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dc.contributor.authorClark, Beth A.en_NZ
dc.contributor.authorVeale, Jaimieen_NZ
dc.contributor.authorGreyson, Devonen_NZ
dc.contributor.authorSaewyc, Elizabeth M.en_NZ
dc.date.accessioned2019-11-19T20:43:58Z
dc.date.available2018en_NZ
dc.date.available2019-11-19T20:43:58Z
dc.date.issued2018en_NZ
dc.identifier.citationClark, B. A., Veale, J., Greyson, D., & Saewyc, E. M. (2018). Primary care access and foregone care: A survey of transgender adolescents and young adults. Family Practice, 35(3), 302–306. https://doi.org/10.1093/fampra/cmx112en
dc.identifier.issn0263-2136en_NZ
dc.identifier.urihttps://hdl.handle.net/10289/13167
dc.description.abstractObjective. To examine the issues of primary care access and foregone health care among transgender adolescents and young adults. Methods. This cross-sectional analysis of data from the Canadian Trans Youth Health Survey was conducted online during 2013–2014. Participants included 923 youth aged 14–25 (323 adolescents aged 14–18 and 600 young adults aged 19–25). Main outcome measures were self-reported general and mental health status, comfort discussing transgender identity and health care needs with general practitioners, and types of and reasons for self-identified foregone health care. Results. Most youth reported poor/fair general and mental health status. Comfort with a family doctor was positively correlated with both general health (r(528) = 21, P < 0.001) and mental health (r(450) = 26, P < 0.001) status, as was having a doctor who was aware of one’s transgender status. 47.2% (n = 219) of young adults reported foregoing needed health care. Among adolescents, levels of comfort with family doctor were negatively correlated with foregone mental health care in the previous 12 months (F₃,₁₆₆ = 3.829, P = 0.011), but not correlated with foregone physical health care (F₃,₁₆₅ = 0.506, P = 0.679). Reasons for missing needed care spanned the dimensions of health care access, ranging from cost barriers to previous negative experiences with health care providers, and concerns that a doctor would be uneducated about transgender people. Conclusion. General practitioners can play a key role in improving the health of transgender youth by demonstrating understanding of the health care needs of transgender youth and competence in gender-affirming care, and by ensuring that their practices are accessible to all transgender youth in need of care.
dc.format.mimetypeapplication/pdf
dc.language.isoEnen_NZ
dc.publisherOxford University Pressen_NZ
dc.rights© The Author(s) 2017. Published by Oxford University Press. This is an Open Access article distributed under the terms of the Creative Commons Attribution NonCommercial-NoDerivs licence (http://creativecommons.org/licenses/ by-nc nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
dc.subjectScience & technologyen_NZ
dc.subjectLife sciences & biomedicineen_NZ
dc.subjectPrimary health careen_NZ
dc.subjectMedicine, general & internalen_NZ
dc.subjectGeneral & internal medicineen_NZ
dc.subjectAdolescenten_NZ
dc.subjectAdolescent health servicesen_NZ
dc.subjectHealth services accessibilityen_NZ
dc.subjectHealth services for transgender personsen_NZ
dc.subjectPrimary health careen_NZ
dc.subjectTransgender personsen_NZ
dc.subjectCommunity health-centreen_NZ
dc.subjectSelf-rated healthen_NZ
dc.subjectNeeds assessmenten_NZ
dc.subjectMental healthen_NZ
dc.subjectBarriersen_NZ
dc.subjectYouthen_NZ
dc.subjectPerspectivesen_NZ
dc.subjectServiceen_NZ
dc.titlePrimary care access and foregone care: A survey of transgender adolescents and young adultsen_NZ
dc.typeJournal Article
dc.identifier.doi10.1093/fampra/cmx112en_NZ
dc.relation.isPartOfFamily practiceen_NZ
pubs.begin-page302
pubs.elements-id215337
pubs.end-page306
pubs.issue3en_NZ
pubs.publication-statusPublisheden_NZ
pubs.volume35en_NZ
dc.identifier.eissn1460-2229en_NZ


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