Social stigma and health care utilization among gender diverse adults.

IF 2.9 2区心理学 Q1 PSYCHOLOGY

Health Psychology Pub Date : 2026-11-01 Epub Date: 2026-04-06 DOI:10.1037/hea0001606

Madelyn H Rosenthal, Mary S Himmelstein

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引用次数: 0

Abstract

Objective: The present study examines the relationships between different forms of stigma related to one's weight and gender identity on health care utilization within a gender diverse sample.

Method: Gender diverse individuals across the weight spectrum were recruited from an online panel via Prolific. Participants completed questionnaires regarding health care experiences, health behaviors, health beliefs, and gender identity. Data were collected between September and November 2023.

Results: The final sample was 343 transgender and nonbinary participants. Adding weight stigma (enacted, internalized), transgender stigma, and intersectional stigma to the models accounted for 49.8% of the variance in weight-based health care avoidance, ΔR² = .217, ΔF(4, 331) = 35.80, p < .001, and 13.1% of the variance in general avoidance of health care, ΔR² = .071, ΔF(4, 331) = 6.72, p < .001. Adding the stigma variables to the model predicting health care delay accounted for 13% of the variance, ΔR² = .08, ΔF(4, 331) = 7.60, p < .001. However, adding stigma did not uniquely contribute to the variance in hormonal gender affirming care interest, ΔR² = .014, ΔF(4, 331) = 1.68, p = .155, gender affirming care typical for those assigned male at birth, ΔR² = .050, ΔF(4, 76) = 1.18, p = .325, and gender affirming care typical for those assigned female at birth, ΔR² = .029, ΔF(4, 197) = 1.80, p = .131.

Conclusions: Results partially supported our hypotheses, suggesting both enacted weight/transgender stigma and internalized weight stigma are significantly associated with utilization of health care services in a gender diverse sample. Future research is needed to understand the relationships between coping strategies and health care utilization. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

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不同性别成人的社会污名与卫生保健利用。

目的：本研究考察了不同性别样本中与体重和性别认同相关的不同形式的耻辱感与医疗保健利用之间的关系。方法：通过多产的在线小组招募了体重谱上性别不同的个体。参与者完成了关于医疗保健经历、健康行为、健康信念和性别认同的调查问卷。数据收集于2023年9月至11月。结果：最终样本为343名跨性别和非二元性别参与者。在模型中加入体重耻耻感（制定的、内化的）、跨性别耻耻感和交叉耻耻感对体重回避医疗保健的方差占49.8%，ΔR²= 0.217，ΔF(4,331) = 35.80, p < 0.001；对一般回避医疗保健的方差占13.1%，ΔR²= 0.071，ΔF(4,331) = 6.72, p < 0.001。在模型中加入病耻感变量预测医疗延迟占13%的方差，ΔR²= 0.08，ΔF(4,331) = 7.60, p < 0.001。然而，添加污名并不是唯一导致激素性别确认护理兴趣差异的因素，ΔR²= 0.014，ΔF(4,331) = 1.68, p = .155，出生时被指定为男性的典型性别确认护理，ΔR²= 0.050，ΔF(4,76) = 1.18, p = .325，出生时被指定为女性的典型性别确认护理，ΔR²= 0.029，ΔF(4,197) = 1.80, p = .131。结论：结果部分支持我们的假设，表明在性别多样化的样本中，制定的体重/跨性别耻辱感和内化的体重耻辱感都与卫生保健服务的利用显著相关。应对策略与卫生保健利用之间的关系有待进一步研究。（PsycInfo数据库记录(c) 2026 APA，版权所有）。

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

Health Psychology 医学-心理学

CiteScore

4.90

自引率

2.40%

发文量

170

审稿时长

4-8 weeks

期刊介绍： Health Psychology publishes articles on psychological, biobehavioral, social, and environmental factors in physical health and medical illness, and other issues in health psychology.