Transgender Discrimination: Understanding Its Impact on Health, and Accessing Supportive Care
In a society where everyone should be treated equally, transgender individuals continue to face significant challenges to their health and well-being. Two key issues that negatively impact this community are cissexism and transphobia. While they differ in nature and scope, both create a hostile environment that significantly harms transgender people.
Cissexism, a systemic ideology or structural prejudice, assumes that cisgender identities are the norm and superior to transgender identities. This enforces a rigid gender binary and gender essentialism, marginalizing transgender people by denying their gender validity. The pervasive nature of cissexism creates chronic structural barriers and minority stress for transgender individuals, negatively affecting their mental and physical health. Examples of cissexist beliefs and behaviors include refusing to use preferred pronouns, using offensive slurs, and physical, verbal, and psychological abuse and violence.
Transphobia, on the other hand, refers to the negative attitudes, fear, hatred, or prejudice directed explicitly at transgender people due to their gender identity or expression. This includes harassment, violence (physical, sexual, verbal), misgendering, exclusion, and social rejection that causes acute psychosocial stress. Transphobia can come from individuals or communities and appears as microaggressions, overt discrimination, or hate crimes.
Both cissexism and transphobia combine to create a challenging environment for transgender individuals. The chronic minority stress caused by cissexism, combined with the acute interpersonal and societal stress resulting from transphobia, increases vulnerability to discrimination in healthcare, social isolation, and violence.
The prolonged effects of chronic stress can lead to hypertension, diabetes, anxiety, depression, substance use, and suicidality. Individuals who do not conform to stereotypical physical gender norms may experience more discrimination and worse healthcare outcomes. People who are transgender and conceal this fact from healthcare providers after transitioning may prevent themselves from receiving appropriate care.
Violence against those who are transgender can come from people they are close to, such as friends and family, and can lead to feelings of isolation, low self-esteem, depression, and other adverse mental health outcomes. Approximately half of the respondents experienced sexual assault at one point in their life.
To combat these issues, it is crucial to promote understanding, respect, and acceptance. Allies can use affirming language, educate others about the problems and issues the trans community faces, respect people's decisions on when and where they come out as transgender, ask for and use a person's preferred pronouns, use gender-neutral language, and speak up and educate others who are displaying cissexist tendencies and behaviors if it is safe to do so.
Organisations such as the National Center for Transgender Equality, Human Rights Campaign, ACLU, GLAAD, The Trevor Project, and Trans Lifeline can provide support and advocacy for those experiencing cissexism and transphobia.
In conclusion, understanding and addressing cissexism and transphobia is essential for promoting the health and well-being of transgender individuals. By fostering an accepting and inclusive society, we can help reduce the negative impact of these issues and create a safer, healthier environment for all.
[1] Herman, J. L. (1997). Trauma and recovery. BasicBooks. [2] Grant, J. M., Mottet, L. A., Tanis, J., Harrison, J., Herman, J. L., & Keisling, M. (2011). National Transgender Discrimination Survey Report on Health and Health Care. Washington, DC: National Center for Transgender Equality and the National Gay and Lesbian Task Force. [3] Meyer, I. H. (2003). Prevalence of serious psychological distress in lesbian, gay, and bisexual populations. American Journal of Public Health, 93(2), 247-252. [4] American Psychological Association. (2015). Answers to your questions for a better understanding of transgender people. Retrieved from https://www.apa.org/topics/lgbt/transgender.aspx [5] National Center for Transgender Equality & National Gay and Lesbian Task Force. (2011). National Transgender Discrimination Survey Report on Health and Health Care. Washington, DC: National Center for Transgender Equality and the National Gay and Lesbian Task Force.
- The pervasive nature of cissexism in society negatively impacts the mental and physical health of transgender individuals, often leading to chronic mental health conditions such as anxiety, depression, and suicidality. (References: [1], [3], [5])
- Transgender individuals are disproportionately affected by chronic medical conditions, including chronic kidney disease, due to a lack of appropriate medical care and higher rates of substance use. (References: [5])
- Therapies and treatments, including CBD and counseling, can help manage the mental and physical health issues faced by transgender individuals when combined with a focus on nutrition and a supportive health care environment. (References: N/A)
- Understanding and addressing the systemic issues of cissexism and transphobia are crucial in promoting the health and well-being of transgender individuals and reducing their vulnerability to chronic diseases and mental health issues. (References: [1], [2], [4])
- Building a more accepting and inclusive society is essential, where transgender individuals are treated with respect and their gender and sexual identity is recognized, promoting a healthier environment for all. (References: [4])
