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Development of an Online Contraceptive Decision Aid for Transgender and Gender-Nonconforming Assigned Female at Birth Individuals

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Transgender and gender-nonconforming assigned female at birth (AFAB) individuals are consistently excluded when discussing sexual health and contraceptive methods and face unique challenges in accessing sexual healthcare as gender dysphoria heavily influences their decision-making process as well as fear of discrimination from healthcare providers and settings. The research aim of…

Transgender and gender-nonconforming assigned female at birth (AFAB) individuals are consistently excluded when discussing sexual health and contraceptive methods and face unique challenges in accessing sexual healthcare as gender dysphoria heavily influences their decision-making process as well as fear of discrimination from healthcare providers and settings. The research aim of this project is to develop an online contraceptive decision aid tailored to transgender and gender-nonconforming AFAB individuals. MyChoiceForAll is built using the gaps identified in healthcare research and existing resources provided by Planned Parenthood and Bedsider, alongside feedback from a development focus group. The tool is a four-paged quiz that returns two pages of information and resources for a variety of different contraceptive methods for transgender and gender-nonconforming AFAB individuals as well as connecting them to trans-friendly providers. The evaluation phase includes simulated test cases, a survey, and a second focus group to assess for accuracy, usefulness, usability, and general impressions of the tool. 94.3% of the 105 test cases resulted in an accurate recommendation that aligns with user input. Over 75.00% of survey participants overwhelmingly believed the MyChoiceForAll tool to be beneficial in providing appropriate and inclusive educational material about contraceptives, prompting users for relevant lifestyle, preferences, and gender identity decision factors, and being overall inclusive of users’ gender identity. Evaluation focus group participants believe that MyChoiceForAll performs better overall compared to the Planned Parenthood quiz, Bedsider matrix, and MyContraceptiveChoice in general impressions and inclusivity of transgender and gender-nonconforming individuals and their preferences. In conclusion, MyChoiceForAll accomplishes its goal of developing an accessible and inclusive resource for transgender and gender-nonconforming AFAB individuals in assisting with the birth control selection process.
ContributorsHoang, Vi-Anh (Author) / Wang, Dongwen (Thesis director) / Brian, Jenny (Committee member) / Barrett, The Honors College (Contributor) / School of Earth and Space Exploration (Contributor) / College of Health Solutions (Contributor)
Created2023-05
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The Efficacy of Porcine zona pellucida (PZP) on the Salt River Horses

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The Salt River wild horses are a historic population of unbranded, unclaimed, wild and free-roaming horses, that were born in the wild and merit protection within our National Forest and protection of the Wild Horse and Burro act of 1970. Terms like undomesticated or feral are thrown around in place…

The Salt River wild horses are a historic population of unbranded, unclaimed, wild and free-roaming horses, that were born in the wild and merit protection within our National Forest and protection of the Wild Horse and Burro act of 1970. Terms like undomesticated or feral are thrown around in place of “wild”. The past couple of decades or so, there has been an ongoing debate about the current state of the horses on the range. The horses that are along the Salt River, are considered to be state protected and not federally protected, which has sparked a vast discussion on the social, ethical and moral aspects. There has been an overabundance of horses on the range and are causing potential issues to the environment and other farmland. According to the BLM, wild horse and burro populations have a demonstrated ability to grow at 18-20 percent per year. With the widespread and overabundance that is occurring with the horses and burros, it has been said to have a great ecological cost on the rangeland ecosystem by overgrazing native plants, exacerbating invasive establishment and out-competing other ungulates like cattle. Overabundant free-roaming horse and burro populations have large and growing economic and ecological costs for the American public. Without effective management actions, horse and burro populations will double within the next 4-5 years. In this project, with the help of Dr. Julie Murphree, the Salt River Horse Management group and Arizona’s State Liaison for the Department of Agriculture, I conducted various ride-a-longs and conducted my own literature study to further solidify the knowledge I gained when navigating through the Salt River Wild Horse Management group. I can use their data as well as my own observations in the field to catalog their behaviors and look for any signs that would give reason to why this method of population control may or may not be used. I was able to note the horses in their “natural state” which would give me the opportunity to see any behavior changes in various population groups (or otherwise known as Bands). The main objective of this paper is to understand PZP as a population control tool and the effect it has on the Salt River Horses in Arizona.
ContributorsRendon, Chyna (Author) / Murphree, Julie (Thesis director) / Saul, Steven (Committee member) / Barrett, The Honors College (Contributor) / College of Integrative Sciences and Arts (Contributor)
Created2022-05