Does Discrimination Affect Whether Transgender People Avoid or Delay Healthcare?: A Nationwide Cross-sectional Survey in South Korea

被引:14
作者
Lee, Hyemin [1 ,2 ]
Operario, Don [2 ]
Yi, Horim [1 ]
Choo, Sungsub [1 ,3 ]
Kim, Ji-Hwan [1 ]
Kim, Seung-Sup [1 ,3 ,4 ]
机构
[1] Korea Univ, Grad Sch, Dept Publ Hlth Sci, Seoul, South Korea
[2] Brown Univ, Sch Publ Hlth, Dept Behav & Social Sci, Providence, RI 02912 USA
[3] Korea Univ, Interdisciplinary Program Precis Publ Hlth, Seoul, South Korea
[4] Harvard TH Chan Sch Publ Hlth, Dept Social & Behav Sci, Boston, MA 02115 USA
基金
新加坡国家研究基金会;
关键词
Access to healthcare; Discrimination; Healthcare avoidance and delay; South Korea; Transgender individuals; MENTAL-HEALTH; GENDER; EXPERIENCES; ACCESS; ADULTS; NONCONFORMITY; INDIVIDUALS; POPULATIONS; NEEDS; WOMEN;
D O I
10.1007/s10903-021-01193-9
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
This study examined the association between perceived discrimination and healthcare avoidance and delay (HAD) among transgender adults in South Korea (hereafter Korea). We conducted a nationwide cross-sectional survey of 244 Korean transgender adults in 2017. Discrimination within the last 12 months was categorized into four groups based on the reason(s) of discrimination experienced: (1) 'never experienced' discrimination, (2) 'only due to transgender identity,' (3) 'due to reason(s) other than transgender identity,' and (4) 'due to both transgender identity and other reason(s).' Korean transgender adults who experienced discrimination 'only due to transgender identity' and 'due to both transgender identity and other reason(s)' reported 1.91-times (95% CI 1.02-3.55) and 1.96-times (95% CI 1.32-2.92) higher prevalence of past 12-month HAD, respectively, than those who had no such experiences. Our findings suggest that institutional efforts are needed to protect transgender people from discrimination, which can contribute to improved access to healthcare among transgender populations in Korea.
引用
收藏
页码:170 / 177
页数:8
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