2023-09-28 14:46:10 +00:00
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abstract: 'This propensity-matched analysis utilized the publicly available
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Behavioral Risk Factor Surveillance System (2017-2019) data to compare
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the burden of disabilities among transgender/non-binary (TGNB) and
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cisgender groups. The groups were matched (1:1 ratio) on demographic
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variables using Nearest Neighborhood Matching. Categorical variables
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were compared among groups using a Chi-square analysis to test
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differences in the proportions. Multivariate logistic regression
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analysis was fit to predict the likelihood of the physical and mental
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disabilities among the TGNB group compared with the cisgender group
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while controlling for healthcare access factors, income, and employment.
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Survey weights were included in the model to account for the complex
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survey design. In a weighted sample of 664,103 respondents, only 2827
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(0.4\%) self-identified as TGNB. In the matched sample, a higher
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proportion of the TGNB group belonged to the low-income group (39.5\%
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vs. 29.8\%, p < 0.001), were unable to work (12.5\% vs. 8.6\%, p <
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0.001), and delayed care due to cost barriers (19.0\% vs. 12.4\%, p <
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0.001). Compared with the cisgender group, the odds of having difficulty
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making decisions were 1.94 times higher (95\% CI: 1.67-2.27) and odds of
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difficulty walking were 1.38 times higher (95\% CI: 1.19, 1.59) among
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the TGNB group. Additionally, the TGNB group had 59.8\% higher adjusted
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odds ratio (aOR) (aOR 1.598, 95\% Confidence interval (CI): 1.256,
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2.034) of experiencing difficulty dressing and 83.3\% higher odds (aOR
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1.833, 95\% CI: 1.533, 2.191) in having difficulty doing things alone.
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The findings of this study advocate for developing policies and
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interventions to deliver culturally competent care to the TGNB
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population with disabilities.'
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affiliation: 'Pharr, JR (Corresponding Author), Univ Nevada, Sch Publ Hlth, Dept Environm
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\& Occupat Hlth, Las Vegas, NV 89119 USA.
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Pharr, Jennifer R., Univ Nevada, Sch Publ Hlth, Dept Environm \& Occupat Hlth, Las
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Vegas, NV 89119 USA.
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Batra, Kavita, Univ Nevada, Kirk Kerkorian Sch Med, Off Res, Las Vegas, NV 89102
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USA.'
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article-number: '1285'
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author: Pharr, Jennifer R. and Batra, Kavita
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author-email: 'jennifer.pharr@unlv.edu
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Kavita.batra@unlv.edu'
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author_list:
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- family: Pharr
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given: Jennifer R.
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- family: Batra
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given: Kavita
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da: '2023-09-28'
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doi: 10.3390/healthcare9101285
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eissn: 2227-9032
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files: []
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journal: HEALTHCARE
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keywords: 'physical disability; mental disability; transgender; propensity score
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matching; Behavioral Risk Factor Surveillance System'
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keywords-plus: 'KEY HEALTH INDICATORS; UNITED-STATES; OLDER-ADULTS; MINORITY STRESS;
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CARE ACCESS; US ADULTS; GAY; STIGMA; PREJUDICE; CANCER'
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language: English
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month: OCT
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number: '10'
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number-of-cited-references: '61'
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orcid-numbers: 'Batra, Kavita/0000-0002-0722-0191
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Pharr, Jennifer/0000-0002-0383-2641'
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papis_id: f86864306f3c18b8f9cf58c2e00cc585
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ref: Pharr2021physicalmental
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researcherid-numbers: 'Batra, Kavita/ABH-7821-2020
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'
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times-cited: '2'
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title: 'Physical and Mental Disabilities among the Gender-Diverse Population Using
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the Behavioral Risk Factor Surveillance System, BRFSS (2017-2019): A Propensity-Matched
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Analysis'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000726352200001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '2'
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volume: '9'
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web-of-science-categories: Health Care Sciences \& Services; Health Policy \& Services
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year: '2021'
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