Gender minority stress and access to health care services among transgender women and transfeminine people: results from a cross-sectional study in China

Table 4 Associations between gender identity stress and access to health care services among transgender women and transfeminine people in China, December 2019–June 2020

Variables	aOR	95% CI
Hormone intervention history (ref = never)^a
Have or currently undergoing
Discrimination	1.41	1.17–1.70
Internalized transphobia	1.06	1.00–1.12
Gender affirming surgery (ref = never)^a
Have or currently undergoing
Discrimination	1.44	1.06–1.97
Non-disclosure of gender identity	0.87	0.77–0.99
HIV testing (ref = no)^b
Discrimination	0.70	0.54–0.92
STIs testing in the past year (ref = no)^b
Internalized transphobia	0.91	0.84–0.98
Negative expectation for future	1.12	1.04–1.19
PEP use (ref = no)^b
Non-disclosure of gender identity	1.19	1.05–1.35

^aModels were adjusted with education, income, sexual attraction, gender identity, and whether the individual currently live in self-identified gender for most of the time
^bModels were adjusted with education, income, sexual attraction, and gender identity

ISSN: 1471-2334