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Mental health service utilisation among transgender women sex workers who are at risk of mental health problems in Shenyang, China: An application of minority stress theory.
- Source :
- Health & Social Care in the Community; Jul2022, Vol. 30 Issue 4, pe981-e993, 13p, 5 Charts
- Publication Year :
- 2022
-
Abstract
- Transgender women sex workers (TGSW), as a highly stigmatised population, are at substantial risk for mental health problems but lack access to mental health care. This study investigated factors of mental health service utilisation (MHSU) behaviour and related behavioural intention among TGSW who were at risk of mental health problems in the past year [subsample 1: scored above the cut‐off for probable depression or probable anxiety or had suicidal ideation (N = 126); subsample 2: perceived needs for mental health services (N = 109)]. A cross‐sectional survey was conducted among TGSW in Shenyang, China during 2017–2018. Data on minority stress, coping, mental health and MHSU were collected. 10.3% of participants in subsample 1 and 14.7% in subsample 2 had sought help from mental health professionals in the last year. Unwillingness to disclose minority identity and gender non‐affirmation were negatively associated with MHSU. Factors for behavioural intention of MHSU included unwillingness to disclose minority identity and social support for both subsamples and adaptive coping for subsample 2. Confidentiality concern, discrimination and cost were the most frequently endorsed barriers to mental health services. Interventions should promote gender affirmation, social support and adaptive coping as well as remove stigma to increase health service access and utilisation among minority populations. [ABSTRACT FROM AUTHOR]
- Subjects :
- MENTAL illness risk factors
STATISTICS
HEALTH services accessibility
CONFIDENCE intervals
TRANS women
CROSS-sectional method
SEX work
MEDICAL care use
SURVEYS
MATHEMATICAL variables
PSYCHOLOGICAL tests
QUESTIONNAIRES
MINORITY stress
SCALE analysis (Psychology)
MENTAL depression
DESCRIPTIVE statistics
STATISTICAL sampling
SOCIODEMOGRAPHIC factors
HEALTH equity
ANXIETY
DATA analysis software
LOGISTIC regression analysis
ODDS ratio
MENTAL health services
Subjects
Details
- Language :
- English
- ISSN :
- 09660410
- Volume :
- 30
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Health & Social Care in the Community
- Publication Type :
- Academic Journal
- Accession number :
- 157299321
- Full Text :
- https://doi.org/10.1111/hsc.13501