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Cited by 35LGBTQ Health, Identity, and PolicyAdolescent and Pediatric HealthcareGender, Sexuality, and Education

“What if I’m not trans enough? What if I’m not man enough?”: Transgender young adults’ experiences of gender-affirming healthcare readiness assessments in Aotearoa New Zealand

Open access
Fraser, G., Brady, A., Wilson, M. S.·2021·International Journal of Transgender Health
DOI 10.1080/26895269.2021.1933669PMC PMC10553372
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Abstract

Background A growing body of transgender health research reports that transgender people often feel pressure to conform to a dominant narrative during gender-affirming readiness assessments. In New Zealand, however, no study to date has specifically examined transgender people’s experiences of readiness assessments for gender-affirming healthcare.Aims This study aimed to explore the experiences of transgender young adults (aged 16-30) during gender-affirming readiness assessments in New Zealand. We also sought participants’ views on improving transgender healthcare provision.Methods Thirteen transgender young adults took part in individual interviews or focus groups. Participants were asked to describe how they felt about the questions asked during readiness assessments and how the readiness assessment process could be improved. We used thematic analysis to identify patterns of meaning across the dataset.Results We identified two themes. Firstly, proving gender explores participants’ views of readiness assessments as designed to establish whether they were “trans enough” or “truly” transgender, and why readiness assessments are conducted in this manner. Secondly, the trans narrative describes the pressure participants felt to adhere to a dominant transgender narrative in order to gain access to the healthcare they needed.Discussion Our findings call attention to the importance of a trans-affirmative approach and the need to clarify the purpose of gender-affirming healthcare readiness assessments in New Zealand.

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Research works printed but not linked: 6

  1. Butler, J. (1990). Gender trouble. Routledge.
  2. In J. M. Scherpe (Ed.), The legal status of transsexual and transgender persons (pp. 527-568). Intersentia.
  3. Pitts, M., Couch, M., Croy, S., Mitchell, A., & Mulcare, H. (2009). Health service use and experiences of transgen- der people: Australian and New Zealand perspectives. Gay and Lesbian Issues and Psychology Review, 5(3), 167-176.
  4. Rowe, W. (2014). Auditioning for care: Transsexual men in Ontario accessing health care. In D. Irving & R. Raj (Eds.), Trans activism in Canada: A reader (pp. 209-224). Canadian Scholars' Press.
  5. Russell, G. M., & Bohan, J. S. (2005). The gay generation gap: Communicating across the LGBT generational di- vide. Angles: The Policy Journal of the Institute for Gay and Lesbian Strategic Studies, 8(1), 1-8.
  6. Sperber, J., Landers, S., & Lawrence, S. (2008). The health and social services needs of transgender people in Philadelphia. International Journal of Transgenderism, 8(2-3), 31-47.

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Authors
Fraser, G., Brady, A., & Wilson, M. S.
Affiliations
Victoria University of Wellington (NZ)
Corresponding author
Fraser, G.
ORCID
Venue
International Journal of Transgender Health
Publisher
Informa UK Limited
Published
2021-06-10
Volume
22
Issue
4
Pages
454-467
ISSN
2689-5269 (ISSN-L)
DOI
10.1080/26895269.2021.1933669
PMC
PMC10553372
OpenAlex
W3171371642
Cited by
35
References
40
Citations by year
2026: 4 · 2025: 10 · 2024: 10 · 2023: 3 · 2022: 8
FWCI
5.14
Type
journal article
Language
en
Open access
Locations
  • International Journal of Transgender Health (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
Rule Foundation.
Topics
  • Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
  • Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
  • Social Sciences › Gender Studies › Gender, Sexuality, and Education
Keywords
transgender young adults, gender-affirming care, readiness assessment, transgender identity, health care access, New Zealand

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