Table 3.
Multivariable Models Regressing HIV and Sexually Transmitted Disease Prevention Outcomes on Receipt of Medical Gender Affirmation Services in Sexually Experienced Transgender Youth (Age 13–24 Years)—United States Survey of Today's Adolescent Relationships and Transitions, 2018
| |
Ever tested HIV (n = 1013) |
Ever tested STD (n = 1015) |
Heard of PrEP (n = 1021) |
Heard of nPEP (n = 1018) |
||
|---|---|---|---|---|---|---|
| |
Main effects |
Main effects |
Main effects |
Interaction |
Main effects |
Interaction |
| aOR (95% CI) | aOR (95% CI) | aOR (95% CI) | aOR (95% CI) | aOR (95% CI) | aOR (95% CI) | |
| Medical gender affirmation services | ||||||
| No | Ref. | Ref. | Ref. | — | Ref. | — |
| Yes | 1.28 (0.89–1.85) | 1.90 (1.33–2.73)*** | 1.85 (1.29–2.65)*** | — | 1.38 (0.96–1.96) | — |
| Gender | ||||||
| Transgender female | Ref. | Ref. | Ref. | — | Ref. | — |
| Transgender male | 0.77 (0.52–1.16) | 1.69 (1.12–2.54)* | 0.71 (0.48–1.03) | — | 0.78 (0.52–1.15) | — |
| Nonbinary | 1.04 (0.71–1.53) | 2.13 (1.45–3.14)*** | 0.84 (0.58–1.20) | — | 0.69 (0.47–1.02) | — |
| Race/ethnicity | ||||||
| White | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. |
| Black | 1.74 (1.08–2.82)* | 1.83 (1.14–2.94)* | 1.12 (0.71–1.77) | 1.06 (0.67–1.69) | 1.11 (0.70–1.77) | 1.06 (0.66–1.69) |
| Hispanic/Latinx | 1.61 (1.13–2.31)** | 0.92 (0.64–1.34) | 0.66 (0.47–0.92)* | 0.66 (0.47–0.92)* | 0.70 (0.48–1.01) | 0.70 (0.48–1.00) |
| Other | 1.21 (0.80–1.83) | 1.73 (1.15–2.60)** | 0.69 (0.47–1.03) | 0.73 (0.49–1.08) | 0.88 (0.58–1.32) | 0.92 (0.60–1.38) |
| Not enough money | ||||||
| No | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. |
| Yes | 1.18 (0.87–1.61) | 1.61 (1.18–2.18)** | 1.14 (0.85–1.52) | 1.12 (0.83–1.50) | 1.07 (0.78–1.45) | 1.05 (0.77–1.43) |
| Health insurance | ||||||
| No | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. |
| Yes | 3.05 (2.16–4.35)*** | 1.48 (1.04–2.11)* | 2.02 (1.46–2.80)*** | 2.07 (1.49–2.88)*** | 2.00 (1.41–2.87)*** | 2.03 (1.42–2.92)*** |
| Health costs | ||||||
| No | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. |
| Yes | 1.04 (0.76–1.41) | 1.13 (0.83–1.54) | 1.45 (1.09–1.95)* | 1.50 (1.12–2.01)** | 1.31 (0.96–1.77) | 1.33 (0.98–1.80) |
| Age | 1.37 (1.29–1.45)*** | 1.21 (1.14–1.28)*** | 1.17 (1.11–1.24)*** | 1.16 (1.10–1.23)*** | 1.11 (1.05–1.18)*** | 1.10 (1.04–1.17)** |
| Medical gender affirmation services-yes × transgender male | — | — | — | 3.30 (1.54–7.12)** | — | 2.55 (1.18–5.59)* |
| Medical gender affirmation services-yes × nonbinary | — | — | — | 4.23 (1.39–14.82)* | — | 1.72 (0.62–4.75) |
Bold indicates statistical significance. Transgender female: female or transgender male-to-female. Transgender male: male or transgender female-to-male. Nonbinary: genderqueer, gender nonconforming or nonbinary other. Not enough money: not enough money for basic needs in the past 12 months. Health insurance: has health insurance. Health costs: did not receive medical care because of costs in the past 12 months. Medical gender affirmation services-yes × transgender male: interaction between having accessed medical gender affirmation services and transgender male gender identity. Medical gender affirmation-yes × nonbinary: interaction between having accessed medical gender affirmation services and nonbinary gender identity.
p < 0.05.
p < 0.01.
p < 0.001.
95% CI, 95% confidence interval; aOR, adjusted odds ratio.