Table 4.

Multivariate analysis of the association between GBD and medical visit in the last 12 months among TGW in Northeast Brazil, 2017

Model 1	OR a	p-value	95%CI
GBD	0.37	0.006	0.19–0.75
Model 2	OR a	p-value	95%CI	Percent change in effect
GBD	0.33	0.005	0.15–0.71	11.97
Adjusted for age, monthly income, years of schooling, need for medical treatment, self-reported quality of life, health satisfaction, illicit use of industrial liquid silicone, enrollment in PHC, PHC as a usual source of care, participation in TGW civil society organizations
Model 3	OR a	p-value	95%CI	Percent change in effect
GBD	0.30	0.003	0.14–0.66	18.61
Adjusted for age, schooling, need for medical treatment, self-reported quality of life, health satisfaction, illicit use of industrial liquid silicone, enrollment in PHC, PHC as a usual source of care, participation in TGW civil society organizations
Model 4	OR a	p-value	95%CI	Percent change in effect
GBD	0.30	0.002	0.14–0.65	19.12
Adjusted for age, schooling, self-reported quality of life, health satisfaction, illicit use of industrial liquid silicone, enrollment in PHC, PHC as a usual source of care, participation in TGW civil society organizations
Model 5	OR a	p-value	95%CI	Percent change in effect
GBD	0.30	0.002	0.14–0.65	19.33
Adjusted for age, self-reported quality of life, health satisfaction, illicit use of industrial liquid silicone, enrollment in PHC, PHC as a usual source of care, participation in TGW civil society organizations
Model 6	OR a	p-value	95%CI	Percent change in effect
GBD	0.29	0.002	0.14–0.63	21.42
Adjusted for self-reported quality of life, health satisfaction, illicit use of industrial liquid silicone, enrollment in PHC, PHC as a usual source of care, participation in TGW civil society organizations
Hosmer–Lemeshow (p-value)	0.979

GBD gender-based discrimination, TGW transgender women, PHC primary health care

^a Weighted by RDS-II estimator