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Health Service Utilization and Its Associations with Depression and Sexual Risk Behaviors Among Transgender Women in Shanghai, China.
Wang, Liying; Harris, Rachel; Simoni, Jane M; Yue, Qing; Fu, Jie; Zheng, Huang; Ning, Zhen; Xavier Hall, Casey D; Burns, Paul A; Wong, Frank Y.
Afiliación
  • Wang L; Department of Psychology, University of Washington, Seattle, Washington, USA.
  • Harris R; Center for Population Sciences and Health Equity, Florida State University, Tallahassee, Florida, USA.
  • Simoni JM; College of Social Work, Florida State University, Tallahassee, Florida, USA.
  • Yue Q; Department of Psychology, University of Washington, Seattle, Washington, USA.
  • Fu J; Department of HIV/STD Control and Prevention, Shanghai Municipal Center for Disease Control and Prevention, Shanghai, China.
  • Zheng H; Department of HIV/STD Control and Prevention, Shanghai Municipal Center for Disease Control and Prevention, Shanghai, China.
  • Ning Z; Shanghai Piaoxue Multicultural Media Ltd., Shanghai, China.
  • Xavier Hall CD; Department of HIV/STD Control and Prevention, Shanghai Municipal Center for Disease Control and Prevention, Shanghai, China.
  • Burns PA; Institute for Sexual and Gender Minority Health and Wellbeing (ISGMH), Northwestern University, Evanston, Illinois, USA.
  • Wong FY; Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Evanston, Illinois, USA.
Transgend Health ; 8(6): 516-525, 2023 Dec.
Article en En | MEDLINE | ID: mdl-38130986
ABSTRACT

Purpose:

Given the limited research on health care utilization among transgender women in China, we described the use of primary health care and gender-affirming health care, and the associations between utilization of gender-affirming health care and depression and sexual risk behaviors.

Methods:

We conducted a cross-sectional survey in 2017 among a purposive sample of transgender women in Shanghai, China (N=199). We examined correlates of health care utilization and its association with depression and sexual risk behaviors with Chi-square (χ2), Fisher's exact tests, and analysis of variance.

Results:

The majority of the sample (78.5%) only had physician appointments when having an illness, while about one-fifth of the sample had physician appointments for yearly checkups. Nineteen out of 199 participants (9.5%) received gender-affirming surgery, among which only five used hormone therapy prescribed by a doctor (26.3%). Receiving some form of gender-affirming surgery was associated with higher depression scores [Welch's F(2, 12.22)=4.16, p=0.04], engagement in sex work (p=0.001), having 7 or more male sexual partners in the last 30 days (p=0.003), lifetime unprotected sex with a man (p=0.050), and unprotected sex with a main partner (p=0.043). Compared with transgender women who received both breast augmentation and vulvo-vaginoplasty (mean=5.86), those who received breast augmentation only (mean=12.33) scored higher on depression (p=0.04).

Conclusions:

Access to gender-affirming health care is low among transgender women in this study. The utilization of gender-affirming surgery is associated with depression and sexual risk behaviors. Findings suggest China should establish national guidelines on transgender-related health care and set up more clinics to provide consultation and services for the transgender population in China.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Transgend Health Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Transgend Health Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos