Societal stigma and mistreatment in healthcare among gender minority people: a cross-sectional study

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Societal stigma and mistreatment in healthcare among gender minority people : a cross-sectional study

Clark, Kristen, Postdoctoral Fellow (author): Uppsala universitet,Psykiatri

Lunn, Mitchell R. (author): Stanford Univ, PRIDE Study PRIDEnet, Sch Med, 300 Pasteur Dr, Stanford, CA USA.;Stanford Univ, Dept Med, Div Nephrol, Sch Med, 300 Pasteur Dr, Stanford, CA USA.;Stanford Univ, Dept Epidemiol & Populat Hlth, Sch Med, 300 Pasteur Dr, Stanford, CA USA.

Bosse, Jordon D. (author): Northeastern Univ, Bouve Coll Hlth Sci, Sch Nursing, 360 Huntington Ave, Boston, MA USA.

Sevelius, Jae M. (author): Univ Calif San Francisco, Ctr AIDS Prevent Studies, Dept Med, 513 Parnassus Ave, San Francisco, CA USA.;Univ Calif San Francisco, Ctr Excellence Transgender Hlth, Dept Med, 513 Parnassus Ave, San Francisco, CA USA.

Dawson-Rose, Carol (author): Univ Calif San Francisco, Sch Nursing, Dept Community Hlth Syst, 2 Koret Way, San Francisco, CA USA.

Weiss, Sandra J. (author): Univ Calif San Francisco, UCSF Depress Ctr, Dept Community Hlth Syst, 2 Koret Way, San Francisco, CA USA.

Lubensky, Micah E. (author): Stanford Univ, PRIDE Study PRIDEnet, Sch Med, 300 Pasteur Dr, Stanford, CA USA.;Univ Calif San Francisco, Sch Nursing, Dept Community Hlth Syst, 2 Koret Way, San Francisco, CA USA.

Obedin-Maliver, Juno (author): Stanford Univ, PRIDE Study PRIDEnet, Sch Med, 300 Pasteur Dr, Stanford, CA USA.;Stanford Univ, Dept Epidemiol & Populat Hlth, Sch Med, 300 Pasteur Dr, Stanford, CA USA.;Stanford Univ, Dept Obstet & Gynecol, Sch Med, 300 Pasteur Dr, Stanford, CA USA.

Flentje, Annesa (author): Stanford Univ, PRIDE Study PRIDEnet, Sch Med, 300 Pasteur Dr, Stanford, CA USA.;Univ Calif San Francisco, Sch Nursing, Dept Community Hlth Syst, 2 Koret Way, San Francisco, CA USA.;Univ Calif San Francisco, Sch Med, Dept Psychiat, Alliance Hlth Project, 1930 Market St, San Francisco, CA USA.

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BMC, 2023
2023
English.
In: International Journal for Equity in Health. - : BMC. - 1475-9276. ; 22:1

Related links:: https://doi.org/10.1...; show more...; https://uu.diva-port... (primary) (Raw object); https://urn.kb.se/re...; https://doi.org/10.1...; show less...

Journal article (peer-reviewed)

Abstract Subject headings

Background Gender minority (GM; individuals whose gender is not aligned with that traditionally associated with the sex that was assigned to them at birth) people have widely reported mistreatment in healthcare settings. Mistreatment is enacted by individuals within society who hold stigmatizing beliefs. However, the relationship between healthcare mistreatment and societal stigma (i.e., the degree to which society disapproves of GM people) is unclear and not measured consistently.Methods We analyzed data from 2,031 GM participants in The Population Research in Identity and Disparities for Equality (PRIDE) Study's 2019 Annual Questionnaire to determine whether societal stigma was associated with participants' past-year reports of mistreatment (defined as denial of healthcare services and/or lower quality care) in medical or mental healthcare settings. We created a proxy measure of societal stigma by incorporating variables validated in existing literature. Participants reported whether they had experienced mistreatment in medical and mental health settings independently.Results Healthcare denial and/or lower quality care during the past year was reported by 18.8% of our sample for medical settings and 12.5% for mental health settings. We found no associations between the societal stigma variables and past-year reports of healthcare denial and/or lower quality care in medical or mental healthcare settings.Conclusions Although a high proportion of GM people reported past-year healthcare mistreatment in both medical and mental health settings, mistreatment had no relationship with societal stigma. Factors other than societal stigma may be more important predictors of healthcare mistreatment, such as healthcare workers' knowledge of and attitudes toward GM people. However, other measures of societal stigma, or different types of mistreatment, may show stronger associations. Identifying key factors that contribute to mistreatment can serve as targets for intervention in communities and healthcare settings.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)

Keyword

Gender minority
Stigma
Discrimination
Healthcare access
Health disparity

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Public Health Gl ...

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By the university: Uppsala University

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