No label defined (Q32009)
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- The lived experiences of transgender and gender-diverse people in accessing publicly funded penile-inversion vaginoplasty in Canada.
| Language | Label | Description | Also known as |
|---|---|---|---|
| English | No label defined |
No description defined |
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Statements
Canada's health care systems underserve people who are transgender and gender diverse (TGD), leading to unique disparities not experienced by other patient groups, such as in accessing gender-affirmation surgery. (English)
BACKGROUND (English)
© 2024 CMA Impact Inc. or its licensors. (English)
2024
We sought to explore the experiences of TGD people seeking and accessing gender-affirmation surgery at a publicly funded hospital in Canada to identify opportunities to improve the current system. (English)
BACKGROUND (English)
© 2024 CMA Impact Inc. or its licensors. (English)
2024
We used hermeneutic phenomenology according to Max van Manen to conduct this qualitative study. (English)
METHODS (English)
© 2024 CMA Impact Inc. or its licensors. (English)
2024
Between January and August 2022, we conducted interviews with TGD people who had undergone penile-inversion vaginoplasty at Women's College Hospital, Toronto, Ontario, since June 2019. (English)
METHODS (English)
© 2024 CMA Impact Inc. or its licensors. (English)
2024
We conducted interviews via Microsoft Teams and transcribed them verbatim. (English)
METHODS (English)
© 2024 CMA Impact Inc. or its licensors. (English)
2024
We coded the transcripts using NVivo version 12. (English)
METHODS (English)
© 2024 CMA Impact Inc. or its licensors. (English)
2024
Using inductive analysis, we constructed themes, which we mapped onto van Manen's framework of lived body, lived time, lived space, and lived human relations. (English)
METHODS (English)
© 2024 CMA Impact Inc. or its licensors. (English)
2024
We interviewed 15 participants who had undergone penile-inversion vaginoplasty; they predominantly self-identified as transgender women (<i>n</i> = 13) and White (<i>n</i> = 14). (English)
RESULTS (English)
© 2024 CMA Impact Inc. or its licensors. (English)
2024
Participants lived in rural (<i>n</i> = 4), suburban (<i>n</i> = 5), or urban (<i>n</i> = 6) locations. (English)
RESULTS (English)
© 2024 CMA Impact Inc. or its licensors. (English)
2024
Their median age was 32 (range 27-67) years. (English)
RESULTS (English)
© 2024 CMA Impact Inc. or its licensors. (English)
2024
We identified 11 themes that demonstrated the interconnected nature of TGD peoples' lived experiences over many years leading up to accessing gender-affirmation surgery. (English)
RESULTS (English)
© 2024 CMA Impact Inc. or its licensors. (English)
2024
These themes emphasized the role of the body in experiencing the world and shaping identity, the lived experience of the body in shaping human connectedness, and participants' intersecting identities and emotional pain (lived body); participants' experiences of the passage of time and progression of events (lived time); environments inducing existential anxiety or fostering affirmation, the [...] (English)
RESULTS (English)
© 2024 CMA Impact Inc. or its licensors. (English)
2024
Our findings reveal TGD patients' lived experiences as they navigated a lengthy and often difficult journey to penile-inversion vaginoplasty. (English)
INTERPRETATION (English)
© 2024 CMA Impact Inc. or its licensors. (English)
2024
They suggest a need for improved access to gender-affirmation surgery by reducing wait times, increasing capacity, and improving care experiences. (English)
INTERPRETATION (English)
© 2024 CMA Impact Inc. or its licensors. (English)
2024
Gianni R (English)
Lorello (English)
GR
Aradhana (English)
Tewari (English)
A
Marudan (English)
Sivagurunathan (English)
M
Emery (English)
Potter (English)
E
Yonah (English)
Krakowsky (English)
Y
David R (English)
Urbach (English)
DR
6 September 2024
2 July 2024
Competing interests:: Gianni Lorello reports funding from the Canadian Institutes of Health Research (CIHR), Social Sciences and Humanities Research Council, the Royal College of Physician and Surgeons of Canada, and the University of Toronto, as well as remunerated positions for the Royal College of Physicians and Surgeons of Canada as well as the University of Toronto, MD Program. (English)
He is a guest editor with the Canadian Journal of Anesthesia. (English)
Emery Potter reports funding from the CIHR and consulting fees from Rainbow Health Ontario. (English)