Trans people and the myth of homogeneous societies

In their Comment, Arjee Restar and Sari Reisner (Oct 28, 2017, p 1933) [1] briefly hint at the diversity in health risk within the transgender (trans) community but then fail to take their recommendations further. For example, among the 60 million refugees worldwide, trans people are particularly at risk of violence and discrimination. [2] Yet discrimination based on gender identity and migration status are usually treated separately, as the Comment's omission illustrates. [1] Many trans people experience discrimination on multiple grounds, such as refugee status, socioeconomic position, age, and physical and cognitive ability, in addition to gender identity, leading to possibly even more negative health consequences than in non-trans people.

We fully acknowledge the importance of trans visibility but argue that strategies focusing on discrimination against a group defined solely by one marker of heterogeneity has two risks: first, representation of trans people as a separate group of individuals from the majority of the population risks further exclusion; and second, multiple discrimination factors might be overlooked. Instead, we use the approach of super-diversity. [3] Super-diversity originates from migration research, but it appreciates that people differ in many respects besides migrant status and constructs multiple discrimination as an inescapable part of scientific discourse. Of equal importance, super-diversity deconstructs the concept of an allegedly homogeneous majority population and, therefore, encourages all population members to recognise that being different in several respects is part of the human condition and never a legitimate reason for othering—ie, marginalising individuals because they do not fit a perceived norm. The scientific community should not only start altering the culture of public health [1] but challenge the myth of homogeneous societies. [4]

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myth of homogeneous societies — это видимо о своём, о девичьем, в демографии неоднородность и пральный щёт знаменателя —— основа основ