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Infrastructuring Care: How Trans and Non-Binary People Meet Health and Well-Being Needs through Technology

Lauren Wilcox
Rajesh Veeraraghavan
Oliver Haimson
Gabi Erickson
Michael Turken
Beka Gulotta
ACM Conference on Human Factors in Computing Systems (ACM CHI) 2023, Association for Computing Machinery, ACM (2023)


We present a cross-cultural diary study with 64 transgender (trans) and non-binary (TGNB) adults in Mexico, the U.S., and India, to understand experiences keeping track of and managing aspects of personal health and well-being. Based on a reflexive thematic analysis of diary data, we highlight sociotechnical interactions that shape how transgender and non-binary people track and manage aspects of their health and well-being. Specifically, we surface the ways in which transgender and non-binary people infrastructure forms of care, by assembling together elements of informal social ecologies, formalized knowledge sources, and self-reflective media. We then examine the forms of precarity that interact with care infrastructure and shape management of health and well-being, including management of gender identity transitions. We discuss the ways in which our findings extend knowledge at the intersection of technology and marginalized health needs, and conclude by arguing for the importance of a research agenda to move toward TGNB-inclusive design.