口语和性别认同对加拿大魁北克跨性别和非二元青年医疗保健经历的影响

IF 1.6 4区 医学 Q3 NURSING
Claire Lefebvre, Nicholas Chadi, Ashley B Taylor, Ace Chan, Annie Pullen Sansfaçon, Lyne Chiniara, Kira London-Nadeau, Elizabeth M Saewyc
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引用次数: 0

摘要

口语是否会影响跨性别和非二元青年(TNBY)在医疗保健系统中的经历尚不清楚。我们分析了来自加拿大跨性别和非二元青年健康调查的魁北克数据,以说明14-25岁主要讲法语的TNBY的医疗保健经历以及性别认同和语言对这些经历的影响。我们纳入了220名参与者,其中71%被认为是讲法语的。高达78%的人报告有精神健康问题,51%的人报告去年曾接受过精神卫生保健。只有26%的非双性恋青年和57%的跨性别青年愿意与提供者讨论医疗保健需求(OR 0.26; 95% CI[0.13-0.54])。与法国青年相比,英国青年不太可能自在地讨论医疗保健需求(aOR 0.33, 95% CI[0.13-0.83])。由于负面经历(aOR 2.21, 95% CI[1.00, 4.87])和出于恐惧(aOR 2.38, 96% CI[1.08, 5.28]),他们也更有可能放弃护理。我们的研究发现,尽管有很大的需求,但TNBY的放弃医疗保健的患病率很高。在加拿大以法语为主的魁北克省,语言少数民族的英语TNBY比法语TNBY更不愿意讨论医疗保健需求和获取所需资源。特定语言资源的有限可用性可能是TNBY获得医疗保健的另一个障碍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Influence of spoken language and gender identity on healthcare experiences of transgender and non-binary youth living in Quebec, Canada.

Whether spoken language influences experiences of trans and non-binary youth (TNBY) with healthcare systems is unknown. We analyzed Quebec data from the Canadian Trans and Non-Binary Youth Health Survey to illustrate healthcare experiences of predominantly French-speaking TNBY aged 14-25 and influence of gender identity and language on those experiences. We included 220 participants of whom 71% identified as French-speaking. Up to 78% reported a mental health problem and 51% reported foregoing mental health care in the last year. Only 26% of non-binary versus 57% of trans youth were comfortable discussing healthcare needs with providers (OR 0.26; 95% CI [0.13-0.54]). English youth were less likely than French youth to be comfortable discussing healthcare needs (aOR 0.33, 95% CI [0.13-0.83]. They were also more likely to forgo care because of negative experiences (aOR 2.21, 95% CI [1.00, 4.87]) and out of fear (aOR 2.38, 96% CI [1.08, 5.28]). Our study found that TNBY had a high prevalence of foregone health care despite a great need. In Quebec, a predominantly French-speaking area within Canada, language-minority English TNBY were less comfortable than French TNBY discussing healthcare needs and accessing needed resources. Limited availability of language-specific resources may be an additional barrier to healthcare access for TNBY.

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来源期刊
Journal of Child Health Care
Journal of Child Health Care NURSING-PEDIATRICS
CiteScore
4.10
自引率
15.80%
发文量
60
审稿时长
>12 weeks
期刊介绍: Journal of Child Health Care is a broad ranging, international, professionally-oriented, interdisciplinary and peer reviewed journal. It focuses on issues related to the health and health care of neonates, children, young people and their families, including areas such as illness, disability, complex needs, well-being, quality of life and mental health care in a diverse range of settings. The Journal of Child Health Care publishes original theoretical, empirical and review papers which have application to a wide variety of disciplines.
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