Intersectional Examination of Gender-Inclusive Care and Women's Health

J Obstet Gynecol Neonatal Nurs. 2023 Nov;52(6):442-453. doi: 10.1016/j.jogn.2023.08.007. Epub 2023 Sep 9.

Abstract

Transgender and gender-nonconforming people remain excluded from women's health spaces, and nurses with expertise in women's health best serve their needs when they seek sexual, reproductive, gynecologic, or obstetric care. However, commentary regarding the term "women" and exclusionary policies and behaviors in health care marginalize gender-nonconforming patients and contribute to health disparities. Therefore, the purpose of this article is twofold. First, we review terminology related to gender-nonconforming populations and their known health care needs; provide a brief historical overview of gender and health care; and describe the influence of White supremacist, misogynist, and heteronormative influences in women's health care. Second, we generate a call to action and specifically discuss the responsibilities of nurses and nursing organizations to ensure the provision of gender-equitable and respectful care and generate clinical recommendations for the specialty.

Keywords: LGBTQ; health equity; inclusivity; intersectionality; transgender persons; women’s health.

Publication types

  • Review

MeSH terms

  • Delivery of Health Care
  • Female
  • Gender Identity
  • Humans
  • Pregnancy
  • Sexual Behavior
  • Transgender Persons*
  • Women's Health*