Newsom Keeley D, Riddle Michael J, Carter Gregory A, Hille Jessica J
Indiana University School of Medicine, Indianapolis, Indiana, USA.
Indiana University School of Nursing, Bloomington, Indiana, USA.
Transgend Health. 2022 Oct 7;7(5):453-460. doi: 10.1089/trgh.2021.0027. eCollection 2022 Oct.
Within the LGBTQ+ community, the transgender and nonbinary (TGNB) population experience a disproportionate amount of discrimination when seeking health care. Such disparities may arise from lack of proper medical training and resources for providers or biases. In this study, we examine the health care experiences of TGNB individuals living in Southern Indiana.
We analyzed responses from TGNB respondents to an LGBTQ+ health care needs assessment survey in Southern Indiana. Respondents were asked about demographic data, their self-assessed health status, quality of health care received, whether they have a provider with whom they feel comfortable sharing their gender identity with, and if they have to commute to see their provider. Finally, respondents were asked an open-ended question about their health care experiences while living in Southern Indiana. Responses were coded and several themes emerged and were analyzed.
Eighty-five TGNB individuals completed our survey. Less than half of respondents indicated that they had an LGBTQ+-welcoming provider (44.7%). Individuals with an LGBTQ+-welcoming provider were more likely to report their self-assessed health as excellent/good (=0.02) and quality of health as excellent/very good (=0.03) compared to individuals without an LGBTQ+-welcoming provider. Five themes emerged from the write-in responses (=64): discrimination (34.4%), invalidation (32.8%), distrust (28.1%), logistic concerns (35.9%), and positive experiences (35.9%).
The TGNB community living in Southern Indiana reports numerous barriers related to provider attitudes when obtaining health care. Additional training is needed to address provider biases and improve LGBTQ+ community health disparities.
在 LGBTQ+ 群体中，跨性别者和非二元性别者（TGNB）在寻求医疗保健时遭受的歧视比例过高。这种差异可能源于医疗服务提供者缺乏适当的医学培训和资源，或存在偏见。在本研究中，我们调查了生活在印第安纳州南部的 TGNB 个体的医疗保健经历。
我们分析了 TGNB 受访者对印第安纳州南部 LGBTQ+ 医疗保健需求评估调查的回复。受访者被问及人口统计学数据、自我评估的健康状况、所接受医疗保健的质量、是否有一位他们觉得可以与之分享性别认同的医疗服务提供者，以及他们是否需要通勤去看医疗服务提供者。最后，受访者被问及一个关于他们在印第安纳州南部生活期间医疗保健经历的开放式问题。对回复进行编码后出现了几个主题并进行了分析。
85 名 TGNB 个体完成了我们的调查。不到一半的受访者表示他们有一位对 LGBTQ+ 群体友好的医疗服务提供者（44.7%）。与没有对 LGBTQ+ 群体友好的医疗服务提供者的个体相比，有此类提供者的个体更有可能将他们自我评估的健康状况报告为优秀/良好（=0.02），并将医疗质量报告为优秀/非常好（=0.03）。从书面回复（=64）中出现了五个主题：歧视（34.4%）、无效化（32.8%）、不信任（28.1%）、后勤问题（35.9%）和积极经历（35.9%）。
生活在印第安纳州南部的 TGNB 群体在获得医疗保健时报告了许多与医疗服务提供者态度相关的障碍。需要额外的培训来解决医疗服务提供者的偏见并改善 LGBTQ+ 群体的健康差异。
