Transgender microaggressions in health care across South Africa: A deductive content analysis
Bibliographic record
Abstract
Introduction: For transgender and gender-diverse (TGD) persons, encounters with healthcare providers can be harmful and can compromise medical outcomes. This harm, which is not always overt and direct in these interpersonal relations, can be conceptualized as microaggressions. Aim: This study explored TGD persons’ accounts of microaggressions in healthcare settings. Methods: Unstructured interviews were conducted with TGD participants who had experienced harm in healthcare settings in South Africa. Deductive analysis was used. Findings: Ten of the 12 taxonomy’s themes were present. Offensive terminology, prominent amongst the themes, was directed at persons with (trans) feminine expression or nonbinary presentations. Conclusions: We propose ‘Conflation of Trans Identification With Sexual Orientation’ be added to the taxonomy to make one of the categories less overinclusive and improve on the taxonomy’s contextual transferability.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.013 | 0.022 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.006 | 0.007 |
| Science and technology studies | 0.004 | 0.005 |
| Scholarly communication | 0.004 | 0.002 |
| Open science | 0.001 | 0.004 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".