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Dissertation/Thesis Abstract

Assessing Different Communities’ Current Knowledge and Confidence Regarding Nutrition and Health Care for Transgender and Gender Non-Binary (TGGNB) Clients
by Douglass, Pauline, M.S.N., Bastyr University, 2020, 57; 28001873
Abstract (Summary)


The transgender and gender non-binary (TGGNB) community makes up about 0.6% of the United States population. A 2011 survey showed that 50% of TGGNB individuals report having to teach medical providers about TGGNB care. This research asked how knowledgeable the nutrition and healthcare community and related others are in interacting with the TGGNB population. The first aim compared Registered Dietitian Nutritionists (RDN) with a university community and members of the general public with regard to current health and nutrition knowledge related to the TGGNB community. The second aim assessed responses from the general public before and after viewing an educational model.


De-identified cross-sectional surveys were conducted in the three communities through REDCap, a secure web application. Participants were directed to REDCap through social media sites and list serves. Questions on the pre/post survey tested the effectiveness of a brief educational module on TGGNB terminology, health monitoring, and health disparities.


Responses to the surveys included 305 RDNs (experience range 0-10+ years), 73 from general population (20% working in healthcare), and 77 from Bastyr University (provides education for healthcare providers currently undergoing diversity, equity, and inclusion (DEI) training).

No statistical significance was found among all three communities’ in regard to differing baseline knowledge (ANOVA (F (2,441) = 1.674, p=0.189)). A significant increase was found when assessing knowledge related questions before and after viewing an educational module (t (55) = 10.876, p<0.000).


This research highlights limitations in RDNs knowledge in interacting with TGGNB individuals and indicates the benefits of a brief educational module on increasing knowledge of a target population such as the TGGNB community.

Funding N/A

Indexing (document details)
Advisor: Kazaks, Alexandra
Commitee: Boutin, Debra, Gordon, Wendy
School: Bastyr University
Department: Department of Nutrition
School Location: United States -- Washington
Source: MAI 82/1(E), Masters Abstracts International
Subjects: Nutrition, Communication, Educational evaluation, LGBTQ studies
Keywords: Confidence, Educational module, Hormone related therapy (HRT), Knowledge, Registered dietitian nutritionist (RDN), Transgender and gender non-binary
Publication Number: 28001873
ISBN: 9798662425644
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