Abstract
Transgender people experience intersecting forms of social marginalization and are disproportionately affected by health inequities. We elucidate a novel conceptual framework for transgender health research that theorizes the constructs and pathways through which social inequities produce health inequities for transgender populations. Drawing on theories of intersectionality and structural injustice, Intersectionality Research for Transgender Health Justice (IRTHJ) posits that social and health inequities affecting transgender populations are the result of status quo power relations produced within and between oppressive structures, institutional systems, and socio-structural processes. The IRTHJ framework delineates three main actions for improving transgender health research: (i) name intersecting power relations, (ii) disrupt the status quo, and (iii) center embodied knowledge. The authors show how IRTHJ provides tools for researchers to transform the design, implementation, and interpretation of transgender health research, and they discuss implications for programs, policy, and action for transgender health justice.
Highlights
Transgender{ people globally experience intersecting forms of social marginalization and are disproportionately affected by health inequities.[1]
Estimates suggest that United States Black and Latina transgender women account for nearly 93% of all transgender homicide victims, and that these women are murdered at higher rates than Black and Latina cisgender women.[10]
Structures of domination (Fig. 1, Layer 1) include the various forms of structural oppression and underlying ideologies that, we argue, cause social health inequities for transgender populations
Summary
Transgender{ people globally experience intersecting forms of social marginalization and are disproportionately affected by health inequities.[1]. These approaches emphasize trust-building as a continuum, while acknowledging historically unjust relationships between marginalized communities and researchers.[52] To center embodied knowledge, researchers can draw from core principles of community-based participatory research and participatory action research, such as building meaningful relationships, acknowledging and sharing power, encouraging participation, privileging the community’s knowledge, and making equity-oriented change.[53]
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