Autistic and transgender/gender diverse people’s experiences of health and healthcare DOI Creative Commons

Kate Green,

Elizabeth Weir,

Laurel Wright

et al.

Molecular Autism, Journal Year: 2025, Volume and Issue: 16(1)

Published: Jan. 20, 2025

Abstract Background Autistic people and transgender/gender diverse experience poorer healthcare experiences greater risk of diagnosed, suspected, assessment recommended health conditions, compared to non-autistic cisgender individuals, respectively. Despite this, there is a paucity studies on the outcomes autistic individuals. Methods We (n = 1094), 174), adults 1295) via an anonymous, self-report survey. All individuals whose sex assigned at birth did not match their current gender identity were categorized as diverse; this was possible determine, survey asked about in separate questions. Unfortunately, n 57 participants excluded from these analyses priori, due low power. Unadjusted adjusted binomial logistic regression models with FDR correction employed assess rates co-occurring mental physical conditions. Results Both had higher all conditions (including that are formally or for assessment), adults. Transgender/gender 2.3 times more likely report condition, 10.9 5.8 self-harm than groups also reported significantly across 50/51 items. Limitations These data originally collected understand In addition, our recruitment strategies, use convenience sampling method, limit generalizability study. As sample biased towards white UK residents, relatively highly educated those female birth, who currently identify female, findings may be less applicable differing demographics. Finally, present study does include information people. Conclusions have self-reported healthcare; however, being associated further certain adverse outcomes. Future research urgently needed. particular, forthcoming area should aim recruit large-scale representative compare Greater recognition challenges reasonable adjustments essential marginalized, intersectional identities clinical practice.

Language: Английский

Experiences of and resistance to multiple discrimination in health care settings among transmasculine people of color DOI Creative Commons
Madina Agénor, Sophia R. Geffen, Dougie Zubizarreta

et al.

BMC Health Services Research, Journal Year: 2022, Volume and Issue: 22(1)

Published: March 21, 2022

Research shows that transmasculine people experience discrimination based on their gender identity and/or expression (i.e., cissexism) while obtaining health care. However, studies examining the of other forms in care settings among diverse subgroups individuals, including those from minoritized racial/ethnic backgrounds, are very limited. Guided by intersectionality, we designed a qualitative research study to explore how color experience-and resist-multiple, intersecting settings. purposive sampling strategy, selected 19 young adults aged 18-25 years participate 5 mini-focus groups conducted between February and May 2019 Boston, MA. Focus group transcripts were analyzed using template style approach thematic analysis involved both deductive inductive coding codebook. Coded text fragments pertaining participants' experiences clustered into themes sub-themes. Transmasculine described experiencing notable challenges accessing physical mental as result structural barriers identifying providers with expertise transgender health, finding who share one or more social positions lived experiences, financial resources cover high costs. Further, participants discussed anticipating multiple interpersonal discrimination-both independently simultaneously-in settings, cissexism, racism, weight-based discrimination, ableism. Moreover, negative impact utilization, quality care, health. Lastly, various strategies resist multiple, they encounter setting boundaries providers, seeking competent shared positions, engaging self-advocacy, drawing peer support during visits, information through networks. Efforts needed address ableism, clinical encounters, institutions systems, society general advance multiply marginalized groups.

Language: Английский

Citations

24
Avoidance of primary healthcare among transgender and non-binary people in Canada during the COVID-19 pandemic DOI Creative Commons
Abigail Tami,

Tatiana B. Ferguson,

Greta R. Bauer

et al.

Preventive Medicine Reports, Journal Year: 2022, Volume and Issue: 27, P. 101789 - 101789

Published: April 5, 2022

Transgender (trans) and non-binary people experience barriers to culturally competent healthcare many have reported avoiding care. COVID-19 related mitigation strategies may exacerbated avoidance, poor mental health be bidirectionally This study estimated the prevalence of primary care avoidance during pandemic in a national sample trans Canada with provider examined association between poorer self-rated avoidance. In Fall 2019, Trans PULSE collected multi-mode survey data from people. September October 2020, 820 participants completed COVID-19-focused survey. this cross-sectional analysis, multivariable logistic regression models odds ratios adjusted for confounders weighted 2019 sample. The analysis included 689 individuals provider, whom 61.2% (95% CI: 57.2, 65.2) fair or 25.7% 22.3, 29.2) pandemic. most common reason was having non-urgent concern (72.7%, 95% 65.9, 79.5). analyses, those had higher as compared good excellent (adjusted ratio [AOR] = 2.37; 1.50, 3.77). relationship similar when excluding COVID-related reasons (AOR 2.52; 1.52, 4.17). Expansion virtual communication enhance accessibility, proactively assessing symptoms facilitate connections gender-affirming services.

Language: Английский

Citations

23
Binary and Nonbinary Transgender Adolescents' Healthcare Experiences, Avoidance, and Well Visits DOI
Taylor L. Boyer, Gina M. Sequeira, James E. Egan

et al.

Journal of Adolescent Health, Journal Year: 2022, Volume and Issue: 71(4), P. 438 - 445

Published: June 18, 2022

Language: Английский

Citations

23
Healthcare discrimination and factors associated with gender-affirming healthcare avoidance by transgender women and transgender men in Thailand: findings from a cross-sectional online-survey study DOI Creative Commons

Nachale Boonyapisomparn,

Natthaporn Manojai,

Pimwarat Srikummoon

et al.

