ArticleInternational journal of transgender health2025
MAHI: A multidimensional access to healthcare index for hijra, kothi, and transgender individuals.
Article in International journal of transgender health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
- Methods for modelling composite indices of access to healthcare facilities: a systematic literature review.Population health metrics · 2025Pooled it
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Gender-diverse individuals encounter a greater number of barriers to healthcare access, stemming from stigma, insufficient awareness, unavailability of gender-affirming healthcare, limited social support, and minimal legal protections. These barriers have a differential impact on healthcare access for the hijra, kothi, or transgender (HKT) communities in India. Aim: We, first, developed a multidimensional access to healthcare index (MAHI) to assess disparities in access among HKT individuals; and second, identified the social (SDoH) and structural (STDoH) determinants of health that are associated with their access. Methods: Data on a variety of healthcare access questions were collected from a representative sample of HKT individuals ( Results: PCA identified six dimensions-affordability, acceptance, accommodation, accessibility, accompaniment, and awareness-that comprehensively described MAHI. The mean score of MAHI for participants was 42.0 (minimum = 19.6; maximum = 74.7) on a scale from 0 to 100 (where 0 represented best and 100 represented worst healthcare access). The mean MAHI scores varied by two SDoH, gender identity and educational qualifications ( Conclusion: The MAHI recommends six strategies for improving access and mitigating health disparities among the hijra, kothi, and transgender individuals in India. It underscores the significance of recognizing the diverse nature of gender identities in health research.
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