Summary
Stories of Transgender (trans) and Gender Diverse (TGD) People with Disabilities in Accessing Gender-Affirming Care in British Columbia, Canada: A Narrative Inquiry
Using narrative inquiry, the study aims to highlight barriers faced by TGD people with disabilities, the intersection of ableism and cisnormativity in healthcare, and the unique challenges of accessing GAC. Through in-depth semi-structured interviews with six to eight participants, this study will document personal narratives to provide a richer understanding of these experiences. Findings will be used to inform recommendations for improving the accessibility and effectiveness of GAC services for TGD people with disabilities. The study includes a community-informed dissemination plan with a peer-reviewed publication, a community report, and a webinar to ensure the research reaches both academic and non-academic audiences.
Key Findings
I am still in the phase of data analysis. However, this study’s preliminary findings support that TGD people with disabilities experience systemic barriers to gender-affirming care, including physical inaccessibility, financial constraints, and healthcare provider bias. The intersection of ableism and cisnormativity compounds these difficulties, often leading to delayed or denied care. Participants emphasize the need for advocacy, better training for healthcare providers, and more inclusive policies to improve healthcare access.
Methods
This study employs a narrative inquiry approach, centering individual lived experiences. Data collection consists of virtual semi-structured interviews lasting between 60 to 90 minutes, where participants share their experiences in their own words. To allow for flexibility, participants are able to also submit self-reported data, including written reflections, artwork, or photography, to further illustrate their stories. The data is analyzed thematically, with participant feedback incorporated to ensure accuracy and authenticity in the findings.
Applications
The findings from this research will be valuable in several areas. Healthcare provider training programs can incorporate the study’s insights to improve accessibility and inclusivity in gender-affirming care. Policy development can benefit from the study’s recommendations to ensure healthcare equity for TGD individuals with disabilities. Additionally, the research will empower the community by providing educational resources through a community report and a webinar, equipping advocates with data to push for systemic change.
Connections
I am collaborating with Brett Mason, a trans disabled activist and counselor who is helping ensure that the research outcomes are community-informed. The study engaged with 2S/LGBTQ+ and disability advocacy organizations in recruiting diverse participants and foster meaningful discussions. Knowledge mobilization efforts will take place through existing networks, including here with the 2S/LGBTQ+ Health Hub and BC's LGBTQ/2S+ Mental Health & Substance Use Networking Space, to amplify the reach and impact of the findings.
Next Steps
The next phase of the study involves conducting data analysis of the narrative to identify the ways each narrative is structured and key themes in participants’ experiences. A community report and infographics will be developed to make the findings accessible to a broad audience. Additionally, research findings will be submitted for peer-reviewed publication and presented at conferences. Finally, an online webinar will be hosted to share insights with community members and healthcare providers, fostering discussions on improving gender-affirming care for TGD people with disabilities.
