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Does discrimination prevent transgender and gender diverse people from seeking healthcare?: A nationwide cohort study in South Korea.
Kim, Ranyeong; Choo, Sungsub; Lee, Hyemin; Eom, Yun-Jung; Yi, Horim; Kim, Rockli; Kim, Seung-Sup.
Afiliación
  • Kim R; Interdisciplinary Program in Precision Public Health, Department of Public Health Sciences, Graduate School of Korea University, Seoul, Republic of Korea.
  • Choo S; Department of Public Health Sciences, Graduate School of Korea University, Seoul, Republic of Korea.
  • Lee H; Interdisciplinary Program in Precision Public Health, Department of Public Health Sciences, Graduate School of Korea University, Seoul, Republic of Korea.
  • Eom YJ; Department of Public Health Sciences, Graduate School of Korea University, Seoul, Republic of Korea.
  • Yi H; Healthcare Policy Team, Jeju Institute of Public Health & Health Policy, Jeju, Republic of Korea.
  • Kim R; Interdisciplinary Program in Precision Public Health, Department of Public Health Sciences, Graduate School of Korea University, Seoul, Republic of Korea.
  • Kim SS; Department of Public Health Sciences, Graduate School of Korea University, Seoul, Republic of Korea.
Int J Transgend Health ; 25(2): 283-294, 2024.
Article en En | MEDLINE | ID: mdl-38681498
ABSTRACT

Introduction:

Using Asia's first nationwide cohort dataset, this study aimed to assess the prevalence of anti-transgender discrimination and healthcare avoidance and delay (HAD) and examine their associations among transgender and gender diverse (TGD) adults in South Korea.

Methods:

We analyzed a two-wave (2020-2021) longitudinal dataset of 190 Korean TGD adults. Anti-transgender discrimination were classified accordingly experienced at (1) neither wave, (2) baseline (2020) only, (3) follow-up (2021) only, and (4) both waves. We also asked about HAD in the past 12 months at follow-up for both transition-related and non-transition-related healthcare services. Multivariate modified Poisson regression was used to examine the associations between anti-transgender discrimination and HAD.

Results:

Of 190 participants, 102 (53.7%) experienced anti-transgender discrimination at both waves, and 130 (68.4%) reported HAD at follow-up. Compared to those without any experiences of anti-transgender discrimination, those who experienced it in both waves had a 1.78-times (95% CI 1.21-2.63) higher prevalence of non-transition-related HAD, but not among those who experienced it in either wave. In contrast, anti-transgender discrimination was not associated with transition-related HAD.

Conclusion:

In order to enhance healthcare access for transgender and gender diverse (TGD) individuals, it is necessary to implement interventions, such as anti-discrimination laws, that protect them from discrimination.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Int J Transgend Health Año: 2024 Tipo del documento: Article 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: Int J Transgend Health Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos