The role of discrimination in care postponement among trans-feminine individuals in the U.S. national transgender discrimination survey

Jennifer L. Glick, Katherine P. Theall, Katherine M. Andrinopoulos, Carl Kendall

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: This study examines the associations between discrimination experiences (types and locations) and care postponement among trans-feminine individuals in the United States. Methods: This secondary, cross-sectional study utilized a subset of the data from the National Transgender Discrimination Survey (n = 2248), specifically for trans-feminine individuals. In this analysis, we examined the relationship between discrimination and primary care postponement. Results: Twenty-six percent (26.25%) of the study sample reported delaying preventive care due to fear of discrimination; 23.98%-46.66% of respondents reported past experiences of discrimination (setting dependent). Discrimination in health and non-health settings and different types of discrimination - being denied services, verbally harassed, or physically assaulted - were all significantly associated with delaying care; respondents reporting discrimination were up to 20 times more likely to postpone care. While discrimination at a health location had the strongest association with care postponement (adjusted odds ratio = 9.65, confidence interval = 7.60-12.24), discrimination in all non-health-related locations was also important. Individuals reporting discrimination in greater numbers of locations and multiple types of discrimination were more likely to postpone care. Conclusion: To promote preventive care-seeking, these results affirm the importance of interventions that promote discrimination-free environments for gender minorities.

Original languageEnglish (US)
Pages (from-to)171-179
Number of pages9
JournalLGBT health
Volume5
Issue number3
DOIs
StatePublished - Apr 2018
Externally publishedYes

Keywords

  • discrimination
  • gender minority
  • preventive care
  • transgender

ASJC Scopus subject areas

  • Dermatology
  • Obstetrics and Gynecology
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health
  • Urology

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