دورية أكاديمية
The Role of Stigma and Resilience in Healthcare Engagement Among Transgender Latinas in the U.S. South: Baseline Findings from the ChiCAS Study.
| العنوان: | The Role of Stigma and Resilience in Healthcare Engagement Among Transgender Latinas in the U.S. South: Baseline Findings from the ChiCAS Study. |
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| المؤلفون: | Goldenberg T; Department of Public Health Education, University of North Carolina Greensboro, 1408 Walker Avenue 437 Mary Channing Coleman Building Greensboro, Winston-Salem, NC, 27402, USA. tgoldenberg@uncg.edu., Tanner AE; Department of Public Health Education, University of North Carolina Greensboro, 1408 Walker Avenue 437 Mary Channing Coleman Building Greensboro, Winston-Salem, NC, 27402, USA., McGuire T; Department of Public Health Education, University of North Carolina Greensboro, 1408 Walker Avenue 437 Mary Channing Coleman Building Greensboro, Winston-Salem, NC, 27402, USA., Alonzo J; Department of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, USA., Mann-Jackson L; Department of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, USA., Refugio Aviles L; Department of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, USA., Galindo CA; Division of HIV Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA., Bessler PA; Division of HIV Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA., Courtenay-Quirk C; Division of HIV Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA., Garcia M; Department of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, USA., Reboussin BA; Department of Biostatistics and Data Science, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC, USA., Rhodes SD; Department of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, USA. |
| المصدر: | Journal of immigrant and minority health [J Immigr Minor Health] 2024 May 29. Date of Electronic Publication: 2024 May 29. |
| Publication Model: | Ahead of Print |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer Country of Publication: United States NLM ID: 101256527 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1557-1920 (Electronic) Linking ISSN: 15571912 NLM ISO Abbreviation: J Immigr Minor Health Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: New York, NY : Springer, c 2006- |
| مستخلص: | Research demonstrates that stigma and resilience influence transgender peoples' healthcare use. Less is known about transgender Latinas in the U.S. South who face multilevel barriers to healthcare access. We used baseline data from the ChiCAS intervention study. Using logistic regression, we examined how stigma (perceived discrimination related to gender identity, race/ethnicity, sexual behavior and perceived documentation status and internalized transphobia), and resilience (ethnic group pride and social support) are associated with two healthcare outcomes (use of routine medical care and medically supervised gender-affirming hormones). We also explored barriers to accessing both types of care. After removing 13 participants with missing data, our sample size was 131 transgender Latinas in the U.S. South. Most participants (74.8%, n = 98) received routine medical care in the past year and 57.3% (n = 75) had ever received medically supervised gender-affirming hormones. Reports of discrimination were highest for gender identity and documentation status. Race/ethnicity-based discrimination was positively associated with accessing routine medical care in the past year (OR = 1.94, p = 0.048). Having more social support was positively associated with care (routine care: OR = 3.48, p = 0.002 and gender-affirming hormones: OR = 2.33, p = 0.003). The most commonly reported barriers to accessing both types of care included cost, insurance, and not knowing where to go. Findings highlight the importance of social support for healthcare use among transgender Latinas. Social support may be especially important when considering the unique experiences of discrimination faced by transgender Latinas in the U.S. South. (© 2024. The Author(s).) |
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| فهرسة مساهمة: | Keywords: Healthcare; Latine; Stigma; Transgender women |
| تواريخ الأحداث: | Date Created: 20240529 Latest Revision: 20240529 |
| رمز التحديث: | 20240529 |
| DOI: | 10.1007/s10903-024-01605-6 |
| PMID: | 38809298 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1557-1920 |
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| DOI: | 10.1007/s10903-024-01605-6 |