TY - JOUR
T1 - Barriers to gender transition-related healthcare
T2 - Identifying underserved transgender adults in Massachusetts
AU - White Hughto, Jaclyn M.
AU - Rose, Adam J.
AU - Pachankis, John E.
AU - Reisner, Sari L.
N1 - Publisher Copyright:
© Mary Ann Liebert, Inc. 2017.
PY - 2017/7
Y1 - 2017/7
N2 - Purpose: The present study sought to examine whether individual (e.g., age, gender), interpersonal (e.g., healthcare provider discrimination), and structural (e.g., lack of insurance coverage) factors are associated with access to transition-related care in a statewide sample of transgender adults. Method: In 2013, 364 transgender residents of Massachusetts completed an electronic web-based survey online (87.1%) or in person (12.9%). A multivariable logistic regression model tested whether individual, interpersonal, and structural factors were associated with access to transition-related care. Results: Overall, 23.6% reported being unable to access transition-related care in the past 12 months. In a multivariable model, younger age, low income, low educational attainment, private insurance coverage, and healthcare discrimination were significantly associated with being unable to access transition-related care (all p<0.05). Discussion: Despite state nondiscrimination policies and universal access to healthcare, many of the Massachusetts transgender residents sampled were unable to access transition-related care. Multilevel interventions are needed, including supportive policies and policy enforcement, to ensure that underserved transgender adults can access medically necessary transition-related care.
AB - Purpose: The present study sought to examine whether individual (e.g., age, gender), interpersonal (e.g., healthcare provider discrimination), and structural (e.g., lack of insurance coverage) factors are associated with access to transition-related care in a statewide sample of transgender adults. Method: In 2013, 364 transgender residents of Massachusetts completed an electronic web-based survey online (87.1%) or in person (12.9%). A multivariable logistic regression model tested whether individual, interpersonal, and structural factors were associated with access to transition-related care. Results: Overall, 23.6% reported being unable to access transition-related care in the past 12 months. In a multivariable model, younger age, low income, low educational attainment, private insurance coverage, and healthcare discrimination were significantly associated with being unable to access transition-related care (all p<0.05). Discussion: Despite state nondiscrimination policies and universal access to healthcare, many of the Massachusetts transgender residents sampled were unable to access transition-related care. Multilevel interventions are needed, including supportive policies and policy enforcement, to ensure that underserved transgender adults can access medically necessary transition-related care.
KW - access to care
KW - gender transition
KW - health policy
KW - transgender health
UR - http://www.scopus.com/inward/record.url?scp=85036523314&partnerID=8YFLogxK
U2 - 10.1089/trgh.2017.0014
DO - 10.1089/trgh.2017.0014
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AN - SCOPUS:85036523314
SN - 2380-193X
VL - 2
SP - 107
EP - 118
JO - Transgender Health
JF - Transgender Health
IS - 1
ER -