Four Corners: Health Research Priorities Among TNB Communities

Transgender and nonbinary (TNB) people experience striking inequities in health and healthcare. In the United States, these inequities are amplified among TNB Black, Indigenous people of color (BIPOC) and TNB people with disabilities, highlighting the need for all TNB health equity initiatives to recognize racism, ableism, and other intersecting forms of oppression. Despite a recent increase in TNB health research, there is a lack of peer-reviewed literature that considers priority issues and accountable research practices from the perspectives of TNB people, and particularly TNB BIPOC and people with disabilities.In 2018, four federally qualified health centers (FQHCs) specializing in LGBTQ care across the United States: Howard Brown Health in Chicago, Whitman-Walker Institute in the District of Columbia, Los Angeles LGBT Center in Los Angeles, and Legacy Community Health in Houston, partnered to form the Four Corners: TNB Health Research Advisory Network. Four Corners is a 16-member network consisting of one researcher, one clinician, and two TNB community members from each FQHC, all of which reside in a geographically distinct region and serve a highly diverse TNB patient panel. Four Corners envisions a world where all TNB people have access to safe, relevant, and equitable healthcare and aims to advance health research by involving TNB community members, researchers, and clinicians as equal partners in the research process.In the summer of 2019, Four Corners conducted eight focus groups, two in each city of participating sites, in order to explore health and research priorities, participants' prior experiences with research, and preferences for research dissemination. Focus groups were facilitated by two TNB project staff and included 65 participants, all of whom were at least eighteen years of age and selfidentified as transgender, nonbinary, or gender nonconforming. Participants were recruited via flyers posted at the four FQHCs and social media advertisements. Focus groups were audio recorded and transcribed

A Best Practice Guide for Community Based Participatory Research (CBPR) in Transgender and Nonbinary (TNB) Health

This guide describes best practices for community-based participatory research (CBPR) with transgender and nonbinary (TNB) communities. We hope it will be a resource for people involved or interested in TNB health research and will make CBPR approachable, actionable and compelling. We anticipate readers of this guide will hold varying identities, experiences, and expertise, including their understanding of or familiarity with research and TNB communities. It is important to explicitly recognize that there are TNB people of varying cultural/language backgrounds already doing this work and to avoid reinforcing assumptions that researchers are not TNB, Black, Indigenous, people of color (BIPOC), or TNB BIPOC. While we believe the best people to initiate and practice TNB health CBPR are TNB people, we also recognize that the majority of people involved in TNB health research are not TNB themselves. This guide is designed to offer insight to all audiences. Our goal is to provide an overview of themes we believe are important and best practices to collaboratively develop and carry-out research with TNB communities

Guía de mejores prácticas para la investigación participativa basada en la comunidad (Community-Based Participatory Research - CBPR) sobre la salud de personas transgénero y no binarias (Transgender and Nonbinary - TNB)

Esta guía describe las mejores prácticas para la investigación participativa basada en la comunidad (CBPR, por sus siglas en inglés) con comunidades transgénero y no binarias (TNB, por sus siglas en inglés). Esperamos que sea un recurso para las personas involucradas o interesadas en la investigación de la salud en la comunidad TNB y que haga que la CBPR sea accesible, factible y convincente. Anticipamos que les lectores de esta guía tendrán diferentes identidades, experiencias y conocimientos, además de comprender y estar familiarizades con las investigaciones y las comunidades TNB. Es importante reconocer explícitamente que hay personas TNB de diversos orígenes culturales/lingüísticos que ya están haciendo este trabajo y evitar reforzar suposiciones de que les investigadores no son TNB, negres, indígenas, personas racializadas (BIPOC, por sus siglas en inglés), o BICOP TNB. Aunque creemos que las mejores personas para iniciar y llevar a cabo la CBPR sobre la salud en la comunidad TNB son las personas TNB, también reconocemos que la mayoría de las personas involucradas en la investigación sobre salud en la comunidad TNB no son ellas mismas TNB. Esta guía está diseñada para ofrecer una comprensión a todo el público. Nuestra meta es proporcionar una visión general de los temas que consideramos importantes y las mejores prácticas para desarrollar y llevar a cabo la investigación en colaboración con las comunidades TN