Healthcare provider communication and current contraceptive use among transgender men and gender-diverse people: Results from an online, cross-sectional survey in the United States

IF 2.8 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Contraception Pub Date : 2024-12-17 DOI:10.1016/j.contraception.2024.110784

Jasmine Berry , Juno Obedin-Maliver , Sachiko Ragosta , Jen Hastings , Mitchell R. Lunn , Annesa Flentje , Matthew R. Capriotti , Zubin Dastur , Micah E. Lubensky , Elizabeth M. Inman , Heidi Moseson

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引用次数: 0

Abstract

Objectives

To explore whether discussing contraceptive use with a healthcare provider is associated with current contraceptive use among transgender men and gender-diverse (TMGD) individuals.

Study design

In 2019, we conducted a cross-sectional survey among transgender men and gender-diverse adults in the United States who were assigned female or intersex at birth. We measured whether respondents had ever discussed contraception with a healthcare provider as well as current use of contraception, reasons for use, and barriers to use. We described frequencies and ranges for key variables and implemented a series of nested logistic regression models to evaluate the association between ever having spoken to a provider about contraception and current use of contraception for any reason, overall and by method type.

Results

Among 1694 respondents, about half (48%) were currently using a method of contraception for any reason, most commonly barrier methods (17%) and long-acting-reversible-contraception (LARC) (17%). Compared to those who never had a conversation about contraception with a provider, respondents who spoke with a provider were more likely to be currently using contraception – particularly among those who self-initiated the conversation (aOR: 3.8, 95% CI: 2.5–5.6). Having discussed contraception with a healthcare provider was most strongly associated with current LARC use.

Conclusions

Having had a conversation with a provider about contraception use was positively associated with current contraception use among a large, national sample of transgender men and gender-diverse people. Facilitating patient participation in contraception counseling for transgender and gender-diverse patients should be emphasized in provider training.

Implications

Given formidable barriers to healthcare faced by TMGD people, training providers on how to initiate affirming and relevant conversations with TMGD patients about contraceptive needs and preferences is essential, as are efforts to educate and empower TMGD individuals to advocate for the information they need in these interactions.

查看原文本刊更多论文

跨性别男性和性别多样化人群中医疗保健提供者的沟通和当前避孕措施的使用：来自美国一项在线横断面调查的结果

目的：探讨与医疗保健提供者讨论避孕使用是否与当前跨性别男性和性别多样化（TMGD）个体的避孕使用有关。研究设计：2019年，我们对美国出生时被指定为女性或双性人的跨性别男性和性别多样化的成年人进行了横断面调查。我们测量了受访者是否曾经与医疗保健提供者讨论过避孕问题，以及目前使用避孕措施的情况、使用原因和使用障碍。我们描述了关键变量的频率和范围，并实施了一系列嵌套的逻辑回归模型，以评估曾经与提供者谈论避孕与当前出于任何原因使用避孕之间的关系，总体上和按方法类型。结果：在1,694名受访者中，约一半（48%）目前出于某种原因使用避孕方法，最常见的是屏障避孕（17%）和长效可逆避孕（LARC）（17%）。与那些从未与提供者就避孕问题进行过交谈的人相比，与提供者交谈过的受访者更有可能目前正在使用避孕措施-特别是那些自我发起谈话的人（aOR: 3.8, 95% CI: 2.5-5.6）。与医疗保健提供者讨论避孕与当前LARC使用最密切相关。结论：在全国性的跨性别男性和性别多样化人群样本中，与提供者就避孕措施的使用进行过交谈与当前的避孕措施使用呈正相关。应在医务人员培训中强调促进患者参与跨性别和性别多样化患者的避孕咨询。考虑到TMGD患者在医疗保健方面面临的巨大障碍，培训提供者如何启动与TMGD患者关于避孕需求和偏好的肯定和相关对话至关重要，同时努力教育和授权TMGD个人在这些互动中倡导他们所需的信息。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Contraception 医学-妇产科学

CiteScore

4.70

自引率

17.20%

发文量

211

审稿时长

69 days

期刊介绍： Contraception has an open access mirror journal Contraception: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The journal Contraception wishes to advance reproductive health through the rapid publication of the best and most interesting new scholarship regarding contraception and related fields such as abortion. The journal welcomes manuscripts from investigators working in the laboratory, clinical and social sciences, as well as public health and health professions education.