Abstract
Transgender and gender nonconforming (TGNC) individuals experience increased risk to mental and physical health concerns based on minority stress variables, including discrimination, internalized stigma, and expectations of violence. Research in this area displays a disconnect between provider and TGNC individuals seeking care. This study sought to improve cultural competency in research with TGNC individuals, with the ultimate goal to further explore cultural competency factors in work with TGNC individuals in research and clinically. Mixed methods research was conducted with trans masculine, trans feminine, and nonbinary identifying individuals to pilot survey measures before administration in a larger study.
Highlights
Based on lived experiences and internal stressors, transgender and gender nonconforming (TGNC) individuals may face increased risk to a number of mental and physical health concerns
Transgender and gender nonconforming (TGNC) individuals experience increased risk to mental and physical health concerns based on minority stress variables, including discrimination, internalized stigma, and expectations of violence
Research in this area displays a disconnect between provider and TGNC individuals seeking care
Summary
Based on lived experiences and internal stressors, transgender and gender nonconforming (TGNC) individuals may face increased risk to a number of mental and physical health concerns. PORTZ AND BURNS with culturally diverse populations, including utilizing focus groups to relate positively across cultural groups.[1,2] This toolkit formed the foundation of the interactions within this study, including use of strategies such as collaborating with a cultural insider, gaining education on cultural concerns and topics, practicing cultural humility, respecting confidentiality, displaying long-term commitment, and acknowledging the importance of fluidity and flexibility These strategies, among others discussed by Wardale et al, are essential when building rapport and connecting with groups facing social stigma, such as TGNC individuals, who may be more reluctant to trust an outside researcher.[1,3]. The results from the focus groups guided the research to make any necessary changes to the overall study to ensure that the testing was completed both respectfully and accurately with a TGNC population before starting recruitment for the larger study, in which minority stress factors would be explored
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