demands were high Wylie et PubMed Review the Analysis of SoC Variation on best Mentions culturally sensitive perspectives 25 al. (2016) (Transgender, SoC from and its integration delivery systems for care, rather than culturally-centered ones. Focus on transsexual, WPATH and with current specialized facilities or without addressing “gatekeepers” mental health, look at service training, protocol primary care physicians. power/authority imbalance health care) delivery and education Consistency is needed inconsistencies systems. Review globally, noting of evidence and dependency on examples of infrastructures defined roles of and sociocultural professionals, contexts. Early effective models introduction of of service transgender teaching provision and modules in clinical available surgical education is highly interventions supported 26 Zeluf et al. CINAHL Examine the Self-selected, 796 respondents between Not specific to mental health care services, (2016) (Transgender, self-rated anonymous the ages of 15 and 94. does reflect elements of mental “good health” Sweden, health, survey. 18% indicated poor indicators and gives perceptions from the transition, and health, 54% transgender community healthcare) disability, and multivariable indicating a low quality quality of life regression of life with 71% of those among analyses were indicating a history of transmen, performed. Three negative health care transwomen, backward experiences. Additional non-binary selection this group indicated that individuals, regression models 9% of this group and were conducted in attributed the low quality transvestites in order to identify to having either never or Sweden significant almost never receiving variables for the practical support outcomes health, disability and quality of life.
demands were high 25 Wylie et al. (2016) PubMed (Transgender, transsexual, mental health, health care) Review the SoC from WPATH and look at service delivery inconsistencies Analysis of SoC and its integration with current training, protocol and education systems. Review of evidence and examples of defined roles of professionals, effective models of service provision and available surgical interventions Variation on best delivery systems for care, specialized facilities or primary care physicians. Consistency is needed globally, noting dependency on infrastructures and sociocultural contexts. Early introduction of transgender teaching modules in clinical education is highly supported Mentions culturally sensitive perspectives rather than culturally-centered ones. Focus on “gatekeepers” without addressing power/authority imbalance 26 Zeluf et al. (2016) CINAHL (Transgender, Sweden, transition, healthcare) Examine the self-rated health, disability, and quality of life among transmen, transwomen, non-binary individuals, and transvestites in Sweden Self-selected, anonymous survey. and multivariable regression analyses were performed. Three backward selection regression models were conducted in order to identify significant variables for the outcomes health, disability and quality of life. 796 respondents between the ages of 15 and 94. 18% indicated poor health, 54% indicating a low quality of life with 71% of those indicating a history of negative health care experiences. Additional this group indicated that 9% of this group attributed the low quality to having either never or almost never receiving practical support Not specific to mental health care services, does reflect elements of “good mental health” indicators and gives perceptions from the transgender community