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Experiences of trans patients in primary care settings: findings from The OutLook Study
Alannah D Mulholland1, Todd A Coleman2, Simon Coulombe3
1Department of Health Sciences, Wilfrid Laurier University, Waterloo, ON, Canada; and Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
Background:
Relationships between primary care providers (PCP) and trans patients remain important, necessitating discussions about gender identity, health and their intersections.
Methods:
Using an online survey, we explored socio-demographic and psycho-social factors associated with: (1) disclosing gender identity; (2) discussing gender identity-related health issues; and (3) comfort sharing gender identity with PCPs, among trans people (n =112) over 16years of age, sampled in Waterloo, Ontario, Canada. Bivariate and multivariate methods using modified Poisson regression generated effect estimates.
Results:
Age, birth presumed gender, employment status, family support, and transphobia were significantly associated with disclosing gender identity, discussing gender identity-related health issues, and comfortability sharing gender identity with PCPs.
Conclusion:
Increasing PCPs' knowledge of trans-related health issues is stressed to improve access and quality for trans patients.
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