Table 4.
Multivariable Models Regressing Awareness of Pre-exposure Prophylaxis and Awareness of Nonoccupational Postexposure Prophylaxis on Receipt of Medical Gender Affirmation Services in Sexually Experienced Transgender Youth (Age 13–24 Years) Stratified by Gender Identity—United States Survey of Today's Adolescent Relationships and Transitions, 2018
| |
Heard of PrEP |
Heard of nPEP |
||||
|---|---|---|---|---|---|---|
| |
Transgender female (n = 461) |
Transgender male (n = 296) |
Nonbinary (n = 264) |
Transgender female (n = 460) |
Transgender male (n = 296) |
Nonbinary (n = 262) |
| 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. | Ref. | Ref. |
| Yes | 0.92 (0.53–1.62) | 2.65 (1.50–4.71)*** | 3.47 (1.26–11.27)* | 0.89 (0.49–1.60) | 2.03 (1.12–3.71)* | 1.44 (0.58–3.47) |
| Race/ethnicity | ||||||
| White | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. |
| Black | 0.81 (0.45–1.45) | 2.65 (0.53–19.90) | 0.93 (0.29–2.91) | 0.72 (0.40–1.28) | 2.04 (0.41–10.16) | 0.74 (0.19–2.39) |
| Hispanic/Latinx | 0.62 (0.38–1.01) | 1.12 (0.56–2.26) | 0.36 (0.16–0.79)* | 0.45 (0.27–0.76)** | 2.81 (1.36–5.81)** | 0.30 (0.10–0.76)* |
| Other | 0.47 (0.25–0.89)* | 1.82 (0.87–3.84) | 0.44 (0.20–0.95)* | 0.42 (0.21–0.82)* | 3.01 (1.41–6.46)** | 0.71 (0.31–1.53) |
| Not enough money | ||||||
| No | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. |
| Yes | 1.52 (0.98–2.36) | 0.92 (0.51–1.62) | 0.66 (0.35–1.22) | 1.69 (1.06–2.68)* | 0.38 (0.20–0.72)** | 1.08 (0.57–2.02) |
| Health insurance | ||||||
| No | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. |
| Yes | 2.34 (1.57–3.52)*** | 2.92 (1.27–7.20)* | 0.88 (0.37–2.09) | 2.70 (1.74–4.25)*** | 0.87 (0.39–2.06) | 0.98 (0.40–2.61) |
| Health costs | ||||||
| No | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. |
| Yes | 1.31 (0.84–2.05) | 1.59 (0.91–2.79) | 1.89 (1.01–3.56)* | 1.20 (0.75–1.92) | 2.00 (1.10–3.68)* | 1.05 (0.55–1.99) |
| Age | 1.06 (0.97–1.15) | 1.24 (1.11–1.40)*** | 1.28 (1.14–1.45)*** | 1.04 (0.95–1.13) | 1.22 (1.09–1.38)*** | 1.11 (0.99–1.24) |
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.
p < 0.05.
p < 0.01.
p < 0.001.