{"id":"W4411010816","doi":"10.1016/j.socscimed.2025.118298","title":"“You have to do mental gymnastics to get any form of care”: How Two Spirit, lesbian, bisexual, trans, and queer women and gender-diverse people navigate racism and cisheterosexism in Canadian healthcare","year":2025,"lang":"en","type":"article","venue":"Social Science & Medicine","topic":"LGBTQ Health, Identity, and Policy","field":"Psychology","cited_by":2,"is_retracted":false,"has_abstract":true,"ca_institutions":"Etobicoke General Hospital; Mount Royal University","funders":"Public Health Agency of Canada","keywords":"Queer; Lesbian; Gender studies; Human sexuality; Health care; Racism; Sociology; Transgender; Biopower; Politics; Political science; Law","routes":{"ca_aff":true,"ca_fund":true,"ca_venue":false,"about_ca":true,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.004459757,0.0005521759,0.0004126801,0.0008337049,0.03193628,0.006977275,0.001988677,0.002064266,0.003792928],"category_scores_gemma":[0.006045593,0.0004440219,0.0004922051,0.000929172,0.02549373,0.003159856,0.005863656,0.005378164,0.0003618342],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.02868222,"about_ca_system_score_gemma":0.03991033,"about_ca_topic_candidate":true,"about_ca_topic_consensus":true,"about_ca_topic_score_codex":0.876479,"about_ca_topic_score_gemma":0.9381562,"domain_scores_codex":[0.9941156,0.002605687,0.00009482397,0.0003347243,0.0008480331,0.002001115],"domain_scores_gemma":[0.9967009,0.0006990301,0.000285062,0.00009463645,0.000579031,0.001641407],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"qualitative","study_design_gemma":"qualitative","study_design_scores_codex":[0.00002046571,0.00003200189,0.004448058,0.00002972105,0.000006488039,0.0003481578,0.9850869,0.00003545585,0.0003337515,0.002526168,0.002455015,0.004677774],"study_design_scores_gemma":[0.000003454755,0.00001396987,0.002291002,0.00004982813,0.000004760093,0.0001060579,0.983877,0.00004898082,0.00005643504,0.0003127732,0.0132181,0.00001765945],"study_design_candidate":"qualitative","study_design_consensus":"qualitative","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9429204,0.0009339532,0.00142854,0.02426581,0.0002499239,0.00008904941,0.00007739993,0.00003346309,0.03000157],"genre_scores_gemma":[0.9877796,0.0005502586,0.0005529725,0.004037611,0.00001968487,0.00002609422,0.00003212605,0.00002832471,0.006973356],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.123521,"threshold_uncertainty_score":0.2484968,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.04370203082931863,"score_gpt":0.4124838839463367,"score_spread":0.3687818531170181,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}