Healthcare avoidance due to anticipated discrimination among transgender people: A call to create trans-affirmative environments

SSM - Population Health
Luisa KcomtSean Esteban McCabe

Abstract

Transgender people encounter interpersonal and structural barriers to healthcare access that contribute to their postponement or avoidance of healthcare, which can lead to poor physical and mental health outcomes. Using the 2015 U.S. Transgender Survey, this study examined avoidance of healthcare due to anticipated discrimination among transgender adults aged 25 to 64 (N = 19,157). Multivariable logistic regression analysis was conducted to test whether gender identity/expression, socio-demographic, and transgender-specific factors were associated with healthcare avoidance. Almost one-quarter of the sample (22.8%) avoided healthcare due to anticipated discrimination. Transgender men had increased odds of healthcare avoidance (AOR = 1.32, 95% CI = 1.21-1.45) relative to transgender women. Living in poverty (AOR = 1.52, 95% CI = 1.40-1.65) and visual non-conformity (AOR = 1.48, 95% CI = 1.33-1.66) were significant risk factors. Having health insurance (AOR = 0.87, 95% CI = 0.79-0.96) and disclosure of transgender identity (AOR = 0.77, 95% CI = 0.68-0.87) were protective against healthcare avoidance. A significant interaction of gender identity/expression with health insurance was found; having health insurance moderated the assoc...Continue Reading

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Sep 25, 2020·Journal of Nursing Management·Francisco Montes-GaldeanoMiguel Rodriguez-Arrastia
Feb 10, 2021·Annals of Plastic Surgery·Kara A RothenbergKaren M Yokoo
Aug 3, 2021·PloS One·Sari L ReisnerAmaya Perez-Brumer
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