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To Go or Not to Go: Factors That Influence Health Care Use Among Trans Adults in a Non-Representative U.S. Sample
Justin E Lerner1, James I Martin2, Gabriella Silva Gorsky3
1School of Social Work, University of Washington, 4101 15th Avenue NE, Seattle, WA, 98105, USA. lernerj@uw.edu.
Archives of Sexual Behavior
|May 20, 2022
Summary
Transgender individuals face barriers to healthcare access. Provider knowledge, insurance, and cost significantly impact healthcare utilization, with provider knowledge being most critical for increasing access.
Area of Science:
- Health Services Research
- Sociology of Health
- Transgender Health
Background:
- Transgender people experience lower healthcare utilization rates compared to cisgender people, leading to adverse health outcomes.
- Existing models of health services use provide a framework for understanding healthcare access barriers.
Purpose of the Study:
- To examine how individual characteristics, external environment, and healthcare service environment influence transgender individuals' healthcare utilization.
- To identify key factors impacting healthcare access for the transgender population.
Main Methods:
- Analysis of data from the 2015 United States Trans Survey (N=27,715) using binary logistic regression.
- Investigated the impact of demographic factors, provider characteristics, and healthcare system elements on utilization.
Main Results:
- Perception of healthcare provider (HCP) knowledge, health insurance status, and healthcare costs were the strongest predictors of recent doctor visits.
- Healthcare provider knowledge regarding transgender health was identified as the most critical factor for increasing healthcare utilization.
Conclusions:
- Enhancing healthcare provider knowledge through education and standardized training is crucial for improving transgender healthcare access.
- Addressing insurance coverage and healthcare costs are essential to reduce disparities in care for transgender individuals.
- Policy interventions should focus on creating affirming and knowledgeable healthcare environments for transgender patients.
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