?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.relation=http%3A%2F%2Fd-scholarship-dev.library.pitt.edu%2F35564%2F&rft.title=Comparison+of+healthcare+experiences+and+healthcare+avoidance+between+binary+and+nonbinary+transgender+youth&rft.creator=Boyer%2C+Taylor&rft.description=Background%3A+There+is+growing+research+exploring+the+underlying+causes+of+health+disparities+experienced+by+transgender+communities.+Little+research+has+explored+the+unique+healthcare+experiences+of+transgender+youth%2C+particularly+nonbinary+youth%2C+which+may+help+explain+the+mechanisms+contributing+to+health+outcomes+for+gender+minority+youth.+%0D%0AAims%3A+To+compare+the+positive+and+negative+healthcare+experiences+and+healthcare+avoidance+between+binary+and+nonbinary+transgender+youth.+%0D%0AMethods%3A+A+cross+sectional+survey+was+conducted+with+transgender+youth+between+the+ages+of+12+and+26+years+old+receiving+gender-affirming+care+at+the+Gender+Clinic+at+UPMC+Children%E2%80%99s+Hospital+of+Pittsburgh.+Participants+were+recruited+during+clinical+hours+with+eligible+and+consenting+youth+who+had+a+clinic+visit+during+the+study+period+(July+%E2%80%93+October+2018).+181+youth+were+surveyed+including+141+binary+youth+(103+binary+transmasculine+and+38+binary+transfeminine+youth)+and+40+nonbinary+youth+(24+nonbinary+assigned+female+at+birth+(AFAB)%2C+8+nonbinary+assigned+male+at+birth+(AMAB)%2C+and+8+nonbinary+youth+who+did+not+indicate+their+sex+assigned+at+birth).++%0D%0AResults%3A+There+are+no+statistically+significant+differences+in+healthcare+experiences+and+healthcare+avoidance+for+nonbinary+youth+compared+to+binary+youth.+Nonbinary+youth%2C+particularly+nonbinary+AFAB+(Coefficient%3A+0.99%3B+p+%3D+0.05)+and+nonbinary+AMAB+(Coefficient%3A+1.45%3B+p+%3D+0.06)%2C+reported+more+negative+healthcare+experiences+than+binary+transfeminine+youth+when+controlling+for+age+and+race%2Fethnicity.+However%2C+compared+to+binary+transmasculine+youth%2C+neither+nonbinary+AFAB+(Coefficient%3A+0.34%3B+p+%3D+0.44)+nor+nonbinary+AMAB+(Coefficient%3A+0.80%3B+p+%3D+0.27)+had+significantly+more+negative+healthcare+experiences.+Regardless+of+gender+identity%2C+more+negative+healthcare+experiences+were+statistically+associated+with+healthcare+avoidance+(OR%3A+2.02%3B+1.58%2C+2.59).+Parental+support+and+positive+healthcare+experiences+did+not+moderate+the+association+between+negative+healthcare+experiences+and+healthcare+avoidance.++++%0D%0AConclusions%2FPublic+Health+Statement%3A+These+findings+indicate+that+healthcare+experiences+may+be+different+for+nonbinary+youth+compared+to+binary+transfeminine+youth.+However%2C+more+research+with+larger+sample+sizes+of+nonbinary+youth+is+needed+to+support+and+fully+explore+these+differences.+It+is+imperative+that+future+research+explores+the+potentially+unique+healthcare+experiences+of+nonbinary+transgender+youth+to+reduce+health+disparities+and+promote+positive+health+outcomes+for+this+population.&rft.date=2019-01-30&rft.type=University+of+Pittsburgh+ETD&rft.type=PeerReviewed&rft.format=application%2Fpdf&rft.language=en&rft.identifier=http%3A%2F%2Fd-scholarship-dev.library.pitt.edu%2F35564%2F1%2FBoyer_T_ETD_Dec2018.pdf&rft.identifier=++Boyer%2C+Taylor++(2019)+Comparison+of+healthcare+experiences+and+healthcare+avoidance+between+binary+and+nonbinary+transgender+youth.++Master's+Thesis%2C+University+of+Pittsburgh.++++(Unpublished)++