دورية أكاديمية
أعرض في EDS

Factors associated with primary healthcare provider access among trans and non-binary immigrants, refugees, and newcomers in Canada.

التفاصيل البيبلوغرافية
العنوان: Factors associated with primary healthcare provider access among trans and non-binary immigrants, refugees, and newcomers in Canada.
المؤلفون: Ghabrial MA; Epidemiology and Biostatistics, Schulich School of Medicine & Dentistry, Western University, London, ON, Canada.; Department of Psychology, Algoma University, Brampton, ON, Canada., Ferguson T; Black Queer Youth Collective, Toronto, ON, Canada., Scheim AI; Epidemiology and Biostatistics, Schulich School of Medicine & Dentistry, Western University, London, ON, Canada.; Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PA, United States.; Unity Health Toronto, Toronto, ON, Canada., Adams NJ; Ontario Institute for Studies in Education, University of Toronto, Toronto, ON, Canada.; Center for Applied Transgender Studies, ON, Canada.; Transgender Professional Association for Transgender Health, ON, Canada., Khatoon M; Salaam Canada, Vancouver, BC, Canada.; PHS Community Services Society, Vancouver, BC, Canada., Bauer GR; Epidemiology and Biostatistics, Schulich School of Medicine & Dentistry, Western University, London, ON, Canada.; Eli Coleman Institute for Sexual and Gender Health, Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN, United States.
المصدر: Journal of migration and health [J Migr Health] 2024 Jun 24; Vol. 10, pp. 100241. Date of Electronic Publication: 2024 Jun 24 (Print Publication: 2024).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Ltd Country of Publication: England NLM ID: 101774615 Publication Model: eCollection Cited Medium: Internet ISSN: 2666-6235 (Electronic) Linking ISSN: 26666235 NLM ISO Abbreviation: J Migr Health Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [Oxford] : Elsevier Ltd., [2020]-
مستخلص: Objective: Trans and non-binary (TNB) immigrants, refugees, and newcomers (IRN) face intersecting challenges and barriers, including stigma and persecution in countries of origin, and others unique to the Canadian resettlement process. The present study aimed to investigate factors that are associated with having a primary healthcare provider among TNB IRN.
Design: Trans PULSE Canada was a community-based, national study of health and wellbeing among 2,873 TNB people residing in Canada, aged 14 and older, who were recruited using a multi-mode convenience sampling approach.. The survey asked questions about identity, community, service access, health - and IRN were asked questions specific to immigration/settlement.
Results: Of the 313 IRN participants who completed the full survey version (age M = 34.1, SE =0.75), 76.4 % had a primary healthcare provider. TNB IRN largely reported being Canadian citizens (59.8 %), gender non-binary or similar (46.9 %), currently living in Ontario (35.5 %), and having immigrated from the United States (32.1 %). Chi-square analyses revealed that having a primary healthcare provider was associated with age, gender identity, citizenship status, region of origin, current location in Canada, length of time since immigrating to Canada, status in gender affirming medical care, and having extended health insurance. With modified Poisson regression, we found that TNB IRN who were non-permanent residents, originating from European, African, and Oceania regions, or living in Quebec and the Prairie provinces were less likely to have a primary healthcare provider.
Conclusion: Results may inform settlement organizations of the unique needs and barriers of TNB IRN. Schools and LGBTQ+ organizations may better serve this population - especially those originating from highlighted regions, who live in Quebec or the Prairie provinces, and/or are non-permanent residents - by offering programs that connect them to primary healthcare providers who are competent in cross-cultural trans health.
Competing Interests: The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Greta Bauer reports financial support was provided by Canadian Institutes of Health Research. Monica Ghabrial receives financial support from the Canadian Institutes of Health Research Fellowship. The other authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(© 2024 The Authors.)
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فهرسة مساهمة: Keywords: Gender affirming care; Healthcare access; Healthcare provider; Immigration; Refugees; Transgender and non-binary health
تواريخ الأحداث: Date Created: 20240723 Latest Revision: 20240724
رمز التحديث: 20240725
مُعرف محوري في PubMed: PMC11261874
DOI: 10.1016/j.jmh.2024.100241
PMID: 39040891
قاعدة البيانات: MEDLINE
الوصف
تدمد:2666-6235
DOI:10.1016/j.jmh.2024.100241