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Transgender EuroStudy – Legal Survey and Focus ... - ILGA Europe

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<strong>Transgender</strong> <strong>EuroStudy</strong>:<br />

<strong>Legal</strong> <strong>Survey</strong> <strong>and</strong> <strong>Focus</strong> on the<br />

<strong>Transgender</strong> Experience of Health Care<br />

10 years ago. There is also a 6% difference between those on higher incomes when compared to the<br />

lower income group, as well as a 5% difference between the skilled <strong>and</strong> unskilled group.<br />

The narratives from the focus group <strong>and</strong> survey suggested that trans people avoid accessing<br />

routine healthcare because they anticipated prejudicial treatment from healthcare professionals.<br />

Indeed, one translator from the French focus group reported that ‘the theme of not daring to go see a<br />

doctor for any sort of care, even those unrelated to being trans, for fear of transphobia is a recurrent<br />

one for both FTMs <strong>and</strong> MTFs’.<br />

A participant in the Austrian focus group said:<br />

I don’t see the doctor if I don’t really have to. I don’t see the dentist, I don’t see the gynaecologist,<br />

since decades, <strong>and</strong> if I have an accident, I try not to go to the hospital... I think I have less experiences<br />

because I just don’t go there, so I practise some kind of avoidance strategy.<br />

A participant in the focus group in Italy said:<br />

…when I go to use health services I myself am on guard, like, what will they say to me, what will<br />

happen, will they accept me, in which section are they going to put me So, all these fears, influence<br />

my ability to access health care, so often, I’ve avoided going, use health care services, exactly to avoid<br />

these fears, paranoia.<br />

And a French survey respondent wrote:<br />

…it is not easy for me to go see a doctor for fear of his/her potential transphobic reactions.<br />

Thus, trans people are avoiding accessing routine treatment from health care professionals for<br />

fear of an adverse reaction to being trans from healthcare professionals.<br />

Another theme that emerged out of the narratives from the survey <strong>and</strong> focus groups which also<br />

may be an explanation of the previous responses is the pathologisation of trans people, due to it<br />

being classified with mental health conditions.<br />

One Finnish survey respondent wrote:<br />

As a trans person I have been labelled with a negative stigma of a mental patient by some health<br />

care personnel.<br />

A focus group participant in France said:<br />

It is absolutely necessary that transsexualism should be removed from the list of mental illnesses<br />

because we constantly feel obliged to justify ourselves to the health professionals.<br />

A Dutch survey respondent wrote:<br />

I often have the feeling that health care professionals do not take me seriously because of my trans<br />

identity <strong>and</strong> see me as a psychiatric case.<br />

Trans people then anticipate a negative response from healthcare professionals when accessing<br />

non trans-related healthcare, which may be linked to the classification of trans as a mental illness.

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