Health Care Utilization, Barriers to Care, and Hormone Usage Among Male-to-Female Transgender Persons in New York City
Health Care Utilization, Barriers to Care, and Hormone Usage Among Male-to-Female Transgender Persons in New York City
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DOI：
10.2105/ajph.2007.132035
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发表时间：
2009-04-01
影响因子：
12.7
通讯作者：
Danoff, Ann
中科院分区：
文献类型：
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作者：
Sanchez, Nelson F.;Sanchez, John P.;Danoff, Ann
目标.我们调查了居住在纽约市的男性到女性跨性别者的医疗保健利用率，护理障碍和激素使用情况，以确定目前的护理是否雅阁世界跨性别健康专业协会和2010年健康人的目标。2007年对3个社区卫生服务中心的101名男-女跨性别者进行了访谈。大多数参与者报告有健康保险（77%; n=78），并在过去一年中看过全科医生（81%; n=82）。超过25%的参与者认为医疗费用，获得专家，以及缺乏跨性别友好和跨性别知识的提供者是护理的障碍。在医生的护理下与高危行为减少有关，包括戒烟（P=.004）和从执业医生那里获得针头（P=.002）。接受医生治疗的男变女跨性别者更有可能从有执照的医生那里获得激素治疗（P
Objectives. We investigated health care utilization, barriers to care, and hormone use among male-to-female transgender persons residing in New York City to determine whether current care is in accord with the World Professional Association for Transgender Health and the goals of Healthy People 2010.Methods. We conducted interviews with 101 male-to-female transgender persons from 3 community health centers in 2007.Results. Most participants reported having health insurance (77%; n=78) and seeing a general practitioner in the past year (81%; n=82). Over 25% of participants perceived the cost of medical care, access to specialists, and a paucity of transgender-friendly and transgender-knowledgeable providers as barriers to care. Being under a physician's care was associated with high-risk behavior reduction, including smoking cessation (P=.004) and obtaining needles from a licensed physician (P=.002). Male-to-female transgender persons under a physician's care were more likely to obtain hormone therapies from a licensed physician (P