■跨性别和非二进制(TNB)移民,难民,和新来者(IRN)面临交叉的挑战和障碍,包括原籍国的耻辱和迫害,和其他独特的加拿大重新安置过程。本研究旨在调查与TNBIRN中的主要医疗保健提供者相关的因素。
■TransPULSE加拿大是一个以社区为基础的,对居住在加拿大的2,873名TNB人的健康和福祉进行国家研究,14岁及以上,他们是使用多模式便利抽样方法招募的。.调查询问了有关身份的问题,社区,服务访问,健康-IRN被问及特定于移民/定居的问题。
■在完成完整调查版本的313名IRN参与者中(年龄M=34.1,SE=0.75),76.4%的人有初级医疗保健提供者。TNBIRN主要报告为加拿大公民(59.8%),性别非二元或相似(46.9%),目前居住在安大略省(35.5%),并从美国移民(32.1%)。卡方分析显示,拥有初级医疗保健提供者与年龄有关,性别认同,公民身份,原产地,目前在加拿大,移民加拿大以来的时间长度,性别确认医疗保健的地位,并拥有扩展的健康保险。使用改进的泊松回归,我们发现TNBIRN是非永久性居民,源自欧洲,非洲,大洋洲地区,或者居住在魁北克和草原省的人不太可能拥有初级医疗保健提供者。
■结果可能会告知结算组织TNBIRN的独特需求和障碍。学校和LGBTQ+组织可能会更好地服务于这些人群-特别是那些来自突出地区的人群。住在魁北克或草原省,和/或非永久性居民-通过提供将他们连接到具有跨文化跨健康能力的初级医疗保健提供者的计划。
UNASSIGNED: Trans and non-binary (TNB) immigrants, refugees, and newcomers (IRN) face intersecting challenges and barriers, including stigma and persecution in countries of origin, and others unique to the Canadian resettlement process. The present study aimed to investigate factors that are associated with having a primary healthcare provider among TNB IRN.
UNASSIGNED: Trans PULSE Canada was a community-based, national study of health and wellbeing among 2,873 TNB people residing in Canada, aged 14 and older, who were recruited using a multi-mode convenience sampling approach.. The survey asked questions about identity, community, service access, health - and IRN were asked questions specific to immigration/settlement.
UNASSIGNED: Of the 313 IRN participants who completed the full survey version (age M = 34.1, SE=0.75), 76.4 % had a primary healthcare provider. TNB IRN largely reported being Canadian citizens (59.8 %), gender non-binary or similar (46.9 %), currently living in Ontario (35.5 %), and having immigrated from the United States (32.1 %). Chi-square analyses revealed that having a primary healthcare provider was associated with age, gender identity, citizenship status, region of origin, current location in Canada, length of time since immigrating to Canada, status in gender affirming medical care, and having extended health insurance. With modified Poisson regression, we found that TNB IRN who were non-permanent residents, originating from European, African, and Oceania regions, or living in Quebec and the Prairie provinces were less likely to have a primary healthcare provider.
UNASSIGNED: Results may inform settlement organizations of the unique needs and barriers of TNB IRN. Schools and LGBTQ+ organizations may better serve this population - especially those originating from highlighted regions, who live in Quebec or the Prairie provinces, and/or are non-permanent residents - by offering programs that connect them to primary healthcare providers who are competent in cross-cultural trans health.