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Marjorie Naila Segule
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Transgender Healthcare at UNC System Schools

The State of Trans-Inclusive Healthcare at the UNC System Universities

Research PaperExecutive SummaryPresentation Slides

Introduction

In 2018, the Center for American Progress found that 1/3 of transgender people had been denied medical care by a healthcare provider because of their gender identity. In 2015,the US Transgender Survey found that around 1/4 transgender people has declined to seek health are when they need it due to fear of mistreatment. Despite the increase in focus on transgender health disparities, research on this topic has neglected to investigate the trans-inclusivity of on-campus student health resources.

  • Around 110 out of 4700 universities in US cover hormone replacement therapy
  • 33.3% of transgender, genderqueer or intersex students concealed/modified their gender identity or gender expression when interacting with their campus health practitioner.
  • students are required to live on-campus for some or all their time in college, which burdens students finacially and puts their safety and mental health at risk by not being able to live in housing that marches their gender identity.
  • 9 out of 16 UNC system universities do not have a formal university-run LGBTQ center. Minority serving institutions are less likely to have a formal university-run LGBTQ center.
  • In 2015, the Human Rights Campaign Foundation found that 41% of spectators and athletes have witnessed anti-LGBTQ attitudes amongst fans. No UNC system university has an LGBTQ-inclusive fan code of conduct to ensure that sporting events explicitly welcome and protect LGBTQ fans.
  • Only 1 in 16 universities have conducted a campus climate survey focused on sexual orientation, gender identity, and gender expression.

Policy Reccomendations

Removing Policies and Barriers that are detrimental to the physical and mental health of transgender or gender-nonconforming students

Removing the UNC Board of Governor's Ban on Gender Inclusive Housing

Researching future development

Conduct a Campus Climate Survey focused on sexual orientation, gender identity, and gender expression at each UNC system institution

Increasing and Improving LGBTQ resources on campuses

Identify the accessibility of starting or continuing Hormone Replacement Therapy use at each UNC system university

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