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Can J Diet Pract Res. 2018 Jun 1;79(2):74-79. doi: 10.3148/cjdpr-2018-001. Epub 2018 Mar 15.

Towards Providing Culturally Aware Nutritional Care for Transgender People: Key Issues and Considerations.

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a Nutrition Department, Ryerson University, Toronto, ON.
b Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON.
c Winnipeg, MB.
d Toronto, ON.


Transgender people are an important group for whom access to healthcare is often problematic. Dietitians need to be aware of key issues in transgender health to provide culturally competent clinical nutritional care. This article serves as a primer, clarifying key terms and concepts, exploring the impact of stigma and discrimination on health and nutrition for people from transgender communities, and offering practical advice for nutritional and other related issues. Education for dietitians both pre- and postqualification is an important part of improving care and building skills and awareness of cultural humility. Transgender people may be at increased nutritional risk due to increased risk of cardiovascular disease, HIV, body image issues, and food insecurity. This risk profile, along with the history of trauma both outside and related to the medical community means that there is an urgent need for dietitians to develop practice tools for assessment, care, and referral to improve the nutritional status and well-being of this client group.


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