Study protocol: Navigating access to gender care in Ireland, a mixed-method study on the experiences of transgender and non-binary youth.

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Study protocol: Navigating access to gender care in Ireland, a mixed-method study on the experiences of transgender and non-binary youth.

Mr. Seán Kearns, School of Medicine, University College Dublin, Dublin, Ireland sean.kearns1@ucdconnect.ie Dr. Catherine Houghton, School of Nursing and Midwifery, National University of Ireland, Galway, Galway, Ireland catherine.Houghton@nuigalway.ie Prof Donal O’Shea, School of Medicine, University College Dublin, Dublin, Ireland donal.oshea@hse.ie Dr. Karl Neff School of Medicine, University College Dublin, Dublin, Ireland karl.neff@hse.ie

Mr. Seán Kearns, School of Medicine, University College Dublin, Dublin, Ireland sean.kearns1@ucdconnect.ie Dr. Catherine Houghton, School of Nursing and Midwifery, National University of Ireland, Galway, Galway, Ireland catherine.Houghton@nuigalway.ie Prof Donal O’Shea, School of Medicine, University College Dublin, Dublin, Ireland donal.oshea@hse.ie Dr. Karl Neff School of Medicine, University College Dublin, Dublin, Ireland karl.neff@hse.ie

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Background

There has been a global increase in demand for gender-affirming healthcare services(1,2) and a recognition that healthcare access is complex and convoluted, even in countries with well-developed healthcare services. Despite evidence in Ireland supporting the improvement in physical and mental health following access to gender-affirming care(3), little is known about the local healthcare navigation challenges. Internationally, research focuses primarily on the experience of service users(4) and omits the perspective of other potential key stakeholders . Youth experiences are a particularly seldom voiced group and service user engagement in research design is poorly used.

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Study Aims

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Expert Panel

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Study 1 – Qualitative Arm

Study 2 – Quantitative Arm

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Hopes for the future

References

This project seeks to address a gap in the evidence regarding gender healthcare access for young adults in Ireland. Specifically, it seeks to elucidate youth experience s, which is lacking comprehensive investigation. Through employing expert panels and the involvement of a transformative approach, the researchers will co-produce a project that has the population’s experience and expertise at its core. Rigorous mixed methods will identify challenges on their healthcare journey and support the identification of targeted strategies and interventions that may influence service provision through policy and practice change.

Herman, J.L., Flores, A.R., Brown, T.N.T., et al. Age of Individuals who Identify as Transgender in the United States. Los Angeles, CA: The Williams Institute. 2017. Judge C, O'Donovan C, Callaghan G, Gaoatswe G, O'Shea D. Gender dysphoria - prevalence and co-morbidities in an irish adult population.  Front Endocrinol (Lausanne) . 2014;5:87. Published 2014 Jun 13. doi:10.3389/fendo.2014.00087 Mcneil J, Bailey L, Ellis S, et al Speaking from the Margins Trans Mental Health and Wellbeing in Ireland.Dublin . 2013. Heng A, Heal C, Banks J, et al . Transgender peoples’ experiences and perspectives about general healthcare: A systematic review. Int J Transgenderism . 2018;19(4):359–78. doi:10.1080/15532739.2018.1502711