Table 4.
Multivariable logistic regression analyses examining factors associated with needing behavioral healthcare in the past 12 months but not having received it among transgender adults who use substances in Massachusetts and Rhode Island (N = 326).
| Block 1: Demographics | Block 2: Demographics, Victimization, Mental Health, Social Support & Substance Misuse | |||||
|---|---|---|---|---|---|---|
| Multivariable | Multivariable | |||||
| aOR | 95% CI | P-Value | aOR | 95% CI | P-Value | |
| DEMOGRAPHICS - CURRENT | ||||||
| Young Adult | ||||||
| No (30+) | 1.00 | ---- | ---- | 1.00 | ---- | ---- |
| Yes (18–29) | 2.67 | 1.34–5.33 | 0.01 | 2.79 | 1.30–5.99 | 0.01 |
| Race/ethnicity | ||||||
| White (non-Hispanic) | 1.00 | ---- | ---- | 1.00 | ---- | ---- |
| Racial/ethnic minority | 1.95 | 0.99–3.87 | 0.05 | 1.95 | 0.88–4.30 | 0.10 |
| Gender Identity | ||||||
| Trans woman | 0.82 | 0.37–1.83 | 0.62 | 0.71 | 0.29–1.75 | 0.46 |
| Trans man | 0.65 | 0.33–1.30 | 0.22 | 0.65 | 0.30–1.40 | 0.27 |
| Non-binary | 1.00 | ---- | ---- | 1.00 | ---- | ---- |
| Health Insurance Status | ||||||
| No insurance | 4.28 | 0.98–18.74 | 0.05 | 4.12 | 0.83–20.46 | 0.08 |
| Public insurance | 1.44 | 0.73–2.84 | 0.29 | 1.49 | 0.68–3.26 | 0.32 |
| Private insurance | 1.00 | ---- | ---- | 1.00 | ---- | ---- |
| VICTIMIZATION - PAST 3 YEARS | ||||||
| Experiencing Stigma in a Healthcare Setting | ||||||
| No | 1.00 | ---- | ---- | |||
| Yes | 2.45 | 1.14–5.26 | 0.02 | |||
| MENTAL HEALTH & SELF-HARM | ||||||
| Post-Traumatic Stress Disorder - Current | ||||||
| No | 1.00 | ---- | ---- | |||
| Yes | 0.41 | 0.19–0.87 | 0.02 | |||
| Attempted Suicide - Lifetime | ||||||
| No | 1.00 | ---- | ---- | |||
| Yes | 0.58 | 0.28–1.16 | 0.12 | |||
| SOCIAL SUPPORT - CURRENT | ||||||
| Family Support of Gender Identity/Expression | ||||||
| Not supportive | ---- | ---- | ---- | |||
| Somewhat supportive | 0.31 | 0.12–0.80 | 0.02 | |||
| Supportive | 0.45 | 0.14–1.39 | 0.17 | |||
| SUBSTANCE MISUSE - PAST 12 MONTHS | ||||||
| Number of Other Substances | ||||||
| Continuous | 0.78 | 0.57–1.07 | 0.12 | |||
| Opioid Pain Medication | ||||||
| No | 1.00 | ---- | ---- | |||
| Yes | 3.14 | 1.03–9.63 | 0.04 | |||
OR=Odds Ratio; aOR= Adjusted Odds Ratio; NSSI = non-suicidal self-injury; bolded values = significant at p<0.05.
*
Not inclusive of opioid pain medications
Note. Outcome: Needing behavioral healthcare in the past 12 months but did not receive it (ref=needed behavioral healthcare and received it). Blocked multivariable regression modeling was used. Demographics were entered into the first block. Variables significant at p<0.25 were entered into the final multivariable model.