Avoidance of primary healthcare among transgender and non-binary people in Canada during the COVID-19 pandemic

Preventive Medicine Reports, Год журнала: 2022, Номер 27, С. 101789 - 101789

Опубликована: Апрель 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.

Язык: Английский

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Binary and Nonbinary Transgender Adolescents' Healthcare Experiences, Avoidance, and Well Visits

Journal of Adolescent Health, Год журнала: 2022, Номер 71(4), С. 438 - 445

Опубликована: Июнь 18, 2022

Язык: Английский

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Previous mental health care and help-seeking experiences: Perspectives from sexual and gender minority survivors of near-fatal suicide attempts.

Psychological Services, Год журнала: 2023, Номер 21(1), С. 24 - 33

Опубликована: Фев. 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)

Язык: Английский

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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

International Journal for Equity in Health, Год журнала: 2023, Номер 22(1)

Опубликована: Фев. 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

Язык: Английский

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Health Care Disparities Among Autistic LGBTQ+ People

Autism in Adulthood, Год журнала: 2023, Номер 5(2), С. 165 - 174

Опубликована: Фев. 24, 2023

Lesbian, gay, bisexual, transgender, or queer (LGBTQ+) people and disabled experience disparities in access to health care compared with others. However, we have yet understand how may be further exacerbated at the intersection of disability LGBTQ+ identity, particularly among autistic people.

Язык: Английский

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Describing Non-Binary People’s Encounters with the Healthcare System: A Qualitative Study in Catalonia (Spain)

Archives of Sexual Behavior, Год журнала: 2024, Номер 53(5), С. 1957 - 1967

Опубликована: Апрель 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.

Язык: Английский

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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

Social Science & Medicine, Год журнала: 2024, Номер 348, С. 116806 - 116806

Опубликована: Март 30, 2024

Язык: Английский

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Human papillomavirus vaccination disparities among U.S. college students: An intersectional Multilevel Analysis of Individual Heterogeneity and Discriminatory Accuracy (MAIHDA)

Social Science & Medicine, Год журнала: 2022, Номер 301, С. 114871 - 114871

Опубликована: Март 15, 2022

Язык: Английский

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Treating Acne in Transgender Persons Receiving Testosterone: A Practical Guide

American Journal of Clinical Dermatology, Год журнала: 2022, Номер 23(2), С. 219 - 229

Опубликована: Янв. 11, 2022

Язык: Английский

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LGBTQ+ Microaggressions in Health Care: Piloting an Observation Framework in a Standardized Patient Assessment

Journal of Homosexuality, Год журнала: 2022, Номер 71(2), С. 528 - 544

Опубликована: Окт. 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.

Язык: Английский

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