Navigating trans visibilities, trauma and trust in a new cervical screening clinic

Trans and gender diverse people are globally recognised as being under-served in clinical services, with significant implications for their health. During a national reorientation of the Australian cervical screening programme - from Papanicolaou smears to human papillomavirus screening - we conduct...

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Bibliographic Details
Published in:Culture, health & sexuality health & sexuality, 2022-10, Vol.24 (10), p.1366-1379
Main Authors: Gibson, Alexandra F., Drysdale, Kerryn, Botfield, Jessica, Mooney-Somers, Julie, Cook, Ted, Newman, Christy E.
Format: Article
Language:English
Subjects:
Advocacy
Australia
Cancer
Cervical cancer
cervical screening
Cervix
Cisgender
Clinical medicine
Cultural change
health
Health care policy
Health services
Human papillomavirus
inclusion
Medical screening
Non-binary gender
Policy making
Reproductive health
Resistance
Respondents
sexual and reproductive
Sexual behavior
Tests
Transgender health
Transgender persons
Trauma
Trust
Visibility
Women
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Summary:Trans and gender diverse people are globally recognised as being under-served in clinical services, with significant implications for their health. During a national reorientation of the Australian cervical screening programme - from Papanicolaou smears to human papillomavirus screening - we conducted interviews with 12 key informants in cancer policy, sexual and reproductive health and trans health advocacy to understand how trans people's needs and experiences were being accounted for and addressed in health policy and practice. Themes captured the complexities of increasing visibility for trans people, including men and non-binary people with a cervix. These complexities reflect the extensive system and cultural change required in asking policymakers and practitioners to think differently about who is at risk of a disease typically associated with cisgender women. Informants drew on the language of trauma to explain the resistance many trans people feel when engaging with clinical services, particularly relating to sexual and reproductive health. In doing so, they argued for increasing resources and processes to elicit trans people's willingness to put their trust in such services. Thinking critically about the relationship between the politics of trans visibilities, trauma and trust can support effective and inclusive approaches to transgender health.
ISSN:1369-1058
1464-5351
DOI:10.1080/13691058.2021.1952307