Elizabeth A Johns1, Harry Jin2, Colette L Auerswald3, Erin C Wilson2. 1. UC Berkeley-UCSF Joint Medical Program, Berkeley, California; UC Berkeley School of Public Health, Berkeley, California. Electronic address: elizabeth.johns@ucsf.edu. 2. Center for Public Health Research, San Francisco Department of Public Health, San Francisco, California. 3. UC Berkeley-UCSF Joint Medical Program, Berkeley, California; UC Berkeley School of Public Health, Berkeley, California.
Abstract
PURPOSE: Trans*female youth (TFY) are an underserved population at risk for a variety of poor health outcomes, in part related to barriers to accessing health and mental health care. METHODS: We conducted a secondary analysis of data collected with 250 TFY aged 16-24 years in the San Francisco Bay Area from 2012 to 2014. Logistic regression was used to test associations between sociodemographic variables and barriers to gender identity-based medical and mental health care. RESULTS: Having a history of unstable housing was associated with significantly higher odds of problems accessing both medical care (odds ratio: 2.16, 95% confidence interval: 1.12-4.13) and mental health care due to gender identity (odds ratio 2.65, 95% confidence interval: 1.08-6.45). Conversely, identifying as genderqueer/genderfluid, Latina, or living in dependent housing was associated with access to either medical or mental health care. CONCLUSIONS: Interventions are needed to address housing and discrimination barring access to health care among TFY.
PURPOSE: Trans*female youth (TFY) are an underserved population at risk for a variety of poor health outcomes, in part related to barriers to accessing health and mental health care. METHODS: We conducted a secondary analysis of data collected with 250 TFY aged 16-24 years in the San Francisco Bay Area from 2012 to 2014. Logistic regression was used to test associations between sociodemographic variables and barriers to gender identity-based medical and mental health care. RESULTS: Having a history of unstable housing was associated with significantly higher odds of problems accessing both medical care (odds ratio: 2.16, 95% confidence interval: 1.12-4.13) and mental health care due to gender identity (odds ratio 2.65, 95% confidence interval: 1.08-6.45). Conversely, identifying as genderqueer/genderfluid, Latina, or living in dependent housing was associated with access to either medical or mental health care. CONCLUSIONS: Interventions are needed to address housing and discrimination barring access to health care among TFY.
Authors: Tina Paul Mulye; M Jane Park; Chelsea D Nelson; Sally H Adams; Charles E Irwin; Claire D Brindis Journal: J Adolesc Health Date: 2009-07 Impact factor: 5.012