1. Transgender Issues in Public Health

2. Presentation objectives:  Participants will be able to define transgender and transexual  Participants will be able to identify preferred terminology for the transgender community  Participants will be able to describe reasons for health disparities within the transgender population

3. Gender  Where do we learn about gender?  Boys are...  Girls are...  Who does this binary system exclude?  What are consequences of this exclusion?

4. LGBT- an umbrella term  Understanding the LGBT acronym  Sexual orientation vs gender identity

5. Sexual orientation  Lesbian  Gay  Bisexual  Heterosexual  Asexual  Pansexual

6. Gender identity  Gender, or Gender Role: traditional behavioral differences between men and women, as defined by the culture in which they live.  Sex: biology and anatomy that determines if a person is male, female or intersex.  Gender Identity: A person’s sense of their own gender, one’s innermost concept of self as “male” or “female”.

7. Transgender  Transgender is considered an umbrella term encompassing many experiences of people who are gender variant:  Transexual  Crossdresser  Intersex  Drag king/ queen  Androgyne  Genderqueer Transgender

8. Demographics  How many trans people do you think there are in the US?  Why might this be hard to discern?

9. Transgender healthcare  Hormones  Body modification  Sex specific health concerns

10. Transgender specific issues  Stigma  Experiences to consider  Bathrooms

11. Transgender specific issues  Violence  Access to appropriate services  Mental health  STDs/HIV

12. Transgender specific issues  Alcohol/ substance abuse  Unemployment/ homelessness  Incarceration  Media Depiction

13. Barriers to healthcare  Invisibility  Historic experiences of bias, discrimination and stigmatization  Healthcare needs may not match their external presentation  Limited insurance coverage

14. Strategies for transgender inclusion  Hire a trans person  Learn about the population and subcultures  Familiarize yourself with the venues and practices

15. Acknowledgements This presentation was designed in Spring 2011 by Curran Saile, Program Director of the Pride Center of the Capital Region done in partial completion of Masters in Public Health requirements at the University at Albany School of Public Health. The project would not have been possible without the support of Mary Applegate, Jennifer Manganello, Cheryl Reeves and the Pride Center of the Capital Region.

16. References American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM IV-TR). Washington, DC, 2000. American Public Health Association, "The Need for Acknowledging Transgendered Individuals Within Research and Clinical Practice," APHA Public Policy 9933, November, 1999. Bockting WO, Robinson BE, Rosser BRS. Transgender HIV prevention: a qualitative needs assessment. AIDS Care. 1998;10(4):505-526. Conway, Lynn. "A comparative analysis of reports on the prevalence of transsexualism” LynnConway.com, September 4, 2007. For more information about Gender Identity Disorder and the World Professional Association for Transgender Health (WPATH) visit their website: www.wpath.org. If you wish to review the WPATH standards of care, please see http://www.wpath.org/publications_standards.cfm.http://www.wpath.org/publications_standards.cfm Healthy People 2010 Companion Document for Lesbian, Gay, Bisexual and Transgender (LGBT) Health published by the Gay and Lesbian Medical Association and the National Coalition for LGBT Health in 2001: Fergusson, Hoorwood and Beautrais, 1999.

17. References Lombardi, E. Enhancing Transgender Healthcare. American Journal of Public Health, Vol 91, Issue 6 869-872, 2001. Male-to-Female Transgender Individuals Building Social Support and Capital from Within a Gender-Focused Network. Journal of Gay& Lesbian Social Services. 2008, Vol. 20 Issue 3, 203-220. Newfield Hart, Et al. Female-to-Male Transgender Quality of Life. Quality of Life Research: 2006. Shildrick, Margrit. Corporeal Cuts: Surgery and the Psycho-Social. Body and Society. Volume 14(1): 31-46, 2008. Vancouver Coastal Health. Trans Care Gender transition, A Hormone Guide. Transcend Transgender Support & Education Society and Canadian Rainbow Health Coalition. February 2006. W. Meyer III et.al., "Standards of Care for Gender Identity Disorders, 6th Version, “World Professional Association for Transgender Health, Feb. 2001.