{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T01:35:08Z","timestamp":1776216908695,"version":"3.50.1"},"reference-count":44,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2021,11,2]],"date-time":"2021-11-02T00:00:00Z","timestamp":1635811200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"Institute for Museum of Library Service"},{"name":"Examining Public Library Service"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,1,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This qualitative research examines how transgender and gender nonbinary (T\/GNB) persons from South Carolina navigate informational barriers within healthcare systems. This navigation can be described through the lens of information practices, or how T\/GNB participants create, seek, use, and share information to achieve desired healthcare outcomes. Special focus is given to the roles of Information and Communication Technologies (ICTs) in shaping these practices.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>The research utilizes participant data from semistructured interviews and focus groups conducted with 26 T\/GNB individuals focusing on their health information practices. Data analysis utilized emic\/etic coding and the constant comparative method to identify themes describing transexclusionary information barriers and respondent ICT-led information practices.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Findings note healthcare systems producing cisnormativity by design resulting in T\/GNB individuals viewing healthcare spaces as exclusionary. Exclusionary barriers included over reliance on medical, expert authority ignoring T\/GNB embodiment, and a lack of contextual perspective to identities. In response, T\/GNB seek, create, use, and share information via ICTs to challenge exclusionary practices.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>T\/GNB ICT use addresses systemic barriers within healthcare systems suggesting a need to reframe healthcare systems through the lens of design justice, one that values T\/GNB agency in understanding and producing health knowledge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>While many healthcare providers are not intentionally being transexclusionary, the design of healthcare information systems rely on cisnormative values, thus excluding many T\/GNB from accessing healthcare in comfortable and safe ways. Shifting toward the values and practices of T\/GNB as informed by ICT use will afford healthcare providers ways to undo barriers to care.<\/jats:p><\/jats:sec>","DOI":"10.1093\/jamia\/ocab234","type":"journal-article","created":{"date-parts":[[2021,10,13]],"date-time":"2021-10-13T20:33:14Z","timestamp":1634157194000},"page":"239-248","source":"Crossref","is-referenced-by-count":35,"title":["Transgender and nonbinary individuals and ICT-driven information practices in response to transexclusionary healthcare systems: a qualitative study"],"prefix":"10.1093","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6000-157X","authenticated-orcid":false,"given":"Travis L","family":"Wagner","sequence":"first","affiliation":[{"name":"College of Information and Communication, School of Information Science, The University of South Carolina Davis College, South Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vanessa 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