We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Health Care Access and Lived Experience of American Indian/Alaska Native Two Spirit and LGBTQ+ Participants in the Pride and Connectedness Survey, 2020.
- Authors
Hoover, Ashley; Jeffries, Itai; Thomas, Morgan; Leston, Jessica
- Abstract
Objective: To better understand health experiences among Two Spirit and lesbian, gay, bisexual, transgender, and queer and questioning (LGBTQ+) American Indian/Alaska Native (AI/AN) people, we examined experiences with access to health care of 223 AI/AN Two Spirit and LGBTQ+ people. Methods: Participants of the Pride and Connectedness 2020 survey, conducted through the Northwest Portland Area Indian Health Board, were asked about barriers to seeking and accessing care through a 10-question scale. We compared cisgender and gender-diverse participant demographic and scale responses to explore potential differences based on gender identity using the Pearson χ2 test of independence and ordinal logistic regression, respectively. Results: Both cisgender and gender-diverse participants experienced at least some difficulties accessing health care. Finances, lack of psychologists/other mental health support, and lack of psychological support groups for Two Spirit and LGBTQ+ communities were the top 3 barriers to care experienced by all participants (84%, 82%, and 80%, respectively). Compared with cisgender participants, gender-diverse participants were more likely to report difficulties accessing care for nearly all questions on the 10-question scale and nearly 3 times more likely to report fear of being mistreated within the health care system based on their gender identity (adjusted odds ratio = 2.9; 95% CI, 1.8-4.9; P <.001). Conclusions: Increased access to mental health services and improved health care provider training that focuses on culturally relevant and gender-affirming practices would benefit the health and well-being of AI/AN people who identify as Two Spirit and LGBTQ+.
- Subjects
TWO-spirit people; HEALTH services accessibility; CONFIDENCE intervals; PSYCHOLOGY of LGBTQ+ people; ALASKA Natives; EXPERIENCE; PSYCHOLOGY of Native Americans; COMPARATIVE studies; PEARSON correlation (Statistics); SURVEYS; CRONBACH'S alpha; CHI-squared test; DESCRIPTIVE statistics; SCALE analysis (Psychology); RESEARCH funding; EMOTIONS; LOGISTIC regression analysis; ODDS ratio; DATA analysis software; CISGENDER people
- Publication
Public Health Reports, 2023, Vol 138, p48S
- ISSN
0033-3549
- Publication type
Article
- DOI
10.1177/00333549231151650