Can you describe your gender identity and any experiences you have had accessing healthcare as a transgender individual?

Peer 1


John’s unemployment which is a socioeconomic aspect may impact his ability to afford healthcare and other basic needs. He may also feel like a burden on his family, affecting his mental health (Amiri, 2022). His use of internet-sourced testosterone suggests he may be attempting to self-treat due to financial limitations or lack of access to proper healthcare. John’s smoking history and use of marijuana could have adverse effects on his health, especially when combined with his HIV status. His depression episodes may also impact his ability to maintain a healthy lifestyle. His recent weakness could also affect his physical activity levels and diet. As a transgender individual, John may have faced discrimination and challenges accessing healthcare services (Westwood, 2022). He may also be concerned about finding a healthcare provider knowledgeable and respectful of his gender identity.

When interacting with John, it is essential to respect his chosen gender identity and use appropriate pronouns (Brummett & Campo-Engelstein, 2021). It is also essential to approach discussions of his health history and behaviors in a non-judgmental and supportive manner. Additionally, sensitivity should be given to John’s potential financial constraints and concerns about burdening his family. Targeted Questions:

· Can you describe your gender identity and any experiences you have had accessing healthcare as a transgender individual?

· How has your recent unemployment affected your ability to maintain your health?

· Can you discuss your smoking and marijuana use and any concerns you have about the impact on your health?

· Have you experienced any symptoms related to your HIV status or medication regimen?

· How have your recent experiences affected your mental health and emotional well-being?



Peer 2


enomenon can be considered indicators of the patient’s less than optimal mental, social, and physical daily living conditions.

Reducing health disparities is a key factor in improving patient outcomes and overall health for diverse backgrounds. Persistent health disparities have prevented certain populations from receiving the quality healthcare they deserve. These health disparities are commonly seen in individuals from low socioeconomic classes who have limited healthcare resources available to them. A study by (O’Rourke & McDowell, 2018) concluded that, “many African Americans experience healthcare disparities that result in limited access to healthcare, the underutilization of healthcare services, quality of care received, and having inadequate health insurance coverage” (para. 3). Another study by (Hostetter & Klein, 2021) found that, “African Americans are consistently underrated for pain relative to white patients; one revealed half of medical students and residents held one or more false beliefs about supposed biological differences between Black and white patients, like the former have higher pain tolerance than the latter” (para.3). These socioeconomic factors and health disparities can explain why Shawn Billings and his father are worried he might not receive the proper medication he needs.

A non-biased approach is necessary when interacting with patients from diverse backgrounds. With Shawn, it is important to take into consideration; race consciousness, educational levels, health literacy, religious beliefs, and family history. When a patient feels like they are being heard and treated as an equal, they are more likely to be utilize healthcare resources to engage in their healthcare in the future.


Five target questions that would be appropriate to ask are:

1. What causative or environmental factors seem to initiate or exacerbate these migraines?

2. Have you been diagnosed with any conditions previously?

3. What is your day to day routine like?

4. How has your mental health been recently? Any depression, anxiety, nervousness, or irritability?

5. What is your usual diet like?

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