"Relationship Between Non-Affirmation of Gender Identity, Healthcare St" by LEN M. MEYER

Date of Conferral

2-1-2025

Degree

Doctor of Healthcare Administration (D.H.A.)

School

Health Services

Advisor

Thomas Clobes

Abstract

The transgender and gender-diverse (TGD) population faces barriers when seeking healthcare and perceived employment inequities for simply identifying as their gender identity. This study examined the relationships between non-affirmation of gender identity, healthcare stereotype threat, and perceived employment inequities for TGD people across the United States. The purpose of this quantitative, retrospective, quasi-experimental study was to determine if there was a relationship between non-affirmation of gender identity, healthcare stereotype threat, and perceived employment inequities. This study was guided by the sexual citizenship theory devised by T.H. Marshall, which examines three elements of the model: (a) civil society, (b) political society, and (c) the State or social society; healthcare stereotype threat is considered part of the central idea in the model. The research questions examined the relationship between non-affirmation of gender identity, healthcare stereotype threat, and perceived employment inequities. The research questions were analyzed using simple linear regression. The results indicated that non-affirmation of gender identity is a statistically significant predictor of healthcare stereotype threat (p < .001), but not a statistically significant predictor of perceived employment inequities. This study will contribute to positive social change by adding to the current body of research surrounding the relationship between gender affirmation, healthcare stereotype threat, and perceived employment inequities. It will supply healthcare practitioners and Human Resource professionals with increased knowledge of inequities that face the TGD community they serve and employ.

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