‘I have had several providers who recognize my humanity’: exploring the overall health and positive healthcare interactions of transgender and gender diverse college students

Abstract

To date, little research has focused on transgender and gender diverse (TGD) college students’ experiences with health services; most of the literature around TGD health focuses on barriers to care. During the 2021–22 academic year, a collective of researchers, university health service providers, and transgender/gender diverse community members collaborated to conduct a pilot study of TGD students (undergraduate and graduate) at the University of Michigan, on topics related to health, wellness, and their campus experience. This mixed-methods analysis investigates participants’ (N = 121) overall health, mental health, and access to trans-inclusive primary care providers, as well as self-reported qualitative responses regarding both how they take care of their health, and positive experiences in accessing beneficial and affirming health care. Students noted positive practices that we themed into concrete actions – at the interpersonal, organizational, and institutional levels – and recognizing humanity/agency. The students also reported a range of practices for taking care of themselves and staying healthy, which we organized into three themes: traditional, self-reflective, and connective methods. We conclude by sharing implications for campus health centers and related organizations.