与旧金山湾区跨性别女性青少年获得医疗保健相关的社会人口因素。
Sociodemographic Factors Associated With Trans*female Youth's Access to Health Care in the San Francisco Bay Area.
作者信息
Johns Elizabeth A, Jin Harry, Auerswald Colette L, Wilson Erin C
机构信息
UC Berkeley-UCSF Joint Medical Program, Berkeley, California; UC Berkeley School of Public Health, Berkeley, California.
Center for Public Health Research, San Francisco Department of Public Health, San Francisco, California.
出版信息
J Adolesc Health. 2017 Aug;61(2):259-261. doi: 10.1016/j.jadohealth.2017.02.013. Epub 2017 Apr 21.
PURPOSE
Trans*female youth (TFY) are an underserved population at risk for a variety of poor health outcomes, in part related to barriers to accessing health and mental health care.
METHODS
We conducted a secondary analysis of data collected with 250 TFY aged 16-24 years in the San Francisco Bay Area from 2012 to 2014. Logistic regression was used to test associations between sociodemographic variables and barriers to gender identity-based medical and mental health care.
RESULTS
Having a history of unstable housing was associated with significantly higher odds of problems accessing both medical care (odds ratio: 2.16, 95% confidence interval: 1.12-4.13) and mental health care due to gender identity (odds ratio 2.65, 95% confidence interval: 1.08-6.45). Conversely, identifying as genderqueer/genderfluid, Latina, or living in dependent housing was associated with access to either medical or mental health care.
CONCLUSIONS
Interventions are needed to address housing and discrimination barring access to health care among TFY.
目的
跨性别女性青少年（TFY）是未得到充分服务的人群，面临各种不良健康后果的风险，部分原因与获得医疗和心理健康护理的障碍有关。
方法
我们对2012年至2014年在旧金山湾区收集的250名年龄在16至24岁之间的跨性别女性青少年的数据进行了二次分析。使用逻辑回归来检验社会人口统计学变量与基于性别认同的医疗和心理健康护理障碍之间的关联。
结果
有住房不稳定史与因性别认同而在获得医疗护理（优势比：2.16，95%置信区间：1.12 - 4.13）和心理健康护理方面存在问题的几率显著更高相关（优势比2.65，95%置信区间：1.08 - 6.45）。相反，认同性别酷儿/性别流动者、拉丁裔或居住在依赖型住房中与获得医疗或心理健康护理相关。
结论
需要采取干预措施来解决住房问题和歧视问题，这些问题阻碍了跨性别女性青少年获得医疗保健。
Zotero 插件