Schuller Kristin A, Crawford Rebekah P, Wolf Marilena
Department of Health Sciences, Towson University, Towson, Maryland, USA.
Department of Social and Public Health, Ohio University, Athens, Ohio, USA.
Transgend Health. 2025 Feb 10;10(1):73-83. doi: 10.1089/trgh.2023.0107. eCollection 2025 Feb.
The purposes of this study were to determine which transgender and gender nonconforming (TGNC) adults used mental health services in the past 12 months, to compare TGNC who did and did not access mental health care, to query reasons for not accessing mental health services, and to determine what indicators influenced mental health service utilization.
The research team gathered data from 274 TGNC adults from September to November 2019 via an electronic survey. This exploratory study assessed mixed methods data on mental health services utilization. The convergent, parallel mixed methods design was used to compare and interpret the quantitative and qualitative data for convergence or divergence.
Approximately 24% of TGNC adults did not use mental health services, with 44% of that group indicating it was because they did not need them, which means that 56% needed services but did not use them. The top reasons for not accessing needed mental health services included: inability to pay, not believing that care would be effective, not expecting to find providers who understood specific TGNC experiences or needs, and not trusting mental health professionals. Income, location, and mental health status were significant indicators.
This study provides evidence that some TGNC adults who do not utilize mental health services still need them while outlining the specific barriers that inhibit TGNC adults from accessing needed mental health care. Comparing TGNC adults who did and did not access mental health services reveals that mental health status, location, and income are predictive of mental health service utilization. Recommendations are discussed.
本研究的目的是确定哪些跨性别和性别不一致（TGNC）成年人在过去12个月中使用了心理健康服务，比较使用和未使用心理健康护理的TGNC人群，询问未使用心理健康服务的原因，并确定哪些指标影响心理健康服务的利用情况。
研究团队在2019年9月至11月期间通过电子调查收集了274名TGNC成年人的数据。这项探索性研究评估了关于心理健康服务利用的混合方法数据。采用收敛性、平行混合方法设计来比较和解释定量和定性数据的收敛或分歧情况。
约24%的TGNC成年人未使用心理健康服务，其中44%的人表示是因为他们不需要，这意味着56%的人需要服务但未使用。未获得所需心理健康服务的主要原因包括：无力支付、不相信护理会有效、不期望找到理解特定TGNC经历或需求的提供者以及不信任心理健康专业人员。收入、地点和心理健康状况是重要指标。
本研究提供了证据，表明一些未使用心理健康服务的TGNC成年人仍然需要这些服务，同时概述了阻碍TGNC成年人获得所需心理健康护理的具体障碍。比较使用和未使用心理健康服务的TGNC成年人发现，心理健康状况、地点和收入可预测心理健康服务的利用情况。文中还讨论了相关建议。
