitney Linsenmeyer, Samantha Levine, Michelle R. Dalton
Format: Article
Language:English
Published: KeAi Communications Co., Ltd. 2023-12-01
Series:Qualitative Research in Medicine & Healthcare
Subjects:
Online Access:https://www.pagepressjournals.org/index.php/qrmh/article/view/11485
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author Katie Heiden-Rootes
Dixie Meyer
Renata Sledge
Bryce K. Davis
Theresa Drallmeier
Whitney Linsenmeyer
Samantha Levine
Michelle R. Dalton
author_facet Katie Heiden-Rootes
Dixie Meyer
Renata Sledge
Bryce K. Davis
Theresa Drallmeier
Whitney Linsenmeyer
Samantha Levine
Michelle R. Dalton
author_sort Katie Heiden-Rootes
collection DOAJ
description This study sought to understand how transgender and gender non-binary (TGNB) individuals skillfully cope with healthcare services and to explore how childhood experiences impact expectations, habits, and meaning-making when utilizing healthcare services. Using an interpretive phenomenological approach, we sampled 17, White TGNB adults in the United States, ages 19 to 57, using semi-structed interviews about childhood experiences with healthcare utilization and adult experiences seeking genderaffirming healthcare. Analysis identified one main theme—Anticipate the worst in healthcare and be pleasantly surprised—and three subthemes: i) contrast between positive childhood and negative adulthood experiences in medical care; ii) coping practices for the worst; and iii) finding your unicorn doctor and medical staff for pleasant experiences. Results indicate participants experienced a disruption and acquisition of new coping practices in healthcare settings and the cultivation of a radical imagination for a more liberated medical world for TGNB people. Implications for providers and medical offices for empowering TGNB adults are described.
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spelling doaj-art-b37b299b594f4bba955d66a46becfe0b2025-08-20T03:35:58ZengKeAi Communications Co., Ltd.Qualitative Research in Medicine & Healthcare2532-20442023-12-017310.4081/qrmh.2023.11485Seeking gender-affirming medical care: A phenomenological inquiry on skillful coping with transgender and non-binary adults in the United States MidwestKatie Heiden-Rootes0Dixie Meyer1Renata Sledge2Bryce K. Davis3Theresa Drallmeier4Whitney Linsenmeyer5Samantha Levine6Michelle R. Dalton7Department of Family & Community Medicine, Saint Louis University, St. Louis, MissouriDepartment of Family & Community Medicine, Saint Louis University, St. Louis, MissouriDepartment of Family & Community Medicine, Saint Louis University, St. Louis, MissouriClinical Psychology Program, Department of Psychology, Saint Louis University, St. Louis, MissouriDepartment of Family & Community Medicine, Saint Louis University, St. Louis, MissouriDoisy College of Health Science, Department of Nutrition and Dietetics, Saint Louis University, St. Louis, MissouriDepartment of Family & Community Medicine, Saint Louis University, St. Louis, MissouriDepartment of Family & Community Medicine, Saint Louis University, St. Louis, Missouri This study sought to understand how transgender and gender non-binary (TGNB) individuals skillfully cope with healthcare services and to explore how childhood experiences impact expectations, habits, and meaning-making when utilizing healthcare services. Using an interpretive phenomenological approach, we sampled 17, White TGNB adults in the United States, ages 19 to 57, using semi-structed interviews about childhood experiences with healthcare utilization and adult experiences seeking genderaffirming healthcare. Analysis identified one main theme—Anticipate the worst in healthcare and be pleasantly surprised—and three subthemes: i) contrast between positive childhood and negative adulthood experiences in medical care; ii) coping practices for the worst; and iii) finding your unicorn doctor and medical staff for pleasant experiences. Results indicate participants experienced a disruption and acquisition of new coping practices in healthcare settings and the cultivation of a radical imagination for a more liberated medical world for TGNB people. Implications for providers and medical offices for empowering TGNB adults are described. https://www.pagepressjournals.org/index.php/qrmh/article/view/11485Transgendergender-affirming healthcarequalitative researchphenomenologycoping
spellingShingle Katie Heiden-Rootes
Dixie Meyer
Renata Sledge
Bryce K. Davis
Theresa Drallmeier
Whitney Linsenmeyer
Samantha Levine
Michelle R. Dalton
Seeking gender-affirming medical care: A phenomenological inquiry on skillful coping with transgender and non-binary adults in the United States Midwest
Qualitative Research in Medicine & Healthcare
Transgender
gender-affirming healthcare
qualitative research
phenomenology
coping
title Seeking gender-affirming medical care: A phenomenological inquiry on skillful coping with transgender and non-binary adults in the United States Midwest
title_full Seeking gender-affirming medical care: A phenomenological inquiry on skillful coping with transgender and non-binary adults in the United States Midwest
title_fullStr Seeking gender-affirming medical care: A phenomenological inquiry on skillful coping with transgender and non-binary adults in the United States Midwest
title_full_unstemmed Seeking gender-affirming medical care: A phenomenological inquiry on skillful coping with transgender and non-binary adults in the United States Midwest
title_short Seeking gender-affirming medical care: A phenomenological inquiry on skillful coping with transgender and non-binary adults in the United States Midwest
title_sort seeking gender affirming medical care a phenomenological inquiry on skillful coping with transgender and non binary adults in the united states midwest
topic Transgender
gender-affirming healthcare
qualitative research
phenomenology
coping
url https://www.pagepressjournals.org/index.php/qrmh/article/view/11485
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