Abstract

Purpose: Members of the transgender community face significant health disparities within our society, especially within the state of West Virginia, which is primarily rural. We sought to examine and compare existing attitudes and knowledge of resident and faculty physician medical professionals at our institution about treating transgender individuals within a rural tertiary care center.Methods: The Medical Practitioner Attitudes Towards Transgender Patients (MP-ATTS) survey and the Medical Practitioner Beliefs and Knowledge about Treating Transgender Patients (MP-BKTTP) survey were sent to all faculty and resident physicians at West Virginia University Hospitals. Demographics included information about gender, rurality of hometown, race, and description of medical practitioner status (i.e., years out of residency, residency status).Findings: In general, there were positive attitudes and reception of the survey among residents and faculty physicians. 76.45% of providers assumed that their patients were not transgender. More than 40% of respondents believed that they would need further education about transgender patients to provide appropriate health care. Male health care providers had significantly higher negative perceptions of the transgender community (N=85, M=4.46, standard deviation [SD]=0.55, p<0.0001) and perceived fewer barriers due to personnel (N=80, M=3.24, SD=0.96, p<0.0001).Conclusion: A clear need exists for increased training in transgender health care among physicians taking care of this patient population. A gender divide exists among health care providers within West Virginia over attitudes regarding the transgender community. Further studies are needed to fully understand the health care needs and barriers of the transgender population.

Highlights

  • Members of the transgender community face significant health disparities within our society

  • In 2011, the Institute of Medicine (IOM) issued a report which states that do the transgender population experience health care disparities when compared with their cisgender peers, the type and extent of these disparities vary across age and specific orientation.[1]

  • Strong positive patterns of endorsement were seen for items such as Transgender patients deserve the same level of quality care from medical institutions as cisgender patients (84% strongly agree), I would prefer not to treat transgender patients (69% strongly disagree), and I am willing to treat transgender patients within my scope of practice (69% strongly agree)

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Summary

Introduction

Members of the transgender community face significant health disparities within our society. In 2011, the Institute of Medicine (IOM) issued a report which states that do the transgender population experience health care disparities when compared with their cisgender peers, the type and extent of these disparities vary across age and specific orientation.[1] the transgender community are more likely to avoid or delay seeking health care compared with heterosexuals.[2] They are less likely to have health insurance coverage than their cisgender counterparts,.

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