Relationship between sociodemographics, healthcare providers’ competence and healthcare access among two-spirit, gay, bisexual, queer and other men who have sex with men in Manitoba: results from a community-based cross-sectional study
Author:
Souleymanov RustyORCID, Star JaredORCID, McLeod Albert, Amjad Sana, Moore Samantha, Campbell Christopher, Lorway Robert, Payne Michael, Ringaert Laurie, Larcombe Linda, Restall Gayle, Migliardi Paula, Magwood Bryan, Lachowsky Nathan JORCID, Brennan David JORCID, Sharma Uday Norbert
Abstract
ObjectiveLittle is known about barriers to healthcare access for two-spirit, gay, bisexual and queer (2SGBQ+) men in Manitoba.DesignData were drawn from a community-based, cross-sectional survey designed to examine health and healthcare access among 2SGBQ+ men.SettingCommunity-based cross-sectional study in Manitoba, Canada.ParticipantsCommunity-based sample of 368 2SGBQ+ men.OutcomesLogistic regression analyses assessed the relationship between sociodemographics, healthcare discrimination, perceived healthcare providers’ 2SGBQ+ competence/knowledge and two indicators of healthcare access (analytic outcome variables): (1) having a regular healthcare provider and (2) having had a healthcare visit in the past 12 months.ResultsIn multivariate analyses, living in Brandon (adjusted OR (AOR)=0.08, 95% CI 0.03 to 0.22), small cities (AOR=0.20, 95% CI 0.04 to 0.98) and smaller towns (AOR=0.26, 95% CI 0.08 o 0.81) in Manitoba (compared with living in Winnipeg), as well as having a healthcare provider with poor (AOR=0.19, 95% CI 0.04 to 0.90) or very poor competence/knowledge (AOR=0.03, 95% CI 0.03 to 0.25) of 2SGBQ+ men’s issues (compared with very good competence) was associated with lower odds of having a regular healthcare provider. Living in Brandon (AOR=0.05, 95% CI 0.02 to 0.17) and smaller towns (AOR=0.25, 95% CI 0.67 to 0.90) in Manitoba (compared with living in Winnipeg) was associated with lower odds of having a healthcare visit in the past 12 months, while identifying as a gay man compared with bisexual (AOR=12.57, 95% CI 1.88 to 83.97) was associated with higher odds of having a healthcare visit in the past 12 months.ConclusionsThese findings underscore the importance of reducing the gap between the healthcare access of rural and urban 2SGBQ+ men, improving healthcare providers’ cultural competence and addressing their lack of knowledge of 2SGBQ+ men’s issues.
Funder
Canadian Institutes of Health Research Manitoba Medical Service Foundation Winnipeg Foundation
Reference62 articles.
1. Michael T . Health care use among gay, lesbian and bisexual Canadians 2008. 2. Travis SH , Olivier F , Dionne G . Suicide and HIV as leading causes of death among gay and bisexual men: a comparison of estimated mortality and published research 2015. 3. Ross LE , Bauer GR , MacLeod MA , et al . Mental health and substance use among bisexual youth and Non-Youth in Ontario, Canada 2014. 4. Public Health Agency of Canada . Summary: Estimates of HIV incidence, prevalence and Canada’s progress on meeting the 90-90-90 HIV targets, 2016. Surveillance and Epidemiology Division. Professional Guidelines and Public Health Practice Division. Centre for Communicable Disease and Infection Control. Public Health Agency of Canada, 2018. 5. Manitoba HIV Program . Manitoba HIV program report: 2016. Nine Circles Community Health Centre, 2017.
Cited by
2 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献
|
|