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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...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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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. |
format | Online Article Text |
id | pubmed-10252942 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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