Transgender employees: workplace impacts on health and well-being

Given that research consistently finds transgender individuals sustaining worse health outcomes than cisgender individuals, it is important to understand the workplace health and well-being experiences of trans employees in order to develop and support trans-sensitive Human Resources policies and interventions. We take an employee journey perspective to explore the experiences of trans individuals as they navigate organizational processes such as recruitment and selection, managing change, co-worker relationships, performance and termination. What the literature demonstrates is that transgender workers face many barriers to physical and psychological health, safety and well-being at work. These barriers can range from organisational oversights such as lack of access to appropriate bathroom facilities to social exclusion and/or verbal harassment from co-workers and physical attacks from customers. Anticipation of mistreatment generates psychological strain and anxiety and lowers trans workers’ career aspirations and career-building behaviours such as applying for jobs or promotions. Trans workers often conceal their transgender identity at work as a coping strategy for avoiding discrimination and harassment, but this in turn produces strain and fatigue arising from the cognitive and emotional effort involved in constructing and maintaining facades. Although HR staff should be the first point of contact for trans employees to develop their plans for coming out and for gender transition if applicable, our review indicates that in many cases, HR may not know how to initially or adequately respond

Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People, Version 7

The Standards of Care (SOC) for the Health of Transsexual, Transgender, and Gender Nonconforming People is a publication of the World Professional Association for Transgender Health (WPATH). The overall goal of the SOC is to provide clinical guidance for health professionals to assist transsexual, transgender, and gender nonconforming people with safe and effective pathways to achieving lasting personal comfort with their gendered selves, in order to maximize their overall health, psychological well-being, and self-fulfillment. This assistance may include primary care, gynecologic and urologic care, reproductive options, voice and communication therapy, mental health services (e.g., assessment, counseling, psychotherapy), and hormonal and surgical treatments. The SOC are based on the best available science and expert professional consensus. Because most of the research and experience in this field comes from a North American and Western European perspective, adaptations of the SOC to other parts of the world are necessary. The SOC articulate standards of care while acknowledging the role of making informed choices and the value of harm reduction approaches. In addition, this version of the SOC recognizes that treatment for gender dysphoria i.e., discomfort or distress that is caused by a discrepancy between persons gender identity and that persons sex assigned at birth (and the associated gender role and/or primary and secondary sex characteristics) has become more individualized. Some individuals who present for care will have made significant self-directed progress towards gender role changes or other resolutions regarding their gender identity or gender dysphoria. Other individuals will require more intensive services. Health professionals can use the SOC to help patients consider the full range of health services open to them, in accordance with their clinical needs and goals for gender expression