The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2017
Sociodemographic Factors Associated With Trans*female Youth's Access to Health Care in the San Francisco Bay Area.
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Johns Elizabeth A, Jin Harry, Auerswald Colette L, Wilson Erin C
Аннотация
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.
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.