Exploring Transgender Adults' Perceptions of, and Experiences with, Primary and Emergency Care in Nova Scotia

Abstract

Transgender individuals face many barriers to pursuing health care. Current literature focuses on physician-client interactions and the negative effects that barriers have on one's health. Using qualitative research methods, the objective of this study was to explore eight transgender adults' perceptions of, and experiences with, primary and emergency care in Nova Scotia. Findings reveal that transgender adults often feel socially excluded from primary and emergency care. This social exclusion can manifest within relationships with health care providers and staff, within the place of care, within the physical environment, and within the social environment. Some individuals experience social inclusion, although these experiences appear to be less frequent than those in which individuals feel excluded. The findings suggest that there is a "discrimination continuum." Furthermore, the findings indicate that transgender adults are expected to take an active role in their care. Implications for health care providers and policy makers are provided.