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      "I teach them. I have no choice": experiences of primary care among transgender people in Aotearoa New Zealand.

      Tan, Kyle K.H.; Carroll, Rona; Treharne, Gareth J.; Byrne, Jack L.; Veale, Jaimie
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      ‘“I teach them. I have no choice” experiences of primary care among transgender people in Aotearoa New Zealand.pdf
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      https://hdl.handle.net/10289/15176
      Abstract
      AIM: This study aims to report primary care experiences among transgender people in Aotearoa New Zealand based on quantitative and qualitative data from a nationwide community-based survey of transgender people.

      METHODS: Subsamples with a usual general practitioner were employed from the 2018 Counting Ourselves Survey (n=871) and the 2018/19 New Zealand Health Survey to assess inequities between these samples in primary care experiences and barriers. Guided by Andersen's Behavioural Model of healthcare access, we conducted a content analysis on comments from Counting Ourselves participants (n=153) to identify themes about issues of concern for transgender people when accessing primary care. RESULTS: Transgender participants had greater risk of feeling no confidence in their GPs (Mdifference=0.22; Cohen's d=0.39), reporting barriers accessing primary care due to cost (38.4% vs 17.4%; RR=2.21), and transport issues (13.5% vs 3.0%; RR=4.58) compared to the general population. Content analysis uncovered how transgender people's primary care experiences are shaped by healthcare environments, predisposing characteristics, and enabling resources.

      CONCLUSION: Our findings indicate ways to ensure primary care services are inclusive so that all transgender people feel welcome. This requires all primary healthcare professionals to demonstrate core trans-specific cultural safety when providing healthcare to transgender patients.
      Date
      2022
      Type
      Journal Article
      Rights
      © 2022 PMA. Used with permission.
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      • Māori and Indigenous Studies Papers [145]
      • Arts and Social Sciences Papers [1403]
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