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Florida's highway safety department made it impossible for transgender people to change whether they are identified as "M" or "F" on existing driver's licenses. Here's what we know, and don't know, about this change.

International audience ; ObjectivesTransgender people are a heterogeneous and growing population in visibility and numbers. They facedocumented difficulties in accessing health care systems, mainly based on the lack of training ofprofessionals and discrimination. These barriers are particularly apparent in the field of reproductive healthand are hampered by heteronormative and cisnormative public and legislative policies. These difficultieslimit the ability of transgender people to reproduce and have a significant impact on transition journeyswith consequences for psychological and social well-being. In addition, the multiplicity of legislativeframeworks and practices increases the social and economic disparities that have already been identifiedas important determinants of transgender health and well-being. The purpose of this study is to report onfield realities and strategies adopted by individuals to preserve their fertility.MethodsWe conducted a systematic review of activist literature from European organizations and French localassociations. After analyzing the quality of the included documents, we conducted an exploratoryqualitative analysis and modeling putting into dialogue the challenges at the French and Europeanlevels. Secondly, the results were analyzed by gender and experience of transition.ResultsThe French system does not allow for adequate access to reproductive health, but associations have beenable to put in place workaround strategies that remain insufficient in relation to needs. The disparity oflegislative frameworks and practices at the European level contributes to both the slowing down of accessand the development of complex and inappropriate strategies that increase population gaps.ConclusionsThe current organization of the health system traps transgender people in a paradox between dependenceand lack of appropriate response. There is an urgent need to put in place adapted and human rights-basedpathways, both in terms of practices and public policies and legislation. The expertise of ...

International audience ; ObjectivesTransgender people are a heterogeneous and growing population in visibility and numbers. They facedocumented difficulties in accessing health care systems, mainly based on the lack of training ofprofessionals and discrimination. These barriers are particularly apparent in the field of reproductive healthand are hampered by heteronormative and cisnormative public and legislative policies. These difficultieslimit the ability of transgender people to reproduce and have a significant impact on transition journeyswith consequences for psychological and social well-being. In addition, the multiplicity of legislativeframeworks and practices increases the social and economic disparities that have already been identifiedas important determinants of transgender health and well-being. The purpose of this study is to report onfield realities and strategies adopted by individuals to preserve their fertility.MethodsWe conducted a systematic review of activist literature from European organizations and French localassociations. After analyzing the quality of the included documents, we conducted an exploratoryqualitative analysis and modeling putting into dialogue the challenges at the French and Europeanlevels. Secondly, the results were analyzed by gender and experience of transition.ResultsThe French system does not allow for adequate access to reproductive health, but associations have beenable to put in place workaround strategies that remain insufficient in relation to needs. The disparity oflegislative frameworks and practices at the European level contributes to both the slowing down of accessand the development of complex and inappropriate strategies that increase population gaps.ConclusionsThe current organization of the health system traps transgender people in a paradox between dependenceand lack of appropriate response. There is an urgent need to put in place adapted and human rights-basedpathways, both in terms of practices and public policies and legislation. The expertise of ...

International audience ; ObjectivesTransgender people are a heterogeneous and growing population in visibility and numbers. They facedocumented difficulties in accessing health care systems, mainly based on the lack of training ofprofessionals and discrimination. These barriers are particularly apparent in the field of reproductive healthand are hampered by heteronormative and cisnormative public and legislative policies. These difficultieslimit the ability of transgender people to reproduce and have a significant impact on transition journeyswith consequences for psychological and social well-being. In addition, the multiplicity of legislativeframeworks and practices increases the social and economic disparities that have already been identifiedas important determinants of transgender health and well-being. The purpose of this study is to report onfield realities and strategies adopted by individuals to preserve their fertility.MethodsWe conducted a systematic review of activist literature from European organizations and French localassociations. After analyzing the quality of the included documents, we conducted an exploratoryqualitative analysis and modeling putting into dialogue the challenges at the French and Europeanlevels. Secondly, the results were analyzed by gender and experience of transition.ResultsThe French system does not allow for adequate access to reproductive health, but associations have beenable to put in place workaround strategies that remain insufficient in relation to needs. The disparity oflegislative frameworks and practices at the European level contributes to both the slowing down of accessand the development of complex and inappropriate strategies that increase population gaps.ConclusionsThe current organization of the health system traps transgender people in a paradox between dependenceand lack of appropriate response. There is an urgent need to put in place adapted and human rights-basedpathways, both in terms of practices and public policies and legislation. The expertise of ...

On a global scale, transgender people experience an increased prevalence of HIV, STIs, substance use, risky sexual behaviours, violence, discrimination, and stigmatization. Their compromised health is associated with reluctance to access healthcare services due to negative experiences with healthcare providers. To address this barrier, literature was examined on healthcare providers' experiences, attitudes and perceptions towards transgender people. In the current literature, perspectives are mainly from physicians and mental healthcare professionals. Thus, there is a need to conduct qualitative research with nurses who provide emergency care services to transgender people. This descriptive qualitative study explored emergency nurses' experiences providing care to transgender people. Qualitative content analysis was used to unveil commonalities and differences in the experiences of the key informants. The findings revealed that all the nurses working in an emergency department were faced with numerous challenges such as limitations in the environment and insensitivity expressed by colleagues when caring for the transgender community. This study also unmasked the sociopolitical impact that the nurses experienced while caring for transgender people in the emergency department. The changes made by the government such as the healthcare cuts and reconfiguration of the emergency departments impacted the emergency nurses' care to the transgender community. Emergency nurses expressed that they wished to increase their knowledge base about medical transitioning such as hormone therapy, gender affirming surgeries, and healthcare experiences. Findings of this study will have implications for the nursing profession in the avenues of curricula development, research, continuing education, health policies, and community advocacy and engagement. ; May 2021