健康保健满意度与性别认同的关系：行为风险因素监测调查，20 个州（2014-2018 年）。

Health Care Satisfaction in Relation to Gender Identity: Behavioral Risk Factor Surveillance Survey, 20 States (2014-2018).

机构信息

Department of Population and Quantitative Health Sciences, University of Massachusetts Medical School, Worcester.

Section of General Internal Medicine, Department of Medicine, Boston University School of Medicine.

出版信息

Med Care. 2021 Apr 1;59(4):312-318. doi: 10.1097/MLR.0000000000001508.

DOI:10.1097/MLR.0000000000001508

PMID:33492048

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9260670/

Abstract

BACKGROUND

Health care satisfaction is a key component of patient-centered care. Prior research on transgender populations has been based on convenience samples, and/or grouped all gender minorities into a single category.

OBJECTIVE

The objective of this study was to quantify differences in health care satisfaction among transgender men, transgender women, gender nonconforming, and cisgender adults in a diverse multistate sample.

RESEARCH DESIGN

Cross-sectional analysis of 2014-2018 Behavioral Risk Factor Surveillance System data from 20 states, using multivariable logistic models.

SUBJECTS

We identified 167,468 transgender men, transgender women, gender-nonconforming people, cisgender women, and cisgender men and compared past year health care satisfaction across these groups.

RESULTS

Transgender men and women had the highest prevalence of being "not at all satisfied" with the health care they received (14.6% and 8.6%, respectively), and gender-nonconforming people had the lowest prevalence of being "very satisfied" with their health care (55.7%). After adjustment for sociodemographic characteristics, transgender men were more likely to report being "not at all satisfied" with health care than cisgender men (odds ratio: 4.45, 95% confidence interval: 1.72-11.5) and cisgender women (odds ratio: 3.40, 95% confidence interval: 1.31-8.80).

CONCLUSIONS

Findings indicate that transgender and gender-nonconforming adults report considerably less health care satisfaction relative to their cisgender peers. Interventions to address factors driving these differences are needed.

摘要

背景

医疗保健满意度是患者为中心的护理的关键组成部分。先前对跨性别群体的研究基于方便样本，并且/或者将所有性别少数群体归入单一类别。

目的

本研究的目的是在一个多样化的多州样本中量化跨性别男性、跨性别女性、性别不一致和顺性别成年人在医疗保健满意度方面的差异。

研究设计

对来自 20 个州的 2014-2018 年行为风险因素监测系统数据进行横断面分析，使用多变量逻辑模型。

研究对象

我们确定了 167468 名跨性别男性、跨性别女性、性别不一致者、顺性别女性和顺性别男性，并比较了这些群体过去一年的医疗保健满意度。

结果

跨性别男性和女性对他们所接受的医疗保健“完全不满意”的比例最高（分别为 14.6%和 8.6%），而性别不一致者对他们的医疗保健“非常满意”的比例最低（55.7%）。在调整了社会人口统计学特征后，跨性别男性报告“完全不满意”医疗保健的可能性高于顺性别男性（优势比：4.45，95%置信区间：1.72-11.5）和顺性别女性（优势比：3.40，95%置信区间：1.31-8.80）。