Evidence map›Paper›PMID 36458212›Full record

ArticleSexuality research & social policy : journal of NSRC : SR & SP2022

Healthcare Mistreatment, State-Level Policy Protections, and Healthcare Avoidance Among Gender Minority People.

Kristen D Clark, Sean Luong, Mitchell R Lunn, Elena Flowers, Esmaeil Bahalkeh, Micah E Lubensky, Matthew R Capriotti, Juno Obedin-Maliver, Annesa Flentje

Abstract read
In one paragraph

Article in Sexuality research & social policy : journal of NSRC : SR & SP, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  17. A Review of Patient Experiences and Provider Education to Improve Transgender Health Inequities in the USA.International journal of environmental research and public health · 2023
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Kristen D ClarkDepartment of Nursing, University of New Hampshire, Durham, NH USA.ORCID 0000-0001-6584-4560
Sean LuongDepartment of Community Health Systems, School of Nursing, University of California San Francisco, San Francisco, CA USA.
Mitchell R LunnThe PRIDE Study/PRIDEnet, Stanford University School of Medicine, Stanford, CA USA.
Elena FlowersDepartment of Physiological Nursing, School of Nursing, University of California San Francisco, San Francisco, CA USA.
Esmaeil BahalkehDepartment of Health Management & Policy, University of New Hampshire, Durham, NH USA.
Micah E LubenskyDepartment of Community Health Systems, School of Nursing, University of California San Francisco, San Francisco, CA USA.
Matthew R CapriottiDepartment of Psychology, San Jose State University, San Jose, CA USA.
Juno Obedin-MaliverThe PRIDE Study/PRIDEnet, Stanford University School of Medicine, Stanford, CA USA.
Annesa FlentjeDepartment of Community Health Systems, School of Nursing, University of California San Francisco, San Francisco, CA USA.

Funding

UCSF-Kaiser Urological Epidemiology Research Career Development ProgramK12DK111028 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HUANG, ALISON · 2016 to 2025
$5.3M
Gene expression outcomes in interventions for substance using HIV+ minority menK23DA039800 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI FLENTJE, ANNESA · 2015 to 2019
$1.0M
The Relationship of Stressors in Health Care to Emotional and Physical Symptoms Experienced by Marginalized PeopleF31NR019000 · NINR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CLARK, KRISTEN DREW · 2019 to 2021
$68k
NIDA NIH HHS K23 DA039800NIDDK NIH HHS K12 DK111028NINR NIH HHS F31 NR019000
6 · The paper itself

Abstract

Introduction: This study examined whether past experiences of mistreatment in healthcare were associated with greater healthcare avoidance due to anticipated mistreatment among gender minority (GM) people. We evaluated whether state-level healthcare policy protections moderated this relationship. Methods: Data from the 2018 Annual Questionnaire of The PRIDE Study, a national longitudinal study on sexual and gender minority people's health, were used in these analyses. Logistic regression modeling tested relationships between lifetime healthcare mistreatment due to gender identity or expression and past-year healthcare avoidance due to anticipated mistreatment among GM participants. Interactions between lifetime healthcare mistreatment and state-level healthcare policy protections and their relationship with past-year healthcare avoidance were tested. Results: Participants reporting any lifetime healthcare mistreatment had greater odds of past-year healthcare avoidance due to anticipated mistreatment among gender expansive people ( Conclusions: For GM people, reporting lifetime healthcare mistreatment was associated with healthcare avoidance due to anticipated mistreatment. State-level healthcare policy protections were not a moderating factor in this relationship. Efforts to evaluate the implementation and enforcement of state-level policies are needed. Continued efforts to understand instances of and to diminish healthcare mistreatment of GM people are recommended. Supplementary Information: The online version contains supplementary material available at 10.1007/s13178-022-00748-1.

Indexed as

Gender minorityHealthcare accessHealth policyLGBTQSocial determinants of health

Identifiers

PMID36458212
PMCPMC9701649

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.