Social Connectedness Factors that Facilitate Use of Healthcare Services: Comparison of Transgender and Gender Nonconforming and Cisgender Adolescents.
Social Connectedness Factors that Facilitate Use of Healthcare Services: Comparison of Transgender and Gender Nonconforming and Cisgender Adolescents.
复制标题
促进医疗服务使用的社会联系因素：跨性别者、性别不合格者和顺性别青少年的比较。
DOI：
10.1016/j.jpeds.2019.04.024
复制
发表时间：
2019
期刊：
影响因子：
--
通讯作者：
Eisenberg,MarlaE
中科院分区：
文献类型：
--
作者：
Taliaferro,LindsayA;Harder,BrittanyM;Lampe,NikM;Carter,ShannonK;Rider,GNic;Eisenberg,MarlaE
目的比较影响跨性别和性别不符合（TGNC）与顺性别青少年使用初级、牙科和精神卫生保健服务的社会联系因素。方法采用2016年明尼苏达州学生横断面调查数据，对1916年TGNC和1916年顺性别青年匹配样本中与不同医疗服务使用相关的保护性社会联系因素进行研究。使用分层逻辑回归分析来检查背景特征和社会联系因素（父母联系、与其他非父母成年人的联系、师生关系和朋友联系）与去年使用每种医疗保健服务相关。结果对于TGNC青年，而非顺性别青年，较高水平的父母联系与接受初级（OR, 2.26; 95% CI, 1.40-3.66）和牙科（OR, 3.01; 95% CI, 1.78-5.08）护理服务相关，与非父母成年人较低水平的联系与接受心理保健相关（OR, 0.55; 95% CI, 0.33-0.93）。在顺性别青少年中，没有保护性因素与接受初级保健服务显著相关，较高水平的朋友联系与接受牙科服务相关（OR, 1.85; 95% CI, 1.10-3.09），较低水平的父母联系与接受精神保健相关（OR, 0.20; 95% CI, 0.10-0.40）。结论：为了促进TGNC青年的健康，临床医生应该了解与该人群获得医疗保健相关的独特因素，例如需要量身定制的努力，重点加强TGNC青年与其父母之间的联系，以促进所需的护理。
ObjectiveTo compare social connectedness factors that facilitate use of primary, dental, and mental healthcare services among transgender and gender nonconforming (TGNC) and cisgender adolescents.MethodsData from the cross-sectional 2016 Minnesota Student Survey were used to examine protective social connectedness factors associated with use of different healthcare services among matched samples of 1916 TGNC and 1916 cisgender youth. Stratified, logistic regression analyses were used to examine background characteristics and social connectedness factors (parent connectedness, connections to other nonparental adults, teacher–student relationships, and friend connections) associated with use of each healthcare service within the last year.ResultsFor TGNC youth, but not for cisgender youth, higher levels of parent connectedness were associated with receipt of primary (OR, 2.26; 95% CI, 1.40-3.66) and dental (OR, 3.01; 95% CI, 1.78-5.08) care services, and lower levels of connectedness to nonparental adults was associated with receipt of mental healthcare (OR, 0.55; 95% CI, 0.33-0.93). Among cisgender youth, no protective factors were significantly associated with receipt of primary care services, higher levels of friend connections were associated with receipt of dental services (OR, 1.85; 95% CI, 1.10-3.09), and lower levels of parent connectedness were associated with receipt of mental healthcare (OR, 0.20; 95% CI, 0.10-0.40).ConclusionsTo promote the health of TGNC youth, clinicians should understand the distinct factors associated with obtaining healthcare among this population such as the need for tailored efforts focused on strengthening connectedness between TGNC youth and their parents to facilitate receipt of needed care.