Despite
significant
progress
in
the
acceptance
and
celebration
of
LGBTQ+
individuals,
there
is
overwhelming
evidence
that
sexual
minorities
still
face
disproportionate
levels
health
inequity
compared
to
their
heterosexual
peers.
Relative
peers,
emerging
adults
may
encounter
unique
challenges
with
discrimination,
stigma,
limited
social
support
as
they
navigate
changes
educational
occupational
environments.
Additionally,
within
broader
public
mental
literature,
little
known
about
service
utilization
minority
adults.
To
address
these
empirical
gaps,
a
sample
98
completed
self-report
measures
heterosexist
discrimination
experiences,
symptoms,
positive
identity,
community
connectedness,
utilization.
The
present
study
found
identity
connectedness
did
not
attenuate
relationship
between
negative
outcomes.
also
predicted
greater
likelihood
utilization,
whereas
not.
Finally,
exploratory
qualitative
analyses
yielded
deeper
understanding
relationships
resilience
among
Implications
future
directions
for
research
clinical
practice
are
discussed.
International Journal for Equity in Health,
Год журнала:
2023,
Номер
22(1)
Опубликована: Окт. 10, 2023
Transgender
individuals
experience
limited
access
to
healthcare.
This
results
not
least
from
experiences
of
discrimination
which
they
are
exposed
in
the
health
system.
These
contribute
transgender
having
poorer
than
cis
individuals,
i.e.
whose
sex
assigned
at
birth
is
line
with
their
gender
identity.
It
an
ethical
duty
take
effective
measures
minimize
inequalities
medical
care.
At
best,
such
should
also
be
assessed
as
appropriate
perspective
those
affected
order
accepted
and
thus
effective.
therefore
important
know
whether
touch
on
subjectively
assumed
reasons
for
discrimination.
Hence,
able
measures,
it
identify
that
see
causal
healthcare.We
conducted
semi-structured
interviews
14
German
asked
them
about
own
healthcare
assumptions
We
analyzed
responses
using
method
structured
qualitative
content
analysis.13
reported
emanated
different
professional
groups
took
place
trans-specific
well
general
settings.
were
a
total
12
discrimination:
(1)
internalized
trans-hostility
"protection"
(2)
lack
knowledge/uncertainties
regarding
transition,
(3)
binary
worldview,
(4)
worldview
medicine,
(5)
structural
deficits,
(6)
asymmetric
interactions
specialists,
(7)
current
political
debate,
(8)
view
"burden
society",
(9)
objectification,
(10)
homophobia,
(11)
misogyny/androcentrism
(12)
reaction
discrimination.German
have
very
differentiated
picture
subjective
experiencing
Overall,
disrespect
identity
confrontation
foreignness
seems
seen
decisive
factor.
Thus,
enough
focus
only
aim
remedy
information
deficit
part
providers.
Measures
must
taken
can
create
granting
respectful
attitude
towards
individuals.
Purpose:
Black
sexually
and
gender
minoritized
(SGM)
people
who
were
assigned
female
at
birth
(AFAB)
experience
compounding
health
care
inequities,
barriers
to
equitable
care,
disproportionately
adverse
outcomes.
Given
prior
literature
indicating
that
both
experienced
and/or
anticipated
reported
discrimination
medical
mistrust
may
shape
these
experiences
of
SGM
AFAB
people,
we
sought
investigate
the
specific
interplay
between
two
factors
bolster
understanding
their
relationship.
Methods:
In
January
February
2023,
conducted
a
cross-sectional
online
survey
156
adults
in
United
States
(U.S.)
assessing
lifetime
all-cause
gender-,
race/ethnicity-,
weight-based
settings,
addition
ratings
on
Medical
Mistrust
Index
(MMI).
Univariate
statistics,
analysis
variance,
post
hoc
pairwise
tests,
multivariable
linear
regression
assess
measures
discrimination,
mistrust,
covariates
associations
among
analytic
sample
(n
=
130).
Results:
Most
participants
discrimination.
Adjusting
for
demographic,
socioeconomic,
factors,
identified
an
association
experiencing
any-cause-,
or
significantly
higher
MMI
scores.
The
gender-based
was
not
statistically
significant.
Conclusion:
be
more
likely
levels
mistrust.
Identifying
interventions
pathways
tackle
systemic
structural
drivers
will
critical
augmenting
outcomes
communities.
AIDS Care,
Год журнала:
2025,
Номер
unknown, С. 1 - 9
Опубликована: Фев. 16, 2025
Transgender
and
nonbinary
young
adults
in
the
United
States
(U.S.)
experience
disproportionately
high
rates
of
HIV
face
unique
barriers
to
accessing
testing,
a
key
component
prevention.
Gender-affirming
practices
healthcare
settings
may
improve
care
access
reduce
avoidance
among
transgender
people.
To
our
knowledge,
no
study
has
examined
association
between
gender-affirming
testing
U.S.
adults.
This
analyzed
national
cross-sectional,
online
data
from
aged
18–30
years
(N
=
225)
assess
gender
affirmation
sub-scale
Gender
Diverse
Healthcare
Discrimination
Adverse
Experiences
Scale
(range:
0–20)
past-year
using
multivariable
logistic
regression.
We
found
that
one-point
increase
score
was
positively
associated
with
(odds
ratio
1.15;
95%
confidence
interval:
1.06,
1.26),
adjusting
for
age,
geographic
region,
identity,
educational
attainment,
employment
status,
having
usual
source
care,
health
insurance
status.
Our
findings
provide
additional
evidence
is
important
facilitating
utilization
preventive
services
Preventive Medicine Reports,
Год журнала:
2024,
Номер
42, С. 102734 - 102734
Опубликована: Апрель 17, 2024
Health
inequities
among
transgender
and
gender
diverse
(TGD)
populations
are
well-documented
may
be
partially
explained
by
the
complex
social
power
dynamics
that
lead
to
stigmatization.
Healthcare
Stereotype
Threat
(HCST)
refers
fear
threat
of
being
perceived
negatively
based
on
identity-related
stereotypes
influence
health
healthcare
experiences.
Few
studies
have
investigated
associations
HCST
with
access
outcomes
for
TGD
individuals.
We
analyzed
U.S.
Transgender
Population
Survey,
a
cross-sectional
national
probability
sample
274
adults
recruited
April
2016-December
2018.
Participants
self-reported
through
4-item
scale.
estimated
prevalence
ratios
(PR)
association
between
binary
indicators
using
Poisson
models
robust
variance.
Prevalence
were
negative
binomial
number
past-month
poor
physical
mental
days.
Models
adjusted
sociodemographics
medical
affirmation.
The
mean
age
was
34.2
years;
30.9
%
identified
as
men,
37.8
women,
31.3
genderqueer/nonbinary.
associated
increased
not
having
personal
doctor/healthcare
provider
(PR
=
1.25;
95
%CI
1.00-1.56)
reporting
fair/poor
general
vs
good/very
good/excellent
1.92;
1.37-2.70).
Higher
also
more
frequent
1.34;
1.12-1.59)
1.49;
1.33-1.66)
contribute
adverse
in
populations,
though
prospective
needed.
Multilevel
interventions
recommended
create
safe,
gender-affirming
environments
mitigate
HCST.
