2018
Creating, reinforcing, and resisting the gender binary: a qualitative study of transgender women’s healthcare experiences in sex-segregated jails and prisons
Hughto J, Clark KA, Altice FL, Reisner SL, Kershaw TS, Pachankis JE. Creating, reinforcing, and resisting the gender binary: a qualitative study of transgender women’s healthcare experiences in sex-segregated jails and prisons. International Journal Of Prisoner Health 2018, 14: 69-88. PMID: 29869582, PMCID: PMC5992494, DOI: 10.1108/ijph-02-2017-0011.Peer-Reviewed Original ResearchConceptsGender binaryTransgender womenHealthcare experiencesWomen's healthcare experiencesResearch limitations/implications FindingsCorrectional healthcare providersProviders' limited knowledgeDesign/methodology/approachSemi-structured interviewsWomen ActFirst-hand accountsWomen's accessMethodology/approachOriginality/valueInstitutional cultureMulti-level barriersStructural stigmaFeminine identityInstitutional policiesFindings ParticipantsImplications FindingsQualitative studyHealthcare barriersInsufficient accessPrison
2017
Improving correctional healthcare providers' ability to care for transgender patients: Development and evaluation of a theory-driven cultural and clinical competence intervention
Hughto J, Clark KA, Altice FL, Reisner SL, Kershaw TS, Pachankis JE. Improving correctional healthcare providers' ability to care for transgender patients: Development and evaluation of a theory-driven cultural and clinical competence intervention. Social Science & Medicine 2017, 195: 159-169. PMID: 29096945, PMCID: PMC5712271, DOI: 10.1016/j.socscimed.2017.10.004.Peer-Reviewed Original ResearchConceptsCorrectional healthcare providersGender-affirming careTransgender patientsHealthcare providersClinical competenceTransgender careTransgender cultural competenceFuture efficacy testingLinear mixed-effects regression modelsHealthcare providers' abilityQualitative exit interviewsMixed effects regression modelsGroup-based interventionHormone therapyPatientsProviders' willingnessTransgender womenStudy outcomesExit interviewsCareEfficacy testingInterventionProviders' abilityEffects regression modelsConfidential survey“What's the right thing to do?” Correctional healthcare providers' knowledge, attitudes and experiences caring for transgender inmates
Clark KA, Hughto J, Pachankis JE. “What's the right thing to do?” Correctional healthcare providers' knowledge, attitudes and experiences caring for transgender inmates. Social Science & Medicine 2017, 193: 80-89. PMID: 29028559, PMCID: PMC5695233, DOI: 10.1016/j.socscimed.2017.09.052.Peer-Reviewed Original ResearchConceptsCorrectional healthcare providersHealthcare providers' knowledgeGender-affirming careHealthcare providersProvider knowledgeTransgender patientsHealthcare policy changesMental health servicesHealthcare providers' abilityNegative health consequencesHealth servicesMedical needTransgender womenHealth consequencesProviders' abilityCarePatientsTransgender inmatesInterview guideKey informant interviewsCustody staffTransgender individualsCompetency trainingThematic analysisProviders