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Reports of Negative Interactions with Healthcare Providers among Transgender, Nonbinary, and Gender-Expansive People assigned Female at Birth in the United States: Results from an Online, Cross-Sectional Survey

Over one million people in the United States are transgender, nonbinary, or gender expansive (TGE). TGE individuals, particularly those who have pursued gender-affirming care, often need to disclose their identities in the process of seeking healthcare. Unfortunately, TGE individuals often report ne...

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Autores principales: Inman, Elizabeth M., Obedin-Maliver, Juno, Ragosta, Sachiko, Hastings, Jen, Berry, Jasmine, Lunn, Mitchell R., Flentje, Annesa, Capriotti, Matthew R., Lubensky, Micah E., Stoeffler, Ari, Dastur, Zubin, Moseson, Heidi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10252942/
https://www.ncbi.nlm.nih.gov/pubmed/37297611
http://dx.doi.org/10.3390/ijerph20116007
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author Inman, Elizabeth M.
Obedin-Maliver, Juno
Ragosta, Sachiko
Hastings, Jen
Berry, Jasmine
Lunn, Mitchell R.
Flentje, Annesa
Capriotti, Matthew R.
Lubensky, Micah E.
Stoeffler, Ari
Dastur, Zubin
Moseson, Heidi
author_facet Inman, Elizabeth M.
Obedin-Maliver, Juno
Ragosta, Sachiko
Hastings, Jen
Berry, Jasmine
Lunn, Mitchell R.
Flentje, Annesa
Capriotti, Matthew R.
Lubensky, Micah E.
Stoeffler, Ari
Dastur, Zubin
Moseson, Heidi
author_sort Inman, Elizabeth M.
collection PubMed
description Over one million people in the United States are transgender, nonbinary, or gender expansive (TGE). TGE individuals, particularly those who have pursued gender-affirming care, often need to disclose their identities in the process of seeking healthcare. Unfortunately, TGE individuals often report negative experiences with healthcare providers (HCPs). We conducted a cross-sectional online survey of 1684 TGE people assigned female or intersex at birth in the United States to evaluate the quality of their healthcare experiences. Most respondents (70.1%, n = 1180) reported at least one negative interaction with an HCP in the past year, ranging from an unsolicited harmful opinion about gender identity to physical attacks and abuse. In an adjusted logistic regression model, those who had pursued gender-affirming medical care (51.9% of the sample, n = 874) had 8.1 times the odds (95% CI: 4.1–17.1) of reporting any negative interaction with an HCP in the past year, compared to those who had not pursued gender-affirming care, and tended to report a higher number of such negative interactions. These findings suggest that HCPs are failing to create safe, high-quality care interactions for TGE populations. Improving care quality and reducing bias is crucial for improving the health and well-being of TGE people.
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spelling pubmed-102529422023-06-10 Reports of Negative Interactions with Healthcare Providers among Transgender, Nonbinary, and Gender-Expansive People assigned Female at Birth in the United States: Results from an Online, Cross-Sectional Survey Inman, Elizabeth M. Obedin-Maliver, Juno Ragosta, Sachiko Hastings, Jen Berry, Jasmine Lunn, Mitchell R. Flentje, Annesa Capriotti, Matthew R. Lubensky, Micah E. Stoeffler, Ari Dastur, Zubin Moseson, Heidi Int J Environ Res Public Health Article Over one million people in the United States are transgender, nonbinary, or gender expansive (TGE). TGE individuals, particularly those who have pursued gender-affirming care, often need to disclose their identities in the process of seeking healthcare. Unfortunately, TGE individuals often report negative experiences with healthcare providers (HCPs). We conducted a cross-sectional online survey of 1684 TGE people assigned female or intersex at birth in the United States to evaluate the quality of their healthcare experiences. Most respondents (70.1%, n = 1180) reported at least one negative interaction with an HCP in the past year, ranging from an unsolicited harmful opinion about gender identity to physical attacks and abuse. In an adjusted logistic regression model, those who had pursued gender-affirming medical care (51.9% of the sample, n = 874) had 8.1 times the odds (95% CI: 4.1–17.1) of reporting any negative interaction with an HCP in the past year, compared to those who had not pursued gender-affirming care, and tended to report a higher number of such negative interactions. These findings suggest that HCPs are failing to create safe, high-quality care interactions for TGE populations. Improving care quality and reducing bias is crucial for improving the health and well-being of TGE people. MDPI 2023-05-31 /pmc/articles/PMC10252942/ /pubmed/37297611 http://dx.doi.org/10.3390/ijerph20116007 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Inman, Elizabeth M.
Obedin-Maliver, Juno
Ragosta, Sachiko
Hastings, Jen
Berry, Jasmine
Lunn, Mitchell R.
Flentje, Annesa
Capriotti, Matthew R.
Lubensky, Micah E.
Stoeffler, Ari
Dastur, Zubin
Moseson, Heidi
Reports of Negative Interactions with Healthcare Providers among Transgender, Nonbinary, and Gender-Expansive People assigned Female at Birth in the United States: Results from an Online, Cross-Sectional Survey
title Reports of Negative Interactions with Healthcare Providers among Transgender, Nonbinary, and Gender-Expansive People assigned Female at Birth in the United States: Results from an Online, Cross-Sectional Survey
title_full Reports of Negative Interactions with Healthcare Providers among Transgender, Nonbinary, and Gender-Expansive People assigned Female at Birth in the United States: Results from an Online, Cross-Sectional Survey
title_fullStr Reports of Negative Interactions with Healthcare Providers among Transgender, Nonbinary, and Gender-Expansive People assigned Female at Birth in the United States: Results from an Online, Cross-Sectional Survey
title_full_unstemmed Reports of Negative Interactions with Healthcare Providers among Transgender, Nonbinary, and Gender-Expansive People assigned Female at Birth in the United States: Results from an Online, Cross-Sectional Survey
title_short Reports of Negative Interactions with Healthcare Providers among Transgender, Nonbinary, and Gender-Expansive People assigned Female at Birth in the United States: Results from an Online, Cross-Sectional Survey
title_sort reports of negative interactions with healthcare providers among transgender, nonbinary, and gender-expansive people assigned female at birth in the united states: results from an online, cross-sectional survey
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10252942/
https://www.ncbi.nlm.nih.gov/pubmed/37297611
http://dx.doi.org/10.3390/ijerph20116007
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