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Unmet need for gender-affirming care as a social determinant of mental health inequities for transgender youth in Aotearoa/New Zealand.
- Source :
- Journal of Public Health; Jun2023, Vol. 45 Issue 2, pe225-e233, 9p
- Publication Year :
- 2023
-
Abstract
- Background Past studies have demonstrated better mental health and well-being among transgender youth who had accessed gender-affirming care. However, few existing studies have assessed unmet need for gender-affirming care as a social determinant of mental health inequities. Methods Data on unmet need for gender-affirming care, distress and suicidality were analysed from the 2018 Counting Ourselves nationwide community-based survey of transgender people in Aotearoa/New Zealand. Associations between unmet need for gender-affirming care and mental health indicators were tested for transgender youth within the sample (aged 14–26 years; n  = 608; M <subscript>age</subscript> = 20.5). Results Transgender youth reported unmet needs ranging from 42% for gender-affirming hormone to 100% for feminizing surgeries and voice surgeries. Overall unmet need for gender-affirming care was associated with worse mental health. Trans men with an unmet need for chest reconstruction (84%) scored an average of 7.13 points higher on the K10 Psychological Distress Scale relative to those whose need had been met. Participants reporting unmet need for hormones (42%) had twice the odds (adjusted odds ratios = 2.01; CI = 1.02–3.98) of having attempted suicide in the last 12 months. Conclusions Dismantling barriers to accessing gender-affirming care could play a crucial role in reducing mental health inequities faced by transgender youth. [ABSTRACT FROM AUTHOR]
- Subjects :
- MENTAL illness risk factors
DIVERSITY & inclusion policies
GENDER affirming care
SOCIAL determinants of health
HEALTH services accessibility
CONFIDENCE intervals
MENTAL health
SUICIDAL ideation
SURVEYS
RISK assessment
SOCIOECONOMIC factors
CHI-squared test
RESEARCH funding
TRANS men
ODDS ratio
DATA analysis software
MEDICAL needs assessment
PSYCHOLOGICAL distress
SELF-mutilation
Subjects
Details
- Language :
- English
- ISSN :
- 17413842
- Volume :
- 45
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Journal of Public Health
- Publication Type :
- Academic Journal
- Accession number :
- 164395677
- Full Text :
- https://doi.org/10.1093/pubmed/fdac131