Dataset Information

Supporting Occupational Justice for Transgender and Gender-Nonconforming People Through Narrative-Informed Theater: A Mixed-Methods Feasibility Study.

ABSTRACT:

Importance

Societal stigma gravely impedes occupational justice for transgender and gender-nonconforming (TGNC) people, producing vast health disparities for this population.

Objective

To test the feasibility of an intervention to reduce stigma and improve the well-being of TGNC people.

Design

A parallel, mixed-methods design was used to test feasibility in the areas of acceptability, demand, and limited efficacy.

Setting

Community.

Participants

Forty-two audience members and 5 TGNC interviewees.

Intervention

Virtual, narrative-informed play reading and moderated discussion about gender diversity and affirmative care. Outcomes and Measures: The valid and reliable Acceptance and Action Questionnaire-Stigma was used to assess stigma beliefs. An open-ended, qualitative question assessed TGNC interviewees' experiences.

Results

Recruitment and participant responses to the intervention indicated feasibility in the areas of acceptability, demand, and limited efficacy. However, future efforts at obtaining a diverse TGNC sample are needed.

Conclusions and relevance

The intervention decreased stigma beliefs in audience members and offered a positive experience for TGNC participants. Feasibility outcomes warrant future efficacy testing. What This Article Adds: This article adds an innovative intervention for promoting occupational justice to support the health and well-being of TGNC people. The community-based intervention facilitates change in societal attitudes and stigmatizing beliefs.

SUBMITTER: Wasmuth S

PROVIDER: S-EPMC8369667 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Supporting Occupational Justice for Transgender and Gender-Nonconforming People Through Narrative-Informed Theater: A Mixed-Methods Feasibility Study.

Wasmuth Sally S Leonhardt Bethany B Pritchard Kevin K Li Chih-Ying CY DeRolf Annie A Mahaffey Lisa L

The American journal of occupational therapy : official publication of the American Occupational Therapy Association 20210701 4

<h4>Importance</h4>Societal stigma gravely impedes occupational justice for transgender and gender-nonconforming (TGNC) people, producing vast health disparities for this population.<h4>Objective</h4>To test the feasibility of an intervention to reduce stigma and improve the well-being of TGNC people.<h4>Design</h4>A parallel, mixed-methods design was used to test feasibility in the areas of acceptability, demand, and limited efficacy.<h4>Setting</h4>Community.<h4>Participants</h4>Forty-two audi ...[more]

PMID: 34780605

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Project description:ObjectivesThis study aimed to explore the role of occupational physicians (OPs) in supporting transgender and gender-diverse (TGD) workers during gender transition and return to work (RTW) following gender-affirming (medical) interventions.DesignWe conducted a qualitative study (ONZ-2023-0026) using focus groups.SettingThis study involved OPs in Belgium.ParticipantsTwo semistructured focus group interviews were held with 19 OPs working in occupational health services in Belgium in May and November 2023. Purposeful sampling was used, which included OPs with at least 2 years of seniority and experience with TGD people or inclusive company culture. Participants were predominantly white and cisgender, with varying levels of seniority and sectoral coverage.MethodsQualitative data was thematically analysed using Braun and Clarke to find patterned meaning.ResultsThe analysis created four themes: (1) 'What is the right professional attitude?: You never get a second chance to make a good first impression' discusses the aspects of professional attitude alongside ethical considerations; (2) 'Controlled open-mindedness' entails values and views of gender in light of medicine, the individual worker, organisations and society; (3) 'The balance game: "Fingerspitzengefühl" (intuitive flair or instinct) without treating' and (4) 'Being gender-bombarded: the need for OP-tailored training and best practices'. These themes highlighted the limited knowledge and experience of OPs regarding gender-affirming care (GAC) and their need for additional training. Participants struggled to find the best gender-inclusive professional approach to support TGD workers as well as employers and require 'best practices'. Implementing overarching legislative frameworks can help OPs and companies create an inclusive work environment considering the differences in occupational sectors and company culture. RTW policies should focus on abilities without medicalisation and stigmatisation and involve multiple stakeholders.ConclusionsOccupational medicine can be crucial in improving the health and well-being of TGD workers. However, with the ageing workforce, gender diversity poses new 'hidden' challenges for sick leave management, RTW and sensitive health surveillance. Multidisciplinary training with stakeholders and GAC professionals can enhance occupational practice and equip future OPs with the necessary competencies and confidence.

Project description:IntroductionExposure to violence victimization may help explain disparities of substance use among gender-nonconforming youth (i.e., those whose gender expression differs from societal expectations).MethodsIn 2015, three large urban school districts (2 in California and 1 in Florida) conducted a Youth Risk Behavior Survey that included the assessment of gender expression among a racially/ethnically diverse population-based sample of 6,082 high school students. Five categories of violence victimization were assessed (felt unsafe at school, threatened or injured with a weapon at school, bullied at school, electronically bullied, and forced sexual intercourse). In 2019, the effect of violence victimization on substance use disparities was examined by calculating sex-stratified prevalence ratios by gender nonconformity, adjusted for sexual identity, race/ethnicity, and grade (adjusted prevalence ratio 1 [APR1]), and comparing these with prevalence ratios adjusted for those variables plus violence victimization (adjusted prevalence ratio 2 [APR2]).ResultsAmong female students, only being threatened or injured with a weapon was significantly (p<0.05) associated with gender nonconformity and there were no substance use disparities by gender nonconformity. Among male students, every category of violence victimization was more prevalent among gender-nonconforming than among gender-conforming students and most substance use categories demonstrated significant gender nonconformity disparities. After controlling for violence victimization, these disparities decreased but remained statistically significant for the use of cocaine (APR1=2.84 vs APR2=1.99), methamphetamine (APR1=4.47 vs APR2=2.86), heroin (APR1=4.55 vs APR2=2.96), and injection drug use (APR1=7.90 vs APR2=4.72).ConclusionsSchool-based substance use prevention programs may benefit from strategies that support gender diversity and reduce violence victimizations experienced by gender-nonconforming students, by providing a safe and supportive school environment.

Dataset Information

Supporting Occupational Justice for Transgender and Gender-Nonconforming People Through Narrative-Informed Theater: A Mixed-Methods Feasibility Study.

Importance

Objective

Design

Setting

Participants

Intervention

Results

Conclusions and relevance

Publications

Supporting Occupational Justice for Transgender and Gender-Nonconforming People Through Narrative-Informed Theater: A Mixed-Methods Feasibility Study.

Similar Datasets

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