International Journal for Equity in Health, Journal Year: 2023, Volume and Issue: 22(1)

Published: Feb. 13, 2023

Abstract Background Although discriminatory experiences of transgender people seeking healthcare services have been well-documented in several studies, differentiating those based on gender identity/expression and related factors has limited. The aim this study was to compare the characteristics, experiences, attitude, expectation toward accessing service providers women men Thailand. Methods A cross-sectional conducted from October 2017 March 2018. data were collected aged ≥ 18 years old who lived Thailand using online platform via different websites Facebook pages local group. Binary logistic regression used identify outcomes. Results Of 186 responded questionnaire eligible for study, 73.7% (95% confidence interval [CI] = 66.7–79.8) 26.3% CI 20.2–33.3) men. Transgender more likely seek general non-traditional (crude odds ratio [cOR] 4.28; 95% 1.55–11.81; P 0.005), buy hormone treatment (cOR 3.89; 1.18–12.83; 0.026), receive counseling 5.16; 1.42–18.75; 0.013) than According results applying a multivariable model, respondents did not know that gender-affirming existed unwilling (adjusted 3.70; 1.11–12.36; 0.033). Conclusions findings indicate are without physician’s supervision. We also found approximately 15% individuals services. Continuing improve access care community, increasing public relations channels may encourage

Language: Английский

Citations

16
Previous mental health care and help-seeking experiences: Perspectives from sexual and gender minority survivors of near-fatal suicide attempts. DOI Creative Commons
Natalie R. Holt,

Elliott Botelho,

Caitlin Wolford‐Clevenger

et al.

Psychological Services, Journal Year: 2023, Volume and Issue: 21(1), P. 24 - 33

Published: Feb. 9, 2023

Sexual and gender minority (SGM) populations face heightened risk of suicide compared to their heterosexual cisgender counterparts, a previous attempt is among the strongest predictors mortality. Despite this increased risk, limited research has explored mental health help-seeking behavior care experiences SGM individuals highest for suicide-individuals with recent, near-fatal attempt. This study presents thematic analysis results interviews 22 who reported at least one in past 18 months. Identified themes were (a)

Language: Английский

Citations

15
Describing Non-Binary People’s Encounters with the Healthcare System: A Qualitative Study in Catalonia (Spain) DOI Creative Commons
Rebeca Gómez‐Ibáñez, Juan M. Leyva‐Moral,

Alexander Cruzado-Reyes

et al.

Archives of Sexual Behavior, Journal Year: 2024, Volume and Issue: 53(5), P. 1957 - 1967

Published: April 2, 2024

Non-binary people face numerous stressors in their daily lives, including personal, interpersonal, and environmental. These gain strength when such individuals access healthcare services, discrimination cisgenderism become the main barrier to obtaining gender-affirming healthcare. This study aimed describe experiences of non-binary regarding care medical attention received Catalonia (Spain). A qualitative phenomenological was conducted with 21 recruited using snowball sampling 2022. Data were gathered through open-ended interviews analyzed thematic analysis. Two themes identified, which further classified into two categories each: Theme 1-This is me composed categories, "My Name My Pronouns" "One's Chosen Gender," 2-I do not exist for health system consisting "Uneducated Health System Sexual Health" "Feeling Like an Outsider Being Non-Binary." multiple accessing services that makes them feel invisible, vulnerable, marginalized. Further widespread implementation person-centered essential promote relationship between system. In addition, sexual training required all professionals.

Language: Английский

Citations

5
Direct and vicarious exposure to healthcare discrimination and erasure among transgender and gender independent individuals: Testing the indirect effect of mistrust in healthcare on utilization behaviors DOI
Kyle L. Mason, Kristina B. Hood, Paul B. Perrin

et al.

Social Science & Medicine, Journal Year: 2024, Volume and Issue: 348, P. 116806 - 116806

Published: March 30, 2024

Language: Английский

Citations

5
Human papillomavirus vaccination disparities among U.S. college students: An intersectional Multilevel Analysis of Individual Heterogeneity and Discriminatory Accuracy (MAIHDA) DOI
Dougie Zubizarreta, Ariel L. Beccia, Mai-Han Trinh

et al.

Social Science & Medicine, Journal Year: 2022, Volume and Issue: 301, P. 114871 - 114871

Published: March 15, 2022

Language: Английский

Citations

22
Treating Acne in Transgender Persons Receiving Testosterone: A Practical Guide DOI Open Access
Rakan Radi, Sarah Gold, Juan P. Acosta

et al.

American Journal of Clinical Dermatology, Journal Year: 2022, Volume and Issue: 23(2), P. 219 - 229

Published: Jan. 11, 2022

Language: Английский

Citations

20
LGBTQ+ Microaggressions in Health Care: Piloting an Observation Framework in a Standardized Patient Assessment DOI
Hallie R. Decker, Ryan Combs, Emily J. Noonan

et al.

Journal of Homosexuality, Journal Year: 2022, Volume and Issue: 71(2), P. 528 - 544

Published: Oct. 3, 2022

Microaggressions are subtle derogatory behaviors that unintentionally communicate hostility toward marginalized social groups. This article describes the preliminarily validation of a framework for observing LGBTQ+ microaggressions in health care, which can lead to distrust and disengagement from healthcare system. Coders used observe video-recorded clinical-skills assessments with medical students who elicited histories standardized patients. Microaggression classifications were reviewed determine construct reliability presence/absence among eight categories. Among 177 encounters sexual gender minority patients, heteronormative/cisnormative language assumptions occurred largest proportion (85.3%). Only identity-based referrals decreased significantly after clinical skills intervention (20.0% 4.9%, p = .01). These outcomes show pervasive will likely require nuanced training address them. groundwork also be develop scales patients observers identify assess perceived impact.

Language: Английский

Citations

19