Table 2.

Associations between lifetime healthcare mistreatment and healthcare avoidance due to anticipated mistreatment in transfeminine, transmasculine, and gender-expansive groups

Models	Total sample			Gender expansive			Transfeminine			Transmasculine
Model 1	OR	95% CI	p	OR	95% CI	p	OR	95% CI	p	OR	95% CI	p
Experienced lifetime healthcare discrimination	4.47	3.61, 5.63	p < 0.001	4.71	3.57, 6.20	p < 0.001	10.32	4.72, 22.59	p < 0.001	3.90	2.50, 6.13	p < 0.001
Model 2
Experienced lifetime healthcare discrimination (direct effect)	3.82	2.80, 5.23	p < .001	4.52	2.96, 6.92	p < 0.001	4.03	1.35, 12.04	p = 0.013	3.21	1.75, 5.88	p < 0.001
State-level healthcare policy protections (direct effect)	0.85	0.65, 1.11	p = 0.223	0.96	0.69, 1.34	p = 0.807	0.45	0.15, 1.35	p = 0.156	0.57	0.31, 1.06	p = 0.074
Experienced lifetime healthcare discrimination x state-level healthcare policy protections	1.33	0.88, 2.02	p = 0.177	1.07	0.62, 1.86	p = 0.801	5.02	1.11, 22.76	p = 0.037	1.55	0.66, 3.65	p = 0.313

Bolded values indicate significance at the < 0.0045 level

OR, odds ratio; CI, confidence interval

Covariates in analyses included age, sexual orientation, race/ethnicity, household income, and education level