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Link to original content: https://pubmed.ncbi.nlm.nih.gov/31289749
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Review
. 2019 Apr 11;4(1):118-130.
doi: 10.1089/trgh.2018.0038. eCollection 2019.

The Evolving Role of Pharmacists in Transgender Health Care

Jan S Redfern  1   2 , Michael W Jann  1
Affiliations
Review

The Evolving Role of Pharmacists in Transgender Health Care

Jan S Redfern et al. Transgend Health. .

Abstract

Pharmacists are increasingly part of a multifaceted team providing health care to members of the often marginalized transgender (TG) community. Some pharmacists, however, may feel unprepared to care for and interact with TG individuals. By providing comprehensive, respectful, and gender-affirming support, improving physical pharmacy environments with policies and procedures, pharmacists can be trustworthy providers for TG patients. This review focuses primarily on the health issues of TG persons and the pharmacist's role in promoting health, identifying barriers to health care, and providing health care resources for TG persons. The evolution of psychiatric diagnostic criteria, access to health care, and inclusion of TG, lesbian, gay, and bisexual topics in the educational curriculum are presented. Cultural competency and diversity training that addresses gender identity and sexual orientation issues should be important interdisciplinary and interprofessional activities for all health care professional education programs. Pharmacists play a key role in the health care needs of TG persons that include appropriate laboratory monitoring, complex pharmacotherapeutic challenges, and providing unbiased gender-affirming interactions. The pharmacy's physical environment, staff training, and policies and procedures can offer unique services to TG persons.

Keywords: cultural competency; health care; pharmacist; pharmacy education; transgender.

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Conflict of interest statement

The authors declare that there is no conflict of interest.

Figures

<b>FIG. 1.</b>
FIG. 1.
Cultural competency of pharmacists in TG health care involves at least four major facets. TG, transgender.
<b>FIG. 2.</b>
FIG. 2.
TG individuals face numerous challenges in many aspects of their daily lives. Data extracted from the 2015 US Transgender Survey of 27,715 respondents. *Verbally harassed or refused treatment because of their gender identity. Corresponding data for the general population are given in parentheses.
<b>FIG. 3.</b>
FIG. 3.
Factors contributing to the increased risk of HIV/STD risk in TG people. HIV, human immunodeficiency virus; STD, sexually transmitted disease. Reproduced with permission from Redfern et al.
<b>FIG. 4.</b>
FIG. 4.
Results of a survey of community pharmacy residents' perceptions of TG health management (N=63). Data are extracted from Leach and Layson-Wolf.
See this image and copyright information in PMC

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