Almazan Anthony N, Benyishay Matan, Stott Brooke, Vedilago Virginia, Reisner Sari L, Keuroghlian Alex S
Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA.
The Fenway Institute, Fenway Health, Boston, Massachusetts, USA.
LGBT Health. 2023 Jan;10(1):86-92. doi: 10.1089/lgbt.2021.0391. Epub 2022 Aug 12.
Little is known about the prevalence and predictors of gender-affirming primary care (GAPC) access among rural transgender and gender diverse (TGD) adults. This study therefore sought to characterize the prevalence and predictors of GAPC within a sample of rural TGD adults. A nonprobability convenience sample ( = 244) of rural TGD adults was recruited across five Northeastern U.S. states (Connecticut, Massachusetts, New Hampshire, New York, Vermont) and completed a health needs assessment from March 2019 to October of 2019. Transgender women and men had higher odds of accessing GAPC than nonbinary and gender diverse respondents. Respondents aged 25-39 had higher odds of accessing GAPC than those 18-24 years old. This study found high prevalence of barriers to GAPC among rural TGD people, highlighting system-level improvement opportunities.
对于农村地区跨性别及性别多样化（TGD）成年人获得性别肯定初级保健（GAPC）的患病率及预测因素，人们了解甚少。因此，本研究旨在描述农村TGD成年人群体中GAPC的患病率及预测因素。在美国东北部五个州（康涅狄格州、马萨诸塞州、新罕布什尔州、纽约州、佛蒙特州）招募了一个由244名农村TGD成年人组成的非概率便利样本，并于2019年3月至2019年10月完成了一项健康需求评估。跨性别女性和男性获得GAPC的几率高于非二元性别及性别多样化的受访者。25至39岁的受访者获得GAPC的几率高于18至24岁的受访者。本研究发现，农村TGD人群中GAPC存在障碍的患病率很高，突出了系统层面的改进机会。
