Health Care Satisfaction in Relation to Gender Identity

Behavioral Risk Factor Surveillance Survey, 20 States (2014–2018)

Dados Bibliográficos

ID9101669
AutoresKatarina A Ferrucci (0000-0003-3946-4972, University of Massachusetts Chan Medical School, autor correspondente), Tubanji Walubita (0000-0003-4204-4231, University of Massachusetts Chan Medical School, autor correspondente), Ariel L Beccia (0000-0002-6617-7031, University of Massachusetts Chan Medical School, autor correspondente), Emily Ding (0000-0002-6904-8534, University of Massachusetts Chan Medical School, autor correspondente), Eric Y Ding (University of Massachusetts Chan Medical School), Bill M Jesdale (0000-0002-2697-3279, University of Massachusetts Chan Medical School, autor correspondente), Kate L Lapane (0000-0001-9957-7747, University of Massachusetts Chan Medical School, autor correspondente), Carl G Streed (0000-0003-3075-253X, Section of General Internal Medicine, Department of Medicine, Boston University School of Medicine)
Ano2021
Volume59
Fascículo4
Páginas312-318
Data de publicação2021-04-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoMedical Care (JOURNAL)
Identificadores do periódicoISSN: 0025-7079 • E-ISSN: 1537-1948
EditoraOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000001508
PMID33492048
OpenAlexW3126018537
IdiomaEN
Citações recebidas1
Referências citadas31

BACKGROUND: Health care satisfaction is a key component of patient-centered care. Prior research on transgender populations has been based on convenience samples, and/or grouped all gender minorities into a single category. OBJECTIVE: The objective of this study was to quantify differences in health care satisfaction among transgender men, transgender women, gender nonconforming, and cisgender adults in a diverse multistate sample. RESEARCH DESIGN: Cross-sectional analysis of 2014-2018 Behavioral Risk Factor Surveillance System data from 20 states, using multivariable logistic models. SUBJECTS: We identified 167,468 transgender men, transgender women, gender-nonconforming people, cisgender women, and cisgender men and compared past year health care satisfaction across these groups. RESULTS: Transgender men and women had the highest prevalence of being "not at all satisfied" with the health care they received (14.6% and 8.6%, respectively), and gender-nonconforming people had the lowest prevalence of being "very satisfied" with their health care (55.7%). After adjustment for sociodemographic characteristics, transgender men were more likely to report being "not at all satisfied" with health care than cisgender men (odds ratio: 4.45, 95% confidence interval: 1.72-11.5) and cisgender women (odds ratio: 3.40, 95% confidence interval: 1.31-8.80). CONCLUSIONS: Findings indicate that transgender and gender-nonconforming adults report considerably less health care satisfaction relative to their cisgender peers. Interventions to address factors driving these differences are needed

Confidence interval · Health care · Logistic regression · Odds ratio · Psychological intervention · Transgender · Cancer survivorship and care · Clinical Psychology · Demography · LGBTQ Health, Identity, and Policy · Medicine · Nursing · Patient Satisfaction in Healthcare · Psychology · Gerontology