ItemTransgender and gender diverse youth's perspectives of affirming healthcare: Findings from a community-based study in Kansas(SAGE Publications Inc., 2023-06-29) McGeough, Briana L.; Paceley, Megan S.; Greenwood, Emera; Diaz, April L.; Riquino, Michael R.; Gleason, Tori; Pearson, Jennifer D.; Raehpour, Dawna; LaFountain OliviaTransgender and gender diverse (TGD) youth experience disproportionate rates of stigma and discrimination, contributing to health concerns. TGD people also report limited access to affirming healthcare, yet little is known about TGD youth and affirming healthcare in the Midwestern U.S. We utilized a community-based, mixed methods survey to explore the health and healthcare experiences of TGD youth in Kansas. Participants (n = 89) were predominantly non-binary (49.4%) and transgender boys/transmasculine (28.1%). Approximately 20% reported discrimination by a healthcare provider and half reported at least one affirming experience (58.5%). Affirming practices included providers using correct names and pronouns (43.1%), asking about gender (38.4%), facilitating access to gender-affirmative healthcare services (20.0%), and connecting to TGD resources (18.5%). Thematic analysis of open-ended responses revealed contextual details about TGD youth's experiences. These findings are relevant to medical and mental health providers, as well as advocates training providers to offer more accessible and affirming care for TGD youth. Copyright The Author(s) 2023. ItemThe Korean Family(Routledge, 2023-08-08) Chang, Dae H.This chapter examines the Korean marriage and family systems, past, present, and future. The modern Korean family, in its broadest historical context, was initiated by the Japanese when Japan's Overseas Government imposed its civil laws upon the Korean people beginning in 1910 and ending in 1945. During the Yi dynasty, there were many plural marriages, particularly among the rich, noble, and ruling classes. During the initial stages of the Japanese occupation of Korea, the Japanese applied military and police power and took over all local, provincial, and central governmental functions. Since 1910, the Japanese have modernized, and in some instances, disintegrated the traditional Korean family. In spite of some changes that have been made in recent years to modernize the Korean family, this institution still portrays essential similarities to the structure and functions of the traditional family. Functionally, the future Korean family will be more service-oriented rather than an economic production unit. ItemSuicidality among gender diverse emerging adults in the United States(Springer International Publishing, 2022-07-04) Wilkinson, Lindsey; Pearson, Jennifer D.Gender diverse youth and emerging adults in the U.S. experience alarmingly high rates of suicidality. In this chapter we use data from the 2015 U.S. Transgender Survey, the largest national sample of gender diverse individuals in the U.S., to examine variation in suicidality and correlates of suicidality among gender diverse individuals aged 18-24. Theoretically guided by the ideation-to-action suicide framework, we examine differences in socio-demographic factors, external minority stressors, gender-affirming and transition-related variables, social support, and physical/psychiatric comorbidities, across four gender identity groups: transgender men (n = 3,737), transgender women (n = 2,090), nonbinary individuals assigned male at birth (AMAB) (n = 838), and nonbinary individuals assigned female at birth (AFAB) (n = 5,099). We examine suicide ideation (lifetime and past year) and suicide attempt (lifetime and past year) among those who reported ideation. Our findings corroborate high rates of suicidality among gender diverse emerging adults, including higher rates of suicidality among respondents assigned female at birth. In multivariable models, psychiatric comorbidity is a strong independent correlate of ideation but not attempt, while external minority stressors associated with suicide capacity are strong independent correlates of attempt. We discuss both the theoretical and methodological implications of our results for future research on suicidality among the gender diverse population. ItemRethinking the city and the community for a post-pandemic world(Wichita State University, 2020-09-10) Billingham, Chase M.Cities are places characterized by constant activity, dense social interaction, and innovation fostered in collaborative working environments. With the widespread adoption of social distancing, bans on large gatherings, and remote work as public health responses to the COVID-19 pandemic, those quintessential urban characteristics have been fundamentally transformed. Will those changes be temporary or permanent? And what will they mean for the future of urban economies, neighborhood life, and inequality in the coming years? In this presentation, Wichita State University urban sociologist Chase Billingham will address these questions, drawing out many of their implications for important urban processes like social dislocation, economic development, and gentrification. While offering a broad perspective on issues affecting cities in general, the discussion will draw special attention to potential impacts of the pandemic on urban growth, decline, and inequality in the Wichita region. Item“As a clinician, you have to be passionately involved”: Advocacy and professional responsibility in gender-affirming healthcare(Elsevier Ltd., 2023-03-01) Lynne-Joseph, AlyssaPrevious research has studied how clinicians such as physicians, nurses, social workers, and nutritionists understand advocacy as a professional responsibility. Analyses have typically focused on individual healthcare professions and have viewed ambiguity around the conceptualization of advocacy as detrimental. Little research has considered how multiple professions within a single field of healthcare interpret clinician advocacy, nor how ambiguity might be productive in a multidisciplinary field. This article addresses these gaps by utilizing science and technology studies scholarship on buzzwords to analyze how clinicians in the field of gender-affirming healthcare have come to understand advocacy as a professional responsibility despite significant ambiguity around the goals, tactics, and targets of advocacy. Gender-affirming healthcare refers to any kind of physical or mental healthcare that transgender and gender diverse (TGD) people obtain to affirm their gender identity. Drawing on interviews with 30 U.S. clinicians, observation of nine transgender health conferences, and content analysis of 202 professional journal articles and 11 professional association statements, I argue that ambiguity around advocacy has been key to its uptake as a responsibility across multiple professions in this field. Foregrounding interview data, I show how polysemy allows clinician respondents across professions to reassert their expertise as they delineate what constitutes good gender-affirming healthcare and defend the emergent field in three problem domains: health insurance, the marginalization of TGD people, and the legality of gender-affirming healthcare. I also demonstrate how theoretical work on buzzwords explains why three clinician respondents rejected advocacy as a professional responsibility.