Healthcare Mistreatment is Associated With Psychological Distress, Suicidality, and Substance Use Among Transgender and Nonbinary Emerging Adults
Transgender and nonbinary (TNB) emerging adults in the United States experience mistreatment inside and outside healthcare settings, which may contribute to known mental health and substance use inequities. The purpose of our study was to examine associations between provider and healthcare setting mistreatment with past 30-day severe psychological distress, illicit substance use, binge drinking, and past year suicidal ideation among TNB emerging adults (18-25 years; <i>N</i> = 10,203) who sought healthcare in the previous year. In sociodemographic-adjusted, multivariate, logistic regression models, all mistreatment types were associated with worse mental health and illicit substance use. Structural interventions to improve interdisciplinary healthcare providers' attitudes and knowledge, combined with inclusive healthcare policies are needed to ensure TNB emerging adults are treated with respect and dignity.
Authors
- Jordon D. Bosse
- Yu-Chi Wang (ORCID: https://orcid.org/0000-0001-5782-0382)
- Diane Ehrensaft (ORCID: https://orcid.org/0000-0003-2708-6310)
- Jody L. Herman (ORCID: https://orcid.org/0000-0002-1558-8500)
- Sabra L. Katz‐Wise (ORCID: https://orcid.org/0000-0003-4825-6673)
- Sari L. Reisner (ORCID: https://orcid.org/0000-0001-7868-4746)
- Lane Z. Kantor (ORCID: https://orcid.org/0000-0002-7843-3864)
- R Korkodilos (ORCID: https://orcid.org/0000-0003-0304-2188)
Institutions
- Boston Children's Hospital (US)
- Children's Hospital of Philadelphia (US)
- Harvard University (US)
- University of Rhode Island (US)
- University of Michigan (US)
- Hospital of the University of Pennsylvania (US)
- Williams & Associates (US)
- UCSF Benioff Children's Hospital (US)
- Fenway Health (US)
Publication Details
- Journal
- Emerging Adulthood
- Published
- 2024-12-20
- DOI
- https://doi.org/10.1177/21676968241308316
- Citations
- 2
- Primary Topic
- LGBTQ Health, Identity, and Policy
- Type
- article
- Field-Weighted Citation Impact
- 1.29
Funders
- Health Resources and Services Administration
- National Institute on Minority Health and Health Disparities
- Maternal and Child Health Bureau
- National Center for Complementary and Integrative Health