Feature“I Don't Think This Is Theoretical; This Is Our Lives”: How Erasure Impacts Health Care for Transgender PeopleBauer, Greta R., PhD, MPH; Hammond, Rebecca, BA; Travers, Robb, PhD; Kaay, Matthias, MSW, MA; Hohenadel, Karin M., BA; Boyce, MichelleAuthor Information Editors' note:This article contains graphic language and content. JANAC's editorial staff is dedicated to preserving the integrity of the work of all of our authors. In qualitative research, this includes input from participants who are willing to share their experiences with the researcher and—eventually—with the reader. In this article, we have honored those individuals by leaving their words intact. Greta R. Bauer, PhD, MPH, is assistant professor, Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, The University of Western Ontario, London, Ontario, Canada. Rebecca Hammond, BA, is MSc candidate, Department of Community Health and Epidemiology, Faculty of Medicine, Dalhouise Medical School, Dalhousie University, Halifax, Nova Scotia, Canada. Robb Travers, PhD, is assistant professor, Department of Psychology, Wilfrid Laurier University, Waterloo, Ontario. Matthias Kaay, MSW, MA, is a therapist, Rainbow Services Centre for Addiction and Mental Health, Toronto, Ontario. Karin M. Hohenadel, BA, is MSc candidate, Population Epidemiology, Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, The University of Western Ontario, London, Ontario. Michelle Boyce is president, Diversity Training Live, Aylmer, Ontario. Journal of the Association of Nurses in AIDS Care: September-October 2009 - Volume 20 - Issue 5 - p 348-361 Buy Abstract For people who are transgender, transsexual, or transitioned (trans), access to primary, emergency, and transition-related health care is often problematic. Results from Phase I of the Trans PULSE Project, a community-based research project in Ontario, Canada, are presented. Based on qualitative data from focus groups with 85 trans community members, a theoretical framework describing how erasure functions to impact experiences interacting with the health care system was developed. Two key sites of erasure were identified: informational erasure and institutional erasure. How these processes work in a mutually reinforcing manner to erase trans individuals and communities and produce a system in which a trans patient or client is seen as an anomaly is shown. Thus, the impetus often falls on trans individuals to attempt to remedy systematic deficiencies. The concept of cisnormativity is introduced to aid in explaining the pervasiveness of trans erasure. Strategies for change are identified. © 2009Elsevier, Inc.