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Gender Work and Health for Trans Health Providers: A Focus on Transmen

机译：跨性别健康提供者的性别工作与健康：以跨性别为重点

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Well-documented health research points to trans people's vulnerability to health inequities that are linked to deeply embedded structural and social determinants of health. Gender and work, as social determinants of health for trans people, both shape and are shaped by multiple factors such as support networks, social environments, income and social status, shelter, and personal health practices. There is a gap in the nursing literature in regards to research on work and health for diverse trans people and a virtual silence on the particular issues of trans-identified health providers. This qualitative study used comparative life history methodology and purposeful sampling to examine links among work, career, and health for transmen who are health providers. Semistructured interviews were completed with four Canadian transmen involved in health care professional and/or practice contexts with diverse professions, age, work, and transitioning experiences. Critical gender analysis showed that unique and gender-related critical events and influences shape continuities and discontinuities in their careerlives. This strength-based approach foregrounds how resilience and growth emerged through participants' articulation with everyday gender dynamics. These findings have implications for nursing research, education, and practice that include an understanding of how trans providers “do transgender work” and supporting them in that process.
机译：有据可查的健康研究指出，跨性别者容易受到健康不平等的影响，而健康不平等与健康的深层结构和社会决定因素有关。性别和工作，作为跨性别者健康的社会决定因素，既受支持网络，社会环境，收入和社会地位，住房和个人健康习惯等因素的影响，又受其影响。护理文献在针对跨性别者的工作和健康研究方面存在空白，对跨性别健康提供者的特定问题几乎保持沉默。这项定性研究使用比较性的生活史方法和有目的的抽样来检查健康提供者的跨性别工作，职业和健康之间的联系。半结构化访谈完成了四个加拿大跨界人士的参与，他们涉及医疗保健专业和/或实践背景，具有不同的职业，年龄，工作和过渡经验。关键性别分析表明，独特且与性别相关的关键事件及其影响塑造了他们职业生涯的连续性和不连续性。这种基于力量的方法展望了参与者如何通过每天的性别动态表达弹性和增长能力。这些发现对护理研究，教育和实践具有重要意义，其中包括对跨性别提供者如何“开展跨性别工作”并在此过程中提供支持的理解。

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