Journal article
Disparities in access to family physicians among transgender people in Ontario, Canada
The international journal of transgenderism, v 18(3), pp 343-352
03 Jul 2017
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background: Informed by the Gelberg-Andersen behavioral model for vulnerable populations, this study examined the prevalence of and factors associated with not having a family physician among transgender (trans) people in Ontario, Canada.
Methods: Data were drawn from a respondent-driven sampling (RDS) survey of trans Ontarians age 16 and above (n = 433) conducted between 2009 and 2010. All analyses were weighted using RDS II methods. Prevalence ratios were estimated using average marginal predictions from logistic regression models.
Results: An estimated 17.2% (95% CI, 11.0 to 22.9) of trans Ontarians (median age = 28.7, 77.3% White) did not have a regular family physician. In multivariable analyses accounting for other predisposing and need-related factors, transfeminine persons (trans women and non-binary persons assigned a male sex at birth) who were Indigenous and/or persons of color were less likely than other transfeminine persons to have a family doctor. In addition, trans persons who were homeless or had unstable housing were less likely to have a family doctor than those who were adequately housed.
Conclusions: These results provide the first quantitative evidence of health disparities by race and gender within a Canadian transgender population and suggest a social gradient in access to care within Ontario's "universal health insurance" system.
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Details
- Title
- Disparities in access to family physicians among transgender people in Ontario, Canada
- Creators
- Ayden I. Scheim - Western UniversityXuchen Zong - Western UniversityRachel Giblon - Western UniversityGreta R. Bauer - Western University
- Publication Details
- The international journal of transgenderism, v 18(3), pp 343-352
- Publisher
- Taylor & Francis
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:000423968100010
- Scopus ID
- 2-s2.0-85019676664
- Other Identifier
- 991020100210504721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Psychology, Clinical
- Public, Environmental & Occupational Health
- Social Sciences, Biomedical
- Social Sciences, Interdisciplinary