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Experiences of stigma and discrimination in social and healthcare settings among trans people living with HIV in the UK

机译:英国艾滋病毒杂志中跨越人民的社会和医疗保健环境中耻辱和歧视的经验

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The People Living with HIV StigmaSurvey UK 2015 was a community led national survey investigating experiences of people living with HIV in the UK in the past 12 months. Participants aged 18 and over were recruited through over 120 cross-sector community organisations and 46 HIV clinics to complete an anonymous online survey. Trans is an umbrella term which refers to individuals whose current gender identity is different to the gender they were assigned at birth. Trans participants self-identified via gender identity and gender at birth questions. Descriptive analyses of reported experiences in social and health care settings were conducted and multivariate logistic regression analyses were used to identify sociodemographic predictors of reporting being treated differently to non-HIV patients, and being delayed or refused healthcare treatment in the past 12 months. 31 out of 1576 participants (2%) identified as trans (19 trans women, 5 trans men, 2 gender queer/non-binary, 5 other). High levels of social stigma were reported for all participants, with trans participants significantly more likely to report worrying about verbal harassment (39% vs. 23%), and exclusion from family gatherings (23% vs. 9%) in the last 12 months, compared to cisgender participants. Furthermore, 10% of trans participants reported physical assault in the last 12 months, compared to 4% of cisgender participants. Identifying as trans was a predictor of reporting being treated differently to non-HIV patients (48% vs. 30%; aOR 2.61, CI 1.06, 6.42) and being delayed or refused healthcare (41% vs. 16%; aOR 4.58, CI 1.83, 11.44). Trans people living with HIV in the UK experience high levels of stigma and discrimination, including within healthcare settings, which is likely to impact upon health outcomes. Trans-specific education and awareness within healthcare settings could help to improve service provision for this demographic.
机译:与HIV Stigmasurvey UK的人士2015年是一个社区LED国家调查,调查过去12个月内英国艾滋病毒的人们的经验。 18岁及以上的参与者通过超过120个跨部门社区组织和46名HIV诊所招募,以完成匿名在线调查。 Trans是一种伞术语,其是指当前性别认同与他们在出生时分配的性别不同的个人。跨参与者通过在出生问题中通过性别认同和性别自我确定。对社会和医疗保健环境的报告经验进行了描述性分析,使用多元逻辑回归分析来识别报告的社会血统预测因子与非HIV患者不同,并在过去12个月内被延迟或拒绝医疗保健治疗。 31人中的1576名参与者(2%)被确定为跨(19跨妇女,5次跨男性,2个性别酷刑/非二元,5别的)。向所有参与者报告了高水平的社会耻辱,跨域参与者明显更有可能报告令人担忧的令人担忧的骚扰(39%与23%),并在过去12个月内排除家庭聚会(23%vs.9%)与Cisgender参与者相比。此外,10%的跨参与者报告了过去12个月内的体育攻击,而达到4%的Cisgender参与者。识别作为反式是报告的预测因子与非HIV患者(48%对30%; AOR 2.61,CI 1.06,6.42)和延迟或拒绝医疗保健(41%与16%; AOR 4.58,CI 1.83,11.44)。英国艾滋病毒患有艾滋病毒的跨型人体验高水平的耻辱和歧视,包括在医疗保健环境中,这可能会影响健康结果。医疗保健环境中的跨境教育和意识有助于提高这一人口的服务规定。

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