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Gender Identity Disclosure and Healthcare Services Uptake Among Chinese Transgender Individuals in China

Results from a Cross‐Sectional Study

Datos Bibliográficos

ID19543555
AutoresShamen Susan Chauma-Ludaka (Southern Medical University), Chengsong Wan (0000-0001-6847-8658, Southern Medical University), Gifty Marley (0000-0002-0025-3062, University of North Carolina at Chapel Hill), Willa Dong (0000-0001-5614-6293, University of North Carolina at Chapel Hill), Joseph D Tucker (0000-0003-2804-1181, University of North Carolina at Chapel Hill), Weiming Tang (0000-0002-9026-707X, University of North Carolina at Chapel Hill, autor de correspondencia)
Año2024
Volumen36
Número3
Páginas384-390
Fecha de publicación2024-07-02
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaInternational Journal of Sexual Health (JOURNAL)
Identificadores de la revistaISSN: 1931-7611 • E-ISSN: 1931-762X
EditorialInforma UK Limited (PUBLISHER • GB)
DOI10.1080/19317611.2024.2367515
PMID39148925
OpenAlexW4399734070
IdiomaEN
Citas recibidas1
Referencias citadas29

Purpose: Culture and stigma-relevant issues discourage transgender individuals in China from gender identity disclosure, which may limit their access to comprehensive health care services. This study evaluates how gender identity disclosure to healthcare professionals would facilitate healthcare services in China. Methods: A cross-sectional study was conducted in nine cities across mainland China from December 2019 to June 2020 among transgender individuals. Participants completed questions covering socio-demographic information, Human Immuno-Deficiency Virus and Sexually Transmitted Infections (HIV/STI) testing habits, sexual risk behaviors, and access to medical and mental health services for the past 3 months. Results: A total of 277 eligible transgender individuals with a mean age of 29 ± 8 years old completed the survey. Overall, 56.0% (155/277) had disclosed their gender identity to health professionals. 83.9% had ever tested for HIV (with HIV prevalence of 12.9%), 54.2% had tested for STIs, 62.6% had used hormone therapy, and 12.3% had undergone gender-affirming surgery. Multivariable logistic regression showed that participants who had ever disclosed their gender identity to healthcare professionals were more likely to have tested for STIs (aOR = 1.94, 95%CI: 1.12-3.39) and HIV (aOR = 1.72, 95% CI 0.82-3.39), received hormone intervention therapy (aOR = 2.81, 95%CI: 1.56-5.05), and used pre-exposure prophylaxis (PrEP) (aOR= 3.51, 95%CI: 1.12-10.97) compared to non-disclosers. Conclusions: Our study demonstrated strong correlations between gender identity disclosure and healthcare services usage among Chinese transgender individuals. Facilitating the gender identity disclosure of transgender individuals to healthcare professionals with caution would be useful for improving their access to care

China · Cross-sectional study · Gender identity · Health care · Political science · Psychiatry · Sociology · Transgender · Transgender people · Gender Studies · HIV/AIDS Research and Interventions · LGBTQ Health, Identity, and Policy · Medicine · Psychology · Sex and Gender in Healthcare · Social Psychology

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Obras citantes distintas1
Citas por año1
Intervalo de citas2026 - 2026 (1)
Velocidad de citacióncurrent
Altamente citadoNo
Tipos de citaNeutras: 1
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