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Direct and vicarious exposure to healthcare discrimination and erasure among transgender and gender independent individuals: Testing the indirect effect of mistrust in healthcare on utilization behaviors

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  • Mason, Kyle L.
  • Hood, Kristina B.
  • Perrin, Paul B.
  • Belgrave, Faye Z.
  • Allison, Kevin W.
  • Coston, B. Ethan

Abstract

Direct exposure to gender identity-related discrimination and erasure among the transgender and gender independent (TGI) population are associated with healthcare underutilization, which may further exacerbate the health disparities that exist between this population and cisgender individuals in the United States (U.S.). Although the impacts of direct exposure to healthcare discrimination and erasure may have on TGI individuals are known, exposure to such harm vicariously (i.e., through observation or report) is underexplored.

Suggested Citation

  • Mason, Kyle L. & Hood, Kristina B. & Perrin, Paul B. & Belgrave, Faye Z. & Allison, Kevin W. & Coston, B. Ethan, 2024. "Direct and vicarious exposure to healthcare discrimination and erasure among transgender and gender independent individuals: Testing the indirect effect of mistrust in healthcare on utilization behavi," Social Science & Medicine, Elsevier, vol. 348(C).
    • Handle: RePEc:eee:socmed:v:348:y:2024:i:c:s0277953624002508
    DOI: 10.1016/j.socscimed.2024.116806
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    References listed on IDEAS

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    1. Gabriel J. Tanenbaum & LaTasha R. Holden, 2023. "A Review of Patient Experiences and Provider Education to Improve Transgender Health Inequities in the USA," IJERPH, MDPI, vol. 20(20), pages 1-16, October.
    2. Shanna K. Kattari & Jarrod Call & Brendon T. Holloway & Leonardo Kattari & Kristie L. Seelman, 2021. "Exploring the Experiences of Transgender and Gender Diverse Adults in Accessing a Trans Knowledgeable Primary Care Physician," IJERPH, MDPI, vol. 18(24), pages 1-14, December.
    3. Ethan C Cicero & Sari L Reisner & Elizabeth I Merwin & Janice C Humphreys & Susan G Silva, 2020. "The health status of transgender and gender nonbinary adults in the United States," PLOS ONE, Public Library of Science, vol. 15(2), pages 1-20, February.
    4. Kyle Liam Mason & Shelby A. Smout & Catherine S. J. Wall & B. Ethan Coston & Paul B. Perrin & Eric G. Benotsch, 2022. "Exposure to Childhood Healthcare Discrimination and Healthcare Avoidance among Transgender and Gender Independent Adults during a Global Pandemic," IJERPH, MDPI, vol. 19(12), pages 1-10, June.
    5. Wall, Catherine S.J. & Patev, Alison J. & Benotsch, Eric G., 2023. "Trans broken arm syndrome: A mixed-methods exploration of gender-related medical misattribution and invasive questioning," Social Science & Medicine, Elsevier, vol. 320(C).
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