“I Have Nowhere to Go”: A Multiple-Case Study of Transgender and Gender Diverse Youth, Their Families, and Healthcare Experiences

Megan S. Paceley, Jennifer Ananda, Margaret M. C. Thomas, Isaac Sanders, Delaney Hiegert and Taylor Davis Monley
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Megan S. Paceley: School of Social Welfare, University of Kansas, 1545 Lilac Lane, Lawrence, KS 66045, USA
Jennifer Ananda: School of Social Welfare, University of Kansas, 1545 Lilac Lane, Lawrence, KS 66045, USA
Margaret M. C. Thomas: Luskin School of Public Affairs, University of California Los Angeles, 3250 Public Affairs Building, Los Angeles, CA 90095, USA
Isaac Sanders: A Way Home Washington, 1200 12th Ave. S. Suite 710, Seattle, WA 98144, USA
Delaney Hiegert: School of Law, University of Kansas, 1535 W 15th Street, Lawrence, KS 66045, USA
Taylor Davis Monley: School of Social Welfare, University of Kansas, 1545 Lilac Lane, Lawrence, KS 66045, USA

IJERPH, 2021, vol. 18, issue 17, 1-15

Abstract: Transgender and gender diverse (TGD) youth experience health disparities due to stigma and victimization. Gender-affirming healthcare mitigates these challenges; yet, we have limited understanding of TGD youth’s healthcare experiences in the U.S. Midwest and South. Using a multiple case study design, we aimed to develop an in-depth and cross-contextual understanding of TGD youth healthcare experiences in one Midwestern state. Families with a TGD child under 18 were recruited with the goal of cross-case diversity by child age, gender, race, and/or region of the state; we obtained diversity in child age and region only. Four white families with TGD boys or non-binary youth (4–16) in rural, suburban, and small towns participated in interviews and observations for one year; public data were collected from each family’s community. Thematic analysis was used within and across cases to develop both family-level understanding and identify themes across families. Findings include a summary of each family as it relates to their child’s TGD healthcare experiences as well as the themes identified across cases: accessibility and affirming care. Although limited by a small sample with lack of gender and race diversity, this study contributes to our understanding of TGD youth healthcare in understudied regions.

Keywords: transgender; healthcare; children; adolescents; Midwest (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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