Affiliation:
1. University of Minnesota, Saint Paul, USA
2. University of Minnesota, Minneapolis, USA
3. Vanderbilt University, Nashville, TN, USA
Abstract
The objective of this study is to examine access to care based on gender identity in urban and rural areas, focusing on transgender and gender diverse (TGD) populations. Data on TGD ( n = 1,678) and cisgender adults ( n = 403,414) from the 2019 to 2020 Behavioral Risk Factor Surveillance System were used. Outcome measures were four barriers to care. We conducted bivariate and multivariable logistic regressions to assess associations between access, rurality, and gender identity. Bivariate results show that TGD adults were significantly more likely to experience three barriers to care. In multivariable models, TGD adults were more likely to delay care due to cost in the full sample (adjusted odds ratio [AOR]: 2.00, p < .001), rural subsample (AOR: 2.14, p < .01), and urban subsample (AOR: 1.97, p < .01). This study revealed greater barriers to care for TGD adults, with the most frequent barriers found among rural TGD adults. Increased provider awareness and structural policy changes are needed to achieve health equity for rural TGD populations.
Funder
National Center for Advancing Translational Sciences
Federal Office of Rural Health Policy
health resources and services administration
Reference53 articles.
1. Mammography Screening Beliefs and Knowledge among a Multi-ethnic Sample of Low-income, Uninsured Women
2. Baumgartner J. C., Collins S. R., Radley D. C. (2021). Racial and ethnic inequities in health care coverage and access, 2013–2019. The Commonwealth Fund. https://doi.org/10.26099/spz0-mk34
3. Experiences of Transgender-Related Discrimination and Implications for Health: Results From the Virginia Transgender Health Initiative Study
4. Center of Excellence for Transgender Health. (2009). Recommendations for inclusive data collection of trans people in HIV prevention, care & services. Prevention Science, Department of Medicine, University of California San Francisco. https://prevention.ucsf.edu/transhealth/education/data-recs-long
5. Centers for Disease Control and Prevention. (2019a, February 9). About BRFSS. https://www.cdc.gov/brfss/about/index.htm
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