Exploring Barriers and Facilitators in Achieving a Positive Sexual Health among Trans-Femme Young Adults: Community-Based Participatory Research Project
Notice bibliographique
Résumé
Transgender people face unique multiple levels of barriers and challenges regarding sexual health and wellbeing. While there has been a significant number of studies exploring sexual health among the 2SLGBTQ+ population, there is a paucity of research that uses a participatory approach targeted towards the trans-femme community. Moreover, young adults' perspectives on sexual health are rarely explored. Guided by a community-based participatory research approach and arts-based techniques, I explored the views of the trans-femme young adults, the perceived facilitators and barriers of positive sexual health and wellbeing and made possible recommendations for the improvements in sexual health. Situated within a transformative paradigm, I worked with trans-femme young adults and peer advisory in Edmonton, Alberta, to explore the sexual health-related concerns and needs. Using a photovoice inquiry to guide the data generation strategies, I conducted four small group conversations with eight co-researchers and dialogue with practitioners and service providers. I continued young adults' engagement for data analysis and knowledge translation work. Due to the Covid-19 pandemic and social distancing in place, all the meetings were conducted online using Zoom video communication software. Through this research, we identified inter-related barriers around different system levels: the individual experience, experiences with the healthcare system, experiences relating to the non-healthcare sector, and experiences within the society in general. Facilitators included opportunities to navigate and embrace identities, reclaiming femininity, navigating and experiencing sexual pleasure, euphoria from access to hormone replacement therapy, and having pride in trans identity. Barriers included financial limitations, health conditions, challenges accessing competent trans-friendly health service providers, inadequate resources on trans sexual health, perceived and increased reliance of health service providers on trans people, prejudice-motivated refusal of health care, lack of proper and accurate media representation, heteronormativity, cisnormativity, gender stereotyping, transmisogyny and accessing safe space. Results of this study provide an understanding of the experiences and concerns around sexual of trans-femme young adults. The participatory data analysis conducted in this research is very unique and powerful on its own. Using various arts-based ways and artistic expressions to gather data and share our findings allows trans-femme co-researchers to communicate directly with the community and the targeted audience. Disseminating the findings via virtual exhibition and webpage in the form of arts, such as participatory films, digital stories, and postcards, helped to incorporate the lived experiences of the young adults and connect with the target audience, generate suggestions for policymakers and advocate for their sexual health needs. This research also contributed to empowering trans-femme young adults by engaging them in the overall research process and decision-making.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,021 | 0,012 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,010 | 0,004 |
| Communication savante | 0,003 | 0,002 |
| Science ouverte | 0,002 | 0,006 |
| Intégrité de la recherche | 0,002 | 0,003 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,004 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».